When you diagnose a life-threatening congenital abnormality or mass in an obstetric patient’s fetus, such as a high-risk lung lesion, you now have the choice of referring your patient for fetal surgery and ex utero intrapartum treatment, or EXIT.
Performing fetal surgery is complicated, involving much more than a cesarean section and delivery or closure until delivery. Our pediatric surgeons have each completed a full residency in general and pediatric surgery and maintain board certification in both disciplines. We perform more than 4,300 surgeries each year at our four locations.
During an EXIT procedure, the pregnant mother requires deep anesthesia and monitoring to ensure the uterus remains relaxed. Surgeons must preserve circulation and avoid complications in the mother or fetus. Our experienced team monitors both mother and infant to keep both patients stable and allow the placenta to continue sustaining the infant until we complete repair, such as tumor resection or establishment of an airway.
Following surgery, our patients receive care in our NICU, which has received Level IV designation and is staffed by expert and experienced neonatologists, pediatric surgeons and subspecialists.