References
Adejuyigbe O, Sowande OA, Olabanji JK, Komolafe EO, Faponle F, Adetiloye VA, Famurewa OC, Akinyoola AL (2005) Successful separation of two pairs of conjoined twins in Ile Ife, Nigeria: case reports. East Afr Med J 82(1):50–54
Al Rabeeah A (2006) Conjoined twins—past, present, and future. J Pediatr Surg 41(5):1000–1004. doi:10.1016/j.jpedsurg.2005.12.045
Annas GJ (1987) At law: Siamese twins: killing one to save the other. Hast Cent Rep 17(2):27–29
Annas GJ (2001) Conjoined twins—the limits of law at the limits of life. N Engl J Med 344(14):1104–1108. doi:10.1056/NEJM200104053441419
Bondeson J (1992) The Biddenden Maids: a curious chapter in the history of conjoined twins. J R Soc Med 85(4):217–221
Chatterjee SK, Debmaulik T, Talukder B, Sen B, Sarangi B (1986) Separation of pygopagus twins. Pediatr Surg Int 1(1):74–78
Cloutier R, Levasseur L, Copty M, Roy JP (1979) The surgical separation of pygopagous twins. J Pediatr Surg 14(5):554–556
Cook A, El-Gohary A, Khoury AE (2005) The use of a three-dimensional imaging model to optimize the operative separation of pygopagus conjoined twins. J Pediatr Urol 1(5):321–325. doi:10.1016/j.jpurol.2005.01.015
El Gohary MA, Khoury I, Shrama S, Zaki A (2009) Surgical separation of a rare case of male pygopagus. Eur J Pediatr Surg 19(6):402–404. doi:10.1055/s-0029-1202855
Fieggen AG, Dunn RN, Pitcher RD, Millar AJ, Rode H, Peter JC (2004) Ischiopagus and pygopagus conjoined twins: neurosurgical considerations. Childs Nerv Syst 20(8–9):640–651. doi:10.1007/s00381-004-0987-2
Fieggen G, Millar A, Rode H, Ngiloi P, Andronikou S, Peter J (2003) Spinal cord involvement in pygopagus conjoined twins: case report and review of the literature. Childs Nerv Syst 19(3):183–187. doi:10.1007/s00381-002-0712-y
Fieggen G, Peter J, Millar A, Rode H (2002) Conjoined spinal cords in pygopagus twins. Lancet 360(9349):1934. doi:10.1016/S0140-6736(02)11916-7
Fournier L, Goulet C, Waugh R, Chouinard R (1976) Anaesthesia for separation of conjoined twins. Can Anaesthetists’ Soc J 23(4):425–431
Fowler CL, Pulito AR, Warf BC, Vandenbrink KD (1999) Separation of complex pygopagus conjoined twins. J Pediatr Surg 34(4):619–622
Gul A, Aslan H, Ceylan Y (2004) Prenatal diagnosis of pygopagus tetrapus parasitic twin: case report. BMC Pregnancy and Childbirth 4(1):13. doi:10.1186/1471-2393-4-13
Gupta JM (1966) Pygopagus conjoined twins. Br Med J 2(5518):868–871
Hockley AD, Gornall P, Walsh R, Nishikawa H, Lam H, MacPherson L, Bissenden J, Downey G, Spitz L (2004) Management of pyopagus conjoined twins. Childs Nerv Syst 20(8–9):635–639. doi:10.1007/s00381-004-0984-5
Janik JS, Hendrickson RJ, Janik JP, Bensard DD, Partrick DA, Karrer FM (2003) Spectrum of anorectal anomalies in pygopagus twins. J Pediatr Surg 38(4):608–612. doi:10.1053/jpsu.2003.50132
Kato T, Yoshino H, Hebiguchi T, Koyama K (1997) Experience with treatment of three pairs of conjoined twins. Am J Perinatol 14(1):25–30. doi:10.1055/s-2007-994091
Kiesewetter WB (1966) Surgery on conjoined (Siamese) twins. Surgery 59(5):860–871
Kim SS, Waldhausen JH, Weidner BC, Grady R, Mitchell M, Sawin R (2002) Perineal reconstruction of female conjoined twins. J Pediatr Surg 37(12):1740–1743. doi:10.1053/jpsu.2002.36710
Koop CE (1961) The successful separation of pygopagous twins. Surgery 49:271–277
Leelanukrom R, Somboonviboon W, Bunburaphong P, Kiatkungwanklai P (2004) Anaesthetic experiences in three sets of conjoined twins in King Chulalongkorn Memorial Hospital. Paediatr Anaesth 14(2):176–183
Mabogunje OA, Lawrie JH (1980) Conjoined twins in West Africa. Arch Dis Child 55(8):626–630
