RT Journal Article
SR Electronic
T1 Successful separation of thoracopagus conjoined twins
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 1522
OP 1526
VO 23
IS 12
A1 Abdullatif A. Al-Arfaj
A1 Dilip K. Mitra
A1 Hussam S. Kadeeb
A1 Abdulmohsen A. Al-Ghamdi
A1 Mohammad E. Abdulghaffar
A1 Bassam H. Al-Awary
YR 2002
UL http://smj.org.sa/content/23/12/1522.abstract
AB The first successful separation of thoracopagus conjoined twins in Eastern Saudi Arabia with 2-year follow up is presented. Physical examination and radiographic studies revealed a conjunction that extended from midsternum to a common umbilicus. The shared internal organs included liver and pericardium. The separation was performed at the age of 4 months. The resulting chest wall defects in both twins were covered by dacron-reinforced silastic prosthesis. The abdominal wall defect was primarily closed in the "left twin," and covered with a dacron reinforced silastic sheet in the "right". Primary skin closure was achieved in both, following extensive mobilization of the skin. The musculoskeletal deformities in the neck, chest and vertebral column showed marked improvement 20 months after separation.