Abstract
The only motor nerve of the diaphragm is the phrenic nerve. Sensory innervation is additionally supplied by the 6th through 12th intercostal nerves. Both the left and right phrenic nerve divide into branches of variable number before reaching the diaphragm. The right phrenic nerve ramifies while still within the fatty tissue of the right cardiac angle (before entering the central tendon of the diaphragm), usually lateral to the inferior vena cava. The left phrenic nerve ramifies about 3 cm from the central tendon while still within the fatty tissue of the left cardiac angle [49].
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References
Adamthwaite DN, Snyders DC, Mirwis J (1983) Traumatic pericardiophrenic hernia: a report of 3 cases. Br J Surg 70:117–119
Adler RH, Firme CN (1957) The use of nylon prostheses for diaphragmatic defects. Surg Gynecol Obstet 104:669–674
Anders A, Breyer HG, Waldschmidt J (1981) Linksseitige Ventrikelruptur mit Perikard-Diaphragma-Verletzung. Chirurg 52:654–657
Arendrup HC, Jensen BS (1982) Traumatic rupture of the diaphragm. Surg Gynecol Obstet 154:526–530
Ball T, McCrory R, Smith JO, Clements JL (1982) Traumatic diaphragmatic hernia: errors in diagnosis. AJR 138:633–637
Baudrexl A (1979) Beitrag zur Problematik der veralteten Zwerchfellruptur. Zbl Chirurgie 104:704–712
Bowen TE, Zajtchuk R, Albus RA (1982) Diaphragmatic paralysis managed by diaphragmatic replacement. Ann Thorac Surg 33:184–188
Brearley S, Tubbs N (1981) Rupture of the diaphragm in blunt injuries of the trunk. Injury 12:480–484
Campell DN, Lilly JR (1982) The clinical spectrum of right Bochdalek’s hernia. Arch Surg 117:341–344
Christophi C (1983) Diagnosis of traumatic diaphragmatic hernia: Analysis of 63 cases World J Surg 7:277–280
Collier PS, Wakeling LM (1982) Diaphragmatic pacing. A new procedure for high spinal cord lesions. Physiotherapy 68:47
Comer TP, Clagett OT (1966) Surgical treatment of hernia of the foramen of Morgagni. J Thorac Cardiovas Surg 52:461–468
Cuschieri RJ, Wilson WA (1981) Incarcerated Bochdalek hernia presenting as acute pancreatitis. Br J Surg 68:669
Döhler R, Heinemann G (1979) Angeborene Zwerchfell-Eventration. Fortschr Med 40:1769–1771
Düx A (1982) Zwerchfellhernien und-Prolapse. Radiologe 22:7–21
Ehrlich FE, Salzberg AM (1978) Pathophysiology and management of congenital posterolateral diaphragmatic hernias. Am Surg 44:26–30
Estrera AS, Piatt MR, Mills LJ (1979) Traumatic injuries of the diaphragm. Chest 75:306–313
Estrera AS, Piatt MR, Mills LJ, Urschel HC (1980) Rupture of the right hemidiaphragm with liver herniation: report of a case with extension of a tear of previously undiagnosed ruptured right hemidiaphragm. J Trauma 20:174–176
Fitzgerald RJ (1977) Congenital diaphragmatic hernia: a study of mortality factors. Ir J Med Sci 146:280–284
Gallo JI, Artinano E, Val F, Duran CG (1982) Glu-taraldehydepreserved heterologous pericardium for the repair of diaphragmatic defects. J Thorac Cardiovasc Surg 83:905–908
Geever ED, Merendino KA (1952) The repair of diaphragmatic defects with cutis grafts. An experimental study. Surg Gynecol Obstet 95:308–316
Glenn WWL (1978) Diaphragm pacing: Present status. PACE 1:357–370
Glenn WWL, Gee JBL, Schachter EN (1978) Diaphragm pacing. Application to a patient with chronic obstructive pulmonary disease. J Thorac Cardiovasc Surg 75:273–281
Glenn WWL, Hogan JF, Phelps ML (1980) Ventilatory support of the quadriplegic patient with respiratory paralysis by diaphragm pacing. Surg Clin N Am 60:1055–1078
Grmoljez PF, Lewis JE (1976) Congenital diaphragmatic hernia: Bochdalek Type. Am J Surg 132:744–746
Haeberlin P (1945) Eine seltene Zwerchfellmißbildung (partielle einseitige Doppelbildung). Schweiz Med Wochenschr 75:510–511
Hahnloser P, Geroulanos S (1976) Der Zwerchfellersatz mit Perikard bei Radikaloperation des Pleuramesothelioms. Thoraxchirurgie 24:1–5
