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للتواصل : https://t.me/neur0surgery Parts of the Peritoneum Parietal Peritoneum (peritoneum parietale) lines the internal surface of the abdominal and pelvic wall Visceral Peritoneum (peritoneum viscerale) Lines walls of organs Peritoneal Cavity (cavitas peritonealis) Visceral Peritoneum: How does the Visceral Peritoneum Cover the Organs? Intraperitoneal Viscera: Organs completely invested in the peritoneum Mesoperitoneal Viscera: Partly covered by the peritoneum (three different sides) Retroperitoneal Viscera: Covered by Peritoneum from one side The course of Peritoneum: Parietal Peritoneum continues into the Visceral Peritoneum through: ○ Falciform Ligament (ligamentum falciforme hepatis) ○ Coronary Ligament (ligamentum coronarium hepatis) ○ Right Triangular Ligament (ligamentum triangulare dextrum) ○ Left Triangular Ligament (ligamentum triangulare sinistrum) Ligaments cover the liver Lesser Omentum: All ligaments under liver but above the lesser curvature of the stomach Lesser Omentum: Hepatogastric Ligament (Ligamentum Hepatogastricum) Hepatoduodenal Ligament (Ligamentum Hepatoduodenale) Both start at porta hepatis of the liver Greater Omentum: Gastrophrenic Ligament (ligamentum gastrophrenicum) Gastrophrenic Ligament (ligamentum gastrosplenicum) Gastrocolic ligament (ligamentum gastrocolicum) ○ Course: Goes down in front of the abdominal organs until the terminal line of the pelvis (linea terminalis), then it turns around and attaches to the omental tenia (tenia omentalis) on the transverse colon ○ Ends at mesocolic tenia (tenia mesocolica) and becomes the transverse mesocolon (mesocolon transversum) Mesentery: Transverse Mesocolon (mesocolon transversum) Root of Mesentery (Radix Mesenterii) Mesentery completely covers the intestines Mesentery structurizes organs and forms a pathway for blood vessels to og throguh Peritoneal Cavity (Cavitas Peritonealis): Levels of the peritoneal cavity: Upper Level (above the transverse mesocolon) Middle level (below transverse mesocolon but above the terminal line of pelvis) Lower level (in pelvis minor)