<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-0390</journal-id>
<journal-title><![CDATA[Revista Médica del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Méd. Urug.]]></abbrev-journal-title>
<issn>1688-0390</issn>
<publisher>
<publisher-name><![CDATA[Sindicato Médico del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-03902025000201703</article-id>
<article-id pub-id-type="doi">10.29193/rmu.41.2.5</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Reparación toracoscópica de hernia diafragmática congénita de Morgagni en un recién nacido: reporte de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Thoracoscopic repair of congenital Morgagni diaphragmatic hernia in a newborn: a case report]]></article-title>
<article-title xml:lang="pt"><![CDATA[Reparo toracoscópico da hérnia diafragmática congênita de Morgagni em um recém-nascido: relato de caso]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Faliveni]]></surname>
<given-names><![CDATA[Sofía]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[De los Santos]]></surname>
<given-names><![CDATA[Jennise]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fein]]></surname>
<given-names><![CDATA[Lucía]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ormaechea]]></surname>
<given-names><![CDATA[Martín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Dendi]]></surname>
<given-names><![CDATA[Álvaro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moraes]]></surname>
<given-names><![CDATA[Mario]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de la República Hospital Pereira Rosell Facultad de Medicina]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de la República Unidad Académica de Neonatología Hospital de Clínicas, Facultad de Medicina]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de la República Servicio de Cirugía Pediátrica Hospital de Clínicas, Facultad de Medicina]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<volume>41</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-03902025000201703&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-03902025000201703&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-03902025000201703&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: la hernia diafragmática congénita es un defecto en el desarrollo embriológico del diafragma que ocurre durante las primeras 12 semanas de edad gestacional. La toracoscopia ha ganado popularidad como técnica quirúrgica, siendo un método seguro y reproducible en casos seleccionados, reduciendo la morbilidad postoperatoria y el tiempo de recuperación.  Caso clínico: se presenta el caso de un recién nacido de sexo masculino, nacido a término con 38 semanas de gestación, con diagnóstico prenatal a las 24 semanas de hernia diafragmática congénita izquierda. Durante el período postnatal, requirió ventilación mecánica invasiva por 72 horas con parámetros bajos y sin necesidad de inotrópicos. Se realizó cirugía por toracoscopia, en la que se constató un defecto diafragmático anterior y medial y se identificó como una hernia de Morgagni. La reparación se llevó a cabo mediante sutura percutánea con aguja de Reverdin. La evolución postoperatoria fue favorable, sin complicaciones y con buenos resultados a mediano plazo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Congenital diaphragmatic hernia is a defect in the embryological development of the diaphragm that occurs during the first 12 weeks of gestational age. Thoracoscopy has gained popularity as a surgical technique, being a safe and reproducible method in selected cases, reducing postoperative morbidity and recovery time.  Clinical case: We present the case of a male newborn, born at 38 weeks of gestation, with a prenatal diagnosis at 24 weeks of left congenital diaphragmatic hernia. During the postnatal period, he required invasive mechanical ventilation for 72 hours with low parameters and no need for inotropes. Thoracoscopic surgery was performed, revealing an anterior and medial diaphragmatic defect, identified as a Morgagni hernia. The defect was repaired using percutaneous sutures with a Reverdin needle. The postoperative course was uneventful, with favorable medium-term outcomes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução: A hérnia diafragmática congênita é um defeito no desenvolvimento embriológico do diafragma que ocorre durante as primeiras 12 semanas de idade gestacional. A toracoscopia tem ganhado popularidade como técnica cirúrgica, sendo um método seguro e reprodutível em casos selecionados, reduzindo a morbidade pós-operatória e o tempo de recuperação.  Relato de caso: Apresentamos o caso de um recém-nascido do sexo masculino, nascido a termo com 38 semanas de gestação, com diagnóstico pré-natal de hérnia diafragmática congênita esquerda às 24 semanas. No período pós-natal, necessitou de ventilação mecânica invasiva por 72 horas com parâmetros baixos e sem necessidade de inotrópicos. Foi realizada cirurgia toracoscópica, na qual se constatou um defeito diafragmático anterior e medial, identificado como uma hérnia de Morgagni. O defeito foi reparado por meio de sutura percutânea com agulha de Reverdin. A evolução pós-operatória foi favorável, sem complicações e com bons resultados a médio prazo.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Hernia diafragmática congénita]]></kwd>
<kwd lng="es"><![CDATA[Toracoscopia]]></kwd>
<kwd lng="es"><![CDATA[Cirugía mínimamente invasiva]]></kwd>
<kwd lng="es"><![CDATA[Recién nacido]]></kwd>
<kwd lng="en"><![CDATA[Congenital diaphragmatic hernia]]></kwd>
<kwd lng="en"><![CDATA[Thoracoscopy]]></kwd>
<kwd lng="en"><![CDATA[Minimally invasive surgery]]></kwd>
<kwd lng="en"><![CDATA[Newborn]]></kwd>
<kwd lng="pt"><![CDATA[Hérnia diafragmática congênita]]></kwd>
<kwd lng="pt"><![CDATA[Toracoscopia]]></kwd>
<kwd lng="pt"><![CDATA[Cirurgia minimamente invasiva]]></kwd>
<kwd lng="pt"><![CDATA[Recém-nascido]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1.</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Canizzarro]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Ferro]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Chattás]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<source><![CDATA[Fetoneonatología quirúrgica. Volumen I: Aspectos clínicos]]></source>
<year>2018</year>
<edition>1a ed.</edition>
<page-range>447-80</page-range><publisher-loc><![CDATA[Buenos Aires ]]></publisher-loc>
