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Separation of the Egyptian Conjoined Twins Alaa and Walaa Saturday, 25 June 2005


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07:30
Staff is doing final operative check-up on children. Operation Room: There is one operating bed, and the second bed will be brought in later. Room Temp. is 26, which is very important to keep the children warm.
08:00
Kids have been brought to Operation Room.
08:30
Walaa had her anesthesia with no problems, then Alla was anesthetized too with insertion of endotraceal tubes for both.

Progress Report Saturday 09 July 2005
Alaa and Walaa Start Milk Feeding
Dr. Abdullah Al Rabeeah, Chief Surgeon and Head of the Multidisciplinary Team stated today, 09 July 2005, that two (2) weeks after the successful separation operation, the Egyptian conjoined twins Alaa and Walaa continue to do well. Their condition has stabilized and there are no major problems facing them.

Dr. Al Rabeeah restated that the twins were separated on 25 June 2005 in an operation lasting approximately thirteen (13) hours, and the decision to separate them was taken on an urgent basis due to the major congenital anomalies affecting the heart of Walaa (namely, a large hole between the atria - ASD and the ventricles VSD and hypoplasia of the right ventricle). These anomalies have led to heart failure and the Medical Team decided to speed up the separation in order to protect the other twin, Alaa.

Dr. Al Rabeeah further stated that the twin Alaa is now completely stable and all her organs are back to normal, including her heart, lungs, liver, kidneys and bowel. All medications have been stopped, and Alaa is breathing normally, smiling and has no complications. She started to take milk normally two (2) days ago.

The other twin, Walaa, continues to require mild artificial respiration support due to her heart condition, as she still suffers from heart failure. However, the heart condition is stabilizing with the help of medications and she is expected to be taken of the ventilator within a few days.

All her other organs have returned back to normal, including her liver, kidney and bowel. Walaa has started to take milk by a tube in her stomach (nasogastric tube).

The twins are expected to remain in the Pediatric Intensive Care Unit (PICU) for another ten (10) days.
Posted on 14 Jan 2007