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Background <p>This study aimed to compare preoperative findings obtained with an umbilical visceral sliding test using a transvaginal ultrasonography (TVUSG) probe with intraoperative findings and to evaluate the effectiveness of this novel approach in detecting sub-umbilical adhesions before laparoscopy.</p> Methods <p>This prospective study was conducted at the Obstetrics and Gynecology Clinic of Sakarya University Research and Training Hospital. A total of 200 patients scheduled for laparoscopy for gynecological indications were included. Preoperatively, the presence or absence of the visceral sliding sign at the umbilicus was evaluated using a TVUSG probe. Intraoperative findings regarding the presence of periumbilical adhesions were recorded and compared with preoperative ultrasonographic results<b>.</b></p> Results <p>The sensitivity of TVUSG for detecting umbilical adhesions was 26.67% (95% CI: 12.28–45.89), while the specificity was 92.62% (95% CI: 87.17–96.26). The positive predictive value of the umbilical visceral sliding test was 42.11% (95% CI: 24.22–62.33), and the negative predictive value was 86.25% (95% CI: 83.42–88.66%).</p> Conclusion <p>The umbilical visceral sliding test, performed with a TVUSG probe, is a novel, non-invasive, easy-to-apply, safe, and reproducible method. This technique may be helpful for preoperative risk assessment to reduce trocar-related complications, particularly in patients with a history of abdominal surgery.</p>

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Evaluation of the Umbilical Visceral Sliding Test by Transvaginal Ultrasonography Probe in the Prediction of İnfraumbilical Adhesions in Women Who Undergo Laparoscopy with Gynecological İndications

  • 期刊论文

  • 发表日期：

    2026年7月4日

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  • Nur Kurt,
  • Hilal Uslu Yuvacı,
  • Nurbanu Bursa,
  • Arif Serhan Cevrioğlu

摘要

Background

This study aimed to compare preoperative findings obtained with an umbilical visceral sliding test using a transvaginal ultrasonography (TVUSG) probe with intraoperative findings and to evaluate the effectiveness of this novel approach in detecting sub-umbilical adhesions before laparoscopy.

Methods

This prospective study was conducted at the Obstetrics and Gynecology Clinic of Sakarya University Research and Training Hospital. A total of 200 patients scheduled for laparoscopy for gynecological indications were included. Preoperatively, the presence or absence of the visceral sliding sign at the umbilicus was evaluated using a TVUSG probe. Intraoperative findings regarding the presence of periumbilical adhesions were recorded and compared with preoperative ultrasonographic results.

Results

The sensitivity of TVUSG for detecting umbilical adhesions was 26.67% (95% CI: 12.28–45.89), while the specificity was 92.62% (95% CI: 87.17–96.26). The positive predictive value of the umbilical visceral sliding test was 42.11% (95% CI: 24.22–62.33), and the negative predictive value was 86.25% (95% CI: 83.42–88.66%).

Conclusion

The umbilical visceral sliding test, performed with a TVUSG probe, is a novel, non-invasive, easy-to-apply, safe, and reproducible method. This technique may be helpful for preoperative risk assessment to reduce trocar-related complications, particularly in patients with a history of abdominal surgery.