The EXIT (Ex Utero Intrapartum Treatment) procedure

Hsin Hui Chiu, Wei Chung Hsu, Jin Chung Shih, Po Nien Tsao, Wu Shiun Hsieh, Hung Chieh Chou

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Fetuses with upper airway obstruction have a high mortality rate if proper airway management is not immediately administered after delivery. The EXIT (ex utero intrapartum treatment) procedure is a new technique that establishes the fetal airway while uteroplacental circulation is still maintained. The prognosis of such neonates has much improved after the introduction of this procedure. We report two neonates with prenatal diagnosis of upper airway obstruction; they were born smoothly via the EXIT procedure. The first was a case of epignathus, a rare type of nasopharyngeal or oropharyngeal teratoma derived from all three germ cell layers with variable maturity. The second was a case of giant lymphangioma that resulted from localized malformations in the development of the lymphatic system. Furthermore, compared with routine cesarean section, the short-term maternal outcomes were not different with regard to infection rate, estimated blood loss, wound complication, and postpartum hospital stay.

Original languageEnglish
Pages (from-to)745-748
Number of pages4
JournalJournal of the Formosan Medical Association = Taiwan yi zhi
Volume107
Issue number9
DOIs
Publication statusPublished - Sep 2008
Externally publishedYes

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Airway Obstruction
Placental Circulation
Lymphangioma
Germ Layers
Lymphatic System
Airway Management
Teratoma
Prenatal Diagnosis
Germ Cells
Cesarean Section
Postpartum Period
Length of Stay
Fetus
Therapeutics
Mothers
Mortality
Wounds and Injuries
Infection

Keywords

  • Epignathus
  • EXIT procedure
  • Lymphangioma

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Chiu, H. H., Hsu, W. C., Shih, J. C., Tsao, P. N., Hsieh, W. S., & Chou, H. C. (2008). The EXIT (Ex Utero Intrapartum Treatment) procedure. Journal of the Formosan Medical Association = Taiwan yi zhi, 107(9), 745-748. https://doi.org/10.1016/S0929-6646(08)60121-7

The EXIT (Ex Utero Intrapartum Treatment) procedure. / Chiu, Hsin Hui; Hsu, Wei Chung; Shih, Jin Chung; Tsao, Po Nien; Hsieh, Wu Shiun; Chou, Hung Chieh.

In: Journal of the Formosan Medical Association = Taiwan yi zhi, Vol. 107, No. 9, 09.2008, p. 745-748.

Research output: Contribution to journalArticle

Chiu, Hsin Hui ; Hsu, Wei Chung ; Shih, Jin Chung ; Tsao, Po Nien ; Hsieh, Wu Shiun ; Chou, Hung Chieh. / The EXIT (Ex Utero Intrapartum Treatment) procedure. In: Journal of the Formosan Medical Association = Taiwan yi zhi. 2008 ; Vol. 107, No. 9. pp. 745-748.
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