From: Emergency separation of conjoined twins in a tertiary hospital in Indonesia: three case reports
Characteristics | Number (%) | Remarks |
---|---|---|
Total | 45 (100) | |
Sex | ||
Male (%) | 9 (20) | |
Female (%) | 36 (80) | |
Type | ||
Omphalopagus | 7 (16) | |
Thoracoomphalopagus | 26 (58) | |
Craniopagus | 4 (9) | |
Ischiopagus tetrapus | 4 (9) | |
Ischiopagus triphus | 3 (8) | |
Treatment | ||
Nonsurgery | 27 (60) | 26 deaths, 1 lost to follow-up |
Surgery | 18 (40) | 33 infants, 27 infants survived surgery |
Emergency separation | 5 (11) | |
Planned separation | 13 (29) | |
Number of twins who underwent nonseparation surgery | 3 (7) | 2 for colostomy, 1 for insertion of tissue expander |
Number of twins who underwent separation at < 28 days of age | 5 (11) | 6 infants survived; 2 twins underwent separation immediately after birth |
Number of twins who underwent separation surgery immediately after birth | 2 (4) | In one case the twin was parasitic, the other was a case of hydrops fetalis |
Types of conjoined twins who underwent separation surgery | ||
Omphalopagus | 5 (11) | 8 infants, 7 infants survived |
Thoraco-abdominopagus | 9 (20) | 17 infants, 14 infants survived |
Craniopagus | 2 (4) | 4 infants, 2 infants survived |
Pyopagus | 2 (4) | 4 infants, 4 infants survived |