Journal of pediatric nursing · 2025
Preoperative nursing care before separation surgery in a case of symmetrical abdominal conjoined twins: A single case study.
СтатьяКлинический случайНазвание и аннотация: Перевод в очереди
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Luo Feixiang, Sun Meiqin, Jin Chendi, Shou Yuding, Zhu Jihua, Chen Zheng
Аннотация
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.
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.