Meshes implanted intraperitoneally are known to cause adhesions potentially resulting in complications such as chronic pain, enterocutaneous fistula, or mesh infection. This study introduces a model for investigation of intestine-to-mesh adhesions and evaluates as to whether missing of visceral peritoneum is causative. | Impairment of the peritoneal surface as a decisive factor for intestinal adhesions in intraperitoneal onlay mesh surgery – introducing a new rat model