Preoperative nursing care before separation surgery in a case of symmetrical abdominal conjoined twins: A single case study

Abstract

Objective

This case report details the preoperative nursing care for a pair of premature symmetrical abdominal conjoined twins, highlighting the specialized strategies employed for successful separation surgery and postoperative recovery.

Case summary

The conjoined twins, born with a complex congenital condition, required tailored nursing interventions. Key aspects included bed unit planning, body temperature maintenance, identification protocols to prevent errors, and positioning management to reduce disturbances. Infection control was enhanced due to the shared anatomy, and accurate weight measurement was critical for nutritional management and medication dosing.

Outcomes

The twins underwent separation surgery on hospital day 41. Postoperative recovery was smooth, with Twin A discharged on day 8, and Twin B following a procedure on postoperative day 7 and discharged on day 41.

Conclusion

The case illustrates the importance of comprehensive and individualized preoperative nursing care for conjoined twins. The successful outcome underscores the need for specialized protocols and highlights the potential for the specific nursing strategies we used to improve outcomes in similar clinical scenarios.

Implications to practice

The implications to practice highlight the need for individualized preoperative care for conjoined twins. Nursing practice should focus on creating specialized protocols, enhancing interdisciplinary collaboration, and providing training for staff. Additionally, family-centered support services are essential for addressing emotional challenges.