Summary
We have presented the anaesthetic technique used during the separation of two female pygopagus conjoined twins. The twins were three months old and weighed 9.2 kilograms on the day of the operation. The main problem during the operation was to evaluate blood volume lost by each patient and a close monitoring of all cardiovascular parameters was necessary to attain this aim. The little pygopagus recuperated well and left the hospital at six months old.
Résumé
Nous avons préesenté la technique anesthésique utilisée lors de la séparation chirurgicale de deux jumelles siamoises pygopages. Les jumelles étaient âgées de 3 mois et pesaient ensemble 9.2 kilogrammes le jour de l’opération. Le problème principal fut de déterminer pour chaque jumelle sa part des pertes sanguines et une surveillance étroite de tous les paramètres cardiovasculaires est indispensable à cet effet. Les siamoises ont récupéré et ont pu quitter l’hôpital à l’ége de six mois.
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Fournier, L., Goulet, C., Waugh, R. et al. Anaesthesia for separation of conjoined twins. Canad. Anaesth. Soc. J. 23, 425–431 (1976). https://doi.org/10.1007/BF03005922
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DOI: https://doi.org/10.1007/BF03005922