The role of rapid tissue expansion in separating xipho-omphalopagus conjoined twins in Vietnam
Conjoined twins are rare, and each set of conjoined twins has a unique conjoined anatomy. It is necessary to perform separation to increase the chance of patient survival. Tissue expansion is an advanced technique for providing sufficient soft tissue and skin for wound closure. We report the success...
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Korean Society of Plastic and Reconstructive Surgeons
2021-07-01
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doaj-a866c12bfd1f4291890e469a89ecc3db2021-07-26T00:26:26ZengKorean Society of Plastic and Reconstructive SurgeonsArchives of Plastic Surgery2234-61632234-61712021-07-0148437838310.5999/aps.2020.024673870The role of rapid tissue expansion in separating xipho-omphalopagus conjoined twins in VietnamTran Thiet Son0Pham Thi Viet Dung1Ta Thi Hong Thuy2Vu Duy Kien3Nguyen Thanh Liem4 Department of Plastic and Reconstructive Surgery, Hanoi Medical University Hospital, Hanoi, Vietnam Department of Plastic and Reconstructive Surgery, Hanoi Medical University Hospital, Hanoi, Vietnam Department of Plastic and Reconstructive Surgery, Hanoi Medical University Hospital, Hanoi, Vietnam OnCare Medical Technology Company Limited, Hanoi, Vietnam Department of Pediatric Surgery, Vietnam National Children’s Hospital, Hanoi, VietnamConjoined twins are rare, and each set of conjoined twins has a unique conjoined anatomy. It is necessary to perform separation to increase the chance of patient survival. Tissue expansion is an advanced technique for providing sufficient soft tissue and skin for wound closure. We report the successful application of rapid tissue expansion in 10-month-old xipho-omphalopagus conjoined twins in Vietnam. A tissue expander was placed on the anterior body between the sternum and umbilicus with a baseline of 70 mL sterile saline (0.9% NaCl). The first injection into the tissue expander began on the 6th day after expander insertion, and injections continued every 2 days with approximately 30–70 mL per injection according to the expansion of the skin. The expander reached 335 mL after six injections and within 10 days. In order to prepare for surgical separation, expansion was completed on the 15th day after insertion. The expanded skin area was estimated to be 180 cm2, which was sufficient to cover both patients’ skin deficiencies. The twins presented for surgical separation 6 days following the completion of tissue expansion. Both babies were discharged in good health 1 month after separation.http://www.e-aps.org/upload/pdf/aps-2020-02467.pdfxipho-omphalopagus conjoined twinsconjoined twinstissue expansionseparationvietnam |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Tran Thiet Son Pham Thi Viet Dung Ta Thi Hong Thuy Vu Duy Kien Nguyen Thanh Liem |
spellingShingle |
Tran Thiet Son Pham Thi Viet Dung Ta Thi Hong Thuy Vu Duy Kien Nguyen Thanh Liem The role of rapid tissue expansion in separating xipho-omphalopagus conjoined twins in Vietnam Archives of Plastic Surgery xipho-omphalopagus conjoined twins conjoined twins tissue expansion separation vietnam |
author_facet |
Tran Thiet Son Pham Thi Viet Dung Ta Thi Hong Thuy Vu Duy Kien Nguyen Thanh Liem |
author_sort |
Tran Thiet Son |
title |
The role of rapid tissue expansion in separating xipho-omphalopagus conjoined twins in Vietnam |
title_short |
The role of rapid tissue expansion in separating xipho-omphalopagus conjoined twins in Vietnam |
title_full |
The role of rapid tissue expansion in separating xipho-omphalopagus conjoined twins in Vietnam |
title_fullStr |
The role of rapid tissue expansion in separating xipho-omphalopagus conjoined twins in Vietnam |
title_full_unstemmed |
The role of rapid tissue expansion in separating xipho-omphalopagus conjoined twins in Vietnam |
title_sort |
role of rapid tissue expansion in separating xipho-omphalopagus conjoined twins in vietnam |
publisher |
Korean Society of Plastic and Reconstructive Surgeons |
series |
Archives of Plastic Surgery |
issn |
2234-6163 2234-6171 |
publishDate |
2021-07-01 |
description |
Conjoined twins are rare, and each set of conjoined twins has a unique conjoined anatomy. It is necessary to perform separation to increase the chance of patient survival. Tissue expansion is an advanced technique for providing sufficient soft tissue and skin for wound closure. We report the successful application of rapid tissue expansion in 10-month-old xipho-omphalopagus conjoined twins in Vietnam. A tissue expander was placed on the anterior body between the sternum and umbilicus with a baseline of 70 mL sterile saline (0.9% NaCl). The first injection into the tissue expander began on the 6th day after expander insertion, and injections continued every 2 days with approximately 30–70 mL per injection according to the expansion of the skin. The expander reached 335 mL after six injections and within 10 days. In order to prepare for surgical separation, expansion was completed on the 15th day after insertion. The expanded skin area was estimated to be 180 cm2, which was sufficient to cover both patients’ skin deficiencies. The twins presented for surgical separation 6 days following the completion of tissue expansion. Both babies were discharged in good health 1 month after separation. |
topic |
xipho-omphalopagus conjoined twins conjoined twins tissue expansion separation vietnam |
url |
http://www.e-aps.org/upload/pdf/aps-2020-02467.pdf |
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