Abstract
Ex utero intrapartum treatment (EXIT) procedure: Indications and procedural considerations
Highlights
Ex utero intrapartum treatment (EXIT) procedure is performed when there is airway compromise in the fetus[1]
Braden et al.[2] describe it as a modified caesarean birth, where the fetus is partially delivered in order to secure the airway or commence extra corporeal membrane oxygenation (ECMO) while oxygenation to the fetus is maintained via uteroplacental circulation
EXIT procedure was first described in the 1990s for reversal of tracheal occlusion in fetuses with congenital diaphragmatic hernia[5]
Summary
Ex utero intrapartum treatment (EXIT) procedure is performed when there is airway compromise in the fetus[1]. Braden et al.[2] describe it as a modified caesarean birth, where the fetus is partially delivered in order to secure the airway or commence extra corporeal membrane oxygenation (ECMO) while oxygenation to the fetus is maintained via uteroplacental circulation. Resection of the mass and separation of conjoined twins may occur during EXIT procedure; these are rare[3]. Duek et al.[4] explain EXIT procedure has the ability to turn a potentially catastrophic situation into a controlled elective scenario. EXIT procedure was first described in the 1990s for reversal of tracheal occlusion in fetuses with congenital diaphragmatic hernia[5].
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