Spitz L, Stringer M D, Kiely E M, Ransley P G, Smith P
Department of Paediatric Surgery, Hospital for Sick Children, London, England.
J Pediatr Surg. 1994 Apr;29(4):477-81. doi: 10.1016/0022-3468(94)90071-x.
Separation of 3-year-old brachio-thoraco-omphalo-ishiopagus bipus conjoined twin girls is reported. Detailed preoperative assessment and a multidisciplinary approach were essential prerequistes to surgery. The difficulties of managing the extensive body wall defect resulting from separation are discussed. Despite the use of subcutaneous and intraperitoneal tissue expanders, a large area of prosthetic material was required to reconstruct the abdominal wall. Skin cover was achieved using a combination of meshed allogeneic skin, homograft split skin, and autologous cultured keratinocytes. One twin died in the early postoperative period, but the other has recovered well and is awaiting further rehabilitative treatment.
报道了对一对3岁的胸腹脐坐骨联胎双臀联体女童进行分离手术的情况。详细的术前评估和多学科方法是手术的重要先决条件。讨论了处理分离导致的广泛体壁缺损的困难。尽管使用了皮下和腹腔内组织扩张器，但仍需要大面积的假体材料来重建腹壁。通过网状异体皮肤、同种异体劈裂皮肤和自体培养角质形成细胞相结合的方法实现了皮肤覆盖。其中一名双胞胎在术后早期死亡，但另一名恢复良好，正在等待进一步的康复治疗。
