Abstract: Hand Transplantation in Patients with Extensive Burns of the Upper Extremities: Anatomical Study on Feasibility

RESULTS AND CONCLUSION: The challenge of craniopagus separation is due to the complexity of the venous plexus and shared dural venous sinus. Therefore, separation of the venous system of the twins requires meticulous planning and stereoscopic appreciation of the vasculature. Both VSP and 3D printed models were critical as references of the venous anatomy during separation and to the survival of both twins. VSP and 3D printing were also employed successfully in predicting the scalp and skull defects and designing custom guides and jigs which were used intraoperatively and facilitated surgical reconstruction.