Skip to main navigation menu Skip to main content Skip to site footer
Padjadjaran of Nursing Journal

Case

Vol. 11 No. 1 (2023): Jurnal Keperawatan Padjadjaran

A successful separation of omphalopagus twins during COVID-19 pandemic: A case report

DOI
https://doi.org/10.24198/jkp.v11i1.2129
Submitted
October 4, 2022
Published
2023-04-27

Abstract

Background: Omphalopagus is a rare condition involving digestive system and abdominal wall fusion. This study reports an omphalopagus case during the early phase of the coronavirus disease 2019 (COVID-19) pandemic in Indonesia.Case: Male conjoined twins, aged 14 months, were diagnosed with omphalopagus and several organ failures. We performed separation surgery of the omphalopagus with primary closure and post-surgical care for fifteen days. The early surgery was preferable in this case due to life-threatening issues of COVID-19, despite omphalopagus separation may cause post-surgical complications. Furthermore, the emerging pandemic conditions also required a more stringent procedure to avoid the risk of viral spread.Conclusion: We conclude that, in the lack of evidence-based instruction for hospital care during the early phase of COVID-19 in Indonesia, life-saving surgical considerations from death due to complications of COVID-19 infection and acute respiratory distress syndrome must be performed and prioritized. However, potential omphalopagus complications must be evaluated.

Article Matrics
Abstract views : 524 times PDF Downloads: 571

Downloads

Download data is not yet available.

