Peritoneum
The peritoneum is the thin membrane that lines the abdomen and pelvis and covers the organs inside. It is smooth and slippery. That lets organs glide past each other.
Endometriosis implants sit on this surface. How closely a surgeon looks changes what turns up. Studies that viewed it from a few centimeters away reported far more hidden disease than studies using near contact laparoscopy.1 Staging records where implants sit. The score did not predict pregnancy after treatment.2
Excision removes disease and leaves a hole in this membrane. Adhesions follow gynecologic surgery in 50 to 95 percent of women.3 That is why adhesion prevention belongs in the operation.
Cited in this entry
- Hopton EN, Redwine DB. Eyes wide shut: the illusory tale of 'occult' microscopic endometriosis. Human Reproduction. 2014. https://pubmed.ncbi.nlm.nih.gov/24352887/
- American Society for Reproductive Medicine. Revised American Society for Reproductive Medicine classification of endometriosis: 1996. Fertility and Sterility. 1997. https://pubmed.ncbi.nlm.nih.gov/9130884/
- Haney AF, Doty E. Murine peritoneal injury and de novo adhesion formation caused by oxidized-regenerated cellulose (Interceed [TC7]) but not expanded polytetrafluoroethylene (Gore-Tex Surgical Membrane). Fertility and Sterility. 1992. https://pubmed.ncbi.nlm.nih.gov/1730318/
This content is for educational purposes only and does not constitute medical advice. Consult an RRM clinician or healthcare provider for guidance specific to your situation.