<publisher-name><![CDATA[Ediciones Journal S.A.]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[De Bie]]></surname>
<given-names><![CDATA[FR]]></given-names>
</name>
<name>
<surname><![CDATA[Avitabile]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
<name>
<surname><![CDATA[Joyeux]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Hedrick]]></surname>
<given-names><![CDATA[HL]]></given-names>
</name>
<name>
<surname><![CDATA[Russo]]></surname>
<given-names><![CDATA[FM]]></given-names>
</name>
<name>
<surname><![CDATA[Basurto]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Neonatal and fetal therapy of congenital diaphragmatic hernia-related pulmonary hypertension]]></article-title>
<source><![CDATA[Arch Dis Child Fetal Neonatal Ed]]></source>
<year>2022</year>
<volume>107</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>458-66</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Yang]]></surname>
<given-names><![CDATA[HC]]></given-names>
</name>
<name>
<surname><![CDATA[Cannizzaro]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
<name>
<surname><![CDATA[Bailez]]></surname>
<given-names><![CDATA[MM]]></given-names>
</name>
<name>
<surname><![CDATA[Mazzucchelli]]></surname>
<given-names><![CDATA[MT]]></given-names>
</name>
<name>
<surname><![CDATA[Reusmann]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Nemer]]></surname>
<given-names><![CDATA[CP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Opportunity for a minimally invasive approach to Bochdalek congenital diaphragmatic hernia with protocolized perinatal management: A single center experience]]></article-title>
<source><![CDATA[J Pediatr Surg Open]]></source>
<year>2023</year>
<volume>4</volume>
<numero>100087</numero>
<issue>100087</issue>
<page-range>100087</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Okawada]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Ohfuji]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Yamoto]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Urushihara]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Terui]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Nagata]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Thoracoscopic repair of congenital diaphragmatic hernia in neonates: findings of a multicenter study in Japan]]></article-title>
<source><![CDATA[Surg Today]]></source>
<year></year>
<volume>51</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>1694-702</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sobrero]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[De los Santos]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Patiño]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Sienra]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Ormaechea]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Bottaro]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Asistencia del recién nacido con hernia diafragmática congénita]]></article-title>
<source><![CDATA[Arch Pediatr Urug]]></source>
<year>2023</year>
<volume>94</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>e801</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Panda]]></surname>
<given-names><![CDATA[SS]]></given-names>
</name>
<name>
<surname><![CDATA[Bajpai]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Srinivas]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Presence of hernia sac in prediction of postoperative outcome in congenital diaphragmatic hernia]]></article-title>
<source><![CDATA[Indian Pediatr]]></source>
<year>2013</year>
<volume>50</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1041-3</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Spaggiari]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Stirnemann]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Bernard]]></surname>
<given-names><![CDATA[J-P]]></given-names>
</name>
<name>
<surname><![CDATA[De Saint Blanquat]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Beaudoin]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Ville]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prognostic value of a hernia sac in congenital diaphragmatic hernia]]></article-title>
<source><![CDATA[Ultrasound Obstet Gynecol]]></source>
<year>2013</year>
<volume>41</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>286-90</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Costerus]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Zahn]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[van de Ven]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Vlot]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Wessel]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Wijnen]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Thoracoscopic versus open repair of CDH in cardiovascular stable neonates]]></article-title>
<source><![CDATA[Surg Endosc]]></source>
<year>2016</year>
<volume>30</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>2818-24</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Yang]]></surname>
<given-names><![CDATA[EY]]></given-names>
</name>
<name>
<surname><![CDATA[Allmendinger]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Johnson]]></surname>
<given-names><![CDATA[SM]]></given-names>
</name>
<name>
<surname><![CDATA[Chen]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Wilson]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Fishman]]></surname>
<given-names><![CDATA[SJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Neonatal thoracoscopic repair of congenital diaphragmatic hernia: Selection criteria for successful outcome]]></article-title>
<source><![CDATA[J Pediatr Surg]]></source>
<year>2005</year>
<volume>40</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>1369-75</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gomes]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Kuhn]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Lacreuse]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Kasleas]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Philippe]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Podevin]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Congenital diaphragmatic hernia: an evaluation of risk factors for failure of thoracoscopic primary repair in neonates]]></article-title>
<source><![CDATA[J Pediatr Surg]]></source>
<year>2013</year>
<volume>48</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>488-95</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
