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
Bratislava Medical Journal, 2026 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Basım Tarihi: 2026
- Doi Numarası: 10.1007/s44411-026-00715-x
- Dergi Adı: Bratislava Medical Journal
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Ultimate (EBSCO)
- Anahtar Kelimeler: Adhesion, Laparoscopy, TVUSG, Umbilicus, Visceral sliding
- Van Yüzüncü Yıl Üniversitesi Adresli: Evet
Özet
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.