Advances in pediatric surgery

Korean Association of Pediatric Surgeons (대한소아외과학회)
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A Case of Conjoined Twins - Omphalopagus

결합쌍생아 증례보고 - 제대결합쌍생아 1례 -

  • Choi, Soo-Jin-Na (Division of Pediatric Surgery, Department of Surgery, Chonnam University) ;
  • Chung, Sang-Yong (Division of Pediatric Surgery, Department of Surgery, Chonnam University) ;
  • Kim, Shin-Kon (Division of Pediatric Surgery, Department of Surgery, Chonnam University)
  • 최수진나 (전남대학교 의과대학 외과학교실 소아외과분과) ;
  • 정상영 (전남대학교 의과대학 외과학교실 소아외과분과) ;
  • 김신곤 (전남대학교 의과대학 외과학교실 소아외과분과)
  • Published : 1997.12.30
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Abstract

Conjoined twins are one of the rarest and most challenging congenital anomalies in pediatric surgery. Successful surgical separation is difficult because it the majority of conjoined twins in is technically typical to separate shared vital organs successfully. The timing of separation is variable, but separation is usually delayed until such infants are relatively mature(i.e, 9-12 months of age). Operative survival was 50 % in the neonatal period, but 90 % in those over 4 months of age. The present case was successfully separated early beacase of cardiac problems in one of the twins. These twins were omphalopagus and only the liver was shared through a bridge. The vascular and biliary trees were independent from each other. Successful surgical separation was on 11th day of life, but one died of sepsis 18 days after operation.

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