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Diaphragm disorders By:Dr seyed Mostafa Shiryazdi Associate professor of surgery
Clinical Anatomy -musculotendinous membrane -musculotendinous membrane -central:tendinous -central:tendinous -peripheral:muscular -peripheral:muscular
HIATUS -Aorta:T12 azygus vein-thoracic duct -Aorta:T12 azygus vein-thoracic duct -Esophagus:T10 vagus nerves -Esophagus:T10 vagus nerves -IVC:T8 -IVC:T8
BLOOD SUPPLY -abdominal aorta:RPA-LPA -abdominal aorta:RPA-LPA -thoracic aorta:SPA -thoracic aorta:SPA -internal mamary artery -internal mamary artery
VENOUS DRAINAGE -left phrenic vein -left phrenic vein -right phrenic vein -right phrenic vein -Both drain to IVC -Both drain to IVC
INNERVATION -Right phrenic nerve:motor innervation -Right phrenic nerve:motor innervation -Left phrenic vein:motor innervation -Left phrenic vein:motor innervation -Intercostal nerve:sensory innervation -Intercostal nerve:sensory innervation
Diaphragm develops between the 4 th and 8 th weeks of gestation
Failure closure of the pericardio peritoneal canal cause CDH(bochdalek hernia)
The crura develop from the mesentery of esophagus
Higher position of diaphragm LIVER in right HEART in left
Diaphragm develops Transverse septum Pleuroperitoneal membrane Dorsal and lateral body wall Mesentery of esophagus
CONGENITAL DIAPHRAGMATIC HERNIA _BOCHDALEK HERNIA _BOCHDALEK HERNIA -MORGAGNI HERNIA -MORGAGNI HERNIA -ESOPHAGEAL HIATAL HERNIA -ESOPHAGEAL HIATAL HERNIA
BOCHDALEK HERNIA Male:female 2/1 Male:female 2/1 Left sided 90% Left sided 90% Right sided 10% Right sided 10%
Clinical Finding Rsepiratory dystress Rsepiratory dystress Absence of breath sounds Absence of breath sounds Bowel sound in chest Bowel sound in chest Scaphoid abdomen Scaphoid abdomen
Bochdalek hernia occurs in 1:4000- 5000 live birth Morgagni hernia occurs <2% of all diaphragmatic hernia Morgagni hernia occurs <2% of all diaphragmatic hernia
Usually CDH discovered prenataly on routine ultrasound
After birth CXR CXR BARIUM SWALLOW BARIUM SWALLOW
Long term problems in CDH Gastroesophageal reflux Gastroesophageal reflux Chronic lung disease Chronic lung disease Hearing loss Hearing loss Pectus excavatum Pectus excavatum seizure seizure
Contained sac in morgagni OmentumColonStomachLiver Small intestine
treatment Nasogastric tube Nasogastric tube Fluid and electrolyte Fluid and electrolyte PEEP or ECMO PEEP or ECMO surgery surgery
Right side:thoracotomy Left side:laparotomy
Mortality 30-50% in 24 hours
MORGAGNI HERNIA Larrey hernia or retrosternal Larrey hernia or retrosternal Rarely symptomatic Rarely symptomatic Symptomatic after 40 years Symptomatic after 40 years
HIATAL HERNIA Sliding Sliding Paraesophageal Paraesophageal mixed mixed
GER Medical Medical Surgical Surgical FTT-repeated respiratory infection- anemia-recurrent FTT-repeated respiratory infection- anemia-recurrent
Diaphragm tumors Primary(rare):fibrosarcoma-hydatid cyst- TB Primary(rare):fibrosarcoma-hydatid cyst- TB secondary secondary
Eventration of diaphragm Congenital(non paralysed) Congenital(non paralysed) Acquired(paralysed) Acquired(paralysed)
Trauma to diaphragm 90% left sided 90% left sided Early diagnosis:laparotomy Early diagnosis:laparotomy Late diagnosis:thoracotomy Late diagnosis:thoracotomy
Congenital Diaphragmatic Hernia & Eventration Of Diaphragm Dr.V.N.Mahalakshmi.
HELMI LUBIS RIDWAN M. DAULAY WISMAN DALIMUNTHE RINI SAVITRI DAULAY HYPOPLASIA OF THE LUNG.
Oesphegeal Atresia Dr. Abdul Rahman A. Sulaiman. Oesphegeal Atresia incidence : 1 in 4000 live birth classification : 1- proximal atresia with distal.
BODY CAVITIES Slidelearn Team. FORMATION OF BODY CAVITY END OF 3 RD WEEK At the end of third week there is differentiation of Intraembryonic mesoderm.
Dr. Ahmed Fathalla Ibrahim. INTRAEMBRYONIC COELOM.
3 RD WEEK AXIAL › Prechordal mesenchyme › Cardiogenic › Septum transversum PARAXIAL INTERMEDIATE LATERAL PLATE.
D&C SHANNON F. ROSATI SEPTEMBER 11, Case Presentation Male infant, born to a 34 y/o G4P3 female at 0942 on 9/1/14, at gestational age 38 weeks.
Body Cavities, Primitive Mesenteries & Diaphragm Dr. Zeenat Zaidi.
Diaphragm anatomy hernias treatment. Anatomy of the diaphragm A dome-shaped anatomical structure consisting of a muscular and tendineous part Diaphragmatic.
DIAPHRAGM & PLEURAL CAVITIES. INTRAEMBRYONIC CEOLOM EMBRYONIC BODY CAVITY.
