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| Anestesia para separaci�n de gemelos unidos | Anaesthesia for the separation of conjoined twins.
Lalwani J, Dubey K, Shah P.
Department of Anaesthesiology and Critical Care, PT.J.N.M. Medical College and Dr. Bram Hospital, Raipur, Chhattisgarh, India.
Indian J Anaesth. 2011 Mar;55(2):177-80.
Abstract
Thoraco-omphalopagus is one of the most common type of conjoint twins accounting for 74% cases of conjoint twins. We report the anaesthetic management for successful separation of thoraco-omphalopagus conjoint twins, both of them surviving till date. We highlight the responsibility of anaesthesia team in anaesthetising the two individual patients simultaneously, need of careful monitoring and anticipation of complications like massive blood loss, hypotension, hypokalemia, hypoxia and hypercabia. Detailed description of successful management is reported.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3106394/?tool=pubmed
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| Anestesia general para la reparaci�n de onfalocele en un par de gemelos unidos en Enugu, Nigeria | |
General anesthesia for repair of omphalocele in a pair of conjoined twins in Enugu, Nigeria.
Ezike HA, Ajuzieogu VO, Amucheazi AO, Ekenze SO.
Department of Anesthesia, University of Nigeria Teaching Hospital, Enugu, Nigeria.
Saudi J Anaesth. 2010 Sep;4(3):202-4.
Abstract
Conjoined twins have been viewed with fascination since antiquity. There are numerous reports in the literature documenting anesthetic management strategies for the separation of conjoined twins. There are also reports in the literature detailing anesthetic approaches for surgical procedures not involving separation. This is the first report of the anesthetic management of a set of omphalagous presenting for palliative repair of omphalocele in Nigeria
http://www.saudija.org/temp/SaudiJAnaesh43202-4774154_131541.pdf
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| Manejo anest�sico para la separaci�n quir�rgica de gemelos unidos | Anaesthetic management of conjoined twins' separation surgery.
Chalam KS.
Head of Department, Anaesthesiology.
Indian J Anaesth. 2009 Jun;53(3):294-301.
Abstract
SUMMARY: Anaesthesia for conjoined twins, either for separation surgery, or for MRI or other evaluation procedures is an enormous challenge to the paediatric anaesthesiologist. This is an extra challenging surgery because we the anaesthesiologists need to care for two patients at the same time instead of just one. Anaesthesia for conjoined twins 'separation surgery mainly centered on the following concerns: 1.Conjoined Twins' physiology like crossed circulation, distribution of blood volume and organ sharing with their anaesthetic implications. 2.Long marathon surgery with massive fluid shifts and loss of blood & blood components and their rapid replenishment. 3.Meticulous planning for organized management of long hours of anaesthetic administration in two paediatric subjects simultaneously with multi surgical specialties' involvement and their unique requirements. We report the anaesthetic and intensive care management of one pair of Pygopagus separation surgery and also the review of literature and world statistics.
http://www.ijaweb.org/temp/IndianJAnaesth533294-4908008_133800.pdf
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Cirug�a para gemelos unidos | |
Surgery for conjoined twins.
Spitz L.
Department of Paediatric Surgery, Institute of Child Health, and Great Ormond Street Children's Hospital, London, UK. l.spitz@ich.ucl.ac.uk
Ann R Coll Surg Engl. 2003 Jul;85(4):230-5.
Conjoined twins have fascinated both the medical profession and the general public since classical times. Interest has ranged from fear of their birth being a sign of impending disaster through exhibitionism and curiosity to intense media attention. The incidence of conjoined twins is 1:50,000-100,000 pregnancies but as 60% are still-born or die shortly after birth, the true incidence is 1:200,000 live births. Females predominate in the ratio of 3:1. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1964388/pdf/12855023.pdf
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Atentamente
Dr. Enrique Hern�ndez-Cortez
Anestesiolog�a y Medicina del Dolor
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