Ex-Utero Intrapartum Treatment
Ex-Utero Intrapartum Treatment (EXIT) is a medical procedure used in cases of fetal airway obstruction, such as in infants with congenital diaphragmatic hernia (CDH). The procedure is performed to surgically secure the infant's airway in utero before birth. EXIT is a high-risk procedure, but it offers significant benefits as it offers a chance of survival when other interventions are not possible. This procedure not only allows successful delivery of the fetus, but also allows for further treatment if needed. EXIT can also be used in other situations such as tracheal occlusion or in cases of complex fetal anomalies. The EXIT procedure is performed when the mother is in labor and the fetus's airway is obstructed. During the operation, the umbilical cord is clamped and the fetus is delivered through a cesarean birth. The surgeon then has direct access to the fetus and can unblock or bypass the obstruction if possible. Once the airway is secured, the fetus is delivered and can undergo intensive medical treatment if necessary. The EXIT procedure has revolutionized the treatment of fetal airway obstruction. This procedure increases the chances of survival for infants with complex airway problems and has saved many lives. It is a specialized procedure, and the risk factors associated with it require a highly trained medical team for successful outcomes.
← Journal of Fetal Surgery