January 1958

Surgery in Conjoined Twins

Author Affiliations

Hanover, N. H.
The Departments of Radiology, Pathology, Anesthesiology, and Pediatrics assisted in this study, which was supported in part by the New Hampshire Heart Association.; Resident Surgeon, Hitchcock Clinic, Hanover, N. H.; now Resident Thoracic Surgeon, University Hospital, Ann Arbor, Mich. (Dr. Jenkins). Department of Cardio-Pulmonary Physiology, Hitchcock Clinic, Hanover, N. H. (Dr. Watson). Department of Surgery, Mary Hitchcock Memorial Hospital (Dr. Mosenthal).

AMA Arch Surg. 1958;76(1):35-40. doi:10.1001/archsurg.1958.01280190037007

The delivery of conjoined twins is a rare occurrence, and few physicians will be called upon to handle the problems of birth and survival of these infants in a lifetime of practice. However, with the general improvements in medicine and surgery, one may anticipate more of these twins to survive and present the clinician with many difficulties. Aird has made an estimate, based on his own experience and an excellent review of the subject,1 that there will be a half-dozen cases of conjoined twins capable of being separated annually. We therefore feel that, despite the rarity of the condition, the experience in this matter should be documented for future reference. We shall attempt to present the difficulties encountered in the case of thoracopagus twins treated at the Mary Hitchcock Memorial Hospital, with a brief discussion of the topic.

The incidence of double monsters is approximately 1 per 50,000 births.

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