Non closure of parietal peritoneum
at cesarean section and adhesion formation.
the fact that the parietal peritoneum
is sensitive to movement when irritated;
Based on the results, the authors noted that "the practice of non-closure of the parietal peritoneum
at caesarean delivery should be questioned.
Nonclosure of the visceral and parietal peritoneum
at caesarean section: a randomised controlled trial.
Abundant free gas within the abdominal cavity collects anterior to the viscera and creates a sharp interface with the parietal peritoneum
, thus outlining the peritoneal cavity.
2-4) A review of nine randomized trials found less postoperative fever and a reduced hospital stay when visceral peritoneum or both visceral and parietal peritoneum
were left unsutured.
These include, in descending order of frequency: the serosal surface of the small intestine, greater omentum, parietal peritoneum
, surface of the large intestine, mesentery, undersurface of the diaphragm, and the thorax.
However, if the omentum is densely adherent to the parietal peritoneum
or other pelvic organs or bowel, it may be helpful to cut across the omentum, leaving a portion attached to the structures to be removed.
Recent evidence from Stanford University demonstrates that closure of the parietal peritoneum
resulted in substantially improved rates of adhesion formation for women undergoing cesarean delivery (Obstet.
The growth was attached to the parietal peritoneum
and continued into the right iliac fossa as a globular mass.
The greater omentum was thick and cakelike with a mixed echogenic area subjacent to a thickened parietal peritoneum
It touches the parietal peritoneum
of the anterior abdominal wall at the tip of the ninth costal cartilage, where the transpyloric plane crosses the right costal margin i.