General anesthesia for repair of omphalocele in a pair of conjoined twins in Enugu, Nigeria

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.

Anaesthetic challenges in conjoined twins′ separation surgery

“…[2345] Parasitic twins are asymmetrical twins, of whom one is either small or less formed. Foetus in foetus is an asymmetrical intra-parasitic twin.…”

Colostomy in an ischiopagus, 3 rd PND conjoined twins with cross-circulation: Anaesthetic management

“…[ 2 ] The incidence is 1:50,000-1:2,00,000 in general and is further higher in Indian and African race, that is 1:14,000-25,000 live-births. [ 3 ] We share our experience of the anaesthetic management for colostomy in tetrapus variety of ischiopagus with cross-circulation, on their third postnatal day with an aim of thorough discussion of the anaesthetic considerations and implications of such anatomical abnormalities.…”

Anesthetic management of craniopagus conjoined twins in a remote location

“…[1] They are classified on the basis of the site of union as thorax - 40% (thoracopagus), upper abdomen - (xiphopagus) or lower abdomen - (omphalopagus) 33%, sacrum - 19% (pyopagus), pelvis - 6% (ischiopagus), or skull - 2% (craniopagus). [2345] We report the anesthetic management for cerebral angiogram of craniopagus twins.…”