• Semin. Pediatr. Surg. · Oct 2015

    Case Reports

    Staged separation of craniopagus twins.

    • David Dunaway and N U Owase Jeelani.
    • Great Ormond Street Hospital for Children NHS Foundation Trust, London WC1N 3JH, UK. Electronic address: David.Dunaway@gosh.nhs.uk.
    • Semin. Pediatr. Surg. 2015 Oct 1; 24 (5): 241-8.

    AbstractCraniopagus twins are rare and account for up to 6% of all conjoined twins. No hospital will encounter many such twins and the opportunity to develop expertise is limited. We have dealt with 2 such sets and illustrate our approach by reference to our most recent set. We believe that detailed imaging allows precise delineation of the anatomy and facilitates detailed planning of the surgery. When venous drainage from the 2 brains is connected, we believe that staged separation is preferable as gradual alteration of hemodynamics may be safer than a single-stage procedure. Copyright © 2015. Published by Elsevier Inc.

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