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Objectives: To explore the effect of CAD and CAE related technique in separation of Pygopagus Conjoined Twins.
Methods: CT images of Pygopagus conjoined twins were obtained and reconstructed in three-dimensional by Mimics software. 3D entity model of skin and spine of conjoined twins were made by fast plastic technique and equipment according to 3D data model. The circumference and area of fused and independent dural sac were measured by software of AutoCAD.
Results: The entity model is real reflection of skin and spine of Pygopagus. It was used in the procedures of discussion, sham operation, skin flap design and informed consent. In the measure of MRI, the circumference and area of fused dural sac was more than of independent dural sac, that is to say, the defect of dural sac can be repaired by direct suture. The intraoperative finding match with imaging measure results.
Conclusions: The application of CAD and CAE in the procedure of preoperative plan have gave big help to successful separation of Pygopagus Conjoined Twins.
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J Surg Case Rep
June 2025
Department of Anaesthesia, Acıbadem Üniversitesi, Istanbul, Turkey.
Conjoined twins are rare and present significant challenges for surgical and anesthetic teams. Pygopagus twins, fused at the pelvis and lower spine, require meticulous planning, and multidisciplinary collaboration. This report describes the elective separation of pygopagus twin girls, involving advanced imaging, 3D anatomical modeling, and simulation-based preparation.
View Article and Find Full Text PDFJ Neurosurg Case Lessons
April 2025
Department of Neurosurgery, St. Paul's Millennium Medical College Hospital, Addis Ababa, Ethiopia.
Background: Conjoined twins are a rare type of congenital malformation. The point of attachment is the primary factor used to classify conjoined twins; typically, this is front to front, with thoracopagus and omphalopagus twins accounting for about 75% of cases and pygopagus twins only between 6% and 19%.
Observations: This is a case report of 46-day-old female triplets born to a 37-year-old para 4 mother.
Plast Reconstr Surg Glob Open
January 2025
From the Division of Plastic, Reconstructive and Aesthetic Surgery, American University of Beirut, Beirut, Lebanon.
Conjoined twins, although rare, present unique challenges in surgical management, particularly regarding skin closure after separation. This case report details the successful separation of pygopagus conjoined twins using a rectangular skin flap technique. The twins, joined at the lumbar and sacral regions, underwent meticulous preoperative planning and collaborative effort from multiple medical teams.
View Article and Find Full Text PDFAm J Case Rep
October 2024
Department of Anesthesiology, American University of Beirut Medical Center, Beirut, Lebanon.
Childs Nerv Syst
August 2024
Emergency Department, Bunda Pengharapan Hospital, Merauke, South Papua, Indonesia.
Background: Conjoined twins (CT), which used to be historically defined as "monstrous human" and previously so-called Siamese twins in the early eighteenth century, are one of the very rare congenital malformations with an uncertain etiology and complex yet remain inconclusively debatable regarding its pathophysiological mechanisms of fusion and fission theories. Among all types of CT, parasitic CT, especially the pygopagus sub-type, is exceedingly rarer. To the best of the authors' knowledge, no parasitic CT had been reported in Papua, and this is the first finding in South Papua.
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