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YALE H. ZIMBERG, M.D.; WILSON WEISEL, M.D.

AMA Arch Surg. 1959;79(3):468-478.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Introduction

The importance of diaphragmatic function and wholeness in relationship to pulmonary and gastrointestinal physiology has been well documented. A "second look" at the structure and action of the diaphragm has been warranted, however, because of recent stress on the surgical aspects of esophageal hiatal hernias and the clinical appearance of pathologic syndromes related to diaphragmatic malfunction following thoracic surgical procedures. A study of the dynamic anatomy of the diaphragm was therefore undertaken, and the results of this investigation with its clinical applications are herein reported.

Methods of Study

The diaphragm and attached phrenic nerves were studied in situ and in the fresh state after complete excision in 25 postmortem specimens. Photographs and drawings were utilized to record pertinent findings.

Observations on diaphragmatic motion were made on eight patients undergoing transthoracic repair of a hiatus hernia after dissection of the hiatus and crura. In addition, two patients were carefully evaluated . . . [Full Text PDF of this Article]

Author Affiliations
Milwaukee

From the Surgical Service, Wood Veterans Administration Hospital, and the Department of Surgery, Marquette University School of Medicine.

Footnotes
Submitted for publication Feb. 27, 1959.

Read at the 16th Annual Meeting of the Central Surgical Association, Montreal, Feb. 21, 1959.

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