Catholic University of Santiago of Guayaquil

Career: Medicine

Topic

Thoracic Diaphragm

Dra. Mónica Delgado Castillo

Professor: Lic Jonh Moscoso

Course: A

Semester: B-2012

O Is a sheet of

internal skeletal

muscle that extends

across the bottom

of the rib cage. The

diaphragm

separates the

thoracic cavity, from

the abdominal

cavity

MedicalO Hiatal hernia is the most

common pathology of the

diaphragm, with an

incidence is approximately

1 per 2400 live births, with

a high mortality rate

ranging from 80% to

40%, depending on

whether cases are studied

from the prenatal period

or postnatal.

O Is performed fetoscopy, intrauterine operations. Which achieves to improve their chances of survival. Anyway, the smaller will be born with a hernia, but this is again operate about three days after his arrival in the world.

Advantage

O The diaphragm

functions in

breathing. During

inhalation, the

diaphragm

contracts, thus

enlarging the

volume of the

thoracic cavity.

O This reduces

intrathoracic

pressure: In other

words, enlarging

the cavity creates

suction that draws

air into the lungs.

O The diaphragm is also involved in non-respiratory functions, helping to expel vomit, feces, and urine from the body by increasing intra-abdominal pressure, and preventing acid reflux

Disadvantages

O A hiatal hernia, in

which the

abdominal

esophagus or even

the fundus of the

stomach rises up

through the

esophageal hiatus

into the thoracic

cavity

O This condition is

present in 1 out of

2,000 births. A large

herniation has a

mortality rate of 3/4

and requires

immediate surgical

repair

O If the diaphragm is

struck, or otherwise

spasms, breathing

will become difficult.

This is called,

having the wind

knocked out of you.

O Hiccoughs are

involuntary

intermittent sudden

contractions of the

diaphragm

Issue in Ecuador

O In Ecuador

diaphragmatic

hernias are rare. In

2010 only found

about 11 cases in

the Carlos Andrade

Marín hospital.