Diagnostic Accuracy of Abdominal Ultrasonographic Sliding Sign in the Evaluation of Severe Intra-Abdominal Adhesions involving the Uterus in Women Undergoing Repeat Cesarean Delivery: Systematic review and meta-analysis

Diagnostic Accuracy of Abdominal Ultrasonographic Sliding Sign in the Evaluation of Severe Intra-Abdominal Adhesions involving the Uterus in Women Undergoing Repeat Cesarean Delivery Systematic review and meta-analysis

We aimed to assess diagnostic accuracy of transabdominal ultrasonography(TAS) sliding sign in diagnosing severe intra-abdominal adhesions with repeated Cesarian Delivery(CD). We comprehensively searched PubMed, Google Scholar, Web of Science, and Scopus for published studies till October 2022 that e...

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Bibliographic Details
Published in:Sultan Qaboos University medical journal
Main Authors: Taha, Amira M, Moawad, Wesam A, Saed, Sara AA, Alhejazi, Tala J, Sabri, Youstina A, Abd-ElGawad, Mohamed, Alcazar, Juan L, Al Riyami, Nihal, Khafagy, Ayatallah, Mohammed, Yasmine A, Saad, Ahmed H
Format: Journal Article
Language:English
Published: 31-10-2024
Online Access:Get full text
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Summary:We aimed to assess diagnostic accuracy of transabdominal ultrasonography(TAS) sliding sign in diagnosing severe intra-abdominal adhesions with repeated Cesarian Delivery(CD). We comprehensively searched PubMed, Google Scholar, Web of Science, and Scopus for published studies till October 2022 that evaluated the sliding sign as a predictor of intra-abdominal adhesions after repeat CD. We used STATA and Comprehensive Meta-Analysis for meta-analysis. Seven studies(1318 patients) were eligible for inclusion. For identifying severe intra-abdominal adhesions, sliding sign on TAS had a combined sensitivity, specificity, positive likelihood ratio, negative likelihood ratio, and diagnostic odds ratio of 64%(95% CI, 55-71%), 93%(95% CI, 89-96%), 9.5(95% CI, 5.7-16), 0.39(95% CI, 0.31-0.49), and 24(95% CI, 13-46), respectively. Prediction intervals for sensitivity and specificity were 0.444 to 0.786 and 0.711 to 0.985, respectively. We concluded that sliding sign on TAS is a simple, non-invasive, good negative and practical method to exclude severe intra-abdominal adhesions involving the uterus with low sensitivity and high specificity.
ISSN:2075-0528
2075-0528
DOI:10.18295/squmj.10.2024.063