January 7, 2021

Management of ischiopagus twin separation with a focus on W–S incision design

Ischiopagus twins share parts of the spine, central nervous system, gastrointestinal and genitou-rinary tracts with various degrees of severity. Their separation is a surgical challenge. From the perspective of the plastic surgeon, one of the straightforward technical problems of conjoined twin separation is the coverage of the large residual parietal defects determined by the initial skin incisions. This report provides a description of relevant incision design strategies for ischiopagus separation in order to minimize morbidity related to coverage issues, especially in the abdominal and perineal regions.

March 24, 2021

Fast-track VR for Cardiac Imaging in Congenital Heart Disease

We sought to evaluate the appropriateness of cardiac anatomy renderings by a new virtual reality (VR) technology, entitled DIVA, directly applicable to raw MRI imaging data without intermediate segmentation steps in comparison to standard 3D rendering techniques (3D PDF and 3D printing). Differences in post processing times were also evaluated.

March 16, 2021

Partial breast resection for multifocal lower quadrant breast tumour using virtual reality

Oncoplastic surgery allows an increase in the number of indications for conservative breast cancer treatments. However, uncertainty as to whether it can be performed still exists in certain situations such as with multicentric or multifocal lesions, even when the breast volume can accommodate it. With the aid of a virtual reality software, DIVA, allowing the precise visualisation of tumours and breast volumes based entirely on the patient’s MRI, we report the ability to rapidly confirm and secure an indication for partial surgery of multiple lesions in a 31-year-old patient. With the described approach, the patient did not have to suffer significant disfigurement from cancerous breast surgery without compromising safety.