Conjoined twins in the Philippines: experience of a single institution

Saguil, Esther; Almonte, Josefina R; Baltazar, Wilma; Acosta, Alfredo; Caballes, Alvin B.; Catangui, Antonio; Villegas, Celine

doi:10.1007/s00383-009-2426-7

Cited by 35 publications

(27 citation statements)

References 11 publications

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“…A better understanding of the craniopagus conjoined twins' anatomy and physiology has also led to attempts of surgical separation. The separation of craniopagus twins is among the most complex procedures undertaken in neurosurgery and the most controversial due to the risks related to the surgery [11][12][13]. The first successful craniopagus twin separation in which one twin survived was Roger and Rodney Brodies, separated in stages by Oscar Sugar in 1952-1953.…”

Section: Discussionmentioning

confidence: 98%

Cranial conjoined twins: Surgical and anesthetic challenges for a routine procedure: Adenoidectomy and examination of ears

Kozak

Fandiño

Carpes

et al. 2011

International Journal of Pediatric Otorhinolaryngology

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Section: Discussionmentioning

confidence: 98%

Cranial conjoined twins: Surgical and anesthetic challenges for a routine procedure: Adenoidectomy and examination of ears

Kozak

Fandiño

Carpes

et al. 2011

International Journal of Pediatric Otorhinolaryngology

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“…In contrast, 22 cases were reported from a single institution in Philippines, over a 30 year period (1974-2006). 11 An institution in Sao Paula, Brazil reported 14 cases over a 25 year period further reflecting possible underreporting in Nigeria. 12 It is hoped that this report will be an important contribution to the few existing publications in the country.…”

Section: Discussionmentioning

confidence: 99%

Conjoined twins in Edo state of Nigeria; a report of the first surviving set

Amuabunos¹,

Co²,

Omoigberale³

et al. 2014

Nig. J. Paed.

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Abstract:The term conjoined twins refers to babies who are physically joined at some point. It is a rare condition with an estimated incidence of 1 per 200,000 live births. We report our experience with conjoined twins over a twelve year period in tertiary hospital in Nigeria and a case of the first set of conjoined twin survivors in Benin City, Nigeria. Over the last twelve years (1999)(2000)(2001)(2002)(2003)(2004)(2005)(2006)(2007)(2008)(2009)(2010)(2011), three cases of conjoined twin have been recorded in our teaching hospital. A set of thoracoomphalopagus twins (females) were delivered in 1999 and they survived for only 36hrs. Another set of female omphalopagus twins were delivered in 2009 and survived a separation surgery. A third set of female thoracoomphalopagus was delivered in another institution same year and referred to our unit but they only survived for 48 hours. The first surviving twins were omphalopagus, sharing a single liver, and common bile duct emptying into a common duodenum. The stomach, as well as the jejunum was normal and unshared. Surgical separation of the liver was done and biliary reconstruction procedure performed for twin II. A three -year follow up showed good outcome.

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“…Pygopagus twins, those joined at the rump, are classified as symmetrical conjoined twins [1]. Pygopagus twins are exceedingly rare, accounting for only 10% to 18% of all conjoined twins, yielding an incidence of approximately 1 in 1,000,000 live births.…”

mentioning

confidence: 99%