Anesthetic Management of Conjoined Twins Separation in A Remote Area of Indonesia: a case report

Abstract

Introduction: Conjoined twins is a rare condition which brings various complications to the patients since the early life. Careful management needs to be undertaken to ensure patients’ safety. Multidisciplinary medical team and advanced medical instruments must be prepared for the pre-surgery, separation surgery, and post-surgery management.

Objectives: This case report aims to provide valuable insights into the complexities of managing conjoined twins in challenging circumstances, emphasizing the need for careful planning, teamwork, and specialized anesthesia care to achieve positive outcomes.

Case: Here, we present a case of conjoined twins in a remote area of Indonesia. Both patients were both in a critical condition while patients transport were not possible, thus emergency separation was obliged in the remote hospital.

Results: Multidisciplinary medical team and medical instruments were dispatched from larger cities. Several modifications were required to adapt to the lack of infrastructure in the remote area. Conjoined twins were successfully separated.

Conclusions: This proves that careful anesthetic management and teamwork of multidisciplinary team could contribute to a successful separation surgery of conjoined twins.