Accuracy of viscera slide detection of abdominal wall adhesions by ultrasound

R. V. Kolecki, R. M. Golub, B. Sigel, J. Machi, H. Kitamura, T. Hosokawa, J. Justin, J. Schwartz, Howard A. Zaren

Research output: Contribution to journalArticlepeer-review

65 Scopus citations


Viscera slide is the normal, longitudinal movement of the intraabdominal viscera caused by respiratory excursions of the diaphragm. By detecting areas of restricted viscera slide, ultrasonic imaging was used to identify anterior abdominal wall adhesions prior to laparotomy or laparoscopy. Transcutaneous ultrasound examination was performed on 110 patients. A prediction of adhesions was made for each patient and then compared to the findings during subsequent laparotomy or laparoscopy. Only patients with previous abdominal surgery or history of peritonitis demonstrated adhesions. Sensitivity and specificity of viscera slide ultrasound in predicting adhesions were 90% and 92%. Nine out of 10 false results involved misinterpretation of ultrasound images of the lower one-third of the abdomen. Ultrasonic imaging of viscera slide is highly accurate in detecting abdominal wall adhesions. This technique is most useful in guiding the insertion of trocar in laparoscopic surgery, and as a noninvasive method in studying the formation of adhesions.

Original languageEnglish (US)
Pages (from-to)871-874
Number of pages4
JournalSurgical Endoscopy
Issue number8
StatePublished - Aug 1 1994


  • Detection of adhesions
  • Laparoscopic surgery
  • Ultrasound

ASJC Scopus subject areas

  • Surgery


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