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Related Experiment Videos

EXIT procedure: a case report.

Juan J Gershanik1, Yves Lacassie, William Sargent

  • 1Tulane School of Medicine, and Neonatal Intensive Care Unit, West Jefferson Medical Center, New Orleans, Louisiana, USA.

The Journal of the Louisiana State Medical Society : Official Organ of the Louisiana State Medical Society
|March 27, 2003
PubMed
Summary

The Ex-Utero Intrapartum Treatment (EXIT) procedure offers crucial time for airway management in infants with severe neck masses. This case demonstrates the EXIT procedure

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Area of Science:

  • Medical procedures
  • Fetal surgery
  • Neonatal care

Background:

  • Infants with large fetal neck masses often require immediate airway intervention.
  • Standard resuscitation may be impossible due to airway obstruction.
  • The Ex-Utero Intrapartum Treatment (EXIT) procedure allows for airway management while maintaining placental support.

Observation:

  • A case of a fetus with huge cystic hygromas of the neck and chest due to nuchal bleb-lethal dysplasia was managed.
  • The EXIT procedure was utilized to provide access for airway management.
  • Severe pulmonary hypoplasia was noted, impacting the potential outcome.

Findings:

  • The EXIT procedure was technically feasible in this complex case.
  • Maintaining utero-placental-fetal circulation during partial delivery was achieved.

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  • Despite the severe underlying condition, the procedure itself was successfully performed.

    • Implications:

    • The EXIT procedure is a viable option for complex fetal airway obstruction cases.
    • This technique can be life-saving when conventional methods fail.
    • Further research can explore optimal application in various lethal dysplasia scenarios.