Evidence map›Paper›PMID 34221850›Full record

ArticleInternational journal of surgery case reports2021

Omphalopagus conjoined twins separation during coronavirus disease-19 pandemic era: A case report.

Tri Hening Rahayatri, Rizky Amaliah, Nandita Melati Putri, Niken Wahyu Puspaningtyas, Mulya Rahma Karyanti, Aryono Hendarto

Open access · goldAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of surgery case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.7field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Tri Hening RahayatriFaculty of Medicine, Universitas Indonesia, Pediatric Surgery Division, Department of Surgery, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia. Electronic address: heni.thr16@yahoo.com.
Rizky AmaliahFaculty of Medicine, Universitas Indonesia, Pediatric Surgery Division, Department of Surgery, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
Nandita Melati PutriFaculty of Medicine, Universitas Indonesia, Plastic Surgery Division, Department of Surgery, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
Niken Wahyu PuspaningtyasFaculty of Medicine, Universitas Indonesia, Pediatric Intensive Care Division, Department of Child Health, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
Mulya Rahma KaryantiFaculty of Medicine, Universitas Indonesia, Pediatric Infectious and Tropical Disease Division, Department of Child Health,Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
Aryono HendartoFaculty of Medicine, Universitas Indonesia, Pediatric Nutrition and Metabolic Disease Division, Department of Child Health, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
Rumah Sakit Umum Pusat Nasional Dr. Cipto Mangunkusumo · IDUniversity of Indonesia · ID

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and importanceConjoined twin is a rare congenital anomaly characterized by a fusion of certain anatomical structures. Coronavirus-19 (COVID-19) is a new emerging infectious respiratory disease affecting worldwide and potentially leads to acute respiratory distress (ARDS) in children. COVID-19 has reconstructed the healthcare system, including surgical care and decision-making. CASE PRESENTATION: Herein we describe a surgical separation of 2.5 months old omphalopagus conjoined twins, with one of them (Baby A) presenting COVID-19-associated respiratory distress, as well as the challenges faced during the preparation and the execution of the complex surgical procedure. CLINICAL DISCUSSION: Baby A underwent antiviral therapy, oxygen supplementation, and ventilation in the ICU, while baby B remained stable and confirmed negative for SARS-CoV-2. The separation surgery was conducted after baby A had become clinically stable. Defect closure and reconstruction were accomplished. At one week follow-up, Baby A died of lung infection, while baby B remained well after one year.

conclusionThe complexity of surgical separation requires careful planning by a multidisciplinary team. Surgical separation of conjoined twins during the pandemic era has not been reported much in the literature, more reports are required to provide further insight.

Indexed as

ARDS, acute respiratory distress syndromeCase reportCDC, Centers for Disease Control and PreventionChildrencm, centimeterConjoined twins separationCOVID-19COVID-19, coronavirus disease-19CPAP, continuous positive airway pressureCT-scan, computed tomography-scanCUSA, cavitron ultrasonic surgical aspiratorECMO, extracorporeal membrane oxygenationHCP, healthcare providersHFN, high flow nasalHFOV, high-frequency oscillation ventilationICU, intensive care unitIVC, inferior vena cavalpm, litres per minuteMRI, magnetic resonance imagingMRSA, methicillin-resistant Staphylococcus aureusNPWT, negative pressure wound therapyOmphalopagus conjoined twinsORC, oxidized regenerated cellulosePCR, polymerase chain reactionPDA, patent ductus arteriosusPDS, polydioxanone suturePICU, pediatric intensive care unitPOD, post-operative dayPPE, personal protective equipmentSCARE, surgical case reportWHO, World Health Organization

Identifiers

PMID34221850
PMCPMC8240450
OpenAlexW3174545058

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.