Universidad Peruana Cayetano Heredia

Surgical planning and separation of ischiopagus conjoined twins using 3D printed models and intraoperative neurophysiological monitoring

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dc.contributor.author Rodríguez de Velasco, Andrés Arturo
dc.contributor.author Apaza, Jose Luis
dc.contributor.author Rojas, Nora
dc.contributor.author Martinez, Peggy
dc.contributor.author Padilla Huamantinco, Pierre Guillermo
dc.contributor.author Zuñiga Mamani, Juan Manuel
dc.contributor.author Jaramillo-Cañas, Winston
dc.contributor.author Tincopa, Jean Pierre
dc.contributor.author Quispe Juli, Cender Udai
dc.date.accessioned 2023-04-16T04:38:16Z
dc.date.available 2023-04-16T04:38:16Z
dc.date.issued 2023
dc.identifier.uri https://hdl.handle.net/20.500.12866/13408
dc.description.abstract 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. © 2023 The Authors en_US
dc.language.iso eng
dc.publisher Elsevier
dc.relation.ispartofseries Journal of Pediatric Surgery Case Reports
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Conjoined twins en_US
dc.subject Ischiopagus en_US
dc.subject Neurophysiological monitoring en_US
dc.subject 3D printing en_US
dc.title Surgical planning and separation of ischiopagus conjoined twins using 3D printed models and intraoperative neurophysiological monitoring en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1016/j.epsc.2023.102604
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.03
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.11
dc.relation.issn 2213-5766


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