Cargando…

Sliding Sign and Gel Sonovaginography: A Sneak Peek Prior to Laparoscopy in Patients with Endometriosis

CONTEXT: The rising incidence of endometriosis may be due to improvisation in the diagnostic techniques. Transvaginal sonography has proven to be very useful in the diagnosis of complexity of the disease and in turn to predict the intraoperative findings on laparoscopy. AIMS: The aim was to study th...

Descripción completa

Detalles Bibliográficos
Autores principales: Venkatesh, Spoorthy, Anjali, M., Vasudeva, Akhila, Kumar, Pratap
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7295256/
https://www.ncbi.nlm.nih.gov/pubmed/32577065
http://dx.doi.org/10.4103/jhrs.JHRS_169_19
_version_ 1783546619715649536
author Venkatesh, Spoorthy
Anjali, M.
Vasudeva, Akhila
Kumar, Pratap
author_facet Venkatesh, Spoorthy
Anjali, M.
Vasudeva, Akhila
Kumar, Pratap
author_sort Venkatesh, Spoorthy
collection PubMed
description CONTEXT: The rising incidence of endometriosis may be due to improvisation in the diagnostic techniques. Transvaginal sonography has proven to be very useful in the diagnosis of complexity of the disease and in turn to predict the intraoperative findings on laparoscopy. AIMS: The aim was to study the use of sliding sign for detecting the status of the pouch of Douglas (POD) and to check for the presence of bowel and nonbowel deep infiltrating endometriosis (DIE) by gel sonovaginography. SETTINGS AND DESIGN: This is a prospective observational study carried out patient division of Department of OBG in Kasturba Hospital Manipal. METHODS: The study was carried out over a period of 2 years and included 136 women. After written informed consent, a detailed history and clinical examination was done. A detailed transvaginal sonography was done for each of the patients by a single observer on the Philips HD11XE machine two-dimensional transvaginal probe which included gel sonovaginography and real-time dynamic test called sliding sign. STATISTICAL ANALYSIS: Chi-square test was used in this study. RESULTS: Sliding sign is highly specific, sensitive, and accurate for the detection of POD obliteration. It is 96.6% sensitive and 89.5% specific. It is 94.1% accurate and 94.5% positively predictive for the same. Transvaginal sonography is >92% specific for the detection of bowel and nonbowel DIE. The accuracy is over 91%. The negative predictability is 93.6% and 94.6%, respectively. CONCLUSIONS: Sliding sign is a useful, easy-to-perform, reproducible, and noninvasive modality for assessing the status of POD. Gel sonovaginography is also useful in accurately detecting the presence of deep infiltrating endometriotic deposits.
format Online
Article
Text
id pubmed-7295256
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Wolters Kluwer - Medknow
record_format MEDLINE/PubMed
spelling pubmed-72952562020-06-22 Sliding Sign and Gel Sonovaginography: A Sneak Peek Prior to Laparoscopy in Patients with Endometriosis Venkatesh, Spoorthy Anjali, M. Vasudeva, Akhila Kumar, Pratap J Hum Reprod Sci Original Article CONTEXT: The rising incidence of endometriosis may be due to improvisation in the diagnostic techniques. Transvaginal sonography has proven to be very useful in the diagnosis of complexity of the disease and in turn to predict the intraoperative findings on laparoscopy. AIMS: The aim was to study the use of sliding sign for detecting the status of the pouch of Douglas (POD) and to check for the presence of bowel and nonbowel deep infiltrating endometriosis (DIE) by gel sonovaginography. SETTINGS AND DESIGN: This is a prospective observational study carried out patient division of Department of OBG in Kasturba Hospital Manipal. METHODS: The study was carried out over a period of 2 years and included 136 women. After written informed consent, a detailed history and clinical examination was done. A detailed transvaginal sonography was done for each of the patients by a single observer on the Philips HD11XE machine two-dimensional transvaginal probe which included gel sonovaginography and real-time dynamic test called sliding sign. STATISTICAL ANALYSIS: Chi-square test was used in this study. RESULTS: Sliding sign is highly specific, sensitive, and accurate for the detection of POD obliteration. It is 96.6% sensitive and 89.5% specific. It is 94.1% accurate and 94.5% positively predictive for the same. Transvaginal sonography is >92% specific for the detection of bowel and nonbowel DIE. The accuracy is over 91%. The negative predictability is 93.6% and 94.6%, respectively. CONCLUSIONS: Sliding sign is a useful, easy-to-perform, reproducible, and noninvasive modality for assessing the status of POD. Gel sonovaginography is also useful in accurately detecting the presence of deep infiltrating endometriotic deposits. Wolters Kluwer - Medknow 2020 2020-04-07 /pmc/articles/PMC7295256/ /pubmed/32577065 http://dx.doi.org/10.4103/jhrs.JHRS_169_19 Text en Copyright: © 2020 Journal of Human Reproductive Sciences http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Venkatesh, Spoorthy
Anjali, M.
Vasudeva, Akhila
Kumar, Pratap
Sliding Sign and Gel Sonovaginography: A Sneak Peek Prior to Laparoscopy in Patients with Endometriosis
title Sliding Sign and Gel Sonovaginography: A Sneak Peek Prior to Laparoscopy in Patients with Endometriosis
title_full Sliding Sign and Gel Sonovaginography: A Sneak Peek Prior to Laparoscopy in Patients with Endometriosis
title_fullStr Sliding Sign and Gel Sonovaginography: A Sneak Peek Prior to Laparoscopy in Patients with Endometriosis
title_full_unstemmed Sliding Sign and Gel Sonovaginography: A Sneak Peek Prior to Laparoscopy in Patients with Endometriosis
title_short Sliding Sign and Gel Sonovaginography: A Sneak Peek Prior to Laparoscopy in Patients with Endometriosis
title_sort sliding sign and gel sonovaginography: a sneak peek prior to laparoscopy in patients with endometriosis
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7295256/
https://www.ncbi.nlm.nih.gov/pubmed/32577065
http://dx.doi.org/10.4103/jhrs.JHRS_169_19
work_keys_str_mv AT venkateshspoorthy slidingsignandgelsonovaginographyasneakpeekpriortolaparoscopyinpatientswithendometriosis
AT anjalim slidingsignandgelsonovaginographyasneakpeekpriortolaparoscopyinpatientswithendometriosis
AT vasudevaakhila slidingsignandgelsonovaginographyasneakpeekpriortolaparoscopyinpatientswithendometriosis
AT kumarpratap slidingsignandgelsonovaginographyasneakpeekpriortolaparoscopyinpatientswithendometriosis