Four decades of conjoined twins at Red Cross Children's Hospital - lessons learned

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dc.contributor.authorRode, H
dc.contributor.authorCywes, S
dc.contributor.authorLawrenson, J
dc.contributor.authorNumanoglu, A
dc.contributor.authorFieggen, A G
dc.contributor.authorBrown, R A
dc.contributor.authorDavies, M R Q
dc.contributor.authorHewitson, J P
dc.contributor.authorHoffman, E B
dc.contributor.authorJee, L D
dc.contributor.authorMann, M D
dc.contributor.authorMatthews, L S
dc.contributor.authorMillar, A J W
dc.contributor.authorPeter, J C
dc.contributor.authorThomas, J
dc.contributor.authorWainwright, H
dc.date.accessioned2016-01-26T07:19:38Z
dc.date.available2016-01-26T07:19:38Z
dc.date.issued2006
dc.date.updated2016-01-19T10:09:37Z
dc.description.abstractConjoined twins represent a rare but fascinating congenital condition, the aetiology of which remains obscure. Over the past four decades, the paediatric surgeons at Red Cross Children's Hospital have been involved in the management of 46 pairs of conjoined twins, of which 33 have been symmetrical and 12 asymmetrical. Seventeen symmetrical twins have undergone separation with 22 children (65%) surviving; all of the live asymmetrical twins survived separation. We describe the important features of this unique cohort, outline our approach to management and present the results of this approach. We consider some of the ethical and moral dilemmas we have confronted, and discuss the prenatal diagnosis, obstetric implications and postnatal care of these children, including the relevant investigations and anaesthetic and surgical management. Specific aspects related to the cardiovascular system, hepatobiliary and gastrointestinal tracts, urogenital tract, central nervous system and musculoskeletal system are highlighted.en_ZA
dc.identifierhttp://dx.doi.org/10.7196/SAMJ.1290
dc.identifier.apacitationRode, H., Cywes, S., Lawrenson, J., Numanoglu, A., Fieggen, A. G., Brown, R. A., ... Wainwright, H. (2006). Four decades of conjoined twins at Red Cross Children's Hospital - lessons learned. <i>South African Medical Journal</i>, http://hdl.handle.net/11427/16549en_ZA
dc.identifier.chicagocitationRode, H, S Cywes, J Lawrenson, A Numanoglu, A G Fieggen, R A Brown, M R Q Davies, et al "Four decades of conjoined twins at Red Cross Children's Hospital - lessons learned." <i>South African Medical Journal</i> (2006) http://hdl.handle.net/11427/16549en_ZA
dc.identifier.citationRode, H., Fieggen, A. G., Brown, R. A., Cywes, S., Davies, M. R. Q., Hewitson, J. P., ... & Matthews, L. S. (2006). Four decades of conjoined twins at Red Cross Children's Hospital-lessons learned. South African Medical Journal, 96(9), 931-940.en_ZA
dc.identifier.issn0256-9574en_ZA
dc.identifier.ris TY - Journal Article AU - Rode, H AU - Cywes, S AU - Lawrenson, J AU - Numanoglu, A AU - Fieggen, A G AU - Brown, R A AU - Davies, M R Q AU - Hewitson, J P AU - Hoffman, E B AU - Jee, L D AU - Mann, M D AU - Matthews, L S AU - Millar, A J W AU - Peter, J C AU - Thomas, J AU - Wainwright, H AB - Conjoined twins represent a rare but fascinating congenital condition, the aetiology of which remains obscure. Over the past four decades, the paediatric surgeons at Red Cross Children's Hospital have been involved in the management of 46 pairs of conjoined twins, of which 33 have been symmetrical and 12 asymmetrical. Seventeen symmetrical twins have undergone separation with 22 children (65%) surviving; all of the live asymmetrical twins survived separation. We describe the important features of this unique cohort, outline our approach to management and present the results of this approach. We consider some of the ethical and moral dilemmas we have confronted, and discuss the prenatal diagnosis, obstetric implications and postnatal care of these children, including the relevant investigations and anaesthetic and surgical management. Specific aspects related to the cardiovascular system, hepatobiliary and gastrointestinal tracts, urogenital tract, central nervous system and musculoskeletal system are highlighted. DA - 2006 DB - OpenUCT DP - University of Cape Town J1 - South African Medical Journal LK - https://open.uct.ac.za PB - University of Cape Town PY - 2006 SM - 0256-9574 T1 - Four decades of conjoined twins at Red Cross Children's Hospital - lessons learned TI - Four decades of conjoined twins at Red Cross Children's Hospital - lessons learned UR - http://hdl.handle.net/11427/16549 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/16549
dc.identifier.vancouvercitationRode H, Cywes S, Lawrenson J, Numanoglu A, Fieggen AG, Brown RA, et al. Four decades of conjoined twins at Red Cross Children's Hospital - lessons learned. South African Medical Journal. 2006; http://hdl.handle.net/11427/16549.en_ZA
dc.languageengen_ZA
dc.publisherHealth and Medical Publishing Groupen_ZA
dc.publisher.departmentDivision of Paediatric Surgeryen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.sourceSouth African Medical Journalen_ZA
dc.source.urihttp://www.samj.org.za/index.php/samj
dc.titleFour decades of conjoined twins at Red Cross Children's Hospital - lessons learneden_ZA
dc.typeJournal Articleen_ZA
uct.subject.keywordsconjoined twinsen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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