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Sliding sign for intra-abdominal adhesion prediction before repeat cesarean delivery / Reham Abdelwahed Mohamed Abdelsalam ; Supervised Reda Ismail Ryad , Moutaz Mahmoud Elshirbini , Mohamed Ahmed Bahaa Eldin

By: Contributor(s): Material type: TextTextLanguage: English Publication details: Cairo : Reham Abdelwahed Mohamed Abdelsalam , 2018Description: 63 P. : charts, facsimiles ; 25cmOther title:
  • التنبؤ بالتصاقات البطن قبل الولادات القيصرية المتكررة باستخدام علامات الانزلاق عن طريق الموجات فوق الصوتية [Added title page title]
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Dissertation note: Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Gynaecology and Obstetrics Summary: Objective: To evaluate the efficiency of the ultra sonographic uterine sliding sign to predict intra-abdominal adhesions in patients scheduled for a planned repeat cesarean delivery. Methods: 300 pregnant women were included. During trans abdominal ultra sonography, while the parturient breathed deeply, the sonographer recorded a video clip in a sagittal plane lateral to the umbilicus. These clips were assessed for the presence (sliding-positive) or absence (sliding-negative) of relative movement between the maternal abdominal and uterine wall. Surgeons blinded to ultra sonography results graded the severity of intra peritoneal adhesions intra operatively. The operative findings were correlated to the corresponding ultra sonographic sliding sign. Results: A negative sliding sign was associated with severe adhesions (sensitivity 54.5%, specificity 98.2%, PPV 70.6% and NPV 96.5%). Statistically significant longer delivery time in patients with negative sign compared to positive ones (18 minute versus 8 minutes). Conclusion: A negative sliding sign predicts severe intra-abdominal adhesions encountered during repeat cesarean delivery, longer time to delivery, and a higher chance of bleeding and visceral injury
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Item type Current library Home library Call number Copy number Status Date due Barcode
Thesis Thesis قاعة الرسائل الجامعية - الدور الاول المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.11.15.M.Sc.2018.Re.S (Browse shelf(Opens below)) Not for loan 01010110077849000
CD - Rom CD - Rom مخـــزن الرســائل الجـــامعية - البدروم المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.11.15.M.Sc.2018.Re.S (Browse shelf(Opens below)) 77849.CD Not for loan 01020110077849000

Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Gynaecology and Obstetrics

Objective: To evaluate the efficiency of the ultra sonographic uterine sliding sign to predict intra-abdominal adhesions in patients scheduled for a planned repeat cesarean delivery. Methods: 300 pregnant women were included. During trans abdominal ultra sonography, while the parturient breathed deeply, the sonographer recorded a video clip in a sagittal plane lateral to the umbilicus. These clips were assessed for the presence (sliding-positive) or absence (sliding-negative) of relative movement between the maternal abdominal and uterine wall. Surgeons blinded to ultra sonography results graded the severity of intra peritoneal adhesions intra operatively. The operative findings were correlated to the corresponding ultra sonographic sliding sign. Results: A negative sliding sign was associated with severe adhesions (sensitivity 54.5%, specificity 98.2%, PPV 70.6% and NPV 96.5%). Statistically significant longer delivery time in patients with negative sign compared to positive ones (18 minute versus 8 minutes). Conclusion: A negative sliding sign predicts severe intra-abdominal adhesions encountered during repeat cesarean delivery, longer time to delivery, and a higher chance of bleeding and visceral injury

Issued also as CD

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