%0 Journal Article
%T International teleconsultation on conjoined twins leading to a successful separation: a case report
%A Avinash Mohan
%A Christian Becker
%A Corey Scurlock
%A Jeffrey Freda
%A Kaveh Alizadeh
%A Mario V Fusaro
%A Michael E Tobias
%A Michael Gewitz
%A Paul Zelkovic
%A Samir Pandya
%A Samuel Barst
%A Vicki Iannotti
%A Whitney Mcbride
%J Journal of Telemedicine and Telecare
%@ 1758-1109
%D 2018
%R 10.1177/1357633X17715377
%X 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
%K Conjoined twins
%K international teleconsultation
%U https://journals.sagepub.com/doi/full/10.1177/1357633X17715377