@article{fdi:010060343,
  title = {{R}outine ultrasound examination by {OB}/{GYN} residents increase the accuracy of diagnosis for emergency surgery in gynecology},
  author = {{T}oret-{L}abeeuw, {F}. and {H}uchon, {C}. and {P}opowski, {T}. and {C}hantry, {A}. {A}. and {D}umont, {A}lexandre and {F}auconnier, {A}.},
  editor = {},
  language = {{ENG}},
  abstract = {{I}ntroduction: {D}iagnostic accuracy of first-line sonographic evaluation by obstetrics/gynecology residents in determining the need for emergency surgery in women with acute pelvic pain is unknown. {A}im of this study was to evaluate the diagnostic accuracy of routine ultrasound evaluation by obstetrics/gynecology residents, available 24 hours a day, in patients with acute pelvic pain. {M}ethods: {A} cross-sectional retrospective study included consecutive patients who underwent emergency laparoscopy for acute pelvic pain at a teaching hospital gynecologic emergency unit, between {J}anuary 1, 2004, and {D}ecember 31, 2006. {T}he laparoscopic diagnosis was the reference standard. {G}ynecologic and nongynecologic conditions requiring immediate surgery to avoid severe morbidity or death were defined as surgical emergencies. {I}n all patients, obstetrics/gynecology residents routinely performed clinical examination and standardized ultrasonography was routinely recorded. {S}onograms were re-interpreted for the study, blinded to physical examination and laparoscopic findings, according to evidence-based predetermined criteria. {S}ensitivity, specificity, and likelihood ratios were computed for clinical data alone, sonographic data alone, and the combination of both. {R}esults: {E}mergency laparoscopy was performed in 234 patients, diagnosing 139 (59%) surgical emergencies. {C}linical and sonographic examinations performed by the residents each independently predicted a need for emergency surgery. {C}ombining both examinations was superior over each examination alone and had an acceptable false-negative rate of 1%. {C}onclusions: {F}irst-line combined clinical and sonographic examination by obstetrics/gynecology residents is effective in ruling out surgical emergencies in patients with acute pelvic pain.},
  keywords = {{A}cute pelvic pain ; {P}hysical examination ; {U}ltrasonography ; {L}aparoscopy ; {G}ynecologic emergency ; {S}ensitivity ; {S}pecificity},
  booktitle = {},
  journal = {{W}orld {J}ournal of {E}mergency {S}urgery},
  volume = {8},
  numero = {},
  pages = {16},
  ISSN = {1749-7922},
  year = {2013},
  DOI = {10.1186/1749-7922-8-16},
  URL = {https://www.documentation.ird.fr/hor/fdi:010060343},
}