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Press Release 27 FEBRUARY 2006
Moroccan Conjoined Twins Separation
The Moroccan Conjoined Twins, Hafsah and Elham, arrived at King Abdulaziz Medical City-Riyadh (KAMC-R) on Monday 02 January 2006, and have now reached a combined weight of 9.4 kg.
The Chief Surgeon, Dr. Abdullah Al Rabeeah stated that a Multidisciplinary Team was formed, and after completion of the assessment, work-up and investigations has decided to proceed with the separation operation which will take place on Saturday 04 March 2006.

The Multidisciplinary Team has met on several occasions and conducted examinations, assessments, laboratory and diagnostic tests, including cardiac assessment, ultrasound of the abdomen, 3 dimensional CT Scan and MRI. Special tests have also been performed for the blood vessels and bowel.

It was established that Hafsah and Elham were joined at the abdomen and pelvis, sharing one anus and one urinary opening. The twins are also joined at the spinal column, and share one pelvis and genitourinary system with duplication of the uterus of each twin. It was further established that both twins have congenital heart disease, namely, multiple holes between the ventricles of each twin (VSD).

In spite of the multiple joined organs, and the presence of congenital heart disease, the Multidisciplinary Team has decided to proceed with the separation accepting the risk involved with the success rate ranging between 60-70%.

A rehearsal procedure will take place on Wednesday, 01 March 2006, and the separation operation is estimated to last 18 hours. The Surgical Team will include the following specialties: Anesthesia, Pediatric Surgery, Pediatric Urology, Pediatric Orthopedics, Neurosurgery, Plastic Surgery, Operating Room Nursing and Technicians.

Dr. Al Rabeeah stated his appreciation of the fatherly and humanitarian generosity of The Custodian of the Two Holy Mosques, King Abdullah bin Abdulaziz Al Saud.