Anaesthesia for separation of conjoined twins

Abstract

Thoraco omphalopagus type accounts for about 74% of all conjoined twins. This is the first reported case of successful separation of conjoined twins in Sri Lanka. Need of detailed preoperative assessment, multidisciplinary team approach, pre- operative meetings to collate information, formulating an agenda and developing a plan of action, organised approach to anaesthetising two individuals simultaneously and meticulous postoperative care is emphasised. Responsibility of anaesthesia team in anaesthetizing two individual patients simultaneously is highlighted.