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Updated: May 31, 2026

Guide Wire Assisted Catheterization and Colored Dye Injection for Vascular Mapping of Monochorionic Twin Placentas
Published on: September 5, 2011
Anaesthesia for the separation of conjoined twins
Jaya Lalwani1, Kp Dubey, Pratibha Shah
1Department of Anaesthesiology and Critical Care, PT.J.N.M. Medical College and Dr. Bram Hospital, Raipur, Chhattisgarh, India.
Abstract:
Thoraco-omphalopagus is one of the most common type of conjoint twins accounting for 74% cases of conjoint twins. We report the anaesthetic management for successful separation of thoraco-omphalopagus conjoint twins, both of them surviving till date. We highlight the responsibility of anaesthesia team in anaesthetising the two individual patients simultaneously, need of careful monitoring and anticipation of complications like massive blood loss, hypotension, hypokalemia, hypoxia and hypercabia. Detailed description of successful management is reported.
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