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Anesthesia for repair of gastroschisis in thoracopagus twins: a case report
Author(s) -
LONNÉE HERMAN A.,
CHETTY VANDHANA,
RAWAILIU VERENIKI
Publication year - 2007
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1111/j.1460-9592.2006.02077.x
Subject(s) - gastroschisis , medicine , anesthesia , obstetrics , pregnancy , fetus , genetics , biology
Summary The first pair of live conjoined twins in Fiji were delivered in June 2004. Their union was unexpected and in addition they had gastroschisis requiring urgent surgery. With limited resources available there was uncertainty about the degree of sharing of the major organs. Whilst the media speculated on separation overseas, the local team of doctors were faced with a rare emergency. Surgical repair of the abdominal defect was performed using a combined general and regional anesthesia technique. The thoracopagus twins died 3 days postoperatively in the Neonatal Intensive Care Unit. Perioperative management is discussed.