Sunday, February 14, 2016
Appointed time for Separation Of Syrian Conjoined Twins (Tuka & Aykiin)
All Times are Saudi Local time (GMT +3)
Phase 1: Anesthesia
07:30 Preparation to transfer the twin to Operation Section
07:50 Tuka and Aykiin will be under anesthesia, and necessary Catheters will be inserted.
Phase 2: A. Opening of the Skin and removal of some tissue expanders, B. Craniotomy (Neurosurgery)
10:30 A. This step involves preparing and prepping the twin's skin for sterilization, incisions, followed by tissue expanders removal with the assistance of Dr. Manaf Al Azzawi and Dr. Nasser Al Hodaib along with the Neurosurgery team to further assist in this step
  B. After Positioning, an incision into the skull between the twins will be made by Dr. Ahmed Al Oraidi and Dr. Moutasem Azzubi along with the assistance of Dr. Goodrich and Dr. Al Ferayan
Phase 3: Microscopic Separation (Neurosurgery)
14:00 This step will be done under the microscope; in which the two brains will be separated along with separating the veins and arteries. It will be performed by Dr. Al Ferayan, Dr. Al-Yamany, Dr. Bin Salamah, , Dr. James T. Goodrich and will be assisted by Dr. Al Oraidi
Phase 4: Separation of the Twins (including Backwall Separation & rotation the twins)
17:30 The twins are now turned over in order to reach the other side of the head; an incision has been made in order to detach the remaining skin as well as the separating of the remaining adhesion in the skull has started
18:30 This step marked the complete separation of the twins with the participation of the entire Neurosurgical team. The twins will now be transferred to two separate operating beds where two Neurosurgical teams will be working on patching the meninges
Phase 5: DURA Reconstruction for both babies
19:00 This phase will be performed by Two teams of Neurosurgery
Phase 6: Skin Closure (Neurosurgery and Plastic)
21:00 Both the plastic surgery team and the Neurosurgical team will close the wounds
21:30 The separation surgery for the Syrian Conjoined Twins " Tuka and Aykiin " has been completed successfully. The two girls have been transported to the PICU