Anaesthetic challenges in conjoined twins’ separation surger
Conjoined twins are identical twins whose bodies are joined in utero. It is a rare phenomenon, with an estimated incidence ranging from 1 in 50,000 births to 1 in 200,000 births.[1] They are monozygotic and monochorionic identical twins who develop with a single placenta from a single fertilised ovum. Here, we report the successful anaesthetic management of a case of ischiopagus twins’ separation stressing the importance of a multidisciplinary approach, thorough pre-operative evaluation to assess organ sharing and cross circulation, meticulous planning, as well as vigilant intra-operative monitoring and intensive post-operative care.
The twins were born to a primigravida as a full-term normal vaginal delivery. The diagnosis was missed during the antenatal period, and after delivery, the babies were referred to our centre for expert management. They were classified as ischiopagus tetrapus [Figure 1]. The parents provided consent for reporting the details of their babies....
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