Journal of Plastic, Reconstructive & Aesthetic Surgery
Volume 60, Issue 2 , Pages 205-209 , February 2007

Successful separation of pygopagus conjoined twins and primary skin closure using V-shaped flaps

  • Hilal Matta

      Affiliations

    • Division of Pediatric Surgery, Department of Surgery, Tawam Hospital, Al-Ain, Abu Dhabi, United Arab Emirates
    • ,
  • John Auchinclos

      Affiliations

    • Division of Plastic Surgery, Department of Surgery, Tawam Hospital, Al-Ain, Abu Dhabi, United Arab Emirates
    • ,
  • Alic Jacobsz

      Affiliations

    • Division of Pediatric Surgery, Department of Surgery, Tawam Hospital, Al-Ain, Abu Dhabi, United Arab Emirates
    • ,
  • Akhtar Nawaz

      Affiliations

    • Division of Pediatric Surgery, Department of Surgery, Tawam Hospital, Al-Ain, Abu Dhabi, United Arab Emirates
    • ,
  • Ahmed H. Al-Salem

      Affiliations

    • Division of Pediatric Surgery, Department of Surgery, Tawam Hospital, Al-Ain, Abu Dhabi, United Arab Emirates
    • Corresponding Author InformationCorresponding author. Dr. Ahmed H. Al-Salem, P.O. Box 61015, Qatif 31911, Saudi Arabia. Fax: +966 3 8630009.

Received 10 October 2004 ,Accepted 18 January 2006.

References 

  1. Spitz L, Kiely EM. Experience in the management of conjoined twins. Br J Surg. 2000;89:1188–1192
  2. McDowell BC, Morton BE, Janik JS, et al. Separation of conjoined pygopagus twins. Plast Reconstr Surg. 2003;111:1998–2002
  3. Janik JS, Hendrickson RJ, Janik JP, et al. Spectrum of anorectal anomalies in pygopagus twins. J Pediatr Surg. 2003;38:608–612
  4. Spiegel DA, Ganley TJ, Akbarnia H, et al. Congenital vertebral anomalies in ischiopagus and pygopagus conjoined twins. Clin Orthop. 2000;381:137–144
  5. Fieggen AG, Millar AJW, Rode H, et al. Spinal cord involvement in pygopagus conjoined twins: case report and review of the literature. Childs Nerv Syst. 2003;19(3):183–187
  6. Hilfiker ML, Hart M, Holmes R. Expansion and division of conjoined twins. J Pediatr Surg. 1998;33:768–770
  7. Zuker RM, Filler RM, Lalla R. Intra-abdominal tissue expansion: an adjunct in the separation of conjoined twins. J Pediatr Surg. 1986;21(12):1198–1200
  8. Canty TG, Mainwaring R, Vecchione T. Separation of omphalopagus twins: unique reconstruction using syngeneic cryopreserved tissue. J Pediatr Surg. 1998;33(5):750–753
  9. Cywes S, Millar AJ, Rode H, Brown RA. Conjoined twins—the Cape Town experience. Pediatr Surg Int. 1997;12:234–248
  10. Spencer R. Anatomic description of conjoined twins: a plea for standardized terminology. J Pediatr Surg. 1996;31:941–944
  11. Spencer R. Conjoined twins; theoretical embryologic basis. Teratology. 1992;45:591–602
  12. Schmidt W, Hebarling D, Kubli F. Antepartum ultrasonographic diagnosis of conjoined twins in early pregnancy. Am J Obstet Gynecol. 1981;139:961–963
  13. Votteler TP. Conjoined twins. In:  Welch KJ,  Randolph JG,  Ravitch MM,  Neill JAO,  Rowe MI editor. Pediatric Surgery. 4th ed.. Chicago: Year Book Medical Publishers; 1986;p. 829–836
  14. Hoyle RM. Surgical separation of conjoined twins. Surg Gynecol Obstet. 1990;170:540–562

PII: S1748-6815(06)00081-7

doi: 10.1016/j.bjps.2006.01.009

Journal of Plastic, Reconstructive & Aesthetic Surgery
Volume 60, Issue 2 , Pages 205-209 , February 2007

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