caa a22 4500 44530958X CHVBK 20180317142624.0 cr unu---uuuuu 170323e20111201xx s 000 0 eng 10.1007/s00404-010-1835-0 doi (NATIONALLICENCE)springer-10.1007/s00404-010-1835-0 The accuracy of the preoperative diagnosis in women undergoing emergent gynecological laparoscopy for acute abdominal pain [Elektronische Daten] [Yoav Peled, Avi Ben-Haroush, Ram Eitan, Maya Eiger, Josef Pardo, Haim Krissi] Objectives: To analyze the accuracy of the working diagnosis in emergent laparoscopies and identify variables associated with an accurate or faulty preoperative diagnosis. Methods: A retrospective cohort study including 217 consecutive women who underwent emergent laparoscopy for acute abdominal pain in 2000-2007. Each case was designated a preoperative-postoperative diagnostic match or mismatch by file review. The agreement between the clinical and preoperative ultrasound findings was analyzed according to the circumstances of imaging tests (Doppler-ultrasound examination performed by a specialist or ultrasound performed by the on-call physician without Doppler examination). Results: On multivariate logistic stepwise regression analysis, the significant independent variables for prediction of preoperative-postoperative diagnostic match (n=63, 29%) were pregnant state, preoperative clinical-ultrasound match, and duration of symptoms. The circumstances of imaging tests were not a significant predictor for accurate preoperative diagnosis. Conclusions: In this retrospective analysis, Doppler-ultrasound examination performed by a specialist was not associated with higher accuracy of the preoperative diagnosis in women undergoing emergent laparoscopy for acute abdominal pain. These data should be further validated in future prospective cohorts. Summary: Doppler-ultrasound examination performed by a specialist does not add to the accuracy of the preoperative diagnosis in women undergoing emergent gynecological laparoscopy for acute abdominal pain. Springer-Verlag, 2011 Gynecology nationallicence Laparoscopy nationallicence Preoperative diagnosis nationallicence Ultrasound nationallicence Accuracy nationallicence Peled Yoav Department of Obstetrics and Gynecology, Helen Schneider Hospital for Women, Rabin Medical Center, Beilinson Campus, 49100, Petach Tikva, Israel aut Ben-Haroush Avi Department of Obstetrics and Gynecology, Helen Schneider Hospital for Women, Rabin Medical Center, Beilinson Campus, 49100, Petach Tikva, Israel aut Eitan Ram Department of Obstetrics and Gynecology, Helen Schneider Hospital for Women, Rabin Medical Center, Beilinson Campus, 49100, Petach Tikva, Israel aut Eiger Maya Department of Obstetrics and Gynecology, Helen Schneider Hospital for Women, Rabin Medical Center, Beilinson Campus, 49100, Petach Tikva, Israel aut Pardo Josef Department of Obstetrics and Gynecology, Helen Schneider Hospital for Women, Rabin Medical Center, Beilinson Campus, 49100, Petach Tikva, Israel aut Krissi Haim Department of Obstetrics and Gynecology, Helen Schneider Hospital for Women, Rabin Medical Center, Beilinson Campus, 49100, Petach Tikva, Israel aut Archives of Gynecology and Obstetrics Springer-Verlag 284/6(2011-12-01), 1439-1442 0932-0067 284:6<1439 2011 284 404 https://doi.org/10.1007/s00404-010-1835-0 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-010-1835-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Peled Yoav Department of Obstetrics and Gynecology, Helen Schneider Hospital for Women, Rabin Medical Center, Beilinson Campus, 49100, Petach Tikva, Israel aut NATIONALLICENCE 700 1- Ben-Haroush Avi Department of Obstetrics and Gynecology, Helen Schneider Hospital for Women, Rabin Medical Center, Beilinson Campus, 49100, Petach Tikva, Israel aut NATIONALLICENCE 700 1- Eitan Ram Department of Obstetrics and Gynecology, Helen Schneider Hospital for Women, Rabin Medical Center, Beilinson Campus, 49100, Petach Tikva, Israel aut NATIONALLICENCE 700 1- Eiger Maya Department of Obstetrics and Gynecology, Helen Schneider Hospital for Women, Rabin Medical Center, Beilinson Campus, 49100, Petach Tikva, Israel aut NATIONALLICENCE 700 1- Pardo Josef Department of Obstetrics and Gynecology, Helen Schneider Hospital for Women, Rabin Medical Center, Beilinson Campus, 49100, Petach Tikva, Israel aut NATIONALLICENCE 700 1- Krissi Haim Department of Obstetrics and Gynecology, Helen Schneider Hospital for Women, Rabin Medical Center, Beilinson Campus, 49100, Petach Tikva, Israel aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 284/6(2011-12-01), 1439-1442 0932-0067 284:6<1439 2011 284 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer