- 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