• The pediatric surgery and neonatology team at BLK Super Specialty Hospital has recently performed the challenging procedure of EXIT or Extrauterine Intrapartum Treatment during the delivery of a new born.
  • A large neck mass of 10 by 9 cm on the foetus of a 29-year-old mother was found through an antenatal ultrasound.
  • The thick mass blocked and compressed the airway of the baby. 
  • Under such circumstances a normal delivery of the baby proved life threatening.
  • Therefore, his windpipe had to be decongested while he was still in the uterus simultaneously keeping up with the umbilical circulation throughout the procedure.
  • According to Dr. Prashant Jain, senior consultant of pediatric surgery, securing the windpipe after the baby's delivery would have been difficult because of distorted neck anatomy and a minimal intubation time of only 25-30 seconds to stop brain hypoxia.
  • The EXIT procedure provides a little more time for the intubation procedure, he added.
  • To maintain the fetoplacental circulation, neonatology surgeon Dr. Kumar Ankur performed a special C-section that had high risks of maternal bleeding.
  • After the head and shoulders of the baby was delivered, intubation procedure was performed successfully within a record time of 1.32 minutes.
  • The benigh tumor on the baby's neck was operated after delivery. 

Source: BLK Super Specialty Hospital, Media Update