Summary
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.
Article PDF
Similar content being viewed by others
Avoid common mistakes on your manuscript.
References
Kodama I, Loiacono LA, Sigel B, Machi J, Golub RM, Parsons RE, Justin J, Zaren HA, Sachdeva AK (in press) Ultrasonic detection of viscera slide as an indicator of abdominal wall adhesions. J Clin Ultrasound
Matin G, Bergama S, Miola E, Caldironi MW, Dagnini G (1987) Prelaparoscopic echography used to detect abdominal adhesions. En- doscopy 19: 147–149
Reddick EJ, Olsen DO (1990) Outpatient laparoscopic laser cholecys- tectomy. Am J Surg 160: 485 -487
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Sigel, B., Golub, R.M., Loiacono, L.A. et al. Technique of ultrasonic detection and mapping of abdominal wall adhesions. Surg Endosc 5, 161–165 (1991). https://doi.org/10.1007/BF02653253
Issue Date:
DOI: https://doi.org/10.1007/BF02653253