the twin chapter
The Minister of Health, Dr. Abdullah bin Abdulaziz Al-Rabiah, head of the medical team supervising the separation of the Iraqi Siamese twins (Chris and Christian), announced - with the grace of God and his success - the success of the process of separating the Iraqi Siamese twins, which took 6 hours and took place in 7 stages, in which a multiple medical team participated The specializations consisted of (23) participants from different medical specialties (such as anesthesiology, pediatric surgery, plastic surgery and nursing), and the twins ’health condition, thank God, is stable.
In a press interview in which the members of the medical team participated, after the end of the operation of separating the Siamese twins, he said: I convey the congratulations and blessings of the Custodian of the Two Holy Mosques King Abdullah bin Abdulaziz Al Saud and His Highness the Crown Prince and His Highness the Crown Prince - may God protect them - to the members of the medical team and to the parents of the twins and to All those interested in supporting and caring for children, as well as conveying the congratulations and congratulations of His Royal Highness Prince Miteb bin Abdullah bin Abdulaziz, Minister of National Guard to members of the medical team for this medical achievement, which is registered in the name of the Kingdom of Saudi Arabia.
The Minister of Health confirmed that the Kingdom has become a reference for the world in the process of separating the twins, explaining that the operation represents one of the successes of the Saudi medical team to separate the Siamese twins, as during the past 24 years it has seen more than 80 cases and reached the operating room 32 cases, and we have more than one case in Wait, and God willing, the successes will continue, extending his thanks and appreciation to the Custodian of the Two Holy Mosques King Abdullah bin Abdulaziz Al Saud - may God protect him - for his support for the twin separation process and his unlimited support for the health sector.
He stated that the anesthesia machine was separated from the Iraqi Siamese twins in the operating room, and they spoke for the first time in 24 years, and this indicates the success of God Almighty, then the accumulation of experiences and the smoothness of the process. His Excellency indicated that the process involved colleagues from the College of Medicine and Nursing Faculties, and God willing they are among the promising youth for the future, and this indicates that the team will not stop and will continue because we have new blood in every operation. He indicated that the twins separation operations usually depend on weight, as no less than 8 kilograms are combined for the twins, and this is usually after the age of the third or fourth month of life, and we prefer the young age.
For his part, the consultant at King Fahd Specialist Hospital in Dammam - team leader - Dr. Muhammad al-Jamal said: The anesthesia plan consisted of several steps and proceeded, praise be to God, as planned. We did not, thank God, face unexpected difficulties, and we benefited a lot from our experiences in the field of anesthesia. For his part, consultant anesthesiologist Dr. Nizar Zoghbi confirmed that the stages of anesthesia proceeded smoothly without any problems, and that the Iraqi twins'' condition during the operation was more than stable. And he indicated that the child Chris did not take any blood during the operation, while Christiane needed a very small amount, estimated at 40 ml, due to the loss of more blood than his brother.
For his part, consultant anesthesiologist Dr. Abdel-Alim Al-Atassi stated that the operation was carried out according to the planned steps, and we were able - praise be to God - to disconnect the respiratory system and this indicates the success of the operation, and now they breathe in a natural way in intensive care under the supervision of doctors in care. While the pediatric surgeon Dr. Muhammad Al-Namshan explained that before the separation operation during the evaluation of the children’s condition, it was found that there was participation in the lower part of the chest (the diaphragm, the heart membrane, and the liver) and the radiological examinations were identical to what was found inside the bodies of the two children, so there was participation in the abdominal wall And in the lower part of the chest wall, including the sternum, the diaphragm and the liver, pointing out that although the liver is shared, not every child - praise be to God - had an integrated system of biliary system in the gallbladder, liver ducts and pancreas.
And pediatric surgeon Dr. Muhammad Zamakhshari stated that the biggest challenge in the separation process was dealing with the liver and the stickiness of the liver, so that it must be very precise in dealing with that so that the separation is complete and without affecting the bile ducts and without losing quantities of blood and this - and praise be to God - what The operation was carried out using modern techniques, indicating that after the diaphragm was removed, the part in it was treated and rehabilitated, and the operation, thank God, was done with precision. And pediatric plastic surgeon Dr. Manaf Al-Azzawi explained that the plastic team in the twin separation is analyzing the area of adhesion between the twins, and has decided on the master and native plan to perform the restoration after the separation process, indicating that the team entered the operation and had three native plans.
