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 and mesorchium.
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.
