Key result
Surgical separation of thoracopagus twins yields successful survival for both twins at 4 years.
Why the study?
Thoracopagus twins are the most common type of conjoined twins with poor survival rates, requiring thorough anatomical knowledge and multidisciplinary approach for successful separation.
Case Report (n=2)
Successful separation of thoracopagus twins is achievable with a multidisciplinary approach, heavily dependent on the extent of shared organs.
Supports feasibility in selected cases but should not change practice; extends sparse case reports on thoracopagus separation.
Conjoined twin is an extremely rare condition and needs a thorough knowledge of anatomy and a multidisciplinary approach is essential to successfully separate, the twins. Thoracopagus are the twins attached by chest and umbilicus and are the commonest among all the varieties but carries a poor survival rate. We describe our approach and experience of management of thoracopagus twins who were separated at eighty-three day of life and are alive and well after 4 years of follow up. The most important decisive parameter for successful separation is the extent of sharing of organs between twins but the role of a motivated multidisciplinary team is also indispensable.
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Sinha et al. (2021) conducted a case report in Conjoined thoracopagus twins (n=2). Surgical separation was evaluated on Survival and successful separation. Surgical separation of thoracopagus twins at 83 days of life resulted in successful survival, with both twins alive and well after 4 years of follow-up.
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