EXIT (ex-utero intrapartum therapy) in fetal cervical lymphangioma EXIT (ex-utero intrapartum therapy) en linfangioma cervical fetal
Author
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Bustos V., Juan Carlos
Author
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González, Vivian
Author
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Olguín C., Francisco
Author
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Bustamante T., René
Author
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Hernández L., Américo
Author
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Leopoldo Razeto, W.
Author
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Paredes W., Alejandro
Admission date
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2019-03-15T16:04:24Z
Available date
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2019-03-15T16:04:24Z
Publication date
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2013
Cita de ítem
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Revista Chilena de Obstetricia y Ginecologia, Volumen 78, Issue 1, 2018, Pages 55-59
Identifier
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0048766X
Identifier
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07177526
Identifier
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https://repositorio.uchile.cl/handle/2250/165962
Abstract
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We report a case of primigravida patient, 17 years old, with a fetus showing a large cervical mass at 20 weeks of gestation and was diagnosed as a cervical lymphangioma. The prenatal evaluation concludes that there exists a great risk of perinatal asphyxia due to obstruction of the upper airway and therefore it is decided to perform a cesarean section at 37 weeks of gestation, using an EXIT procedure (ex-utero intrapartum therapy). We perform intubation with a semi- rigid tube having a by-pass time utero-placental of 7 minutes, obtaining a newborn of 3300 g at birth. The newborn is operated two days after birth removing the cervical tumor with good results. We review the protocol of the EXIT procedure concerning aspects related to anesthesia, obstetrics, surgery and neonatal care. We conclude that EXIT should be considered in all cases in which obstruction of the upper airway is suspected, and can be performed in hospitals that have basic 6tsurgical facilities and a multidisciplinary t