Separation of thoraco-omphalopagus twins in a rural secondary hospital: Perioperative management

Abstract

Providing anaesthesia for the separation surgery of conjoined twins presents unique challenges to the managing anaesthesiologists. The low incidence of such surgeries and anatomical variations in each type of conjoined twins makes each separation surgery a unique experience. This report features the anaesthetic plan and challenges faced in performing the separation surgery of a set of thoraco-omphalopagus twins in a rural secondary hospital in a remote location in India.

Keywords

• Anaesthesia
• anaesthetic management
• conjoined twins
• thoraco-omphalopagus twins
• twin separation surgery