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Siamese Twins - the 20 Years Experience in United Arab Emirates - Abstract

Amin El-Gohary

 

Abstract

Introduction

Conjoint twins are rare anomalies that excites medical and public interest and carries with it moral and surgical challenges.

Material and methods

In the years 1985 to 2004, 9 pairs of conjoined twins were managed at Mafraq Hospital in the United Arab Emirates (UAE): two dicephalus, three teratopagus, one pygopagus and three thoraco-omphalopagus.

Results

Successful separation was achieved in all parasitic twins (teratopagus), as well as the pygoagus twins. The first pair of the thoracopagus twins died at 9 months after successful separation from acute lymphoblastic leukemia; the other pair of twins died 1 month postoperatively. One dicephalus and one thoraco-omphalopagus died shortly after birth before surgical intervention.

Conclusion

Successful separation of conjoined twins requires teamwork, detailed planning, rehearsal and anticipation of problems that may arise during or after separation.

Keywords: conjoined twins, siamese twins, diphagus, thoracopagus, omphalopagus, teratopagus, pygopagus

 

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