Pygopagus separation surgery: Role of 3D printing

Abstract

Pygopagus twin separation surgeries can prove to be quite challenging especially when deciding the best surgical approach. Advancement in medical imaging allows proper planning and anticipation of difficult encounters during these surgeries. With the advent of 3D printing, surgeons are able to visually and physically appreciate the extent of fusion and soft tissue involvement. We present the case of the first successful pygopagus surgery in Kenya assisted by a 3D printed model which was invaluable during the preoperative and intraoperative period. Using the 3D print, we were able to anticipate a sacral bony spur and maneuver the fused sacrum without causing neurologic injuries.