Abstract

HUERTA SAENZ, Igor Hermann et al. Intrapartum endotracheal intubation in fetuses with airway obstruction. Two first cases of EXIT surgery at Hospital Rebagliati - EsSalud. Rev. peru. ginecol. obstet. [online]. 2022, vol.68, n.2, 00006.  Epub July 06, 2022. ISSN 2304-5132.  http://dx.doi.org/10.31403/rpgo.v68i2412.

Two cases of pregnant women in the third trimester of gestation referred for management of fetal cervical tumor with airway obstruction are presented. The cases were scheduled for EXIT (ex-utero intrapartum treatment), fetal surgery which allowed controlled intrapartum orotracheal intubation avoiding the period of hypoxia and potential asphyxia that would occur with the conventional neonatal procedure. The neonates were subsequently operated on by head and neck surgeons for reduction of the cervical mass. It is suggested to consider this procedure in cases where severe airway obstruction is suspected and to refer them to centers that have a fetal surgery unit with a multidisciplinary medical team.

Keywords : Lymphangioma; cervical; Teratoma; cervical; Surgery; fetal; EXIT surgical procedure.

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