Abstract
We present the case of the first stage of separation of 9-month-old pygopagus conjoined twins who demonstrated minimal shared vasculature on preoperative imaging and no cross-sedation or cross-neuromuscular blockade during separate inductions of anesthesia. Laparoscopy was implemented in 1 twin at a time, then in both twins simultaneously. Despite insufflation of a single-twin's abdomen, both twins demonstrated hypercapnia and signs of a concomitant respiratory acidosis because of carbon dioxide diffusion through a shared peritoneal membrane. This is the first documented case of simultaneous laparoscopy-induced pneumoperitoneum in pygopagus conjoined twins.
Original language | English (US) |
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Pages (from-to) | 71-72 |
Number of pages | 2 |
Journal | A&A practice |
Volume | 11 |
Issue number | 3 |
DOIs | |
State | Published - Aug 1 2018 |
ASJC Scopus subject areas
- General Medicine