Ex utero intrapartum technique (EXIT): Indications, procedure methods and materno-fetal complications - A literature review.
Airway obstruction
EXIT procedure
FETO
Tracheal occlusion
Journal
Journal of gynecology obstetrics and human reproduction
ISSN: 2468-7847
Titre abrégé: J Gynecol Obstet Hum Reprod
Pays: France
ID NLM: 101701588
Informations de publication
Date de publication:
Jan 2022
Jan 2022
Historique:
received:
09
06
2021
revised:
24
09
2021
accepted:
06
10
2021
pubmed:
13
10
2021
medline:
13
1
2022
entrez:
12
10
2021
Statut:
ppublish
Résumé
A congenital malformation of the head, neck or thorax can lead to upper airway compression with a risk of asphyxia or neonatal death. To secure and protect the upper airway, the Ex Utero Intrapartum Therapy (EXIT) procedure has been developed. The procedure allows delivery of the fetus via a hysterotomy while relying on the placenta as the organ of respiration for the fetus prior to clamping of the umbilical cord. A high level of expertise is necessary for successful completion of the EXIT procedure, which is not void of maternal and fetal risks. In this literature review, we present the indications, procedure methods and materno-fetal complications associated with the EXIT procedure.
Identifiants
pubmed: 34638008
pii: S2468-7847(21)00189-6
doi: 10.1016/j.jogoh.2021.102252
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
102252Informations de copyright
Copyright © 2021 Elsevier Masson SAS. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of Competing Interest The authors report no conflict of interest and declare that the article is original, unpublished and not being considered for publication elsewhere. All authors fulfill all conditions required for authorship.