I had tubal ligation in 2004 and i'm looking at the procedures done and they said that it was significant omental adhesions. what does that mean?

Typical: Omentum is an abdominal structure that migrates to areas of inflammation. It is thin, fatty layer and sticks to areas and adhesions are formed. They are obvious at surgery and dealt with to get to necessary spots.

Omentum is : Intra abdominal tissue that covers, like an apron, the small intestine. Adhesions are scar formations that occur in response to intra abdominal surgery, infection, or inflammation. "significant" is kind of difficult to define, except that it was more than routine. So significant omental adhesions means that you had more than routine amount of scarring from the omentum to the pelvic organs.