ACCURACY OF ULTRASOUND SLIDING SCALE IN PREOPERATIVE EVALUATION OF INTRA ABDOMINAL ADHESIONS COMPARED TO INTRAOPERATIVE FINDINGS

Background: An accurate prediction of abdominal wall adhesions would be extremely benecial to help preventing injuries during the initial abdominal entry. Aim And Objectives: Our aim was to evaluate preoperatively the accuracy of presence of bowel, bladder or omental adhesion using Visceral sliding scale by Ultrasonography and to compare ultrasonographic nding with intraoperative Laparoscopy or Laparotomy. Materials And Method: This was prospective study conducted on 100 patients, scheduled for abdominal surgeries, after following inclusion and exclusion criteria and also after informed consent obtained from patients. Ultrasound examination was done by a radiologist using a 3.5 MHz curvilinear probe. The sliding scale was used to grade the degree of adhesion formation. The ndings of the ultrasound examination were compared to intraoperative ndings regarding the presence, location, and severity of adhesions. Collected data were analysed with the help of SPSS Version 25, qualitative data were expressed in terms of frequency and proportion while quantitative data were expressed in terms of mean and SD. Screening test were used to nd severity of test. Results: All 100 enrolled patients underwent surgery, of which 69 patients (69%) underwent laparotomy, and 31 patients (31%) had a laparoscopy. The mean age of the women was 41.8 ± 7.7 years. The mean BMI was 29.1 ± 6.8 kg/m2. Visceral slide test for prediction of adhesions showed an overall accuracy of 89.6% with sensitivity of 79.4%, specicity of 87.3%, PPV of 57.3% and NPV was 91.42%. Conclusion: From overall study can conclude that visceral slide test is non-invasive and reliable method for predicting abdominal wall adhesion among women undergoing surgeries.