1 Center for eHealth, New York Medical College, Valhalla, NY, USA.
2 Department of Medicine, Westchester Medical Center, Valhalla, NY, USA.
J Telemed Telecare. 2018 Aug;24(7):482-484. doi: 10.1177/1357633X17715377. Epub 2017 Sep 12.
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.
联体双胞胎是指在子宫内没有完全分离的同卵双胞胎。联体双胞胎的预后较差，在有专业技能的三级护理中心进行管理对于确定治疗方案至关重要。我们描述了我们从纽约州瓦莱霍的电子健康中心对多米尼加共和国的联体双胞胎进行远程医疗咨询的经验。这对患者是两个月大的女性，为臀位联体双胞胎。我们与患者、他们的家人、转诊的儿科医生和我们的团队一起发起了一次多学科远程会议。根据这次远程咨询，该团队认为双胞胎可能适合进行手术分离。他们来到我们位于纽约州瓦莱霍的中心接受详细的体格检查和一系列影像学研究。不久之后，患者成功地进行了 21 小时的分离手术，并在 12 周后出院。据我们所知，这是首例国际远程咨询成功进行联体双胞胎分离手术的报告之一。
