title: The separation procedure.
abstract: The various stages of the separation are carefully planned but despite this, variations which will change the schedule of the procedure may exist. In general the operation commences on the opposite side from the main procedure and then the twins are turned for the remainder of the operation. Each type of conjoined twin is different but basically thoracopagus involves the hearts, omphalopagus involves the liver and small intestine and ischiopagus involves the large intestine and genito-urinary system. Our results are presented together with interesting cases from which lessons have been learned.
authors.affiliation: Department of Paediatric Surgery, Great Ormond Street Children's Hospital NHS Foundation Trust, Great Ormond Street, London WC1N 3JH. Electronic address: edwardkiely@me.com.
authors.forename: Edward M
authors.initials: EM
authors.lastname: Kiely
authors.affiliation: Department of Paediatric Surgery, Great Ormond Street Children's Hospital NHS Foundation Trust, Great Ormond Street, London WC1N 3JH.
authors.forename: Lewis
authors.initials: L
authors.lastname: Spitz
mesh_terms: D002648:Child; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D013514:Surgical Procedures, Operative / Q000009:adverse effects / Q000379:methods*; D016896:Treatment Outcome; D014428:Twins, Conjoined / Q000145:classification / Q000473:pathology* / Q000601:surgery*
keywords: Results; Separation of conjoined twins; Special cases