Recently, a series of complicated conjoined twins have appeared. There have been successful surgeries to separate twins, but there are also cases where separation cannot be performed.
The twins are conjoined at the buttocks, without an anus
Twins conjoined at the buttocks without an anus in Binh Phuoc (source: internet).
Most recently, conjoined twins without an anus were born on July 24, the children of a woman born in 1998 in Binh Phuoc. The pregnant woman went into labor and was finecesarean sectionat 33 weeks pregnant. Two babies were born weighing 3.4kg at Loc Ninh district general hospital (Binh Phuoc province). Due to being conjoined buttocks andhealthWeak, so after being resuscitated, doctors transferred him to Children’s Hospital 2, Ho Chi Minh City to continue treatment.
Here, the professional consultation found that the two babies were joined at the buttocks, about 10 cm in length, facing each other with their heads facing out to the sides, different from the usual cases of adhesions where the abdomen and chest are attached. .ResultCT showed that the two babies’ adhesion areas were two separate spines and separate digestive systems. Overall, the two babies’ anuses were not visible, but the female genitals were clearly visible.
When first admitted to the hospital, the baby had a bloated abdomen and no anus, so the doctors immediately placed a tube into the fistula to help stool escape more easily. Also not detected yetdeformitiesany. Next week, the two babies will have an MRI scan and the professional council will plan separation surgery for the two babies.
It is known that due to difficult family circumstances, during pregnancy, the mother only had one prenatal check-up, leading to not being able to screen for birth defects.
The twins are conjoined at the chest and abdomen
These twins were unable to undergo separation surgery (source: internet).
The twins, born to pregnant woman Phan Thi Tham in Tan Binh village, Ngoc Minh commune, Vi Xuyen district (Ha Giang), were born on July 13. The woman is pregnant for the second time, 9 months pregnant with twins,labor2 first positions,uterusOpen 7 cm, there were signs of fetal distress, so emergency surgery was scheduled at Vi Xuyen Hospital.
During a cesarean section, doctors discovered two boys conjoined from chest to abdomen, sharing an umbilical cord, weighing 4.9 kg. On the afternoon of July 14, the two children were transferred to Viet Duc Hospital (Hanoi). Viet Duc Hospital doctors conducted consultations with domestic and foreign experts; ultrasound of the heart, liver…
The results showed that the twins were conjoined very complicatedly, the liver and heart were fused together into a large mass, the heart in the center; Blood vessels are located in the wrong place, heart chambers have ventricular septal defects and heart valve regurgitation.
These twins were unable to undergo separation surgery. More than a week after being born, the twins could not survive and died on the way back home.
Successful cases of separating conjoined twins in Vietnam:
The conjoined twins were first separated by surgery at the National Children’s Hospital in 1996. They are now two healthy, beautiful young women, sisters Nguyen Thi Phuong Ha – Nguyen Thi Phuong Ninh, from Quang Ninh.
The surgery to separate two baby girls, Cuc – An, in 2003 at the National Children’s Hospital was also considered complicated. The two babies share many internal organs such as the liver, digestive tract, pericardium, diaphragm, and sternum. An got sick againdeformitiesCongenital heart disease, Cuc has hemangiomas in her arms and chest. After 8 hours the surgery was successful. The two children are now living healthy lives.
Thu Cuc and Thuy An are middle school students in Thanh Hoa (source: internet).
Two babies Cu and Co were born in Nghe An on December 2, 2008, joined together at the abdomen while the head, arms, legs, genitals, heart, liver… were separate and quite intact. The separation surgery was performed on December 17, 2008. Doctors simultaneously cleared baby Co’s clogged digestive tract and a few days later operated on baby Cu’s artery stump. Currently, the two children live healthy with their family in Nghe An.
On May 10, 2012, the surgery to separate the twins began at the National Children’s Hospital, directly conducted by Professor Nguyen Thanh Liem, Former Director of the Hospital.
On December 19, 2012, Children’s Hospital 2 decided to perform dissection surgery for two conjoined twins in a complex condition of thorax and abdomen. The surgery was successful beyond the expectations of the surgical team and family. The two babies were born at 36 weeks gestation, their birth weight was only 3.4kg.
On November 26, 2013, after more than a year of preparation, nearly 70 doctors and nurses at Children’s Hospital 2 performed surgery to separate 14-month-old twins Long – Phung, who were joined at the heart and liver. The major surgery lasted nearly 12 hours. Long hashealthBetter yet, because Phung lost her entire sternum and lost a lot of skin, doctors had to create an artificial sternum and gradually pull the baby’s skin. This is the most complicated surgery to separate conjoined twins performed at Children’s Hospital 2. Previously, during pregnancy, the mother of the two babies had an ultrasound and discovered that the babies were conjoined but still decided to keep the babies.
After successful surgery, many pairs of newborns are alive and healthy (source: internet).
The twins were born on July 1, 2013, two girls conjoined at the abdomen, born in extremely dangerous circumstances because they were born by vaginal birth, 1 baby was breech and 1 baby was breech. Total weight is about 5 kg. At about 9:30 a.m. on July 9, 2013, Kon Tum Provincial General Hospital coordinated with Ho Chi Minh City Children’s Hospital 2 to successfully perform an operation to separate two conjoined newborns after nearly 1 hour of surgery. .
After 4 months of preparation and more than 3 hours of surgery, on October 20, 2014, conjoined twin boys in Yen Bai were successfully separated at the National Children’s Hospital. The two children have their own heart, gallbladder and intestines, sharing only the liver capsule and liver parenchyma. However, because the child is still so young, the area of the fused abdominal cavity is relatively large, about 10% of the body. This is the 6th set of conjoined twins that the National Children’s Hospital has successfully separated since 2003.