Prelaparoscopic Echography used to Detect Abdominal Adhesions

Abstract

Through the use of echography after establishing the pneumoperitoneum, it is possible to recognize the presence of intra-abdominal adhesions and the distribution of gas. Using this method, the laparoscopist is able to form a picture of the intra-abdominal situation with regard to the site of the adhesions and the pneumoperitoneal chambers. This enables him to choose the best site for the insertion of the trocar both for the avoidance of possible incidents, and for optimal inspection. This method has been successfully employed in 39 patients with large abdominal surgical scars. Laparoscopy confirmed the echographic findings in almost all the cases. Thus, in 38% of cases the laparoscopic "inspection site" chosen was atypical with respect to the usual sites for the insertion of the laparoscope, but always proved to be the most suitable.

Detection of abdominal wall adhesions using visceral slide

“…In 1987, Marin et al [10] presented data to predict abdominal wall adhesions using TAU. Data on adhesions were, however, obtained after establishment of pneumoperitoneum, thereby disregarding the need for noninvasive diagnostic tools.…”

Detection of peritoneal adhesions using ultrasound examination for the evaluation of an innovative intraperitoneal mesh

“…The first technique to detect these adhesions was described by Marin et al [22]. It consisted of an ultrasound examination after a pneumoperitoneum.…”

Noninvasive detection and mapping of intraabdominal adhesions: a review of the current literature

“…We identified 12 articles published in the English literature on TAU and visceral slide [17][18][19][20][21][22][23][24][25][26][27][28]. In 1987, Marin et al [24] used ultrasonography to identify intraabdominal adhesions.…”

“…In 1987, Marin et al [24] used ultrasonography to identify intraabdominal adhesions. They performed TAU after establishment of pneumoperitoneum, thereby guiding the placement of the first trocar.…”