Surgical planning and separation of ischiopagus conjoined twins using 3D printed models and intraoperative neurophysiological monitoring
The birth of conjoined twins is one of the rarest neonatal conditions worldwide, with an incidence of 1 in 100,000 live births. Twins joined by the pelvis, known as ischiopagus, represent 6–11% of all conjoined twins. This clinical condition increases the degree of complexity in separation surgeries...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-05-01
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| Series: | Journal of Pediatric Surgery Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576623000301 |
| _version_ | 1797850517920022528 |
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| author | Andres Rodriguez-De-Velasco Jose Luis Apaza Nora Rojas Peggy Martinez Pierre Padilla-Huamantinco Juan Manuel Zuñiga Winston Jaramillo-Cañas Jean Pierre Tincopa Cender U. Quispe-Juli |
| author_facet | Andres Rodriguez-De-Velasco Jose Luis Apaza Nora Rojas Peggy Martinez Pierre Padilla-Huamantinco Juan Manuel Zuñiga Winston Jaramillo-Cañas Jean Pierre Tincopa Cender U. Quispe-Juli |
| author_sort | Andres Rodriguez-De-Velasco |
| collection | DOAJ |
| description | The birth of conjoined twins is one of the rarest neonatal conditions worldwide, with an incidence of 1 in 100,000 live births. Twins joined by the pelvis, known as ischiopagus, represent 6–11% of all conjoined twins. This clinical condition increases the degree of complexity in separation surgeries. Each case poses unique anatomical challenges, and clinical outcomes may vary according to the health facility where the infants are born or can access. This case report describes a successful separation surgery of ischiopagus conjoined twins in Peru. 3D printing and neurophysiological monitoring were used for surgical planning and intervention, allowing a full-scale anatomical model and preserving the mobility of the lower limbs of conjoined twins after surgery. This article demonstrates that established procedures and novel technologies can be valuable platforms for preoperative planning and intraoperative guidance to safeguard the central and peripheral nervous systems while increasing survival rates of ischiopagus conjoined twins in middle-income countries such as Peru. |
| first_indexed | 2024-04-09T19:01:23Z |
| format | Article |
| id | doaj.art-98bea83e21714c0da058b85e851c3c64 |
| institution | Directory Open Access Journal |
| issn | 2213-5766 |
| language | English |
| last_indexed | 2024-04-09T19:01:23Z |
| publishDate | 2023-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Case Reports |
| spelling | doaj.art-98bea83e21714c0da058b85e851c3c642023-04-08T05:11:08ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662023-05-0192102604Surgical planning and separation of ischiopagus conjoined twins using 3D printed models and intraoperative neurophysiological monitoringAndres Rodriguez-De-Velasco0Jose Luis Apaza1Nora Rojas2Peggy Martinez3Pierre Padilla-Huamantinco4Juan Manuel Zuñiga5Winston Jaramillo-Cañas6Jean Pierre Tincopa7Cender U. Quispe-Juli8Instituto Nacional de Salud del Niño San Borja, Lima, Peru; Facultad de Ciencias y Filosofía, Universidad Peruana Cayetano Heredia, Lima, Peru; Asociación de Ayuda Al Niño Quemado, Lima, PeruInstituto Nacional de Salud del Niño San Borja, Lima, PeruInstituto Nacional de Salud del Niño San Borja, Lima, PeruInstituto Nacional de Salud del Niño San Borja, Lima, PeruHealth Innovation Lab, Institute of Tropical Medicine Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru; Institute for Biological and Medical Engineering, Schools of Engineering, Medicine, and Biological Sciences, Pontificia Universidad Catolica de Chile, Santiago, ChileFacultad de Ciencias y Filosofía, Universidad Peruana Cayetano Heredia, Lima, PeruBanco de Tejidos, Hospital Luis Vernaza, Guayaquil, Ecuador; Institute of Biomedicine, Facultad de Ciencias Médicas, Universidad Católica de Santiago de Guayaquil, EcuadorDigital Transformation Research Center, Universidad Privada Norbert Wiener, Lima, Peru; Corresponding author.Instituto Nacional de Salud del Niño San Borja, Lima, Peru; Facultad de Ciencias y Filosofía, Universidad Peruana Cayetano Heredia, Lima, PeruThe birth of conjoined twins is one of the rarest neonatal conditions worldwide, with an incidence of 1 in 100,000 live births. Twins joined by the pelvis, known as ischiopagus, represent 6–11% of all conjoined twins. This clinical condition increases the degree of complexity in separation surgeries. Each case poses unique anatomical challenges, and clinical outcomes may vary according to the health facility where the infants are born or can access. This case report describes a successful separation surgery of ischiopagus conjoined twins in Peru. 3D printing and neurophysiological monitoring were used for surgical planning and intervention, allowing a full-scale anatomical model and preserving the mobility of the lower limbs of conjoined twins after surgery. This article demonstrates that established procedures and novel technologies can be valuable platforms for preoperative planning and intraoperative guidance to safeguard the central and peripheral nervous systems while increasing survival rates of ischiopagus conjoined twins in middle-income countries such as Peru.http://www.sciencedirect.com/science/article/pii/S2213576623000301Conjoined twinsIschiopagusNeurophysiological monitoring3D printing |
| spellingShingle | Andres Rodriguez-De-Velasco Jose Luis Apaza Nora Rojas Peggy Martinez Pierre Padilla-Huamantinco Juan Manuel Zuñiga Winston Jaramillo-Cañas Jean Pierre Tincopa Cender U. Quispe-Juli Surgical planning and separation of ischiopagus conjoined twins using 3D printed models and intraoperative neurophysiological monitoring Journal of Pediatric Surgery Case Reports Conjoined twins Ischiopagus Neurophysiological monitoring 3D printing |
| title | Surgical planning and separation of ischiopagus conjoined twins using 3D printed models and intraoperative neurophysiological monitoring |
| title_full | Surgical planning and separation of ischiopagus conjoined twins using 3D printed models and intraoperative neurophysiological monitoring |
| title_fullStr | Surgical planning and separation of ischiopagus conjoined twins using 3D printed models and intraoperative neurophysiological monitoring |
| title_full_unstemmed | Surgical planning and separation of ischiopagus conjoined twins using 3D printed models and intraoperative neurophysiological monitoring |
| title_short | Surgical planning and separation of ischiopagus conjoined twins using 3D printed models and intraoperative neurophysiological monitoring |
| title_sort | surgical planning and separation of ischiopagus conjoined twins using 3d printed models and intraoperative neurophysiological monitoring |
| topic | Conjoined twins Ischiopagus Neurophysiological monitoring 3D printing |
| url | http://www.sciencedirect.com/science/article/pii/S2213576623000301 |
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