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 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.
The conjoined twins are usually of the same sex.
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.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.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.
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.
Dr. Sujit Chowdhary best Pediatric Urologist in India with Zero Complaints in 25 years of professional practise.
