{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T22:10:16Z","timestamp":1778278216850,"version":"3.51.4"},"reference-count":15,"publisher":"Walter de Gruyter GmbH","issue":"4","license":[{"start":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T00:00:00Z","timestamp":1771200000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,26]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"j_jpm-2025-0626_abs_001\">\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The surgical technique for ex utero intrapartum treatment (EXIT) has been well-established for fetuses in cephalic presentation. EXIT for a fetus in a breech lie presents surgical challenges and requires modification.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jpm-2025-0626_abs_002\">\n                    <jats:title>Summary<\/jats:title>\n                    <jats:p>We describe EXIT on a fetus in a breech lie and with multiple congenital anomalies, including micrognathia, bilateral cleft lip, and a sizeable neural tube defect at 36\u00a0+\u00a03\u00a0weeks of gestation when the mother presented after preterm prelabor rupture of membranes (PPROM).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jpm-2025-0626_abs_003\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Hysterotomy in the uterine fundus is feasible for partial delivery of a breech fetus for EXIT if the placental margin is &gt;2\u202fcm away from the incision site. A power surgical stapler is an effective tool to perform a hysterotomy in the uterine fundus. Timely simulation-based training is a valuable tool to prepare for infrequent but high-stakes procedures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1515\/jpm-2025-0626","type":"journal-article","created":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T14:05:33Z","timestamp":1771250733000},"page":"673-678","source":"Crossref","is-referenced-by-count":0,"title":["Ex-utero intrapartum treatment of a breech fetus: a case report and review of the literature"],"prefix":"10.1515","volume":"54","author":[{"given":"Margarita","family":"Berwick","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine , 12233 University of Florida College of Medicine , Gainesville , FL , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helen","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Neonatology , University of Florida College of Medicine , Gainesville , FL , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erica","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine , 12233 University of Florida College of Medicine , Gainesville , FL , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laurie","family":"Davies","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology , University of Florida College of Medicine , Gainesville , FL , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet","family":"Genc","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine , 12233 University of Florida College of Medicine , Gainesville , FL , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2026,2,16]]},"reference":[{"key":"2026050821281524771_j_jpm-2025-0626_ref_001","doi-asserted-by":"crossref","unstructured":"Bence, CM, Wagner, AJ. Ex utero intrapartum treatment (EXIT) procedures. Semin Pediatr Surg 2019;28:150820. https:\/\/doi.org\/10.1053\/j.sempedsurg.2019.07.003.","DOI":"10.1053\/j.sempedsurg.2019.07.003"},{"key":"2026050821281524771_j_jpm-2025-0626_ref_002","doi-asserted-by":"crossref","unstructured":"Bouchard, S, Johnson, MP, Flake, AW, Howell, LJ, Myers, LB, Adzick, NS, et al.. The EXIT procedure: experience and outcome in 31 cases. J\u00a0Pediatr Surg 2002;37:418\u201326. https:\/\/doi.org\/10.1053\/jpsu.2002.30839.","DOI":"10.1053\/jpsu.2002.30839"},{"key":"2026050821281524771_j_jpm-2025-0626_ref_003","doi-asserted-by":"crossref","unstructured":"Hickok, DE, Gordon, DC, Milberg, JA, Williams, MA, Daling, JR. The frequency of breech presentation by gestational age at birth: a large population-based study. Am J Obstet Gynecol 1992;166:851\u20132. https:\/\/doi.org\/10.1016\/0002-9378(92)91347-d.","DOI":"10.1016\/0002-9378(92)91347-D"},{"key":"2026050821281524771_j_jpm-2025-0626_ref_004","doi-asserted-by":"crossref","unstructured":"Belfort, MA, Shamshiraz, AA, Fox, K. Minimizing blood loss at cesarean-hysterectomy for placenta previa percreta. Am J Obstet Gynecol 2017;216:78 e1\u2013e2. https:\/\/doi.org\/10.1016\/j.ajog.2016.10.030.","DOI":"10.1016\/j.ajog.2016.10.030"},{"key":"2026050821281524771_j_jpm-2025-0626_ref_005","doi-asserted-by":"crossref","unstructured":"Turan, OM, Shannon, A, Asoglu, MR, Goetzinger, KR. A novel approach to reduce blood loss in patients with placenta accreta spectrum disorder. 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BMJ Case Rep 2021;14. https:\/\/doi.org\/10.1136\/bcr-2020-237911.","DOI":"10.1136\/bcr-2020-237911"},{"key":"2026050821281524771_j_jpm-2025-0626_ref_008","doi-asserted-by":"crossref","unstructured":"Fegelman, E, Knippenberg, S, Schwiers, M, Stefanidis, D, Gersin, KS, Scott, JD, et al.. Evaluation of a powered stapler system with gripping surface technology on surgical interventions required during laparoscopic sleeve gastrectomy. J\u00a0Laparoendosc Adv Surg Tech 2017;27:489\u201394. https:\/\/doi.org\/10.1089\/lap.2016.0513.","DOI":"10.1089\/lap.2016.0513"},{"key":"2026050821281524771_j_jpm-2025-0626_ref_009","doi-asserted-by":"crossref","unstructured":"Miller, DL, Roy, S, Kassis, ES, Yadalam, S, Ramisetti, S, Johnston, SS. Impact of powered and tissue-specific endoscopic stapling technology on clinical and economic outcomes of video-assisted thoracic surgery lobectomy procedures: a retrospective, observational study. 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Ultrasound Obstet Gynecol 2016;47:653\u20135. https:\/\/doi.org\/10.1002\/uog.15763.","DOI":"10.1002\/uog.15763"},{"key":"2026050821281524771_j_jpm-2025-0626_ref_012","doi-asserted-by":"crossref","unstructured":"Auguste, TC, Boswick, JA, Loyd, MK, Battista, A. The simulation of an ex utero intrapartum procedure to extracorporeal membrane oxygenation. J\u00a0Pediatr Surg 2011;46:395\u20138. https:\/\/doi.org\/10.1016\/j.jpedsurg.2010.10.007.","DOI":"10.1016\/j.jpedsurg.2010.10.007"},{"key":"2026050821281524771_j_jpm-2025-0626_ref_013","doi-asserted-by":"crossref","unstructured":"Yamada, NK, Fuerch, JH, Halamek, LP. Simulation-based patient-specific multidisciplinary team training in preparation for the resuscitation and stabilization of conjoined twins. Am J Perinatol 2017;34:621\u20136. https:\/\/doi.org\/10.1055\/s-0036-1593808.","DOI":"10.1055\/s-0036-1593808"},{"key":"2026050821281524771_j_jpm-2025-0626_ref_014","doi-asserted-by":"crossref","unstructured":"Yamada, NK, Halamek, LP. 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