Prevalence of negative sliding sign representing pouch of Douglas obliteration during pelvic transvaginal ultrasound for any indication.

Prevalence of negative sliding sign representing pouch of Douglas obliteration during pelvic transvaginal ultrasound for any indication. Ultrasound Obstet Gynecol. 2020 Mar 21;: Authors: Leonardi M, Martins WP, Espada M, Georgousopoulou E, Condous G Abstract OBJECTIVE: This distorted anatomical state of pouch of Douglas (POD) obliteration can be predicted with a high degree of certainty and reproducibility using the dynamic transvaginal ultrasound (TVS) sliding sign technique. Studies on POD obliteration prediction have always focused on populations in tertiary care centers with high endometriosis prevalence. In addition to patients with symptomatic endometriosis, POD obliteration may exist in individuals with asymptomatic endometriosis or other etiologies such as pelvic inflammatory disease (PID), pelvic tuberculosis, or surgical scarring. For most abdominal or laparoscopic gynecological operations, preoperative awareness of POD obliteration is critical for surgical planning, surgical consent and optimal surgical management by skilled surgeons to optimize outcomes. Our primary aim is to determine the prevalence of a negative sliding sign, representing POD obliteration, in a cohort of patients undergoing TVS for any indication. METHODS: We conducted a prospective observational study at a high-volume ultrasound practice (July-August 2018). Clinical and surgical history, indication for TVS, and TVS findings were documented for consecutive women. The p...
Source: The Ultrasound Review of Obstetrics and Gynecology - Category: Radiology Authors: Tags: Ultrasound Obstet Gynecol Source Type: research

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