The operation began at 10:20 am and the operation was completed at 3:38 pm. A pair of hip-connected baby girls from Jiangxi were successfully separated at the Pediatric Hospital of Fudan University in Shanghai on the 9th. It is reported that the separation surgery uses 3D printing technology for precision assistance, which is the first time in the separation surgery of children's hospitals in China.
This pair of conjoined baby girls was born on March 17 this year in Ningdu County People's Hospital, Cangzhou City, Jiangxi Province. The prenatal examination is twins. After the caesarean section, the conjoined children connected to the buttocks are rare deformities. They are transferred 3 days after birth. To Shanghai for treatment.
After examination, the soft tissues of the children's buttocks were connected, the appendix bones were connected, and the spinal canals were connected. Two baby girls share an anus, and the anus is shared with an anal canal that is less than 1 cm in length and has its own digestive tract above.
After repeated consultations, the hospital decided to choose surgery for 3 months and a total weight of 10 kg. During the period, the “Angel Mother†fund subsidized 200,000 yuan to the children, which eased the economic pressure of family members.
On the 9th, the hospital performed a joint surgery for the hip joint and a single sigmoid fistula for the conjoined sister. Ten medical staff took turns to play, the general surgery team rebuilt the muscle loop around the rectum, and the neurosurgery team performed the separation of the appendix, the repair of the dural sac, the separation of the cauda equina, the design of the flap by the orthopedic team, and the coverage of the wound. At 1 pm, the two sisters were completely separated. The doctor also carried out protective rumors for the sisters, which are expected to be closed after two months.
It is worth noting that before the operation, the Pediatric Hospital affiliated to Fudan University cooperated with relevant enterprises to produce two related models using 3D printing technology according to the data obtained by CT and MRI, and the hip joints of the children were restored in proportion. The situation of the spine and skin fusion visually shows the location and extent of the bony connection and skin connection of the child, and can be virtualized for preoperative cutting and flap reversal.
Zheng Shan, the chief surgeon and deputy dean of the Pediatric Hospital affiliated to Fudan University, said that the use of 3D printing technology to assist the operation of the operation allows the doctor to intuitively understand the anatomy of the child, providing a great design and improvement of the surgical plan, selection and optimization of the surgical approach. Great help is conducive to the doctor to accurately separate the important parts of the fusion spinal canal, as far as possible to avoid damage to the nerve tissue. After the operation, the sisters will not affect fertility.
The Pediatric Surgery Department of the Pediatric Hospital affiliated to Fudan University is a key clinical diagnosis and treatment center for pediatric surgery in Shanghai and a national key clinical specialty. The operation is the seventh pair of conjoined separation surgery performed by the hospital since 2000.
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