3D printing technology separates twins connected to the head

[China Pharmaceutical Network Technology News] Montefiore Hospital in New York will hold an extremely complicated surgery, using 3D printing technology to separate a pair of head-connected twins - Anias and Jadon.


3D printing technology is helping a surgeon prepare for an extremely complex surgical procedure. The purpose of this surgery is to separate a pair of connected twins, Anias and Jadon. It is reported that this operation will be held at the Montefiore Hospital in New York.

Scientifically speaking, such a pair of twins is a miracle of life. It is said that a pair of head-connected twins will appear in every 2.5 million newborns. 40% of them will die, and one third will die within 24 hours of birth, and 80% of such children will die before the first two years of age.

Today, when Anias and Jadon are still 13 months old, their parents have to make a painful decision to separate them, even though it would put them at risk. According to Tiangong, the cost of surgery is as high as 2.5 million. The risk is self-evident, but the doctors are not completely unprepared. 3D scanning and 3D printing technology have a greater grasp of the success of the operation.

James Goodrich is arguably one of the best neurosurgeons in the world. And he is also experienced in separating conjoined babies. Prior to this, he had undergone 6 conjoined infant separation operations and served as a consultant for 13 other such operations.

Today, he has used 3D scanning to fully understand the two children. Moreover, in recent years, he has become accustomed to making a series of 3D models to help him plan difficult operations, which he obviously will do.

It is reported that the two boys share 1.5-2 inches of brain tissue and it is expected that the entire operation may take more than 20 hours. Brain surgery is most likely to occur in complex operations like this, and the risk of death is very high. Therefore, if the doctor can't simulate the whole process again and again through the screen and 3D printed solid model, so that all the possible situations in the surgery can be realized, the survival chance of the boys will be greatly reduced.

Once Goodrich separates the two children, Dr. Oren Tepper, an orthopaedic surgeon, will take over immediately and he will reconstruct the children's skulls. With a large amount of 3D scan data and 3D printed models, the two surgeons spent months planning and practicing. In addition, they worked with 3DSystems, which used the latter technology to simulate the entire surgical procedure in a virtual environment one week before surgery.

Now that the surgery hasn't started, Goodrich has already figured out how to deal with the biggest problem - the complex blood vessel cluster shared by two children. This is the key to the entire operation. But at least Goodrich has rehearsed the surgery numerous times during the planning phase. He scanned the blood vessels, the surrounding area, and the need to lower the knife for detailed scanning and produced a 3D model.

“Previously, when you do such a reconstructive surgery, often a lot of things depend on guessing,” Goodrich said. “But now with new technology, you don’t have to guess.”

Four tissue expanders are mapped out at the exact location of the boys' new skulls. This is done virtually, allowing the doctor to know if there is enough plastic surgery after the skin is done. It also helps doctors find the best place to place the dilator. This reduces the chance of infection and increases the probability of successful surgery.

“These were impossible in the past,” Tepper said. “This is the first time it has been used so far.”

In addition, although most of the $2.5 million in surgery costs will be borne by insurance companies, there is still a gap of $100,000. Fortunately, a fundraising campaign at GoFundMe has raised $124,000 for the family. The whole world is now looking forward to Goodrich and Tepper's successful completion of this unprecedented operation.

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