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Killing one to save another: Ethical and medical challenges in conjoined twin births
 

Killing one to save another: Ethical and medical challenges in conjoined twin births

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Conjoined twins have a very low estimated survival rate of not more than half surpassing the first day, and only 5% to 25% living beyond that.
 
today.mims.com
 
15 Sep 2016 - General
 
Yes indeed, Rajinda Asalage, it is their fate. And what a remarkable experience. So the twins are alive and separate Marinelle Castro? You said they both can walk and run? Anyway, even for twin births where the baby is separate, it is never easy to make a decision on which lives or survives. Ultimately, it will have to be the pare...
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Theekshana Abayawickrama Yes, both of them are still alive. They are already 6 years old and they're beginning to develop some expected complications. Because their both cranial compartments are conjoined, they subsequently adjusted their body positioning in order to achieve mobility. Surprisingly, both of them can walk and even run. However, the chronic adaptations in their abnormal posture eventually led to...
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Conjined twins: not a soft topic to discuss. That is their fate. They can be joined at several levels. By the chest, abdomen, base of the spine, whole length of the spine, pelvis, trunk, head, head and chest are the usual regions of the joint. Surgical separation depends on the organs they have shared and the vitality of those organs and the viability of the survival after the surgery. This topic obviously has a ethical aspect as well. Because eventhough they share the same body, they are two se...
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Marinelle Castro Thanks for sharing your experience. I myself have not been in such a situation, but I can understand, as doctors who play the role of god in such instances to decide their fates, what you must have gone through. So do you happen to know the current situaton of the twins? Are both of them alive and still joint, or did they pass away? As said in the articles, in these type of situations there is no...
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I only had one experience with conjoined twins, specifically total craniopagus twins. This is a rare condition with less then 50 documented cases worldwide. We were requested to perform separation surgery. We formed a multidisciplinary team involving more than 40 specialists with the bulk of attendings coming from the neurosurgical and plastic surgery team. Initially we planned to perform >70 surgeries in the course of 10 years time because of multiple reconstructive facial procedures that ne...
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