abrasions need not be repaired; however, small tears of the serosa and muscularis can be managed with a single layer of interrupted 3-0 absorbable or permanent silk suture on a tapered needle.
The infiltration of the glandular tissue was also seen in the serosal
and the muscular layer (Fig.
A common dilemma faced by surgeons during laparotomy is whether or not to repair isolated small bowel serosal
Recent studies have shown that these lesions may be seen in several sites that are related or unrelated to serosal
surfaces, including intrapulmonary parenchyma, meninx, eye, nasal cavity and paranasal sinuses, parapharyngeal site, salivary gland, thyroid, peritoneum and retroperitoneum, thymus, liver, spermatic cord, bladder and prostate, kidney, adrenal gland, medulla spinalis, periosteum, pericardium, mediastinum, and soft tissue.
Manifestation of such injuries could be in the form of Laceration, Transection, Serosal
Tears, Rupture and Subserosal haematoma.
However, a trend toward better survival in patients with serosal
invasion has been reported.
For example, for staging colon carcinomas, when describing the extent of tumor is there less information in "Tumor invades into pericolonic fat" than "Tumor invades through the muscularis propria into the subserosal adipose tissue or the nonperitonealized pericolic or perirectal soft tissues but does not extend to the serosal
In helminth infected pigeon (Columba livia) histopathological findings revealed architechtural designtegration of muscularis layer, destruction of crypt and Brurnner's glands, serosal
necrosis, migratory tunnels formed along with fibrosis, villus atrophy and necrosis and infilteration of mononuclear (lymphocytes and macrophages) inflammatory cells in lamnia propria were noticed.
Post-mortem examination revealed the hemorrhages on the subcutaneous tissue and serosal
layer of the peritoneum.
Peritoneal sites were broadly divided into pelvic, greater omentum, small bowel mesentery, serosal
surfaces of bowel loops and diaphragm.
The spreading of the malignant cells through the perforation site into the peritoneal cavity  has been linked to the cancer stage and the extent of serosal
According to the medical records, the past surgical treatment was incomplete excision of pelvic endometriotic lesions, especially in rectal serosal