Beyond conjoined: A tale of successful separation of pyopagus twins

Beyond conjoined: A tale of successful separation of pyopagus twins

Blog Article

Conjoined GD001 twins, a rare anomaly in which same-sex fetuses are partially or completely joined, present unique challenges in diagnosis and management.This article reports the first successful operative separation of pyopagus conjoint twins in Pakistan, an achievement in a low-resource setting.The female twins, diagnosed prenatally, underwent a planned cesarean section at 37 weeks.The initial physical examination revealed an 18 cm conjoined area with a shared anal opening.Postnatal monitoring in the neonatal intensive care unit detected abdominal distension, leading to pelvicdivided colostomies.

A multidisciplinary team, including gynaecologists, anesthesiologists, pediatric medicine specialists, neurosurgeons, and pediatric SENCHA JAPANESE GREEN TEA surgeons, collaborated on the operative procedure of the six-month-olds.The process involved bone removal, dural incision, and anorectoplasty.Postoperatively, one twin experienced cerebrospinal fluid leakage, which was managed conservatively.The twins were discharged after a week with a one-month follow-up.