Conjoined twins are identical twins that still has part of the body are connected . The condition is three times more common in male infants than female infants .
The cause behind the conjoined twins is not known with certainty. Experts suspect there are two theories that may trigger these conditions , namely :
- Cleavage imperfect in one egg is fertilized . An egg cell division process into two usually occurs in eight to 12 days after the egg meets the sperm . If the cleavage occurs later than this time period , the cleavage tends stopped before the process is completed perfectly.
- Two embryos were originally separate re- attached and fused .
Types of Siamese Twins
Parts of the body are connected on an assortment of conjoined twins. This difference is becoming a benchmark in determining the type of conjoined twins.
Dada is the body part most often linked to the majority of conjoined twins. But conjoined twins also have the possibility to connect in other body parts, such as the stomach, spine, pelvis, or even the head.
In addition some types of twins conjoined at the top, there is one type that is known as a parasitic conjoined twins. It is a condition in which one of the twins are smaller and not physically formed.
Process Diagnosis and Treatment of Siamese Twins
Possibility of conjoined twins in the fetus can be detected through standard ultrasound examination since the first trimester. To see the extent to which the twins are connected and how their organs function, can do more sophisticated examination when the second trimester, such as more detailed ultrasound, echocardiogram and MRI scans.
During pregnancy, mothers pregnant with conjoined twins will undergo careful monitoring by a doctor to give birth. The delivery process that will be undertaken are caesarean section. This operation will normally be planned prior to the date of birth. For example, in two weeks to one month before the expected date of birth.
In addition to a difficult labor, conjoined twins also have a low chance of survival. Most conjoined twins are likely to lose their lives at birth or shortly thereafter.
A small portion of conjoined twins who survive likely to undergo separation surgery . However , this operation including procedures for high-risk and dangerous .
The level of difficulty of separation procedures that will be done is not the same for each pair of conjoined twins . This difference depends on which body parts and organs in what is fused and health condition of the baby . Surgeon team's expertise also will be key in determining the success of the surgical procedure . In addition , a team of surgeons also have to think about what reconstruction surgery may be necessary if the successful separation surgery
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