| Conjoined twins--past, present, and future. | |
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MedLine Citation:
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PMID: 16677900 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND/PURPOSE: Conjoined twins are rare and complex anomalies of the newborn. They require a highly experienced team and a center equipped to deal with such challenging anatomy. METHOD: A review of 31 sets of conjoined twins was managed by one team over a 15-year period. The spectrum of the anomalies, management strategies, and outcomes will be analyzed with future recommendations. RESULTS: Ten sets of complete conjoined twins and two sets of parasitic conjoined twins were successfully separated. Tissue expanders and prosthetic meshes were not required. A separation of one set of craniopagus parasiticus conjoined twins was attempted, but abandoned owing to major vascular and brain sharing. The remaining 18 sets were not separable owing to major cardiac anomalies and/or sharing, and all died within several weeks of birth. CONCLUSION: Careful planning, a multidisciplinary approach, rehearsal, and experience are important factors in dealing with conjoined twins. Tissue expanders and prosthetic meshes are not required in most cases. Selective abortion or fetal intervention may play a role in the future. |
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Authors:
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Abdullah Al Rabeeah |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of pediatric surgery Volume: 41 ISSN: 1531-5037 ISO Abbreviation: J. Pediatr. Surg. Publication Date: 2006 May |
Date Detail:
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Created Date: 2006-05-08 Completed Date: 2006-10-19 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0052631 Medline TA: J Pediatr Surg Country: United States |
Other Details:
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Languages: eng Pagination: 1000-4 Citation Subset: IM |
Affiliation:
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Division of Pediatric Surgery, King Abdulaziz Medical City-Riyadh, PO Box 22490, Riyadh 11426, Kingdom of Saudi Arabia. rabeeaha@ngha.med.sa |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Follow-Up Studies Humans Infant Twins, Conjoined / surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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