International Teleconsultation on Conjoined Twins Leading to a Successful Separation: A Case Report
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.
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