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International teleconsultation on conjoined twins leading to a successful separation: a case report.

Research paper by Mario V MV Fusaro, Christian C Becker, Samir S Pandya, Whitney W Mcbride, Kaveh K Alizadeh, Vicki V Iannotti, Paul P Zelkovic, Samuel S Barst, Michael E ME Tobias, Avinash A Mohan, Jeffrey J Freda, Michael M Gewitz, Corey C Scurlock

Indexed on: 14 Sep '17Published on: 14 Sep '17Published in: Journal of telemedicine and telecare



Abstract

Conjoined twins are identical twins that have incompletely separated in utero. The prognosis for conjoined twins is poor and management in a skilled tertiary care centre is paramount for definitive care. We describe our experience with a telemedical consultation on conjoined twins in The Dominican Republic from our eHealth centre in Valhalla, NY. The patients were two month old, female, pygopagus conjoined twins. A multidisciplinary teleconference was initiated with the patients, their family, the referring paediatrician and our team. Based on this teleconsultation, the team felt as though the twins may be amenable to a surgical separation. They presented to our centre in Valhalla, NY, for a detailed physical examination and series of imaging studies. Soon after, the patients underwent a successful 21 h separation procedure and were discharged 12 weeks later. To our knowledge, this is one of the first reports of an international teleconsultation leading to a successful conjoined twin separation procedure.