At the University Hospital La Paz, in Madrid, a successful fetal intervention during delivery, of the EXIT type (ExUtero-Intrapartum-Treatment), with which it is possible to maintain the placental circulation, which allows to act on the fetus while he does not need to breathe, and solve problems that could be incompatible with life.

The procedure followed is similar to a cesarean, since the head and arms of the fetus were removed, the rest of the body remaining inside the uterus. During this time the uterus is relaxed, the umbilical cord is not cut, and the placental circulation is maintained.

To carry out this type of intervention, the participation of a team consisting of child surgeons, anesthetists, obstetricians, neonatologists, and highly specialized nursing staff, and the help of imaging techniques such as ultrasound and the magnetic resonance prenatal, with which it is possible to detect those congenital malformations that can be treated before birth.

The prenatal treatment of these conditions can favor the correct intrauterine development and reduce or eliminate the consequences of the disease after birth

It has been proven that the prenatal treatment of these conditions can favor the correct intrauterine development, and reduce or eliminate the consequences that the disease would have for the baby after birth

In this case, the girl undergoing surgery presented a mass inside the thorax, which encircled her trachea and oppressed one of her bronchi; this could have prevented him from breathing at birth. The procedure, which lasted approximately ten minutes and consisted of securing the airway and checking the permeability of the other bronchus with an endoscope, was carried out on March 30 at the La Paz Maternity Hospital, and was assisted by a surgeon. of the Hospital Vall d'Hebron of Barcelona. The evolution of the patient has been favorable and she was discharged on April 18.

Source: Madrid's community

Episiotomy (November 2019).