Section 6.17  Attachment: The fascia and reflection

The fascia, between mesenteric and non-mesenteric domains

Is thin and very flimsy in areas

As a result, it is readily disrupted during dissection

Notwithstanding this

Its anatomical distribution is important and can  be demonstrated

The thickness of the fascia varies between regions

For example, that under the dorsal mesogastrium is dense and easily demonstrated

The distribution of the divided edge of the reflection can also be determined

Here we are seeing the divided edge of the hepatocolic, right lateral and ileocolic regions of the reflection

This is where the parietal peritoneum is reflected onto the mesenteric domain

The divided edge of the reflection can also be seen on the left

In fact it can be followed from the DJ flexure

Medially down into the pelvis,

Then back up around the left

Under the diaphragm,

Down the right side, and medially back up to the

DJ flexure

Certain regions are best visualised after removal of the mesenteric domain

These include the lienophrenic and coronary regions