Congenital atresia of esophagus : Incidence : Is a relatively common congenital Mal formation occurring in about one in ( 2500 – 3000 ) life births and.
Development of respiratory system Dr. Lubna Nazli.
PICTORIAL ESSAY OF DIAPHRAGMATIC HERNIA Abstract no:1015.
Dr. Rehan Clinical anatomy of thoracic cage and cavity-1.
CONGENITAL DIAPHRAGMATIC HERNIA Maj Asrar Ahmad MBBS, FCPS.
Digestive Disorders Esophageal Disorders. Esophagus The organ which moves food from the pharynx to the stomach Moves food through the process of.
The parietal layer is lined by Methothelium derived from somatic Mesoderm. & the visceral layer is Covered by mesothelium derived from Splanchnic mesoderm.
DIAPHRAGM AND HIATUS HERNIA. Anatomy of diaphragm Diaphragm Diaphragmatic communications.
Muscular System As with the skeltal system most of the muscular system also develops from the mesodermal germ layer Smooth muscle develops from splanchnic.
Morgagni Hernia Brian Belyea Radiology Elective Block 8 February 27, 2004.
Congenital Posterolateral Diaphragmatic Hernia and Other Less Common Hernias of the Diaphragm in Infants and Children.
1 Diaphragmatic Function, Diaphragmatic paralysis, and Eventration of the Diaphragm.
1 Diseases and Disorders of the Digestive System Appendicitis - an inflammation of the appendix Causes Blockage of appendix with feces Blockage.
5/4/ DEVELOPMENT OF TRACHEA, LUNGS & DIAPHRAGM LECTURE BY PROF. DR.ANSARI (for MBBS students only) Monday, May 04, 2015 Monday, May 04, 2015.
Diaphragm Ajith Sominanda Department of Anatomy Faculty of Medicine.
THORACIC CAVITY MEDIASTINUM. Mediastinum Mediastinum = space between lungs. Mediastinum = space between lungs. Superior mediastinum: Superior mediastinum:
Dr. Sanjay Kolte Dr. Sanjay Kolte, a general surgeon based in India who specializes in laparoscopic Surgery, Hernia Surgery, Gastrointestinal surgery,
THE DIAPHRAGM TYLER POSTMAN. THE BASICS OF THE DIAPHRAGM It is part of the respiratory system It is found in the thoracic cavity or chest Separates the.
Christopher Ramnanan, Ph.D. OBJECTIVES: - List the parts of the sternum. - Name the different types of ribs and their parts. - Name.
Development of the Respiratory System Dr. Pat McLaughlin Professor, Department of Neural & Behavioral Sciences X6414, C3727
Clinical History: 3 month-old male presented with recurrent pneumonia. Mother reported coughing and choking during feeding. Barium swallow was requested.
Surgical diseases of colon and rectum.. Arteries and veins of the small and large intestine (small bowel loops laid left, transverse colon pulled up;
Development of the Foregut Dr Rania Gabr. OBJECTIVES 1-Identify the results of folding. 1-Identify the results of folding. 2-Identify the derivatives.
THORACIC CAVITY RESPIRATORY DIAPHRAGM. Diaphragm A diaphragm is a muscular sheet with an inferior and a superior fascia: A diaphragm is a muscular sheet.
Dr. SREEKANTH THOTA DEPARTMENT OF ANATOMY ABDOMEN.
Objectives Discuss the origin and insertion of diaphragm. Enlist the openings (with their contents) in the diaphragm. Give the motor and sensory nerve.
Biology 224 Human Anatomy and Physiology - II Lecture 01 Dr. Stuart S. Sumida Organizational Overview of Thorax, Abdomen, Pelvis.
Dr.Muthanna Alassal MBChB FICMS(CTVS) Lecturer/ Al-kindy college of medicine Cardiothoracic and Vascular Surgeon Cardiothoracic and Vascular Department.
Abdominal wall, umbilicus, omenteum Sabiston
DEPARTMENT OF ANATOMY ABDOMEN. Esophagus The abdominal oesophagus The abdominal oesophagus measures approximately 1.25 cm in length. Phrenicoesophageal.
Lecture 6: Development of Body cavities. Learning Objectives By the end of the session the students should be able to: a. Discuss formation of body cavities.
Tumors of the Diaphragm. The diaphragm is commonly involved with malignant pleural disease or malignant peritoneal disease. Only rarely, however, is the.
Thoracic cage, diaphragm Mark Kozsurek, M.D., Ph.D. ED I., 15/11/2011.
CONGENITAL DIAPHRAGMATIC HERNIA ( C D H ) Dr JACOB MATHEW DEPT. OF PAED. SURGERY Dr AHMED ABANAMY HOSPITAL.
Development of the body cavities and the diaphragm.
MEDIASTINUM EDITED BY: DR. NIVIN SHARAF MD LMCC. OBJECTIVES By the end of this lecture the students should be able to: Define mediastinum. Enlist the.
Dr.Osama Esmaeel Hudder MRCS(England) Iraqi Board Pediatric Surgery.
Lab # Mediastinum. What is the Mediastinum? What is in the Mediastinum? A broad central partition that separates the two laterally placed pleural.
Fetal Chest 指導 洪正修主任 楊明智主任 主講 陳志堯醫師. Chest Development Congenital Diaphragmatic Hernia Cystic Adenomatoid Malformation Bronchopulmonary Sequestration.
Respiratory Distress in Neonates Respiratory Distress in Neonates Dr.Mohammad Saquib Mallick, FRCS Consultant Paediatric Surgeon, Consultant Paediatric.
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