Pelvic adhesions caused many problems ranging from obstructed tubes associated with infertility, to pelvic tenderness, and painful intercourse, to chronic pelvic pain. Curiously, adhesions could be very extensive, yet relatively silent. They might remain silent indefinitely, or long after the causative event, become symptomatic. The aim of the work was to assess the prevalence and location of pelvic adhesions by ultrasonography in women with a history of abdominopelvic surgery and to identify risk factors and symptoms associated with it.
Methods: This prospective observational study was conducted on (110) women at the Department of Gynecology & Obstetrics, Tanta University Hospitals. Starting from September 2019 till July 2022.all cases will included by Special Clinical Tests. Abdominal scar assessment was performed in the operating room while the patient was anesthetized, lying in the supine position under a standard operating light source that was focused on the abdomen and sliding sign will be observed.
Results: As a regard of previous operation done for all patients, 13 patients underwent general operations as appendectomy in 11 patients (10%) and Appendectomy and cesarean in 2 patients (1.8%) while 97 patients underwent gynecological operation as cesarean in 87 patients (79.1%), ovarian cystectomy in 4 patients (3.6%), salpingectomy and cesarean in 2 patents (1.8%), laparoscopy in 2 patients (1.8%) and ovarian cystectomy and cesarean in 2 patients (1.8%). Among 110 patients, there was a negative sliding sign in 18 patients (16.4%) while there was a positive sliding sign in 92 patients (83.6%). there were 51 non symptomizing cases, 9 patients (17.6%) out of 51 patients were with adhesions. There were 59 symptomizing cases, 9 patients (15.3%).
Conclusion: In conclusion, Sliding sign by abdominal or vaginal ultrasound could be used as an accurate and easy diagnostic tool in predicting intra-abdominal adhesions. This technique may aid clinical decisions in patients undergoing repeat CS.