The separation of pygopagus conjoined twins with fused spinal cords and imperforate anus

Minimally Jointed Symmetrical Pygopagus Twins – Successful Surgical Separation

“…However, more complicated procedures as separation of two spinal cord or cord with short nerve roots have also been described, especially in the presence of spinal anomalies. [ 7 8 9 ] In such cases providing dural cover and support to the repair becomes all the more challenging and such separations are at risk of cerebrospinal fluid (CSF) leaks, infections, and retethering. [ 9 10 ] In our patient, there was limited wound infection, mainly because of proximity of repair to anal orifice.…”

“…[ 7 8 9 ] In such cases providing dural cover and support to the repair becomes all the more challenging and such separations are at risk of cerebrospinal fluid (CSF) leaks, infections, and retethering. [ 9 10 ] In our patient, there was limited wound infection, mainly because of proximity of repair to anal orifice. A bigger area of fusion also makes planning of flap, graft or tissue expanders for skin stretching and the latter may be associated with associated complications.…”

“…[ 7 10 ] Posterior skin wound dehiscence followed by CSF leak was reported after surgery requiring reoperation once or twice. [ 9 10 ]…”