Harrington J, Raphaely RC, Downes JJ (1982) Relationship of alveolar-arterial oxygen tension difference in diaphragmatic hernia of the newborn. Anesthesiology 56:473–476
Harrison MR, Jester JA, Ross NA (1980) Correction of congenital diaphragmatic hernia in utero. I. The model: Intrathoracic balloon produces fatal pulmonary hypoplasia. Surgery 88:174–182
Hart JC, Cohen IT, Ballantine TVN, Varrano LF (1981) Accessory diaphragm in an infant. J Pediatr Surg 16:947–949
Hartmann CA, Lange S (1982) Das akzessorische Diaphragma. Fortschr Röntgenstr 137:103–106
Hecker WCh (1975) C. Zwerchfellhernien und Relaxationen. In: Zenker R, Berchtold R, Hamelmann H (Hrsg) Die Eingriffe in der Bauchhöhle, 3. völlig neubearbeitete Auflage, BdVII/Teil 1, Springer, Berlin Heidelberg New York, S 812–825
Hubbard SG, Todd EP, Carter W, Zeok J, Dillon ML, Luce E (1979) Repair of chest wall defects with prosthetic material. Ann Thorac Surg 27:440–444
Hussain SA (1980) Delayed Rupture of the diaphragm following blunt trauma. Int Surg 65:269–270
Ilbawi MN, Hunt CE, DeLeon SY, Idriss FS (1980) Diaphragm pacing in infants and children: report of a simplified technique and review of experience. Ann Thorac Surg 31:61–65
Jensen BS, Arendrup HC (1981) Rupture of diaphragm. Acta Chir Scand 147:729–730
Kumar KL, Forse MA (1982) Herniation through the Foramen of Morgagni presenting as cardiome-galy. South Med J 75:894
Lacey SR, Goldthorn JF, Kosloske AM (1983) Repair of agenesis of hemidiaphragm by prosthetic materials. Surg Gynecol Obstet 156:310–312
Larrieu A J, Wiener I, Alexander R, Wolma F J (1980) Pericardiodiaphragmatic hernia. Am J Surg 139:436–440
Liu HM, Loew JM, Hunt CE (1978) Congenital central hypoventilation syndrome: A pathologic study of the neuromuscular system. Neurology 28:1013–1019
Lozewicz S, Potter DR, Costello JF, Moyle JB, MacCabe JJ (1981) Diaphragm pacing in ventilatory failure. Br Med J 283:1015–1016
Luiting MG, Den Otter G (1982) Rupture of the diaphragm due to blunt trauma. Neth J Surg 34:13–170
Manthei U, Vaucher Y, Crowe CP (1983) Congenital diaphragmatic hernia: immediate preoperative and postoperative oxygen gradients identify patients requiring prolonged respiratory support. Surgery 93:83–87
Marcos J J, Grover FL, Trinkle JK (1974) Paralyzed diaphragm — Effect of plication on respiratory mechanics. J Surg Res 16:523–526
McMichan JC, Piepgras DG, Gracey DR, Marsh HM, Sittipong R (1979) Electrophrenic respiration. Report of six cases. Mayo Clin Proc 54:662–668
Merendino KA, Johnson RJ, Skinner HH, Maguire RX (1956) The intradiaphragmatic distribution of the phrenic nerve with particular reference to the placement of diaphragmatic incisions and controlled segmental paralysis. Surgery 39:189–198
Merendino K A (1964) The intradiaphragmatic distribution of the phrenic nerve. Surgical significance. Surg Clin N Amer 44:1217–1226
Michelson E (1961) Eventration of the diaphragm. Surgery 49:410–422
Middendorp UG (1964) Zur Frage der Zwerchfell-incisionen. Helv chir Acta 31:220–227
Minnis JF, Reingold M (1963) Accessory diaphragm. Report of a case. Dis chest 44:554–558
Mishalany HG, Nakada K., Woolley MM (1979) Congenital diaphragmatic hernias. Arch Surg 114:1118–1123
Morrison JA, Mullens JE (1978) Traumatic intra-pericardial rupture of the diaphragm. J Trauma 18:744–745
Müller-Färber J, Katthagen BD (1981) Die Zwerchfellruptur nach stumpfer Gewalteinwirkung. Unfallchirurgie 7:147–155
Neville WE, Clowes GHA (1954) Congenital absence of hemidiaphragm and use of a lobe of liver in its surgical correction. Arch Surg 69:282–290
Nielsen OH, Jørgensen AF (1978) Congenital posterolateral diaphragmatic hernia. Factors affecting survival. Z Kinderchir 24:201–215
Nissen R (1956) Transperitoneale Zwerchfellraffung bei Lähmungsnochstand und Relaxation. Thoraxchirurgie 4:222–225
