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The anatomy of the organ and system malformations are discussed which determined the technique of reconstruction after surgical separation to obtain optimum cosmetic and functional results. Permanent colostomy was not required in any of the four twins and in only one twin was there a need for urinary diversion.<\/jats:p>","DOI":"10.1002\/bjs.1800730920","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T07:57:32Z","timestamp":1172908652000},"page":"738-741","source":"Crossref","is-referenced-by-count":8,"title":["Ischiopagus tetrapus conjoined twins"],"prefix":"10.1093","volume":"73","author":[{"given":"K","family":"Somasundaram","sequence":"first","affiliation":[{"name":"Department of Surgery, University Hospital , Kuala Lumpur,","place":["Malaysia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K S","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Surgery, University Hospital , Kuala Lumpur,","place":["Malaysia"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1986,9,1]]},"reference":[{"key":"2024092719353505200_bib1","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1001\/archsurg.1972.04180030042011","article-title":"The conjoined twins of Warri, Nigeria","volume":"104","author":"Bankole","year":"1972","journal-title":"Arch Surg"},{"key":"2024092719353505200_bib2","doi-asserted-by":"crossref","first-page":"921","DOI":"10.2214\/ajr.130.5.921","article-title":"The Dominican Republic conjoined twins: ischiopagus tetrapus omphalopagus","volume":"130","author":"Rosenberg","year":"1978","journal-title":"Am J Roentgenol"},{"key":"2024092719353505200_bib3","first-page":"966","article-title":"Ischiopagus tetrapus conjoined twins","volume":"9","author":"Akiyama","year":"1977","journal-title":"Japanese J Ped Surg"},{"key":"2024092719353505200_bib4","first-page":"201","article-title":"Ischiopagus tetrapus","volume":"22","author":"Akahiko","year":"1968","journal-title":"Clinical Gynaecol Obstet"},{"key":"2024092719353505200_bib5","first-page":"812","article-title":"Conjoined twins","volume":"38","author":"Cywes","year":"1964","journal-title":"S Afr Med J"},{"key":"2024092719353505200_bib6","first-page":"1050","article-title":"The Siyepu conjoined twins","volume":"41","author":"Cywes","year":"1967","journal-title":"S Afr Med J"},{"key":"2024092719353505200_bib7","first-page":"1333","article-title":"Surgical separation of craniopagus","volume":"1","author":"O'Connel","year":"1964","journal-title":"Br Med J"},{"key":"2024092719353505200_bib8","doi-asserted-by":"crossref","first-page":"1059","DOI":"10.1097\/00000658-196612000-00017","article-title":"Successful separation of ischiopagus tetrapus conjoined twins","volume":"164","author":"Eades","year":"1966","journal-title":"Ann Surg"},{"key":"2024092719353505200_bib9","doi-asserted-by":"crossref","first-page":"688","DOI":"10.1016\/0022-3468(69)90498-9","article-title":"Conjoined twins and twin parasite. Clinical analyses of three examples","volume":"4","author":"Poradowska","year":"1969","journal-title":"J Ped Surg"},{"key":"2024092719353505200_bib10","first-page":"75","article-title":"Ischiopagus tripus conjoined twins: case report of a successful separation","volume":"69","author":"Mestrel","year":"1971","journal-title":"Surgery"},{"key":"2024092719353505200_bib11","first-page":"827","article-title":"Surgical separation of Siamese twins: case report","volume":"39","author":"Spencer","year":"1956","journal-title":"Surgery"}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.1800730920","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/73\/9\/738\/59382542\/bjs1800730920.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/73\/9\/738\/59382542\/bjs1800730920.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,27]],"date-time":"2024-09-27T19:35:46Z","timestamp":1727465746000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/73\/9\/738\/6182040"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1986,9,1]]},"references-count":11,"journal-issue":{"issue":"9","published-online":{"date-parts":[[1986,9,1]]},"published-print":{"date-parts":[[1986,9,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.1800730920","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"type":"print","value":"0007-1323"},{"type":"electronic","value":"1365-2168"}],"subject":[],"published-other":{"date-parts":[[1986,9]]},"published":{"date-parts":[[1986,9,1]]}}}