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The Separation of the Moroccan Conjoined Twins
Saturday, 04 March 2006

Slideshow image  
07:15
Preparation to transfer the twins to Operation Section.

The Surgery
07:15
Preparation to transfer the twins to Operation Section
07:30
The twins Hafsah & Elham have been in the Operation Room
07:45
Preparation to start the Phase 1-Anesthesia
08:00
Phase 1-Anesthesia:
The twins Hafsah & Elham have been intubated successfully
08:30
The arterial line & the central venous lines have been inserted for Hafsah
09:00
The arterial line & the central venous lines have been inserted for Elham & it is expected to finish this phase during the coming few minuets to start the next phase
09:30
Phase 1 has been completed successfully without any complications, an X-ray will be done to check the tubes position before proceeding for the next phases
09:45
PHASE 2: Cystoscopy + Foleys Catheters
The endoscopy for the genital & urinary systems is in progress with insertion of the urinary bladder catheters
10:00
This phase has been completed successfully. The team preparing the twins for the next phase
10:15
PHASE 3: Preparation + Incision for separation
This phase started few minutes ago by planning the incisions site then the preparation & positioning
10:30
PHASE 4: Bowel + Genital Separation Incisions
skin incision was made, followed by underling tissue, the incision was carried to the deep structure then the peritonium was opened
11:15
Preparation to start next Phase
11:30
The separation of the front part of the abdominal wall successfully done with separation of the front part of the genital & urinary tubes. The final separation of those tubes will be done after Spinal Column separation
12:00
PHASE 5: Spinal Column Separation including Flip over
The twins has been flipped to the other side "back" to reach the spinal cord & the lower part of the vertebral column. This phase may take around 3 hours to complete
02:45
The separation of the Spinal cored has been completed with the closer of the spinal canal successfully. The team will separate the lower part of the vertebral column in next few minuets
03:00
The lower part of the vertebral column has been separated successfully by Orthopedic Team
03:30
PHASE 6: Urology separation
The separation of Genital & Urinary Systems has been started by separating the Genital System where the vagina on each side where separated where each vagina has 2 openings ( double vagina)
04:30
The urethra was dissected on each side to finalize the separation of the Urinary System followed by separating the urinary bladder which was shared by the twins
07:30
PHASE 7: Separation (perineum)
The twins has been successfully separated & moved to separate beds for the first time. The Team will be divide to 2 teams A-B
08:30
PHASE 8: Orthopedic Separation ± Stomas + Closure
Both pelvic bones were separated in Hafsah & Elham
09:00
The team start to prepare for stoma
10:00
PHASE 09: Dressing
Wounds for Hafsah and Elham are being closed now
10:30
The " Dressing Phase " has been completed successfully
11:20
The separation surgery for the Moroccan Conjoined Twins “Hafsah & Elham” has been completed successfully. The two girls have been transported to the PICU
Posted on 14 Jan 2007