STRUCTURE OF THE PERITONEUM AND ITS RELATIONSHIP TO THE ORGANS OF THE PERITONEAL CAVITY. PERITONEAL SINUSES, SACS, AND RECESSES AND THEIR SURGICAL SIGNIFICANCE.
Abstract
This article discusses the anatomical structure of the peritoneum, its relationship with the abdominal organs, and the topographic anatomy of the peritoneal sinuses, sacs, and recesses. The study analyzed the parietal and visceral layers of the peritoneum, the greater and lesser sacs, the epiploic (Winslow) foramen, mesenteric sinuses, paracolic gutters, and duodenal, ileocecal, and sigmoid recesses. Particular attention was given to the clinical significance of these anatomical structures and the mechanisms of spread of infection, inflammatory processes, and pathological fluids within the abdominal cavity. The surgical importance of peritoneal spaces in laparoscopic procedures, drainage techniques, and the diagnosis of internal hernias was also examined. The findings demonstrate that detailed knowledge of peritoneal topographic anatomy plays a crucial role in improving the safety and effectiveness of abdominal surgical practice.