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The conjoined twin girls, before the separation. Open Access
Published: 14 June 2025
Figure 1
The conjoined twin girls, before the separation.
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Rectal contrast filled two separate rectums fused distally to form a single... Open Access
Published: 14 June 2025
Figure 2
Rectal contrast filled two separate rectums fused distally to form a single anal canal.
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3D CT demonstrations of pygopagus twins. (a) Anterior and posterior views. ... Open Access
Published: 14 June 2025
Figure 3
3D CT demonstrations of pygopagus twins. (a) Anterior and posterior views. Scoliosis and multiple segmentation and fusion anomalies of several vertebrae and sacrums of both babies, more so in the baby on the right, (b) distal sacral and coccygeal fusion.
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Steps for 3D model preparation: (a) examination of the radiological images,... Open Access
Published: 14 June 2025
Figure 4
Steps for 3D model preparation: (a) examination of the radiological images, (b) choosing the bony structures at the MRI image, (c) obtaining the 3D model of the bony structure from the MRI image, (d) obtaining the 3D model of the vascular structures from the MRI, (e) obtaining the 3D model of the bo
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(Left) horizontal placement and the special litotomy position of the infant... Open Access
Published: 14 June 2025
Figure 5
(Left) horizontal placement and the special litotomy position of the infants; (right) the twins were monitored, intubated and heat loss was prevented during the long diagnostic procedures.
Journal Article
Anesthetic planning and management for successful separation surgery of pygopagus conjoined twins: a multidisciplinary approach Open Access
Journal of Surgical Case Reports, Volume 2025, Issue 6, June 2025, rjaf320, https://doi.org/10.1093/jscr/rjaf320
Published: 14 June 2025
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The twins were placed in prone, U-shaped position. Open Access
Published: 14 June 2025
Figure 6
The twins were placed in prone, U-shaped position.
Journal Article
Early-to-mid onset bacterial endocarditis following implantation of Gore Cardioform Septal Occluder device Open Access
Journal of Surgical Case Reports, Volume 2025, Issue 6, June 2025, rjaf414, https://doi.org/10.1093/jscr/rjaf414
Published: 13 June 2025
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The initial incision site was marked at the apex of the dog-ear deformity. Open Access
Published: 13 June 2025
Figure 1
The initial incision site was marked at the apex of the dog-ear deformity.
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Final positioning and fixation of the flaps using non-absorbable sutures. I... Open Access
Published: 13 June 2025
Figure 6
Final positioning and fixation of the flaps using non-absorbable sutures. Interrupted or horizontal mattress sutures are placed along the wound margins to ensure proper alignment, reduce tension, and enhance both functional and aesthetic outcomes.
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Sagittal CT of initial ACDF at cervical spine C5/C6 level over one year pri... Open Access
Published: 13 June 2025
Figure 1
Sagittal CT of initial ACDF at cervical spine C5/C6 level over one year prior to esophageal perforation.
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(a) The gross specimen revealed a tan-dark brown rubbery mass measured 5 × ... Open Access
Published: 13 June 2025
Figure 2
(a) The gross specimen revealed a tan-dark brown rubbery mass measured 5 × 4 cm in size. (b–c) The histological features of hematoxylin and eosin staining were shown and the normal kidney was labeled (star). Immunohistochemical staining results were positive for neuroendocrine markers including chro
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The surgical explanted Gore Cardioform Septal Occluder with surrounding inf... Open Access
Published: 13 June 2025
Figure 2
The surgical explanted Gore Cardioform Septal Occluder with surrounding infected atrial septum.
Journal Article
Exuberant delayed granulomatous reaction to hyaluronic acid filler material Open Access
Journal of Surgical Case Reports, Volume 2025, Issue 6, June 2025, rjaf395, https://doi.org/10.1093/jscr/rjaf395
Published: 13 June 2025
Journal Article
Peri-renal metastasis of cervical neuroendocrine carcinoma: a case report and literature review Open Access
Journal of Surgical Case Reports, Volume 2025, Issue 6, June 2025, rjaf412, https://doi.org/10.1093/jscr/rjaf412
Published: 13 June 2025
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Incisions are made from the midpoint of the lateral edge to the midpoint of... Open Access
Published: 13 June 2025
Figure 3
Incisions are made from the midpoint of the lateral edge to the midpoint of the base on one triangular flap, mirrored on the contralateral triangular flap to facilitate symmetrical reconstruction.
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Retraction of the incised edges to widen the opening, creating adequate spa... Open Access
Published: 13 June 2025
Figure 4
Retraction of the incised edges to widen the opening, creating adequate space for interlocking the contralateral flap without excessive tension.
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Transposition of the arrow-shaped portion of each flap into the contralater... Open Access
Published: 13 June 2025
Figure 5
Transposition of the arrow-shaped portion of each flap into the contralateral wedge defect with slight rotation, ensuring optimal contour, tension distribution, and preservation of vascular integrity.
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Postoperative clinical image showing the final positioning and suturing of ... Open Access
Published: 13 June 2025
Figure 7
Postoperative clinical image showing the final positioning and suturing of the flap in an actual patient. Image used with written informed consent. Identifying details have been omitted to protect patient confidentiality.
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Vertical incision made from the apex to the base on one flap, and two ident... Open Access
Published: 13 June 2025
Figure 8
Vertical incision made from the apex to the base on one flap, and two identical incisions on the contralateral flap, positioned one-third from the apex along the lateral edges, extending straight and parallel to the triangle’s altitude down to the base.
