Pygopagus Twins Separation Using a Rectangular Fasciocutaneous Flap: Case Report From Beirut, Lebanon

Summary:. Conjoined twins, although rare, present unique challenges in surgical management, particularly regarding skin closure after separation. This case report details the successful separation of pygopagus conjoined twins using a rectangular skin flap technique. The twins, joined at the lumbar a...

Full description

Saved in:
Bibliographic Details
Main Authors: Christopher Hakim, MD, Saif Emsieh, MD, Edwin Chrabieh, Jana Zeineddine, MD, Amir Ibrahim, MD
Format: Article
Language:English
Published: Wolters Kluwer 2025-01-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006478
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832589663302320128
author Christopher Hakim, MD
Saif Emsieh, MD
Edwin Chrabieh
Jana Zeineddine, MD
Amir Ibrahim, MD
author_facet Christopher Hakim, MD
Saif Emsieh, MD
Edwin Chrabieh
Jana Zeineddine, MD
Amir Ibrahim, MD
author_sort Christopher Hakim, MD
collection DOAJ
description Summary:. Conjoined twins, although rare, present unique challenges in surgical management, particularly regarding skin closure after separation. This case report details the successful separation of pygopagus conjoined twins using a rectangular skin flap technique. The twins, joined at the lumbar and sacral regions, underwent meticulous preoperative planning and collaborative effort from multiple medical teams. The surgery involved raising fasciocutaneous rectangular flaps over the buttocks, spine separation, rectal division, and reconstruction of pelvic floor muscles. The primary skin closure was achieved successfully. This case highlights the superior gluteal-based rectangular flap technique in such a separation and the importance of multidisciplinary approaches in improving outcomes for complex surgeries.
format Article
id doaj-art-df55f766a5de434293901881c1f26707
institution Kabale University
issn 2169-7574
language English
publishDate 2025-01-01
publisher Wolters Kluwer
record_format Article
series Plastic and Reconstructive Surgery, Global Open
spelling doaj-art-df55f766a5de434293901881c1f267072025-01-24T09:19:58ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742025-01-01131e647810.1097/GOX.0000000000006478202501000-00039Pygopagus Twins Separation Using a Rectangular Fasciocutaneous Flap: Case Report From Beirut, LebanonChristopher Hakim, MD0Saif Emsieh, MD1Edwin Chrabieh2Jana Zeineddine, MD3Amir Ibrahim, MD4From the * Division of Plastic, Reconstructive and Aesthetic Surgery, American University of Beirut, Beirut, LebanonFrom the * Division of Plastic, Reconstructive and Aesthetic Surgery, American University of Beirut, Beirut, Lebanon† Department of Medicine, American University of Beirut, Beirut, Lebanon.† Department of Medicine, American University of Beirut, Beirut, Lebanon.From the * Division of Plastic, Reconstructive and Aesthetic Surgery, American University of Beirut, Beirut, LebanonSummary:. Conjoined twins, although rare, present unique challenges in surgical management, particularly regarding skin closure after separation. This case report details the successful separation of pygopagus conjoined twins using a rectangular skin flap technique. The twins, joined at the lumbar and sacral regions, underwent meticulous preoperative planning and collaborative effort from multiple medical teams. The surgery involved raising fasciocutaneous rectangular flaps over the buttocks, spine separation, rectal division, and reconstruction of pelvic floor muscles. The primary skin closure was achieved successfully. This case highlights the superior gluteal-based rectangular flap technique in such a separation and the importance of multidisciplinary approaches in improving outcomes for complex surgeries.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006478
spellingShingle Christopher Hakim, MD
Saif Emsieh, MD
Edwin Chrabieh
Jana Zeineddine, MD
Amir Ibrahim, MD
Pygopagus Twins Separation Using a Rectangular Fasciocutaneous Flap: Case Report From Beirut, Lebanon
Plastic and Reconstructive Surgery, Global Open
title Pygopagus Twins Separation Using a Rectangular Fasciocutaneous Flap: Case Report From Beirut, Lebanon
title_full Pygopagus Twins Separation Using a Rectangular Fasciocutaneous Flap: Case Report From Beirut, Lebanon
title_fullStr Pygopagus Twins Separation Using a Rectangular Fasciocutaneous Flap: Case Report From Beirut, Lebanon
title_full_unstemmed Pygopagus Twins Separation Using a Rectangular Fasciocutaneous Flap: Case Report From Beirut, Lebanon
title_short Pygopagus Twins Separation Using a Rectangular Fasciocutaneous Flap: Case Report From Beirut, Lebanon
title_sort pygopagus twins separation using a rectangular fasciocutaneous flap case report from beirut lebanon
url http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006478
work_keys_str_mv AT christopherhakimmd pygopagustwinsseparationusingarectangularfasciocutaneousflapcasereportfrombeirutlebanon
AT saifemsiehmd pygopagustwinsseparationusingarectangularfasciocutaneousflapcasereportfrombeirutlebanon
AT edwinchrabieh pygopagustwinsseparationusingarectangularfasciocutaneousflapcasereportfrombeirutlebanon
AT janazeineddinemd pygopagustwinsseparationusingarectangularfasciocutaneousflapcasereportfrombeirutlebanon
AT amiribrahimmd pygopagustwinsseparationusingarectangularfasciocutaneousflapcasereportfrombeirutlebanon