In the current study, in group II, the visceral peritoneum had been left opened, which had been complicating significant adhesions: both adnexal interfering with tubal motility and nonadnexal between the uterus and bladder, while closing the parietal peritoneum
had not been complicated with adhesions, which could support our upcoming results.
A randomized study comparing Noclosure and closure of visceral and parietal peritoneum
during cesarean section.
* the highly localized and sharp pain with irritation of the abdominal part of the parietal peritoneum
It was observed in many studies that closure of the parietal peritoneum
increased adhesions in gynecologic operations, (10) general surgical operations, (11) and animal experiments (12).
In case of open herniorrhaphy, elliptical skin incisions were made and adhesions between parietal peritoneum
and skin were freed.
Grafts were anchored to the fibrous fascia of the internal abdominal oblique muscle, parietal peritoneum
A randomized study comparing nonclosure and closure of visceral and parietal peritoneum
during caesarean section: J of Obst & Gyn of India, 61:48-52; 2011.
The base of the telltale triangle sign is classically formed by free air abutting the anterior parietal peritoneum
, with the apex of the triangle pointing posteriorly, formed by free air interposed between 2 or more loops of gas-filled bowel adjacent to the anterior abdominal wall (Figure 35).
On operation a 5 6 cm gangeranous mass adhered to parietal peritoneum
in previous midline scar of abdomen was found.
(10), (30) Lyell et al (10) concluded that "the practice- of nonclosure of the parietal peritoneum
at cesarean delivery should be questioned" in an effort to reduce adhesion formation.
For example, in a non-randomized study, Lyell and colleagues (1) found closure of parietal peritoneum
at cesarean delivery to be associated with less adhesion formation than nonclosure.
In peritoneal MM, the visceral and parietal peritoneum
is extensively involved by nodules and plaques.