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Separation of Syrian Craniopagus Conjoined Twins (Tuka & Aykiin)
A multidisciplinary team designated for the Syrian Craniopagus Conjoined Twins (Tuka & Aykiin) decided to perform a complex operation to separate the twins. The operation is scheduled to take place on Sunday, the 14th of February 2016 in King Abdullah Specialist Children's Hospital, in King Abdulaziz Medical City – Riyadh. The surgery is expected to last up to 18 continuous hours with a 60% success rate.

The Head of the multidisciplinary team, Dr. Ahmed Al Ferayan, Consultant Neurosurgeon said that the Syrian twins (Tuka & Aykiin) underwent a series of medical tests following their arrival to King Abdulaziz Medical City – Riyadh, some of which was a catheter angiography,which showed that the extent in which the twins are conjoined is very high especially in the arteries of the brain.

After comprehensively and thoroughly studying the twin's case from all angles, the multidisciplinary team concluded that the separation is possible through four stages. The first stage started on the 9th of June 2014, in which the veins between the twins' brains were severed and a slice of silicon was inserted between the two brains by Dr. Riyad Alakely. This procedure was successful with no complications. 3 month later, the second stage was performed in which the remainders of the veins were separated along with separating a portion of the arteries that carry out blood from Tuka’s brain to Aykiin’s. This procedure was also successfully conducted with no complications.

The third stage was one of the most complicated of all three stages. The third part of the veins and arteries were separated along with a part of the shared brain, and a slice of silicon was inserted between the two brains. The third phase was conducted successfully.

Moreover, Dr. Ahmed Al Ferayan pointed out that after completing the 3rd stage, tissue expanders were inserted under the twins’s with the the supervision of Dr. Manaf Al Azzawi and Dr. Dr. Nasser Al Hodaib. The team then decided that the 4th and last surgery will take place on February 2016.

Last but not least, Dr. Al Ferayan noted that the multidisciplinary team allocated for the separation of (Tuka & Aykiin) will cover several disciplines such as Pediatrics, Anesthesia, Plastic Surgery, Intensive Care Unit, Nursing, as well as Neurosurgery which will involve 6 neurosurgeons, Dr. Ahmed Al Ferayan, Dr. Ahmad Al Oraidi, Dr. Moutasem Azzubi, Dr. Sarmad Al-Karawi, Dr. Ali Bin Salamah from King Saud University and Dr. Dr. Mahmoud Al-Yamany
Posted on 14 Feb 2016