Accuracy of Transabdominal Ultrasound in Predicting Intraperitoneal Adhesions Prior to Laparoscopy

Accuracy of Transabdominal Ultrasound in Predicting Intraperitoneal Adhesions Prior to Laparoscopy

Detecting Accuracy of transabdominal ultrasound in detecting intraperitoneal adhesions prior to laparoscopy ( which is the gold standard to visualize adhesions ) to detect safety of 1ry trocar insertion .

Inclusion Criteria:

• Women scheduled for elective laparoscopy.
• Women with history of previous laparotomies.
• Women with previous transverse suprapubic and/or any midline incision.
• Women with previous caesarean section.

Exclusion Criteria:

• Women with Emergency laparoscopic surgeries (e.g., acute abdomen).
• Pregnancy at time of operation.
• Morbid obesity (BMI > 40kg/m²), as excessive adipose tissue may limit ultrasound imaging.
• Severe medical conditions affecting participation (e.g., severe cardiac or pulmonary disease.