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Ex Utero Intrapartum Treatment

Ex Utero Intrapartum Treatment is a topic covered in the Pediatric Surgery NaT.

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The purpose of ex utero intrapartum therapy (EXIT) is the maintenance of placental circulation until gas exchange for the neonate can be secured in another manner. There are four main categories of EXIT procedures.

Categories of EXIT procedures [1]



EXIT to airway


congenital high airway obstruction syndrome


severe micrognathia, lymphatic malformation, vascular malformation


tracheal clip or balloon

EXIT to resection



severe congenital heart disease or severe congenital diaphragmatic hernia

EXIT to separation

conjoined twins

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Last updated: July 12, 2018


Koehler, Shannon, et al. "Ex Utero Intrapartum Treatment." Pediatric Surgery NaT, American Pediatric Surgical Association, 2018. APSA Webapp, www.pedsurglibrary.com/apsa/view/Pediatric-Surgery-NaT/829167/all/Ex_Utero_Intrapartum_Treatment.
Koehler S, Wagner AJ, Marwan R. Ex Utero Intrapartum Treatment. In: Waldhausen J, Powell D, Hirschl R, eds. Pediatric Surgery NaT. American Pediatric Surgical Association; 2018. https://www.pedsurglibrary.com/apsa/view/Pediatric-Surgery-NaT/829167/all/Ex_Utero_Intrapartum_Treatment. Accessed May 26, 2019.
Koehler, S., Wagner, A. J., & Marwan, R. (2018). Ex Utero Intrapartum Treatment. In Waldhausen, J., Powell, D., & Hirschl, R. (Eds.), Pediatric Surgery NaT. Available from https://www.pedsurglibrary.com/apsa/view/Pediatric-Surgery-NaT/829167/all/Ex_Utero_Intrapartum_Treatment
Koehler S, Wagner AJ, Marwan R. Ex Utero Intrapartum Treatment [Internet]. In: Waldhausen J, Powell D, Hirschl R, editors. Pediatric Surgery NaT. American Pediatric Surgical Association; 2018. [cited 2019 May 26]. Available from: https://www.pedsurglibrary.com/apsa/view/Pediatric-Surgery-NaT/829167/all/Ex_Utero_Intrapartum_Treatment.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Ex Utero Intrapartum Treatment ID - 829167 A1 - Koehler,Shannon, AU - Wagner,Amy,MD AU - Marwan,Rony,MD ED - Waldhausen,John, ED - Powell,David, ED - Hirschl,Ron, Y1 - 2018/07/12/ BT - Pediatric Surgery NaT UR - https://www.pedsurglibrary.com/apsa/view/Pediatric-Surgery-NaT/829167/all/Ex_Utero_Intrapartum_Treatment PB - American Pediatric Surgical Association DB - APSA Webapp DP - Unbound Medicine ER -