Prediction of Intraperitoneal Adhesions in Repeated Cesarean Section Using Sliding Sign, Striae Gravidarum, and Cesarean Scar

Mokhtari, Mojgan; Yaghmaei, Minoo; Jami, Neda Akbari; Roudbari, Masoud; Jalalvand, Dina

doi:10.47176/mjiri.36.44

Cited by 3 publications

(3 citation statements)

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“…7 Extra parameters as skin scar features and the severity of striae gravidarum were also evaluated alone or in combination with sliding sign in recent studies, reporting the highest sensitivity with scar features and negative sliding sign (65%) and maximum specificity with negative sign and its several combinations (97% -99%). 8 They also reported highest positive predictive value with negative sign sliding and its combinations. The value of all three parameters and their combinations were reported to be the same in this study in terms of estimating the negativity.…”

Section: Discussionmentioning

confidence: 96%

Sliding Sign: Could It Be a New Marker for Predicting Perinatal Outcomes

DAGGEZ,

FAYDALI SEZER,

ARSLANCA

et al. 2023

Acta Medica Nicomedia

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Aim: Adhesions following cesarean section has an important role in the course of subsequent cesarean deliveries and perinatal outcomes. Sliding sign can be proposed as a third trimester transabdominal sonographic marker for the predicting intra-abdominal adhesions in consecutive cesarean sections, skin-to-delivery time and APGAR scores. Methods A prospective study was conducted on women with a history of at least one cesarean section. All patients were evaluated at last trimester by real time ultrasonography in terms of sliding sign. The presence and absence of sliding sign, the degree of adhesions, skin-to-delivery time and APGAR scores were recorded. Results 200 patients were examined. Sensivity and specifity of sliding sign in the prediction of intra-abdominal adhesions were 75.5% and 88.2%, respectively. More severe adhesions were observed in sliding sign negative group whereas the rate of no-adhesion was higher in the sliding sign positive group. Skin-to-delivery time and 1-5 minutes APGAR scores were significantly different between 2 groups. Visceral injury was observed in 6% and bleeding over 1000 ml was seen in 30% of the patients. Conclusion Ultrasonographic evaluation of sliding sign may be a reliable method as a predictor tool for presence of intraperitoneal adhesions in repeat cesarean sections.

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Section: Discussionmentioning

confidence: 96%

Sliding Sign: Could It Be a New Marker for Predicting Perinatal Outcomes

DAGGEZ,

FAYDALI SEZER,

ARSLANCA

et al. 2023

Acta Medica Nicomedia

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“…Previous research has employed the sliding sign as a predictor of intra-abdominal adhesions, either on its own or in conjunction with stria gravidarum and CS scar (11)(12)(13)(14)(15)(16) . Previous research has used transvaginal ultrasound, magnetic resonance imaging (MRI), and computed tomography (CT) of the abdomen to predict adhesions in female patients with probable endometriosis or other pelvic diseases (4,17) .…”

Section: Discussionmentioning

confidence: 99%

Sonographic Sliding Sign as a Predictor of Intra- Abdominal Adhesions in Pregnant Woman with Previous Pelvi-Abdominal Surgery

2023

The Egyptian Journal of Hospital Medicine

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Background: Intra-abdominal adhesions are frequently linked to higher likelihood of complications such as hemorrhage and visceral injury during cesarean section in a woman with previous pelvi-abdominal surgery. This is why prediction of intraoperative adhesions is important. Objective: To check the sonographic sliding sign of the uterus as a predictor of intra-abdominal adhesions prediction in females who are undergoing CS and who had a history of pelvic and abdominal surgery, involving a previous CS. Methods: A prospective observational study carried out on 69 females with history of previous pelvi-abdominal surgery including CS and planned to have CS to predict intra-abdominal adhesions. During deep breathing, transabdominal ultrasound (TAS) is utilized to demonstrate the sonographic sliding sign of the uterus beneath the inner fascia of abdominal muscles. Females were believed to be at a high hazard for severe adhesions when sliding was absent but at a low hazard when sliding was obvious. Intraoperative assessment of adhesions was done in correlation to the sonographic finding. Results: 5 out of 8 cases with -ve sliding sign were confirmed intraoperatively to have marked adhesions and 59 out of 61 cases with +ve sliding sign had no or mild adhesions. The sensitivity, specificity, ppv, npv of the sliding sign were 71.4%, 95.2%, 62.5%, and 96.7% respectively. Conclusion:The uterine sliding sign has a good specificity, negative predictive value, and moderate sensitivity for predicting intraoperative adhesions. This technique might help surgeons to undertake anticipated complex operations.

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“…They undoubtedly have a negative impact on the women both psychologically and on the quality of life. 3,16,38,39 Furthermore, the presence of striae seems to be a predictive marker of the risk of intraperitoneal adhesions in the event of repeated caesarean sections, [40][41][42][43][44][45][46] perineal trauma during childbirth, [47][48][49] and pelvic organ prolapse. 50 There also appears to be a correlation between the presence and severity of striae and the presence and severity of stress urinary incontinence, 51 pelvic floor pain, 52 low back pain, 53 and obstetric anal sphincter injury during childbirth.…”

Section: Introductionmentioning

confidence: 99%

V‐EMF therapy: A new painless and completely non‐invasive treatment for striae gravidarum

Veronese,

Bacci,

Garcia‐Gimenez

et al. 2024

J of Cosmetic Dermatology

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BackgroundThe appearance of striae gravidarum (SG) during pregnancy is a common problem. The most common SG are abdominal striae, which can cause the greatest sequelae after pregnancy, and in the long term. There are several solutions to prevent and treat these striae, but not all are completely effective, and not without side effects.AimsThe aim of this study was to evaluate the effectiveness of a treatment that applies an electromagnetic field under vacuum (V‐EMF therapy) on the abdominal SG.MethodsA retrospective analysis was conducted on the medical records of 26 women affected by abdominal SG and treated with V‐EMF therapy. The results were evaluated using two different 5‐point Likert Scales: one administered to the treated subjects to evaluate their satisfaction, and one to the doctors who performed the treatment, to evaluate the improvement of the striae. The presence of side effects, and the effects of sun exposure after treatment were also considered.ResultsOnly two treated subjects rated their level of satisfaction with a Score III on the Liker Scale. Everyone else expressed higher levels of satisfaction. Only one doctor rated the improvement of the striae with a Liker scale score of III. All the others reported greater improvements. No discomfort or side effects were noted either during the individual treatment sessions, or at the end of the treatment. The striae showed a newfound ability to tan.ConclusionsV‐EMF therapy proves to be a valid, safe, and effective treatment modality for SG.

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Prediction of Intraperitoneal Adhesions in Repeated Cesarean Section Using Sliding Sign, Striae Gravidarum, and Cesarean Scar

Abstract: Background recurrent cesar depressed scar intraabdominalMethods: Th Taleghani univ previous cesare and the presenc predictive valuResults: The depressed scar (97%-99%). Th predictive valu same and appro Conclusion: examine the str adhesions. Acc estimate.

Cited by 3 publications

References 10 publications

Sliding Sign: Could It Be a New Marker for Predicting Perinatal Outcomes

Sliding Sign: Could It Be a New Marker for Predicting Perinatal Outcomes

Sonographic Sliding Sign as a Predictor of Intra- Abdominal Adhesions in Pregnant Woman with Previous Pelvi-Abdominal Surgery

V‐EMF therapy: A new painless and completely non‐invasive treatment for striae gravidarum

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