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The Ex Utero Intrapartum Treatment (EXIT) Procedure for Fetal Head and Neck Masses
Author(s) -
Filipchuk Debora,
Avdimiretz Lourdes
Publication year - 2009
Publication title -
aorn journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.222
H-Index - 43
eISSN - 1878-0369
pISSN - 0001-2092
DOI - 10.1016/j.aorn.2009.06.001
Subject(s) - medicine , airway obstruction , in utero , airway , head and neck , fetus , cystic hygroma , obstetrics , neonatology , prenatal diagnosis , surgery , pregnancy , biology , genetics
A congenital head or neck mass increases the risk of airway obstruction and imminent respiratory failure at birth. The ex utero intrapartum treatment (EXIT) procedure is an option to secure the infant's airway in some clinical situations when an antenatal diagnosis of a head or neck mass or potential airway obstruction has been established. This article discusses an EXIT procedure performed on a maternal patient whose 38‐week gestational age fetus was diagnosed with a lymphatic malformation. Planning and coordination between surgical teams at two clinical sites allowed the multidisciplinary teams to achieve a safe, successful outcome for the mother and child. AORN J 90 (November 2009) 661–672. © AORN, Inc, 2009.