Abstract

MATEUS, Carolina et al. First EXIT (exuterus intapartum treatment) in San Ignacio University Hospital: Case Report. Univ. Med. [online]. 2020, vol.61, n.3, pp.72-79.  Epub Mar 30, 2020. ISSN 0041-9095.  https://doi.org/10.11144/javeriana.umed61-3.exit.

The present article is the report of the first Ex Utero Intrapartum (EXIT) procedure, carried out at the San Ignacio University Hospital, by an interdisciplinary group (anesthesiologist, pediatric otolaryngologist, neonatologist and obstetrician). The need for an EXIT strategy is rare. Its objective is to secure the newborn's airway during childbirth when there is a risk of airway obstruction that may be caused by secondary compression from cervical or mediastinal masses, congenital craniofacial or airway malformations. The aim of the surgery is to reduce the risk of mortality of the newborn. We present a 33 years old patient with a gestational age of 38 weeks and a diagnosis of cervical cystic lesion in the fetus by gestational week 25. The delivery was performed by securing the neonate’s airway with orotracheal intubation. In this case, a vascular macrocystic lymphatic malformation was confirmed. The objective of the article is to emphasize that proper planning and prenatal diagnosis of cervical malformations significantly improves the patient's prognosis, both in the short and the long term results.

Keywords : EXIT ( ex-uterus intrapartum treatment); congenital cervical malformation, airway.

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