International teleconsultation on conjoined twins leading to a successful separation: a case report

Mario V. Fusaro, Christian Becker, Samir Pandya, Whitney Mcbride, Kaveh Alizadeh, Vicki Iannotti, Paul Zelkovic, Samuel Barst, Michael E. Tobias, Avinash Mohan, Jeffrey Freda, Michael Gewitz, Corey Scurlock

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Conjoined twins are identical twins that have incompletely separated in utero. The prognosis for conjoined twins is poor and management in a skilled tertiary care centre is paramount for definitive care. We describe our experience with a telemedical consultation on conjoined twins in The Dominican Republic from our eHealth centre in Valhalla, NY. The patients were two month old, female, pygopagus conjoined twins. A multidisciplinary teleconference was initiated with the patients, their family, the referring paediatrician and our team. Based on this teleconsultation, the team felt as though the twins may be amenable to a surgical separation. They presented to our centre in Valhalla, NY, for a detailed physical examination and series of imaging studies. Soon after, the patients underwent a successful 21 h separation procedure and were discharged 12 weeks later. To our knowledge, this is one of the first reports of an international teleconsultation leading to a successful conjoined twin separation procedure.

Original languageEnglish (US)
Pages (from-to)482-484
Number of pages3
JournalJournal of Telemedicine and Telecare
Volume24
Issue number7
DOIs
StatePublished - Aug 1 2018

Keywords

  • Conjoined twins
  • international teleconsultation

ASJC Scopus subject areas

  • Health Informatics

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