Successful Surgical Separation of Conjoined Twins: Lessons from the Past and Non-Technical Skills Management in a Subsaharan Low-Setting Country

Anesthesia for surgical separation of conjoined-twin is not an unusual situation. The occurrence of birth of these babies is 1:50,000 to 250,000 live births. Their surgical separation remains a great challenge, especially in our low-settings context. The success of the intervention depends largely on the organization and planning of the surgical procedure. The medical simulation of the procedure and the distribution of roles between different actors interacting collegially is a fundamental issue for surgical success as we describe it through the experience drawn from these clinical cases.