From the values in Table II and Figure 1, it can be seen that in the inframesocolonic area (pre greater omentum, retro greater omentum and pelvic sub-spaces) about 77 % of the visceral peritoneum is located, while about 62 % of the parietal peritoneum
is located in the supramesocolonic region.
The presacral space is a retroperitoneal area, which is between the presacral fascia of the sacrum (Waldeyer's fascia) and parietal peritoneum
of the posterior abdominal wall.
In cases where only the parietal peritoneum
had been closed (group II), visceral peritoneal (adnexal) adhesions were the most common type of adhesions seen, which had significantly affected the tubal motility with different grades of adhesion severity.
Attitude of gynaecologists towards peritoneal closure during laparotomy (N=124) Years of I always close I close I close experience as both VP and only the only the a specialist PP, n (%) VP, n (%) PP, n (%) 0-10 12 (15.3) 21 (24.7) 10 (11.8) 11-20 10 (32.3) 4 (12.9) 0 21-30 2 (66.7) 0 1 (20.0) >30 2 (66.7) 1 (33.0) 0 Total 26 (24.1) 26 (24.1) 11 (10.2) Years of I do not close I close only when experience as the peritoneum the omentum is in a specialist at all, n (%) the way, n (%) 0-10 35 (41.2) 6 (7.1) 11-20 13 (41.9) 4 (12.9) 21-30 0 1 (20.0) >30 0 0 Total 48 (44.4) 11 (10.2) VP = visceral peritoneum; PP = parietal peritoneum
. Table 2.
Non closure of parietal peritoneum
at cesarean section and adhesion formation.
(a) Normal group; (b) model group; (c) control group; (d) low dose IFRD group; and (e) high dose IFRD group (* indicates the area of adhesion tissue; black triangle indicates visceral peritoneum; black arrow indicates parietal peritoneum
Fibrin clots and irregularities in the parietal peritoneum
were present between the 4th and 6th day in both groups.
The irritation of the parietal peritoneum
is another competing theory of the etiology of ETAP.
I close the parietal peritoneum
, then insert the sutures (without tying them) through the rectus abdominis, rectus fascia, subcutaneous fat, and skin.
Its posterior aspect was closely related to the adjacent distal sigmoid colon and it appeared anteriorly adherent to the parietal peritoneum
. A diagnosis of primary epiploic appendagitis (EA) was made on the CT findings.
In the peritoneal cavity, these lesions may be found on the parietal peritoneum
, on the serosal surfaces of the intestines, and in the liver, kidney, and pancreas.
Whether the parietal peritoneum
was closed and pelvic adhesions during the operation were examined using the records of the previous CS.