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Extrauterine Intrapartum Treatment (EXIT) in bilateral primary fetal hydrothorax

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Abstract

Primary Foetal Hydrothorax (PFHT), is an intrathoracic collection of fluid in the fetus, which may be present on either side or even bilaterally. Advances in foetal diagnostics now allow consideration of the Ex-utero Intrapartum Treatment (EXIT) procedure for PFHT. Ex-utero Intrapartum Treatment (EXIT) allows therapeutic interventions on the neonate while maintaining fetoplacental circulation and thereby maintaining oxygenation. We report two cases of bilateral PFHT managed successfully with EXIT procedure.

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References

  1. Agrawal Ramesh, Aggarwal Rajiv, Kriplani Alka, Bhatla Neerja. Primary Fetal Hydrothorax. Indian Pediatr 2002; 39: 92–95.

    PubMed  Google Scholar 

  2. Aleksandra Novakov Mikic. Pleural effusions. Quoted from http://www.the fetus.net page. Php?id = 404 published: Thu, 24 Jan 2002 09: 45: 40 GMT.

  3. Eddleman KA, Levine AB, Chitkara U, Berkowitz RL. Reliability of pleural fluid lymphocyte counts in the antenatal diagnosis of congenital chylothorax. Obstet Gynecol 1991; 78: 530–532.

    CAS  PubMed  Google Scholar 

  4. Aubard Y, Derouineau I, Aubard V, Chalifour V, Preux PM. Primary fetal hydrothorax: A literature review and proposed antenatal clinical strategy. Fetal Diagn Ther 1998; 13: 325–333

    Article  CAS  PubMed  Google Scholar 

  5. Christian Kerna, Michel Ange, Moralesb, Barbara Peiryc, Riccardo E. Pfisterc. Ex utero intrapartum treatment (EXIT), a resuscitation option for intra-thoracic foetal pathologies. Swiss Med Wkly, 2007; 137: 279–285

    Google Scholar 

  6. Prontera W, Jaeggi ET, Pfizenmaier M, Tassaux D, Pfister RE. Ex utero intrapartum treatment (EXIT) of severe fetal hydrothorax. Arch Dis in Childhood Fetal & Neonat 2002; 86: F58–F60.

    Article  CAS  Google Scholar 

  7. Bouchard S, Johnson MP, Flake AW, Howell LJ, Myers LB, Adzick NS, et al. The EXIT procedure: experience and outcome in 31 cases. J Pediatr Surg. 2002;37:418–426.

    Article  PubMed  Google Scholar 

  8. Faria A, Fonseca C, Sampaio C, Abreu F, Tavares J. Ex utero intrapartum procedure for delivery of a fetus with a large cervical mass. Eur J Anaesthesiol. 2005;22(8):642–643.

    Article  CAS  PubMed  Google Scholar 

  9. Matorras R, Tacuri C, Nieto A, Pijoan JI, Cortes J. Fetal cardiotocography and acid-base status during cesarean section. Eur J Obstet Gynecol Reprod Biol. 1998;80:161–167.

    Article  CAS  PubMed  Google Scholar 

  10. Oski FA, Delivoria-Papadopoulos M. The shift to the left. Pediatrics. 1971;48:853–856.

    CAS  PubMed  Google Scholar 

  11. Rabi Y, Yee W, Chen SY, Singhal N. Oxygen saturation trends immediately after birth. J Pediatr. 2006;148:590–594.

    Article  PubMed  Google Scholar 

  12. Lange IR, Manning FA. Antenatal diagnosis of congenital pleural effusion. Am J Obstet Gynecol 1981; 7: 231–232.

    Google Scholar 

  13. National Institute for Health and Clinical Excellence. Insertion of pleuro-amniotic shunt to drain fetal pleural effusion (interventional Procedure Consultation Document) 2006. Available from: www.nice.org.uk/ip333 overview

  14. Mychaliska GB, Bealer JF, Graf JL, Rosen MA, Adzick NS, Harrison MR. Operating on placental support: the ex utero intrapartum treatment procedure. J Pediatr Surg 1997; 32:227–231.

    Article  CAS  PubMed  Google Scholar 

  15. Hirose S, Farmer DL, Lee H, Nobuhara KK, Harrison MR. The ex utero intrapartum treatment procedure: Looking back at the EXIT. J Pediatr Surg 2004;39:375–380.

    Article  PubMed  Google Scholar 

  16. Hirose S, Sydorak RM, Tsao K et al. Spectrum of intrapartum management strategies for giant fetal cervical teratoma. J Pediatr Surg 2003;38:446–450.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Pediatric Surgery, SAT Hospital, Medical College, Thiruvananthapuram Dr. SMCSI Medical College, Karakkoram, Thiruvananthapuram, Kerala, India

    P.Y. Henry, C.S. Aravindan, K. Sivakumar & H.R. Krishna

  2. Department of Pediatric Surgery, SAT Hospital, Medical College Thiruvananthapuram, 695 011, Karakkoram, Thiruvananthapuram, Kerala, India

    P.Y. Henry

Authors
  1. P.Y. Henry
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  2. C.S. Aravindan
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  3. K. Sivakumar
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  4. H.R. Krishna
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Correspondence to P.Y. Henry.

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Henry, P., Aravindan, C., Sivakumar, K. et al. Extrauterine Intrapartum Treatment (EXIT) in bilateral primary fetal hydrothorax. Indian J Pediatr 76, 99–101 (2009). https://doi.org/10.1007/s12098-009-0038-9

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  • DOI: https://doi.org/10.1007/s12098-009-0038-9

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