Ischiopagus tetrapus conjoined twins: 22 years after separation

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Abstract

There is no record of both separated ischiopagus tetrapus conjoined twins leading normal lives 22 years after separation. We separated a pair of such twins in 1986 and have followed them up till date. Details regarding the technique of separation and the procedures required to ensure normal defecation and micturition and normal musculoskeletal function have been described by us in earlier communications. In this paper we describe their present status and ability to face the world as independent adult females. The outcome reflects the responsibilities and dedication of pediatric surgeons for infant patients with congenital problems after they have become adults, taking a pivotal role to involve surgeons of other disciplines as and when necessary.

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Most cited references 11

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Successful separation of ischiopagus tetrapus--conjoined twins.

J Eades, Anita C. Thomas (1966)

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Ischiopagus tetrapus conjoined twins.

K. Somasundaram, Sallene Wong (1986)

Two sets of ischiopagus conjoined twins were successfully operated on at the University Hospital, Kuala Lumpur in 1981 and 1982. The anatomy of the organ and system malformations are discussed which determined the technique of reconstruction after surgical separation to obtain optimum cosmetic and functional results. Permanent colostomy was not required in any of the four twins and in only one twin was there a need for urinary diversion.

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Successful pregnancy in a separated conjoined twin.

Sohrab Shah, C Chazotte (1994)

A case of successful pregnancy in a separated conjoined twin is described. The patient underwent cesarean delivery because of the reconstructed pelvis and extensive perineal reconstruction, which resulted in dense fibrosis. Surgical records and communication with the patient's pediatric surgeons were helpful in planning for delivery.

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Author and article information

Journal

Journal ID (nlm-ta): J Indian Assoc Pediatr Surg

Journal ID (publisher-id): JIAPS

Title: Journal of Indian Association of Pediatric Surgeons

Publisher: Medknow Publications (India )

ISSN (Print): 0971-9261

ISSN (Electronic): 1998-3891

Publication date (Print): Jan-Mar 2009

Volume: 14

Issue: 1

Pages: 36-38

Affiliations

Department of Pediatric Surgery, Ramakrishna Mission Sevapratisthan and Vivekananda Institution of Medical Sciences, Kolkata, India

[1 ]Department of Urology, Ramakrishna Mission Sevapratisthan and Vivekananda Institution of Medical Sciences, Kolkata, India

[2 ]Department of Orthopedic Surgery (Rtd), Ramakrishna Mission Sevapratisthan and Vivekananda Institution of Medical Sciences, Kolkata, India

[3 ]Department of Obstetrics and Gynecology, Ramakrishna Mission Sevapratisthan and Vivekananda Institution of Medical Sciences, Kolkata, India

Author notes

Address for correspondence: Prof. S. K. Chatterjee, 4 Gorky Terrace, Kolkata - 700 017, West Bengal, India. E-mail: parkclinickolkata@ 123456gmail.com

Article

Publisher ID: JIAPS-14-36

DOI: 10.4103/0971-9261.54809

PMC ID: 2809464

PubMed ID: 20177445

SO-VID: 8b1e32b8-2f63-41fe-bf2a-8c59b5959502

License:

This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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