NYMC Faculty Publications
International Teleconsultation on Conjoined Twins Leading to a Successful Separation: A Case Report
DOI
10.1177/1357633X17715377
Journal Title
Journal of Telemedicine and Telecare
First Page
482
Last Page
484
Document Type
Case Report
Publication Date
August 2018
Department
Medicine
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.
Recommended Citation
Fusaro, M. V., Becker, C., Pandya, S., McBride, W., Alizadeh, K., Iannotti, V., Zelkovic, P., Barst, S., Tobias, M., Mohan, A., Freda, J., Gewitz, M., & Scurlock, C. (2018). International Teleconsultation on Conjoined Twins Leading to a Successful Separation: A Case Report. Journal of Telemedicine and Telecare, 24 (7), 482-484. https://doi.org/10.1177/1357633X17715377