contrayéndose en sentido lateral, craneal y caudal, hacia sus inserciones separación de las costillas en la inserción del diafragma (surco de Harrison). Title: Diafragma, Author: Cécile Murúa, Name: Diafragma, Length: 9 pages, Page : 1, Published: Inserciones Porci贸n costal y porci贸n lumbar: Porci贸n costal. Inflamación del diafragma con dolor y adolorimiento en las inserciones de este músculo. Corazón. — Hidropesía cardiaca con respiración laboriosa.

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Se prefiere una sutura continua unserciones en punto de colchonero que everta las bordes, los cuales se suturan de vuelta de manera continua utilizando la misma sutura. Cuando el diafragma se desprende de sus inserciones costales, como consecuencia del trauma, se utilizan puntos pericostales para fijarlo nuevamente Diaphragmatic hernias are defined as the passage of abdominal contents into the thoracic cavity through a diaphragmatic anatomical defect.

Congenital diaphragmatic hernias produce pulmonary hypoplasia and pulmonary hypertension in the newborn, which are vel with life-threatening physiologic complications.

Prenatal diagnosis can be established trough different imaging techniques. Treatment includes respiratory stabilization of the newborn, followed by surgical repair of the anatomic defect. Traumatic diaphragmatic hernias result from blunt or penetrating trauma. Penetrating trauma over the thoracoabdominal region is the most common cause. Sensibility of diagnostic images is not high, duafragma fact that interferes with diagnosis. However, laparoscopy and thoracoscopy yield better diagnostic accuracy and also constitute a treatment approach.

Surgical correction, by the abdominal or the thoracic approach, has to be performed as soon as diagnosis is established. Surgicalembryology and anatomy of the diaphragm with surgicalapplications. Surg Clin North Am.


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Pitfalls in the diagnosis of blunt diaphragmatic injury. Stellenwert der Sonographie in der Diafragm traumatischer Zwerchfellrupturen. Acute rupture of the diaphragm due to blunt trauma: Diagnostic sensitivity and specificity of CT. Role of videothoracoscopy in chest trauma.

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Early diagnosis and treatment of blunt diaphragmatic injury. Mastery of cardiothoracic surgery.


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Operative Techniques in General Surgery.


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