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Saudi Conjoined Twins Rana and Raneem
Sunday, May 4, 2014
 
(Twin A – Blue) RANA AND (Twin B – Red) RANEEM

DATE OF SEPARATION: SUNDAY, 04 MAY 2014
TIME OF SEPARATION: 7:00 AM
(Surgery is expected to last approximately 18 hours over 8 Stages)

SURGICAL TEAM INVOLVED: Chief Surgeon, Dr. Ahmed Al Ferayan
FIRST STAGE
ANESTHESIA
  • Dr. Ahmed Al Ferayan, Head, Division of Neurosurgery
  • Dr. Nezar Al Zughaibi, Deputy Chairman, Clinical Services
  • Dr. Adnan Koumi, Consultant, Pediatric Anaesthesia
  • Dr. Mohammed Gomaa Abo Darahim, Consultant, Pediatric Anaesthesia
Duration:1½ Hours
SECOND STAGE –
Preparing and Prepping and Radiological Mapping
  • Dr. Manaf Al Azzawi, Consultant, Division of Plastic Surgery
  • Dr. Nasser Al Hodaib, Consultant, Division of Plastic Surgery
  • Dr. Moutasem Azzubi, Consultant, Division of Neurosurgery
  • Dr. Merdas Al Otaibi, Consultant, Division of Neurosurgery
Duration: 1½ Hours  
THIRD STAGE:
A – Opening of the Skin and removal of some tissue expanders
  • Dr. Manaf Al Azzawi, Consultant, Division of Plastic Surgery
  • Dr. Nasser Al Hodaib, Consultant, Division of Plastic Surgery
THIRD STAGE:
B- Craniotomy (Neurosurgery)
  • Dr. Ahmed Al Ferayan, Head, Division of Neurosurgery
  • Dr. Merdas Al Otaibi, Consultant, Division of Neurosurgery
  • Dr. Moutasem Azzubi, Consultant, Division of Neurosurgery
  • Dr. James T. Goodrich, Director and Professor of the Division of Pediatric Neurosurgery,
     Children’s Hospital at Montefiore, Albert Einstein College of Medicine, New York
Duration: 3 Hours  
FOURTH STAGE
Microscopic Separation (Neurosurgery)
  • Dr. Ahmed Al Ferayan
  • Dr. Mahmoud Al-Yamany
  • Dr. Ali Bin Salamah
  • Dr. James T. Goodrich
Duration: 4 Hours  
FIFTH STAGE
Separation of the Twins (including Backwall Separation & rotation the twins)
  • Dr. Ahmed Al Ferayan
  • Dr. Merdas Al Otaibi
  • Dr. Moutasem Azzubi
  • Dr. Mahmoud Al-Yamany
  • Dr. Ali Bin Salamah
  • Dr. James T. Goodrich
  • Dr. Manaf Al Azzawi
  • Dr. Nasser Al Hodaib
Duration: 2 Hours
SIXTH STAGE
DURA Reconstruction for both babies

Team A

  • Dr. Merdas Al Otaibi
  • Dr. Ali Bin Salamah
<------------
Dr. Ahmed Al Ferayan
Dr. James T. Goodrich
------------>

Team B

  • Dr. Moutasem Azzubi
  • Dr. Mahmoud Al-Yamany
Duration: 2 Hours  
SEVENTH STAGE –
SKULL RECONSTRUCTION FOR BOTH (Neurosurgery and Plastic)
  • Dr. Ahmed Al Ferayan
  • Dr. Merdas Al Otaibi
  • Dr. Moutasem Azzubi
  • Dr. Mahmoud Al-Yamany
  • Dr. Ali Bin Salamah
  • Dr. James T. Goodrich
  • Dr. Manaf Al Azzawi
  • Dr. Nasser Al Hodaib
Duration: 2 Hours  
EIGHTH STAGE –
SKIN CLOSURE (Neurosurgery and Plastic)
Team A
  • Dr. Manaf Al Azzawi
  • Dr. Ahmed Al Ferayan
 
Team B
  • Dr. Merdas Al Otaibi
  • Dr. Nasser Al Hodaib
Duration: 2 Hours