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Abstract Summary The fibrous bands formed between the organs and the abdominal walls are called adhesions. Approximately 90% of intra-abdominal adhesions are due to intra-abdominal surgery of which laparotomy is the most important one. Adhesions cause some complications such as bowel obstruction, urinary tract injury, infertility, risk of ectopic pregnancy, chronic pelvic pain, increased operating time, delayed delivery of the infant (158). The ability to detect women at high risk of adhesions allows for better preoperative multidisciplinary planning, and more of a reason to pursue vaginal birth if not contraindicated. Several approaches to predicting intraabdominal adhesions have been proposed, including skin scar texture, striae gravidarum severity, and uterine thickness on ultrasound (159) The prevalence of pelvic adhesions following gynecological surgery has been difficult to study as, until recently, it required women to undergo repeat surgery. The real-time ultrasound-based ―sliding sign‖ is used to predict severe pelvic endometriosis and has been shown to be accurate and reproducible (150). Building on this method, it was reported that the sliding sign could be used in predicting severe adhesions in women undergoing repeat pelvic surgeries (160) The aim of work of the current study was to assess the prevalence of pelvic adhesions in women with a history of abdominopelvic surgery and to |