SciELO - Scientific Electronic Library Online

 
vol.60 issue3Influence of naloxone and methysergide on the analgesic effects of low-level laser in an experimental pain modelAnesthesia for tonsillectomy in a child with Klippel-Feil syndrome associated with down syndrome: Case report author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Revista Brasileira de Anestesiologia

Print version ISSN 0034-7094

Abstract

HOBAIKA, Adriano Bechara de Souza; PIRES, Kléber Costa de Castro  and  FERNANDES, Vitto Bruce Salles Alves. Anesthesia for emergency separation of omphalopagus conjoined twins. Rev. Bras. Anestesiol. [online]. 2010, vol.60, n.3, pp. 311-314. ISSN 0034-7094.  http://dx.doi.org/10.1590/S0034-70942010000300009.

BACKGROUND AND OBJECTIVES: The rate of mortality during the surgical separation of conjoined twins in the neonatal period is 50% and can reach up to 75% if it occurs in emergency situations. The planning of the surgical separation procedure is detailed and involves imaging assessment, evaluation of cross-circulation and even other surgical preparation procedures, such as skin expansion. CASE REPORT: Eleven-day-old female omphalopagus conjoined twins underwent emergency surgical separation due to the death of one twin caused by sepsis associated to cardiopathy. The liver was shared by the twins and was separated. The surviving twin died six days later. CONCLUSIONS: Surgical separation of conjoined twins in the neonatal period must be avoided due to the patients' organic system immaturity. However, emergency situations such as the one described herein can require the procedure to be carried out.

Keywords : ANESTHESIA [Pediatric]; SURGERY [Pediatric]; SURGERY [omphalopagus conjoined twins].

        · abstract in Portuguese | Spanish     · text in English | Portuguese     · pdf in English | Portuguese