2020
DOI: 10.1186/s12884-020-03304-0
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Ex-Utero Intrapartum Treatment (EXIT): indications and outcome in fetal cervical and oropharyngeal masses

Abstract: Background The “Ex-Utero Intrapartum Treatment” (EXIT) procedure allows to ensure fetal airway before completion of delivery and umbilical cord clamping while keeping uteroplacental circulation. Airway obstruction in fetal oropharyngeal and cervical masses can be life-threatening at birth. In those situations, controlled access to fetal airway performed by a trained multidisciplinary team allows safe airway management, while feto-maternal circulation is preserved. We aim to review the indicatio… Show more

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Cited by 17 publications
(13 citation statements)
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“…In our series only one patient required a transfusion. The modification EXIT technique, developed by our group and described elsewhere [22], could explain our satisfactory results in terms of hemorrhage rate.…”
Section: Discussionmentioning
confidence: 72%
“…In our series only one patient required a transfusion. The modification EXIT technique, developed by our group and described elsewhere [22], could explain our satisfactory results in terms of hemorrhage rate.…”
Section: Discussionmentioning
confidence: 72%
“…As described elsewhere [ 8 ], our team utilizes a different approach for the EXIT procedure. Briefly, we employ an atraumatic technique to access the uterine cavity and amniotic sac by utilizing a progressive uterine distractor.…”
Section: Discussionmentioning
confidence: 99%
“…Informed consent was obtained from all the patients for clinical studies. Pregnant women candidates for EXIT underwent prenatal evaluation in our department, as is described elsewhere [ 8 ]. The procedure was performed by a multidisciplinary team including maternal–fetal medicine specialists, pediatric surgeons, obstetric and pediatric anesthesiologists and neonatologists.…”
Section: Methodsmentioning
confidence: 99%
“…Congenital neck masses can obstruct the fetal airway during development, compromising the ability of the newborn to breathe at birth which carries a high risk for hypoxic brain injury and death 1,2 . The Ex Utero Intrapartum Treatment (EXIT) procedure was developed to prevent catastrophic airway obstruction occurring at the time of birth, and has been successfully applied to the treatment of congenital neck masses [3][4][5][6] . In contrast with a normal cesarean delivery, an EXIT procedure requires general anesthesia and the administration of tocolytic medications to maintain uterine relaxation and stable uteroplacental circulation 7 .…”
Section: Introductionmentioning
confidence: 99%
“… 1 2 The ex-utero intrapartum treatment (EXIT) procedure was developed to prevent catastrophic airway obstruction occurring at the time of birth and has been successfully applied to the treatment of congenital neck masses. 3 4 5 6 In contrast with a normal cesarean delivery, an EXIT procedure requires general anesthesia and the administration of tocolytic medications to maintain uterine relaxation and stable uteroplacental circulation. 7 Stable gas exchange through the umbilical circulation provides time to secure the airway before delivering the baby.…”
mentioning
confidence: 99%