Journal of Neonatal Biology

A case of an EXIT from monodisciplinary practice

26^th International Conference on Neonatology and Perinatology

November 15-17, 2018 | Edinburgh, Scotland

Shannon Gunawardana

University of Oxford, UK

Posters & Accepted Abstracts: J Neonatal Biol

Abstract:

The ex utero intrapartum treatment (EXIT) procedure allows surgery on foetal airway obstruction at the time of birth. Through partial delivery, placental gas exchange is maintained while the airway is secured. We report a case of EXIT for an antenatally diagnosed cystic hygroma (CH). An elective EXIT procedure at 34+5/7 weeks was planned through the involvement of a multidisciplinary team composed of obstetricians, otolaryngologists, neonatologists, pediatric surgeons and anesthetists. The planning process incorporated innovative identification techniques of color-coded hats and prior team member positioning in theatre. Foetal paralysis and ultrasound-guided in utero cyst aspiration aided surgery. The airway was secured following laryngoscopy on the first attempt, using size three endotracheal tubes. In the subsequent years, surgical mass excision and five doses of bleomycin sclerotherapy have been employed to minimize CH size.

Biography :

E-mail: shannon.gunawardana@worc.ox.ac.uk