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Iraqi Twins December 2006

::. Conjoined Twins .:. التوائم الملتصقة .:: Slideshow image

The Surgery
Saturday, 2 December 2006
Separation of the Iraqi Conjoined Twins
All Times are Saudi Local time (GMT +3)
 
Phase 1: Anesthesia
07:30 The twins arrive in the operating room
07:45 Fatima isanaesthetized followed by Al Zahra, with no complications
08:00 The team inserts the arterial line and central venous lines
09:00 Phase 1 completed successfully (insertion of breathing tubes, central venous lines andarterial lines)
09:15 Endoscopy for the genital and urinary systems have successfully completed, showing one urethra, one genital system and large urinary bladder
09:20 The surgical team draws the site of the skin incision on the frontal side of the twins
 
Phase 2: Preparing & Planning for Skin Incision + Cystoscopy
09:30 Planning incision, preparation and positioning under way
 
Phase 3: Separation of the Chest, Liver & Bowel
10:00 Skin incision, followed by underlying tissue., the incision was carried between 2 vaginae, and then the peritonium was opened
10:30 The Surgical Team opens the abdomen and identifies the shared liver, the distal ileum and colon. (2) two separated biliary systems noted
10:50 Separation ofng the liver begins
12:30 Separation of the liver and intestine successfully completed.. The front part of the pelvis (symphesis pubis) also separated
     
Phase 4: Urology Separation
13:00 The urinary bladder successfully separated
     
Phase 5: Genital Separation  
14:00 The urinary and genital systems separated with no complications
   
Phase 6: Joined Lower Extremity Separation
15:00 The twins are turned over to allow separation of the shared abdominal wall,pelvic wall and rudimentary lower limb
18:30 Separation of rudimentary lower limb successfully completed. The team starts to separate the abdominal wall from the back side to expose the pelvis and begin pelvic separation
   
Phase 7: Pelvis Separation
19:00 The orthopedic surgeons successfully separate the pelvis from the back with no complications. T remaining pelvic muscles are also separated
   
Phase 8: Twin Separation
20:15 The twins are successfully separated andmoved to separate operating tables for the first time. The team will divides into two
   
Phase 9: Organs Reconstruction
22:00 Following organ reconstruction, Fatima and Zahra’s wounds are being closed
   
Phase 10: Dressing & Transferring Twin to PICU
23:00 Successfully completion of the dressing phase
01:00 The surgical separation of the Iraqi Conjoined Twins “Fatima and AL Zahra” has been completed successfully. The two girls are taken from the operating room to the Pediatric Intensive Care Unit (PICU)
Posted on 14 Jan 2007