Margarita Berwick, Helen Hu, Erica Smith, Laurie Davies, Mehmet Genc
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引用次数: 0
Abstract
Introduction: The surgical technique for ex utero intrapartum treatment (EXIT) has been well-established for fetuses in cephalic presentation. EXIT for a fetus in a breech lie presents surgical challenges and requires modification.
Summary: We describe EXIT on a fetus in a breech lie and with multiple congenital anomalies, including micrognathia, bilateral cleft lip, and a sizeable neural tube defect at 36 + 3 weeks of gestation when the mother presented after preterm prelabor rupture of membranes (PPROM).
Conclusions: Hysterotomy in the uterine fundus is feasible for partial delivery of a breech fetus for EXIT if the placental margin is >2 cm away from the incision site. A power surgical stapler is an effective tool to perform a hysterotomy in the uterine fundus. Timely simulation-based training is a valuable tool to prepare for infrequent but high-stakes procedures.
期刊介绍：
The Journal of Perinatal Medicine (JPM) is a truly international forum covering the entire field of perinatal medicine. It is an essential news source for all those obstetricians, neonatologists, perinatologists and allied health professionals who wish to keep abreast of progress in perinatal and related research. Ahead-of-print publishing ensures fastest possible knowledge transfer. The Journal provides statements on themes of topical interest as well as information and different views on controversial topics. It also informs about the academic, organisational and political aims and objectives of the World Association of Perinatal Medicine.
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