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Strategies in the Separation of Omphalopagus Conjoined Twins

Harry Applebaum, M. James Warden, Walter J. Chwals, Morton M. Woolley

Product Details
Product ID: ACS-1563
Year Produced: 1990
Length: 15 min.
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Omphalopagus conjoined twins were evaluated for elective separation. Magnetic Resonance Imaging, used for the first time in this anomaly, demonstrated a distinct, relatively avascular plane crossing a fused liver. This information permitted a nearly bloodless separation at 3-1/2 months of age. Normal growth had provided tissue for primary abdominal closure. Both twins are developing normally at 1-1/2 years of age. Timing of separation requires balancing the functional and psychological advantages of early separation against the physiological advantages of delayed separation.