Approaches to Separating Ischiopagus Twins using Virtual Reality

Ischiopagus twins are born connected at various parts of the spine, central nervous system, gastrointestinal, and genitourinary tracts, presenting unique challenges for surgical separation. For plastic surgeons, one of the key technical concerns in conjoined twin separation is effectively addressing the considerable parietal defects resulting from the initial skin incisions.

The report titled “Management of ischiopagus twin separation with a focus on W–S incision design” outlines various incision design strategies for ischiopagus twin separation, with a focus on minimizing postoperative complications related to coverage issues, particularly in the abdominal and perineal regions.

The DIVA software was used in order to generate interactive 3D reconstructions from CT-scan and MRI data from twins, without the need for segmentation.

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