313 |
Rahayatri T.H., Amaliah R., Putri N.M., Puspaningtyas N.W., Karyanti M.R., Hendarto A. |
57188549965;57224001785;57192904294;57223288515;56290680800;57204142249; |
Omphalopagus conjoined twins separation during coronavirus disease-19 pandemic era: A case report |
2021 |
International Journal of Surgery Case Reports |
84 |
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106150 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85109424878&doi=10.1016%2fj.ijscr.2021.106150&partnerID=40&md5=a376a2af0ee2eeb9a9da557e67166686 |
Faculty of Medicine, Universitas Indonesia, Pediatric Surgery Division, Department of Surgery, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Faculty of Medicine, Universitas Indonesia, Plastic Surgery Division, Department of Surgery, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Faculty of Medicine, Universitas Indonesia, Pediatric Intensive Care Division, Department of Child Health, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Faculty of Medicine, Universitas Indonesia, Pediatric Infectious and Tropical Disease Division, Department of Child Health, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Faculty of Medicine, Universitas Indonesia, Pediatric Nutrition and Metabolic Disease Division, Department of Child Health, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia |
Rahayatri, T.H., Faculty of Medicine, Universitas Indonesia, Pediatric Surgery Division, Department of Surgery, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Amaliah, R., Faculty of Medicine, Universitas Indonesia, Pediatric Surgery Division, Department of Surgery, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Putri, N.M., Faculty of Medicine, Universitas Indonesia, Plastic Surgery Division, Department of Surgery, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Puspaningtyas, N.W., Faculty of Medicine, Universitas Indonesia, Pediatric Intensive Care Division, Department of Child Health, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Karyanti, M.R., Faculty of Medicine, Universitas Indonesia, Pediatric Infectious and Tropical Disease Division, Department of Child Health, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Hendarto, A., Faculty of Medicine, Universitas Indonesia, Pediatric Nutrition and Metabolic Disease Division, Department of Child Health, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia |
Introduction and importance: Conjoined twin is a rare congenital anomaly characterized by a fusion of certain anatomical structures. Coronavirus-19 (COVID-19) is a new emerging infectious respiratory disease affecting worldwide and potentially leads to acute respiratory distress (ARDS) in children. COVID-19 has reconstructed the healthcare system, including surgical care and decision-making. Case presentation: Herein we describe a surgical separation of 2.5 months old omphalopagus conjoined twins, with one of them (Baby A) presenting COVID-19-associated respiratory distress, as well as the challenges faced during the preparation and the execution of the complex surgical procedure. Clinical discussion: Baby A underwent antiviral therapy, oxygen supplementation, and ventilation in the ICU, while baby B remained stable and confirmed negative for SARS-CoV-2. The separation surgery was conducted after baby A had become clinically stable. Defect closure and reconstruction were accomplished. At one week follow-up, Baby A died of lung infection, while baby B remained well after one year. Conclusion: The complexity of surgical separation requires careful planning by a multidisciplinary team. Surgical separation of conjoined twins during the pandemic era has not been reported much in the literature, more reports are required to provide further insight. © 2021 The Authors |
Case report; Children; Conjoined twins separation; COVID-19; Omphalopagus conjoined twins |
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Elsevier Ltd |
22102612 |
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Article |
Q3 |
232 |
17549 |
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