Anesthetic management for surgical separation of xipho-omphalopagus.

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Successful separation of Xipho-Omphalopagus twins

Xipho-omphalopagus twins are conjoined twins sharing some part of gastrointestinal system and lower sternum. These types of twins have best chances of survival if successfully separated. We report a case of successfully separated Xipho-omphalopagus twins, highlighting the importance of proper planning and team effort in such separations.

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Successful Surgical Separation of Thoraco-Omphalopagus Symmetrical Conjoined Twins in Iran: Two Case Reports

Conjoined twins are derived from the division of a single fertilized ovum; a phenomenon accompanied with multiple congenital anomalies. Such twins are identical, of the same sex, and more likely to be female. Most twins die during the embryonic period, and only 18% survive longer than 24 hours. There are complex anomalies in thoraco-omphalopagus twins that makes them unlikely to live long enoug...

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Xipho-Omphalopagus Conjoined Twins in a Spontaneous Triplet Pregnancy: Autopsy Findings

A 20-year-old woman, gravid-1 para-0, was referred to the Gynaecology and Obstetrics Department at 21-weeks gestation with a diagnosis of CT in a spontaneous triplet pregnancy. There was no history of twinning in the family and medication use during early pregnancy. At referral, transvaginal ultrasound revealed a monochorionic-diamniotic triplet pregnancy with a set of CTs. One amniotic sac con...

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Anesthetic management of conjoined twins undergoing one-stage surgical separation: A single center experience

OBJECTIVE To summarize our experience in the anesthetic management of conjoined twins undergoing one-stage surgical separation. METHODOLOGY Medical records of conjoined twins admitted to our hospital for treatment and considered for surgical separation from 1996 to present were retrospectively reviewed. Four cases of conjoined twins underwent one-stage surgical separation under general anesth...

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Anesthesia for emergency separation of omphalopagus conjoined twins.

BACKGROUND AND OBJECTIVES The rate of mortality during the surgical separation of conjoined twins in the neonatal period is 50% and can reach up to 75% if it occurs in emergency situations. The planning of the surgical separation procedure is detailed and involves imaging assessment, evaluation of cross-circulation and even other surgical preparation procedures, such as skin expansion. CASE R...

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ژورنال

عنوان ژورنال: THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA

سال: 1989

ISSN: 0285-4945,1349-9149

DOI: 10.2199/jjsca.9.260