References

  1. Bassetti, M., Magnasco, L., Vena, A., Portunato, F., & Giacobbe, D. R. (2022). Methicillin-resistant Staphylococcus aureus lung infection in coronavirus disease 2019: How common?. Current Opinion in Infectious Diseases, 35(2), 149-162. https://doi.org/10.1097/QCO.0000000000000813
  2. Byrnes, M. E., Brown, C. S., De Roo, A. C., Corriere, M. A., Romano, M. A., Fukuhara, S., Kim, K. M., & Osborne, N. H. (2021). Elective surgical delays due to COVID-19. Medical Care, 59(4), 288-294. https://doi.org/10.1097/MLR.0000000000001503
  3. Giwangkancana, G., Kusmayadi, D. D., Kadi, F., Utariani, A., & Haryawan, Z. (2022). The multidisciplinary perioperative management of conjoined twin separation surgery during the pandemic. Journal of Multidisciplinary Healthcare, 15, 2669-2678. https://doi.org/10.2147/JMDH.S390419
  4. Grizelj, R., Dessardo, N. S., Bulić, K., Luetić, T., Mikulić, D., Antabak, A., Sjekavica, I., Alduk, A. M., Konosić, S., Tomašić, K. R., Ćaleta, T., Pleško, S., Šarić, D., & Vuković, J. (2019). Successful separation of xypho-omphalopagus conjoined twins with extrauterine twin-twin transfusion syndrome: A case report. Croatian Medical Journal, 60(4), 301. https://doi.org/10.3325/CMJ.2019.60.301
  5. Yosep, S. K. . M. S. . P. ., Hikmat, R., & Mardhiyah, A. (2022). The impact of domestic violence on cognitive and psychological development of children: A scoping review. Jurnal Keperawatan Padjadjaran, 10(3), 196-203. https://doi.org/10.24198/JKP.V10I3.2076
  6. Liu, H., Deng, C., Hu, Q., Liao, H., Wang, X., & Yu, H. (2021). Conjoined twins in dichorionic diamniotic triplet pregnancy: A report of three cases and literature review. BMC Pregnancy and Childbirth, 21(1), 687. https://doi.org/10.1186/s12884-021-04165-x
  7. Mian, A., Gabra, N. I., Sharma, T., Topale, N., Gielecki, J., Tubbs, R. S., & Loukas, M. (2017). Conjoined twins: From conception to separation, a review. Clinical Anatomy, 30(3), 385-396. https://doi.org/10.1002/ca.22839
  8. Mutchinick, O. M., Luna-Muñoz, L., Amar, E., Bakker, M. K., Clementi, M., Cocchi, G., da Graça Dutra, M., Feldkamp, M. L., Landau, D., Leoncini, E., Li, Z., Lowry, B., Marengo, L. K., Martínez-Frías, M.-L., Mastroiacovo, P., Métneki, J., Morgan, M., Pierini, A., Rissman, A., … Arteaga-Vázquez, J. (2011). Conjoined twins: A worldwide collaborative epidemiological study of the International Clearinghouse for birth defects surveillance and research. American Journal of Medical Genetics Part C: Seminars in Medical Genetics, 157(4), 274-287. https://doi.org/10.1002/ajmg.c.30321
  9. Nelson, M. U., & Gallagher, P. G. (2012). Methicillin-resistant Staphylococcus aureus in the neonatal intensive care unit. Seminars in Perinatology, 36(6), 424-430. https://doi.org/10.1053/j.semperi.2012.06.004
  10. Okpara, P. (2018). Challenges of nursing care of the paediatric surgical patient. African Journal of Paediatric Surgery, 15(3), 154. https://doi.org/10.4103/ajps.AJPS_28_13
  11. Omran, A., Nassif, M., Salhab, N., Abdo, A., Ahmad, M., Alkhalil, A., Taishori, N., & Dayoub, A. (2020). Early separation of omphalopagus conjoined twins: A case report from Syria. Journal of Surgical Case Reports, 2020(1), 1-3. https://doi.org/10.1093/JSCR/RJZ374
  12. Osmanağaoğlu, M. A., Aran, T., Güven, S., Kart, C., Özdemir, Ö., & Bozkaya, H. (2011). Thoracopagus conjoined twins: A case report. ISRN Obstetrics and Gynecology, 2011, 1-3. https://doi.org/10.5402/2011/238360
  13. Pammi, M., De Plaen, I. G., & Maheshwari, A. (2020). Recent advances in necrotizing enterocolitis research. Clinics in Perinatology, 47(2), 383-397. https://doi.org/10.1016/j.clp.2020.02.011
  14. Patil, P. S., Kothari, P., Gupta, A., Kekre, G., Dikshit, K. V, Kamble, R., & Deshmukh, S. (2016). Successful separation of omphalopagus twins: A case report. Journal of Neonatal Surgery, 5(1), 5. http://www.ncbi.nlm.nih.gov/pubmed/26793597
  15. Poudel, D., Shrestha, S., Aryal, R., Adhikari, A., & Bajracharya, S. (2022). Thoraco-omphalopagus conjoined twin: A rare case report. International Journal of Surgery Case Reports, 99, 107683. https://doi.org/10.1016/j.ijscr.2022.107683
  16. Reich, P., & Elward, A. (2022). Infection prevention during the coronavirus disease 2019 pandemic. Infectious Disease Clinics of North America, 36(1), 15-37. https://doi.org/10.1016/j.idc.2021.12.002
  17. Sandy-Hodgetts, K., Carville, K., & Leslie, G. D. (2015). Determining risk factors for surgical wound dehiscence: A literature review. International Wound Journal, 12(3), 265-275. https://doi.org/10.1111/iwj.12088
  18. Sultan, O. M., & Tawfeek, A. S. (2016). Conjoined twins—thoraco-omphalopagus (type A). BJR | Case Reports, 2(1), 20150016. https://doi.org/10.1259/BJRCR.20150016
  19. Tan, T. Q., Gunardi, H., Smith, S., Goentoro, P. L., Foehringer Merchant, H., Carter, T., Patterson, J., & Pulungan, A. (2020). Global immunization systems strengthening through pediatric societies: The promise of private-public partnerships in Indonesia. Human Vaccines & Immunotherapeutics, 16(5), 1194-1201. https://doi.org/10.1080/21645515.2019.1697108
  20. Van Klei, W. A., Hoff, R. G., van Aarnhem, E. E. H. L., Simmermacher, R. K. J., Regli, L. P. E., Kappen, T. H., van Wolfswinkel, L., Kalkman, C. J., Buhre, W. F., & Peelen, L. M. (2012). Effects of the introduction of the WHO “surgical safety checklist†on in-hospital mortality. Annals of Surgery, 255(1), 44-49. https://doi.org/10.1097/SLA.0b013e31823779ae
  21. Wahyuningsih, I. S., Janitra, F. E., Hapsari, R., Sarinti, S., Mahfud, M., & Wibisono, F. (2020). The nurses’ experience during the caring of coronavirus (COVID-19) patients: A descriptive qualitative study. Jurnal Keperawatan Padjadjaran, 8(3), 255-263. https://doi.org/10.24198/jkp.v8i3.1559
  22. Zainuddin, N., Ishak, A., & Draman, N. (2021). Omphalopagus conjoined twins: A case report. Bangladesh Journal of Medical Science, 20(3), 642-645. https://doi.org/10.3329/bjms.v20i3.52808