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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http://dx.doi.org/10.4103/0019-5049.79902 | DOI Listing |
Radiol Case Rep
December 2024
Department of Radiology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Twin pregnancy is considered high-risk pregnancy because of its various effects on maternal and fetal physiology. Twin pregnancy can be dizygotic or monozygotic, the latter being less common. Depending upon the period of separation of an embryo, monozygotic twins can share amniotic cavity and placenta with the monochorionic monoamniotic form being the least common type.
View Article and Find Full Text PDFMath Biosci
October 2024
Department of Mathematics, TUM School of Computation, Information and Technology, Technical University of Munich, Boltzmannstr. 3, Garching, 85747, Germany.
Background: The increased application of immune checkpoint inhibitors (ICIs) targeting PD-1/PD-L1 in lung cancer treatment generates clinical need to reliably predict individual patients' treatment outcomes.
Methods: To bridge the prediction gap, we examine four different mathematical models in the form of ordinary differential equations, including a novel delayed response model. We rigorously evaluate their individual and combined predictive capabilities with regard to the patients' progressive disease (PD) status through equal weighting of model-derived outcome probabilities.
Cureus
September 2022
Anatomy, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND.
Conjoined twins are described as having been physically fused during pregnancy and delivery. They were first mentioned a long time ago when there was not much known about this. They share some organs that are vital for survival, like the heart; these twins are almost impossible to save, but there are some cases wherein there is evidence of their survival.
View Article and Find Full Text PDFMed J Armed Forces India
September 2022
Professor and Head, Department of Radiodiagnosis, Armed Forces Medical College, Pune 411040, India.
Being unique is good, but not so for conjoined twins. Cephalothoracopagus is a rare type of conjoined twins, which is a rare monozygotic twinning resulting in imperfect fusion of the head, chest and upper abdomen. These twins have separated limbs and pelvis.
View Article and Find Full Text PDFRadiol Case Rep
October 2022
Department of Diagnostic Radiology, Addis Ababa University, Addis Ababa, Ethiopia.
A parasitic or heteropagus twin is a grossly defective fetus (or fetus part) attached externally, with or without internal connections and is dependent on the cardiovascular system of the other twin (autosite) for survival. The estimated incidence is approximately 1 per 1 million live births. To date according to the authors' knowledge; there are a few case reports published in the literature.
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