Impact of Technology on Conjoined Twin Separation: Are We Further Ahead?

Autor:	Shafarenko MS; From the Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Toronto; and Division of Plastic and Reconstructive Surgery, The Hospital for Sick Children., Clarke HM; From the Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Toronto; and Division of Plastic and Reconstructive Surgery, The Hospital for Sick Children., Zuker RM; From the Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Toronto; and Division of Plastic and Reconstructive Surgery, The Hospital for Sick Children.
Jazyk:	angličtina
Zdroj:	Plastic and reconstructive surgery [Plast Reconstr Surg] 2022 Oct 01; Vol. 150 (4), pp. 880e-887e. Date of Electronic Publication: 2022 Aug 08.
DOI:	10.1097/PRS.0000000000009560
Abstrakt:	Summary: The success of conjoined twin separation has increased since the 1950s, notwithstanding the numerous technical and physiologic challenges encountered in such procedures. Together with improvements in our understanding of conjoined twin physiology and the accumulation of surgical expertise, technological advances have largely paralleled the improvement in outcomes. In particular, advances in imaging modalities, adjuncts to abdominal wall closure such as mesh and tissue expansion, and three-dimensional modeling have been instrumental in advancing care for these patients. Considered together, these domains have allowed multidisciplinary teams to better delineate conjoined anatomy, facilitated improved surgical planning and decision-making, and assisted in overcoming the frequent challenges associated with soft-tissue closure. This review delineates the improvements in these modalities and their relationship to increasingly successful conjoined twin separation in recent years. (Copyright © 2022 by the American Society of Plastic Surgeons.)
Databáze:	MEDLINE
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