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Bahador, Ali, Nikeghbalain, Saman, Foroughi, Mehdi, Beizavi, Zahra, Sahmeddini, Mohammad Ali, Eghbal, Mohammad Hossein, Vafaei, Homeira, Malekhosseini, Seyyed Ali, Bahador, Mohsen. (1398). Successful Surgical Separation of Thoraco-Omphalopagus Symmetrical Conjoined Twins in Iran: Two Case Reports. سامانه مدیریت نشریات علمی, 45(2), 143-147. doi: 10.30476/ijms.2019.81060.
Ali Bahador; Saman Nikeghbalain; Mehdi Foroughi; Zahra Beizavi; Mohammad Ali Sahmeddini; Mohammad Hossein Eghbal; Homeira Vafaei; Seyyed Ali Malekhosseini; Mohsen Bahador. "Successful Surgical Separation of Thoraco-Omphalopagus Symmetrical Conjoined Twins in Iran: Two Case Reports". سامانه مدیریت نشریات علمی, 45, 2, 1398, 143-147. doi: 10.30476/ijms.2019.81060.
Bahador, Ali, Nikeghbalain, Saman, Foroughi, Mehdi, Beizavi, Zahra, Sahmeddini, Mohammad Ali, Eghbal, Mohammad Hossein, Vafaei, Homeira, Malekhosseini, Seyyed Ali, Bahador, Mohsen. (1398). 'Successful Surgical Separation of Thoraco-Omphalopagus Symmetrical Conjoined Twins in Iran: Two Case Reports', سامانه مدیریت نشریات علمی, 45(2), pp. 143-147. doi: 10.30476/ijms.2019.81060.
Bahador, Ali, Nikeghbalain, Saman, Foroughi, Mehdi, Beizavi, Zahra, Sahmeddini, Mohammad Ali, Eghbal, Mohammad Hossein, Vafaei, Homeira, Malekhosseini, Seyyed Ali, Bahador, Mohsen. Successful Surgical Separation of Thoraco-Omphalopagus Symmetrical Conjoined Twins in Iran: Two Case Reports. سامانه مدیریت نشریات علمی, 1398; 45(2): 143-147. doi: 10.30476/ijms.2019.81060.

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

Iranian Journal of Medical Sciences
مقاله 10، دوره 45، شماره 2، خرداد 2020، صفحه 143-147    اصل مقاله (1.49 M)
نوع مقاله: Case Report
شناسه دیجیتال (DOI): 10.30476/ijms.2019.81060.
نویسندگان
Ali Bahador1؛ Saman Nikeghbalain2؛ Mehdi Foroughi1؛ Zahra Beizavi* 3؛ Mohammad Ali Sahmeddini4؛ Mohammad Hossein Eghbal4؛ Homeira Vafaei5؛ Seyyed Ali Malekhosseini2؛ Mohsen Bahador6
1Department of Pediatric Surgery, Namazee Hospital, Shiraz University of Medical Science, Shiraz, Iran
2Shiraz Transplant Medical Center, Namazee Hospital, Shiraz University of Medical Science, Shiraz, Iran
3General Surgery Resident, Department of General Surgery, Shiraz University of Medical Science, Shiraz, Iran
4Shiraz Anesthesiology and Clinical Care Research Center, Shiraz University of Medical Science, Shiraz, Iran
5Maternal Fetal Medicine Research Center, Perinatology Ward, Shiraz University of Medical Science, Shiraz, Iran
6Student Research Committee, Department of Otorhinolaryngology, Shiraz University of Medical Science, Shiraz, Iran
چکیده
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 enough to undergo separation. Treatment of this uncommon condition presents both surgical and anesthetic challenges. The management of rare anomalies is difficult even for skilled surgeons. Therefore, it is logical to use the knowledge gained from previous experiences.
We herein present the first successful surgical separation of two pairs of thoraco-omphalopagus conjoined twins at the Pediatric Surgery Center of Namazi Hospital (Shiraz, Iran). In both cases, the neonates had separate hearts and common pericardium. Contrast-enhanced computed tomography of two sets of twins showed fusion of sternum, pericardium, diaphragm, and left lobe of liver. Critical steps of the surgical separation were identified and contingency plans were made for possible partial liver donation and cross-circulation between twins. The separation procedure and reconstruction of the abdominal wall were successfully performed. Both pairs of twins, now 6- and 8-year-old, are healthy and have normal growth and are under follow-up.
کلیدواژه‌ها
Twins, conjoined؛ Congenital abnormalities؛ Reconstructive surgical procedures
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مراجع
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