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

Amin El-Gohary




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.


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.


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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