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About Dr.Sujit

Dr. Sujit Chowdhary is a leading Pediatric Urologist in Delhi-NCR. He currently serves as the Senior Consultant for Pediatric Urology and Pediatric Neurosurgery at the prestigious Indraprastha Apollo Hospital, Delhi since 2005. Dr. Sujit has professional experience of over 25 years in the field of Pediatric Urology with absolutely zero complaints.

Conjoined twin surgery

What is conjoined twin surgery ?

Conjoined twins are babies born together at one time. Such babies are most often infused at the chest, abdomen and pelvis. And share vital organs like the Kidney, digestive tracts and circulatory system. A pediatric urologist performs the surgery to separate the babies after birth by studying the organs they share. The more affected is the system, more complicated is the surgery.

This condition has a lasting impact making it difficult to have proper urine storage and bladder functions.

Conjoined twin surgery

The conjoined twins are usually of the same sex.

What is the cause of conjoined twin development in the womb ?

It is a known fact that fertilisation occurs in the womb and a single egg is fully fertilised and split into two babies between 8- 12 weeks. But things vary in conjoined twin birth.

  • The embryo splits between 13-15 weeks when the fertilisation process is complete.
  • An early fusion of embryo in the initial developmental stage.

How do I recognise the signs of a conjoined twin delivery ?

In a single pregnancy, a woman’s uterus grows between 4-5 months but things vary in conjoined twin pregnancy

  • In Conjoined twin pregnancy, the growth rate of the uterus is at a much quicker rate. It becomes visible before 4 months.
  • A woman experiences more fatigue, nausea and vomiting than usual in the first trimester.

What is the diagnosis for detecting conjoined twins ?

We can diagnose the pregnancy in the ultrasound performed in the first trimester itself. If a woman is carrying conjoined twins we perform a more detailed ultrasound to determine the extent of twins connection.

What is the surgery for separating the conjoined twins ?

When a woman carries the conjoined twins the first thing we do is to perform a C-Section 2-4 weeks before the due date. After the surgery, we evaluate these conditions for conjoined twins like:

  • If they share the same vital organs like the heart.
  • If twins can survive the surgery.
  • And the type and the right extent of reconstructive surgery for the separation of the twins.
  • The extent of functional support which the twins will need after the surgery.

Once it has been decided that surgery will be successful we perform these feasible surgeries on twins:

  • Elective Surgery- it is done after a year of the birth of twins and is the most feasible surgery. It is done if the babies share the same heart or brain.
  • Separation Surgery- It is done after a year after the birth of the twins if the twins are in a healthy condition.
  • And the type and the right extent of reconstructive surgery for the separation of the twins.
  • Emergency separation surgery- We undertake this surgery if one of the twin’s health is at risk or if one twin dies after birth. This affects the life of the other twin and this surgery saves its life.
Conjoined twin surgery


What are the risks of carrying conjoined twins?

Are birth defects more common in twins?

It is always best to go for a second consultation for congenital surgery with a specialist.

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