Technique of ultrasonic detection and mapping of abdominal wall adhesions

Bernard Sigel, Robert M. Golub, Laurie A. Loiacono, Richard E. Parsons, Issei Kodama, Junji Machi, Jeffrey Justin, Ajit K. Sachdeva, Howard A. Zaren

Research output: Contribution to journalArticlepeer-review

83 Scopus citations


A technique for noninvasive ultrasound examination to detect and map abdominal wall adhesions is described. The examination is based on the demonstration of movement of abdominal viscera during real-time imaging. This movement is called viscera slide and either occurs spontaneously as a result of respiratory movement or may be induced by manual compression. Abdominal wall adhesions produce a restriction of viscera slide. Ultrasonic demonstration of restricted viscera slide has been used for the precise localization and mapping of abdominal wall adhesions prior to abdominal surgery. The technique may be particularly useful in providing safe initial access in patients undergoing laparoscopy who are at increased risk for trocar injury of viscera due to abdominal wall adhesions resulting from previous surgery or peritonitis.

Original languageEnglish (US)
Pages (from-to)161-165
Number of pages5
JournalSurgical endoscopy
Issue number4
StatePublished - Dec 1991
Externally publishedYes


  • Abdominal surgery
  • Detection of adhesions
  • Laparoscopy
  • Ultrasound

ASJC Scopus subject areas

  • Surgery


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