Abstract
This review aimed to assess diagnostic accuracy of transabdominal ultrasonography (TAS) sliding sign in diagnosing severe intra-abdominal adhesions with repeated Caesarean delivery (CD). PubMed, Google Scholar, Web of Science and Scopus were searched for published studies until October 2022. Studies evaluating the sliding sign as a predictor of intra-abdominal adhesions after repeat CD were included. STATA and Comprehensive Meta-Analysis for meta-analysis was used. A total of 7 studies (1,318 patients) were included. For identifying severe intra-abdominal adhesions, sliding sign on TAS had a combined sensitivity (64%, 95% confidence interval [CI]: 55-71%), specificity (93%, 95% CI: 89-96%), positive likelihood ratio (9.5, 95% CI: 5.7-16), negative likelihood ratio (0.39, 95% CI: 0.31-0.49) and diagnostic odds ratio (24, 95% CI: 13-46). Prediction intervals for sensitivity and specificity were 0.444-0.786 and 0.711-0.985, respectively. 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.
Publication details
- DOI
- 10.18295/squmj.10.2024.063
- Journal
- Sultan Qaboos University Medical Journal, 25(1), 29-37
- Publisher
- Sultan Qaboos University
- Open access
- Gold open access
- License
- CC BY-ND 4.0
Cite this article
APA 7
Taha, A. M., Moawad, W. A., Alhejazi, S. A., J., T., Sabri, Y. A., Abd-ElGawad, M., Alcazar, J. L., Al Riyami, N., Khafagy, A., Mohammed, Y. A., & Saad, A. H. (2025). Diagnostic Accuracy of Abdominal Ultrasonographic Sliding Sign in the Evaluation of Severe Intra-Abdominal Adhesions Involving the Uterus in Women Undergoing Repeat Caesarean Delivery: Systematic review and meta-analysis. Sultan Qaboos University Medical Journal, 25(1), 29-37. https://doi.org/10.18295/squmj.10.2024.063
MLA 9
Taha, Amira M., et al. "Diagnostic Accuracy of Abdominal Ultrasonographic Sliding Sign in the Evaluation of Severe Intra-Abdominal Adhesions Involving the Uterus in Women Undergoing Repeat Caesarean Delivery: Systematic review and meta-analysis." Sultan Qaboos University Medical Journal, vol. 25, no. 1, 2025, pp. 29-37. https://doi.org/10.18295/squmj.10.2024.063.
Chicago (author–date)
Taha, Amira M., Wesam A. Moawad, Sara A.A. Alhejazi, Tala J., Youstina A. Sabri, Mohamed Abd-ElGawad, Juan L. Alcazar, Nihal Al Riyami, Ayatallah Khafagy, Yasmine A. Mohammed, and Ahmed H. Saad. 2025. "Diagnostic Accuracy of Abdominal Ultrasonographic Sliding Sign in the Evaluation of Severe Intra-Abdominal Adhesions Involving the Uterus in Women Undergoing Repeat Caesarean Delivery: Systematic review and meta-analysis." Sultan Qaboos University Medical Journal 25 (1): 29-37. https://doi.org/10.18295/squmj.10.2024.063.
Harvard
Taha, A. M., Moawad, W. A., Alhejazi, S. A., J., T., Sabri, Y. A., Abd-ElGawad, M., Alcazar, J. L., Al Riyami, N., Khafagy, A., Mohammed, Y. A. and Saad, A. H. (2025) 'Diagnostic Accuracy of Abdominal Ultrasonographic Sliding Sign in the Evaluation of Severe Intra-Abdominal Adhesions Involving the Uterus in Women Undergoing Repeat Caesarean Delivery: Systematic review and meta-analysis', Sultan Qaboos University Medical Journal, 25(1), pp. 29-37. doi:10.18295/squmj.10.2024.063.
Vancouver
Taha AM, Moawad WA, Alhejazi SA, J. T, Sabri YA, Abd-ElGawad M, et al. Diagnostic Accuracy of Abdominal Ultrasonographic Sliding Sign in the Evaluation of Severe Intra-Abdominal Adhesions Involving the Uterus in Women Undergoing Repeat Caesarean Delivery: Systematic review and meta-analysis. Sultan Qaboos University Medical Journal. 2025;25(1):29-37. doi:10.18295/squmj.10.2024.063
IEEE
A. M. Taha, W. A. Moawad, S. A. Alhejazi, T. J., Y. A. Sabri, M. Abd-ElGawad, J. L. Alcazar, N. Al Riyami, A. Khafagy, Y. A. Mohammed, and A. H. Saad, "Diagnostic Accuracy of Abdominal Ultrasonographic Sliding Sign in the Evaluation of Severe Intra-Abdominal Adhesions Involving the Uterus in Women Undergoing Repeat Caesarean Delivery: Systematic review and meta-analysis," Sultan Qaboos University Medical Journal, vol. 25, no. 1, pp. 29-37, 2025, doi: 10.18295/squmj.10.2024.063.