Matta H, Auchinclos J, Jacobsz A, Nawaz A, Al-Salem AH (2007) Successful separation of pygopagus conjoined twins and primary skin closure using V-shaped flaps. Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS 60(2):205–209. doi:10.1016/j.bjps.2006.01.009
Matta H, Jacobsz A, Auchincloss J, Runnerstam M, Stephensen H, Kyle D, Nawaz A, Al-Salem AH (2006) Successful separation of pygopagus conjoined twins. J Pediatr Surg 41(3):586–588. doi:10.1016/j.jpedsurg.2005.11.062
McDowell BC, Morton BE, Janik JS, Gerow RK, Handler MH, Lowenstein AD, Cochran JH, Coughlin P, Youtz T, Conlan S (2003) Separation of conjoined pygopagus twins. Plast Reconstr Surg 111(6):1998–2002. doi:10.1097/01.PRS.0000056832.00496.2D
Nath S, Munkonge L (1996) Conjoined twins in Zambia. J R Coll Surg Edinb 41(4):250–254
O’Neill JA Jr, Holcomb GW 3rd, Schnaufer L, Templeton JM Jr, Bishop HC, Ross AJ 3rd, Duckett JW, Norwood WI, Ziegler MM, Koop CE (1988) Surgical experience with thirteen conjoined twins. Ann Surg 208(3):299–312
Ogutu D, Anastasakis E, Chi C, Kadir RA (2008) First trimester diagnosis of conjoint (pygopagus) twins: a case report of successful prenatal and postnatal management. Journal of Obstetrics and Gynaecology: the journal of the Institute of Obstetrics and Gynaecology 28(3):340–342. doi:10.1080/01443610802054899
Pearn J (2001) Bioethical issues in caring for conjoined twins and their parents. Lancet 357(9272):1968–1971. doi:10.1016/S0140-6736(00)05070-4
Roy M (1984) Anaesthesia for separation of conjoined twins. Anaesthesia 39(12):1225–1228
Saguil E, Almonte J, Baltazar W, Acosta A, Caballes A, Catangui A, Villegas C (2009) Conjoined twins in the Philippines: experience of a single institution. Pediatr Surg Int 25(9):775–780. doi:10.1007/s00383-009-2426-7
Shija JK, Ngiloi PJ (2000) Final stage surgical treatment of the conjoined twins of Masasi, Tanzania: case report. East Afr Med J 77(3):172–173
Sills ES, Vrbikova J, Kastratovic-Kotlica B (2001) Conjoined twins, conception, pregnancy, and delivery: a reproductive history of the pygopagus Blazek sisters (1878–1922). Am J Obstet Gynecol 185(6):1396–1402. doi:10.1067/mob.2001.118267
Spencer R (2001) Parasitic conjoined twins: external, internal (fetuses in fetu and teratomas), and detached (acardiacs). Clin Anat 14(6):428–444. doi:10.1002/ca.1079
Spiegel DA, Ganley TJ, Akbarnia H, Drummond DS (2000) Congenital vertebral anomalies in ischiopagus and pyopagus conjoined twins. Clin Orthop Relat Res 381:137–144
Spitz L (2005) Conjoined twins. Prenat Diagn 25(9):814–819. doi:10.1002/pd.1268
Ventura N, Huguet R, Ey A, Montaner A, Lizarraga I, Vives E (1998) Infantile idiopathic scoliosis in the newborn. Int Orthop 22(2):82–86
Votteler TP (1982) Necrotizing enterocolitis in a pygopagus conjoined twin. J Pediatr Surg 17(5):555–557
Watanatittan S, Niramis R, Suwatanaviroj A, Havanonda S (2003) Conjoined twins: surgical separation in 11 cases. Journal of the Medical Association of Thailand =. Chotmaihet thangphaet 86(Suppl 3):S633–S643
Wilson H, Storer EH (1957) Surgery in Siamese twins: a report of three sets of conjoined twins treated surgically. Ann Surg 145(5):718–725
Winder M, Law A (2006) Separation of pyopagus conjoined twins: a New Zealand neurosurgical experience. J Clin Neurosci 13(9):968–975
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Hirokazu, T., Takayuki, I., Yoshinori, H. et al. Separation surgery of pygopagus asymmetrical conjoined twins sharing U-shaped spinal cord: case report and literature review. Childs Nerv Syst 29, 699–706 (2013). https://doi.org/10.1007/s00381-012-2007-2
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DOI: https://doi.org/10.1007/s00381-012-2007-2