Abstract
The technique of tissue expansion is used to provide tissue for reconstruction or closure where insufficient native tissue exists. We used this technique to allow for successful separation and primary closure of thoracopagus twins. Two 160-ml Dow Corning Tissue expanders with self-contained injection ports were placed beneath the subcutaneous layer of each twin's lateral abdominal wall. These were gradually inflated to maximal capacity over a period of 3 weeks. After separation, each twin was closed primarily. Closure using native tissue that was under no tension avoided the respiratory and wound complications frequently associated with the previously reported closure techniques.
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