Osebold WR, Soper RT (1976) Congenital posterolateral diaphragmatic hernia past infancy. Am J Surg 131:748–754
Payne JH, Yellin AE (1982) Traumatic diaphragmatic hernia. Arch Surg 117:18–24
Petrovsky BV (1961) The use of diaphragm grafts for plastic operations in thoracic surgery. J Thorac Cardiovasc Surg 41:348–355
Piza-Katzer H, Appel WH, Kotz R, Wagner O (1983) Funktionsgerechte Wiederherstellung eines kombinierten Bauch-, Thoraxwand-und Zwerchfelldefektes mit Corium nach Sternum-Tumorresektion. Chirurg 54:157–160
Radecki LL, Tomatis LA (1976) Continuous bilateral electrophrenic pacing in an infant with total diaphragmatic paralysis. J Pediatr 88:969–971
Ramakrishnan MS (1981) Eventration of diaphragm. Ann Acad Med Singapore 10:409–412
Reitter H, Konrad R (1959) Die transthorakale offene Zwerchfelldoppelung zur Beseitigung einer Relaxation. Chirurg 30:172–177
Rodgers BM, Maher JW, Talbert JL (1981) The use of preserved human dura for closure of abdominal wall and diaphragmatic defects. Ann Surg 193:606–611
Rosenkrantz JG, Cotton EK (1964) Replacement of left hemidiaphragm by a pedicled abdominal muscular flap. J Thorac Cardiovasc Surg 48:912–920
Saha SP, Mayo P, Long GA (1982) Surgical treatment of anterior diaphragmatic hernia. South Med J 75:280–281
Sappington TB, Daniel RA (1951) Accessory diaphragm. A case report. J Thorac Surg 21:212–216
Sbokos CG, Salama FD, Powell V, McMillan IKR (1977) Primary fibrosarcoma of the diaphragm. Br J Dis Chest 71:49–52
Schwaiger M (1955) Zur Operation der echten und falschen Zwerchfellhernien. Langenbecks Arch Klin Chir 282:366–375
Schwartz MZ, Filler RM (1978) Plication of the diaphragm for symptomatic phrenic nerve paralysis. J Pediatr Surg 13:259–263
Serý Z, KrálÃk J, Hiklová D, Malinská J (1956) Beitrag zur Technik der schonenden Zwerchfellincision bei abdomino-thorakalen Operationen. Thoraxchirurgie 4:125á135
Shaffer JO (1964) Prothesis for agenesis of the diaphragm. JAMA 188:1000–1002
Shaffer JO (1981) Treatment of agenesis of the diaphragm and esophageal crura. West J Med 134:361–363
Shochat SJ, Naeye RL, Ford WDA, Whitman V, Maisels M J (1979) Congenital diaphragmatic hernia. Ann Surg 190:332–341
Snyder WH, Greaney EM (1965) Congenital diaphragmatic hernia; 77 consecutive cases. Surgery 57:576–588
Spelsberg F, Pichlmaier H, Junginger Th (1972) Die traumatische Zwerchfellruptur. Chir Praxis 16:33–40
Symbas PN, Hatcher CR, Waldo W (1977) Diaphragmatic eventration in infancy and childhood. Ann Thorac Surg 24:113–119
Tanaka F, Sawada K, Ishida I, Seki Y, Ohmori Y, Kuwahara T, Maruyama K, Sagara T (1982) Prosthetic replacement of entire left hemidiaphragm in malignant fibrous histocytoma of the diaphragm. J Thorac Cardiovasc Surg 83:278–284
Waldschmidt ML, Laws HL (1980) Injuries of the diaphragm. J Trauma 20:587–592
Wayne ER, Campbell JB, Burrington JD, Davis WS (1974) Eventration of the diaphragm. J Pediatr Surg 9:643–651
Wernitsch W, Kümmerle F (1973) Der plastische Verschluß von Zwerchfelldefekten. Akt Traumatologie 3:129–134
Wernitsch W, Stötzer M, Herbst H, Schrank H, Kessler E (1977) Experimentelle, licht-und elektronenmikroskopische Untersuchungen zum Verschluß von Zwerchfelldefekten mit lyophilisierter Dura. Akt Traumatologie 7:57–64
Westaby S, Shepherd MP, Nohl-Oser HC (1982) The use of diaphragmatic pedicle grafts for reconstructive procedures in the esophagus and tracheobronchial tree. Ann Thorac Surg 33:486–490
Wiener MF, Chou WH (1965) Primary tumors of the diaphragm. Arch Surg 90:143–152
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Grundmann, R. (1989). Procedures on the Diaphragm. In: Pichlmaier, H., Schildberg, F.W. (eds) Thoracic Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-83256-7_8
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DOI: https://doi.org/10.1007/978-3-642-83256-7_8
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