EXIT Llyod Davies
- Author:
Mohd Faizal A
;
Vijayan V
;
Sandhya MM
;
Noor Shahieddah F
;
Vinod S
;
Tan LK
;
Soon R
- Publication Type:Case Reports
- Keywords:
EXIT procedure;
Llyod Davies;
congenital high airways obstruction;
prenatal imaging
- From:Journal of Surgical Academia
2015;5(1):71-74
- CountryMalaysia
- Language:English
-
Abstract:
The EXIT (Ex utero intrapartum treatment) procedures have been, with a high degree of success, employed to treat a
myriad types of fetal airway obstruction most commonly neck masses such as cystic hygroma and lymphangioma
with ample plan including prenatal diagnosis by ultrasound scan or MRI. Before the advent of EXIT, formal
documentations had been published with descriptions of intubation during intrapartum period and fetal airway
protection either during normal or operative delivery. We report a 28-year-old gravida 2 para 1 who was referred to
our Maternal Fetal Medicine (MFM) unit at 26 weeks and 3 days gestation with a foetal neck mass. We present a
case of an successful EXIT procedure performed in the Lloyd Davies position with the hips abducted and flexed at
15 degrees as is employed during gynecologic laparoscopy surgery minus the Trendelenburg tilt. Both mother and
baby are well. The benefits of this position are discussed.
- Full text:P020150617383175437649.pdf
