International teleconsultation on conjoined twins leading to a successful separation: a case report.

Autor: Fusaro MV; 1 Center for eHealth, New York Medical College, Valhalla, NY, USA.; 2 Department of Medicine, Westchester Medical Center, Valhalla, NY, USA., Becker C; 1 Center for eHealth, New York Medical College, Valhalla, NY, USA.; 2 Department of Medicine, Westchester Medical Center, Valhalla, NY, USA., Pandya S; 3 Department of Surgery, Westchester Medical Center, Valhalla, NY, USA.; 4 New York Medical College, Valhalla, NY, USA., Mcbride W; 3 Department of Surgery, Westchester Medical Center, Valhalla, NY, USA.; 4 New York Medical College, Valhalla, NY, USA., Alizadeh K; 3 Department of Surgery, Westchester Medical Center, Valhalla, NY, USA.; 4 New York Medical College, Valhalla, NY, USA., Iannotti V; 4 New York Medical College, Valhalla, NY, USA.; 5 Department of Pediatrics, Maria Fareri Childrens Hospital at Westchester Medical Center, Valhalla, NY, USA., Zelkovic P; 4 New York Medical College, Valhalla, NY, USA.; 6 Department of Urology, Westchester Medical Center, Valhalla, NY, USA., Barst S; 4 New York Medical College, Valhalla, NY, USA.; 7 Department of Anesthesia, Westchester Medical Center, Valhalla, NY, USA., Tobias ME; 4 New York Medical College, Valhalla, NY, USA.; 8 Department of Neurosurgery, Westchester Medical Center, Valhalla, NY, USA., Mohan A; 4 New York Medical College, Valhalla, NY, USA.; 8 Department of Neurosurgery, Westchester Medical Center, Valhalla, NY, USA., Freda J; 4 New York Medical College, Valhalla, NY, USA.; 7 Department of Anesthesia, Westchester Medical Center, Valhalla, NY, USA., Gewitz M; 4 New York Medical College, Valhalla, NY, USA.; 5 Department of Pediatrics, Maria Fareri Childrens Hospital at Westchester Medical Center, Valhalla, NY, USA., Scurlock C; 1 Center for eHealth, New York Medical College, Valhalla, NY, USA.; 2 Department of Medicine, Westchester Medical Center, Valhalla, NY, USA.; 7 Department of Anesthesia, Westchester Medical Center, Valhalla, NY, USA.
Jazyk: angličtina
Zdroj: Journal of telemedicine and telecare [J Telemed Telecare] 2018 Aug; Vol. 24 (7), pp. 482-484. Date of Electronic Publication: 2017 Sep 12.
DOI: 10.1177/1357633X17715377
Abstrakt: 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.
Databáze: MEDLINE