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- Publisher Website: 10.1046/j.1469-0705.2000.00230.x
- Scopus: eid_2-s2.0-0034519419
- PMID: 11169295
- WOS: WOS:000166459300014
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Article: Thermocoagulation for selective reduction of conjoined twins at 12 weeks of gestation
Title | Thermocoagulation for selective reduction of conjoined twins at 12 weeks of gestation |
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Authors | |
Keywords | Conjoined twins Omphalopagus Selective reduction Thermocoagulation |
Issue Date | 2000 |
Publisher | John Wiley & Sons Ltd. The Journal's web site is located at http://www.interscience.wiley.com/jpages/0960-7692/ |
Citation | Ultrasound In Obstetrics And Gynecology, 2000, v. 16 n. 3, p. 267-270 How to Cite? |
Abstract | Conjoined twins occur rarely. Most of the prenatally diagnosed cases are terminated either because of extensive organ sharing or because of the presence of major structural abnormalities. We present a case of omphalopagus conjoined twins diagnosed at 10 weeks of gestation with selective reduction performed at 12 weeks. The twins were conjoined at the umbilicus with vascular communication demonstrated at the conjunction. Twin A was normal but twin B was growth restricted and hydropic. Thermocoagulation of twin B was performed at 12 weeks by passing an insulated electric wire through a 18-gauge needle placed close to the fetal heart. Reassessment at 15 weeks showed that twin A was growing normally with a small dead twin B attached at its umbilicus. Twin B was subsequently sloughed off from this attachment and could be seen lying free in the amniotic cavity at 17 weeks. Twin A was delivered at term and was healthy. A small scar could be seen just above the umbilical cord insertion. This case represents the first antenatal example of selective reduction of conjoined twins by thermocoagulation. |
Persistent Identifier | http://hdl.handle.net/10722/180655 |
ISSN | 2023 Impact Factor: 6.1 2023 SCImago Journal Rankings: 2.207 |
ISI Accession Number ID | |
References |
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Lam, YH | en_US |
dc.contributor.author | Lee, CP | en_US |
dc.contributor.author | Tang, MHY | en_US |
dc.contributor.author | Lau, E | en_US |
dc.date.accessioned | 2013-01-28T01:40:54Z | - |
dc.date.available | 2013-01-28T01:40:54Z | - |
dc.date.issued | 2000 | en_US |
dc.identifier.citation | Ultrasound In Obstetrics And Gynecology, 2000, v. 16 n. 3, p. 267-270 | en_US |
dc.identifier.issn | 0960-7692 | en_US |
dc.identifier.uri | http://hdl.handle.net/10722/180655 | - |
dc.description.abstract | Conjoined twins occur rarely. Most of the prenatally diagnosed cases are terminated either because of extensive organ sharing or because of the presence of major structural abnormalities. We present a case of omphalopagus conjoined twins diagnosed at 10 weeks of gestation with selective reduction performed at 12 weeks. The twins were conjoined at the umbilicus with vascular communication demonstrated at the conjunction. Twin A was normal but twin B was growth restricted and hydropic. Thermocoagulation of twin B was performed at 12 weeks by passing an insulated electric wire through a 18-gauge needle placed close to the fetal heart. Reassessment at 15 weeks showed that twin A was growing normally with a small dead twin B attached at its umbilicus. Twin B was subsequently sloughed off from this attachment and could be seen lying free in the amniotic cavity at 17 weeks. Twin A was delivered at term and was healthy. A small scar could be seen just above the umbilical cord insertion. This case represents the first antenatal example of selective reduction of conjoined twins by thermocoagulation. | en_US |
dc.language | eng | en_US |
dc.publisher | John Wiley & Sons Ltd. The Journal's web site is located at http://www.interscience.wiley.com/jpages/0960-7692/ | en_US |
dc.relation.ispartof | Ultrasound in Obstetrics and Gynecology | en_US |
dc.subject | Conjoined twins | - |
dc.subject | Omphalopagus | - |
dc.subject | Selective reduction | - |
dc.subject | Thermocoagulation | - |
dc.subject.mesh | Adult | en_US |
dc.subject.mesh | Electrocoagulation | en_US |
dc.subject.mesh | Female | en_US |
dc.subject.mesh | Humans | en_US |
dc.subject.mesh | Pregnancy | en_US |
dc.subject.mesh | Pregnancy Reduction, Multifetal - Methods | en_US |
dc.subject.mesh | Pregnancy Trimester, First | en_US |
dc.subject.mesh | Twins, Conjoined | en_US |
dc.subject.mesh | Ultrasonography, Doppler, Color | en_US |
dc.subject.mesh | Ultrasonography, Prenatal | en_US |
dc.title | Thermocoagulation for selective reduction of conjoined twins at 12 weeks of gestation | en_US |
dc.type | Article | en_US |
dc.identifier.email | Tang, MHY: mhytang@hkucc.hku.hk | en_US |
dc.identifier.authority | Tang, MHY=rp01701 | en_US |
dc.description.nature | link_to_subscribed_fulltext | en_US |
dc.identifier.doi | 10.1046/j.1469-0705.2000.00230.x | en_US |
dc.identifier.pmid | 11169295 | - |
dc.identifier.scopus | eid_2-s2.0-0034519419 | en_US |
dc.relation.references | http://www.scopus.com/mlt/select.url?eid=2-s2.0-0034519419&selection=ref&src=s&origin=recordpage | en_US |
dc.identifier.volume | 16 | en_US |
dc.identifier.issue | 3 | en_US |
dc.identifier.spage | 267 | en_US |
dc.identifier.epage | 270 | en_US |
dc.identifier.isi | WOS:000166459300014 | - |
dc.publisher.place | United Kingdom | en_US |
dc.identifier.scopusauthorid | Lam, YH=7202563903 | en_US |
dc.identifier.scopusauthorid | Lee, CP=7410149538 | en_US |
dc.identifier.scopusauthorid | Tang, MHY=8943401300 | en_US |
dc.identifier.scopusauthorid | Lau, E=7103086081 | en_US |
dc.identifier.issnl | 0960-7692 | - |