Perioperative Care of the Ischiopagus Tripus in Conjoined Twins.
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概要
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One-year-old ischiopagus tripus conjoined twins weighing 12kgs were admitted for surgical separation. The patients were joined under the umbilicus and shared a gastrointes-tinal and urogenital system. All medical personnel involved in the case attended numerous perioperative meetings for discussion and care simulation. The separation was conducted under general anesthesia. For anesthesiological purposes, the case was treated as two separate patients, with a group of anesthetists assigned to each.The surgeons experienced difficulty in reconstructing the renourinary system, resulting in extensive bleeding, and the total anesthesia time was about 22 hours. Despite the length of time necessary for the operation and the extensive bleeding, postoperative course was uneventful. Perioperative extensive practice involving simulation exercises is essential for succesful management of rare or unusual cases.
- 日本臨床麻酔学会の論文
日本臨床麻酔学会 | 論文
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