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Successful separation of the conjoined thecal sac with an epidermal cyst in pygopagus twins
Authors:Chou Yu-Cheng  Peng Hai-Chyi  Chu Chia-Hsiang  Tsai Sheng-Tzung  Ling Joseph Chang Ming  Hsu Yung-Hsiang  Chen Shin-Yuan  Harnod Tomor
Affiliation:aDepartment of Neurosurgery, Buddhist Tzu Chi General Hospital and Tzu Chi University, Hualien 970, Taiwan, ROC;bDepartment of Pediatric Surgery, Buddhist Tzu Chi General Hospital and Tzu Chi University, Hualien 970, Taiwan, ROC;cDepartment of Pediatrics, Buddhist Tzu Chi General Hospital and Tzu Chi University, Hualien 970, Taiwan, ROC;dDepartment of Medical Imaging, Buddhist Tzu Chi General Hospital and Tzu Chi University, Hualien 970, Taiwan, ROC;eDepartment of Pathology, Buddhist Tzu Chi General Hospital and Tzu Chi University, Hualien 970, Taiwan, ROC
Abstract:
Pygopagus conjoined twins are very rare, and half of all pygopagus twins have other anomalies. This report describes the successful surgical separation of pygopagus twins who had a conjoined thecal sac and an epidermal cyst. Meticulous preoperative planning, development of a model simulator, multispecialty teamwork, and a staged surgery contributed to a successful outcome.
Keywords:Conjoined   Twins   Pygopagus   Thecal sac   Epidermal cyst
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