Plastic surgeon Dr. Nasser Al-Hudayeb stated that after the children were completely separated, their rib cage was restored by removing the excess from the cage, after which the cavity was closed with the help of colleagues in pediatric surgery, and the diaphragm was restored, and the abdominal wall was closed, indicating that this operation was done in a manner. Directly without the need for artificial or additional materials. Dr. Hala Al-Alam in intensive care said: The two children - praise be to God - came to care in excellent condition, as they left the operating room without a respirator and this is a very encouraging sign, and it is necessary in the operating room to protect them from infections and germs, and God willing, intensive care will be a journey Short to them. The nurse in the operating room, Nabiha Tashkandi, stated that the operation took place in a short period of time, and the team that participated in the operation was 50% of them Saudis, thank God, and God willing, in the coming days, the staff will be completely Saudi.
The father of the Iraqi twins (Chris and Christian), Ramson Go Real Khoshaba, said in a press statement after the conference: We were surprised during childbirth in Iraq that they were conjoined, we did not know this before birth, and after birth, they told us in Iraqi hospitals that their solution and the process of separating them are available in the Kingdom of Saudi Arabia, and about By searching the Internet, I looked at the cases that were established in the Kingdom and their great success rate, so contact with the Ministry of Health through the follow-up doctor for the case in Iraq - thank God - within two and a half months we got the approval. He added: Today is the eighth day since the twins entered the hospital, thank God, the operation was carried out successfully, and we did not expect it to be done quickly.
Khoshaba expressed his thanks to the Custodian of the Two Holy Mosques King Abdullah bin Abdulaziz Al Saud - may God protect him - and to the Saudi people and the medical staff who received us well. For her part, the mother of the twins, Sandra Khamis, said: I did not expect that the approval would come so quickly, and the process would also take place so quickly, and God Almighty willing, we will be discharged from the hospital with two children in good health, offering her thanks and gratitude to the Custodian of the Two Holy Mosques - may God support him - and to the government and the honorable Saudi people .
The start of the "Cover and Transfer" phase of Operation Iraqi Twin "Chris and Christian"
Doctors in the King Abdulaziz Medical City in the National Guard in Riyadh started the sixth and final stage of the process of separating the Iraqi Siamese twins (Chris and Christian), which is specialized in (coverage and transportation). All members of the medical team participating in the operation are supervising this stage, led by the Minister of Health and the head of the medical team, Dr. Abdullah Al-Rabiah.
It is noteworthy that the stage (coverage and transfer) takes half an hour and it was the fifth stage. The Minister of Health announced the head of the medical team from inside the operating room and before starting in the final stage, the operation of separating the Iraqi Siamese twins (Chris and Christian) had succeeded and that their health condition is now stable. It is noteworthy that Dr. Al-Rabiah will hold a press conference after the completion of the operation in which he will address the situation of the Siamese twins.
(13:53)
Fifth Stage "Organ Reconstruction"
The fifth stage (organ reconstruction) has begun in the process of separating the Iraqi Siamese twins (Chris and Christian) which is currently underway in the King Abdulaziz Medical City in the National Guard in Riyadh. Two medical teams are supervising this stage, led by Dr. Abdullah Al-Rabiah, team (a) consisting of Dr. Muhammad Al-Namshan and Dr. Nasser Al-Hudayeb, and team (B) consisting of Dr. Muhammad Zamakhshari and Dr. Manaf Al-Azzawi. It is reported that the "organ restoration" phase is one hour.
(12:51)
Fourth stage (separation of the liver)
The fourth stage (separation of the liver) has begun in the process of separating the Iraqi Siamese twins (Chris and Christian), which is currently taking place in the King Abdulaziz Medical City in the National Guard in Riyadh. This stage is supervised by Dr. Abdullah Al-Rabiah, Dr. Muhammad Al-Namshan and Dr. Muhammad Zamakhshari. It is mentioned that the stage (separation of the liver) may take more than two hours, followed by two stages (organ reconstruction - coverage and transfer).
(11:33)
Third Stage (Classroom)
The third stage (the separation process) has begun in the process of separating the Iraqi Siamese twins (Chris and Christian) that is currently taking place in the King Abdulaziz Medical City in the National Guard in Riyadh. This stage is supervised by Dr. Abdullah Al-Rabiah, Dr. Muhammad Zamakhshari, Dr. Manaf Al-Azzawi and Dr. Nasser Al-Hudayeb. It is mentioned that the separation stage takes about one hour.
(10:55)
The second stage (preparation and processing)
The second phase (preparation and processing) of the separation of the Iraqi Siamese twins (Chris and Christian) has started, which is currently taking place in the King Abdulaziz Medical City in the National Guard in Riyadh. This stage is supervised by a medical team consisting of Dr. Abdullah Al-Rabiah, Dr. Muhammad Al-Namshan, Dr. Manaf Al-Azzawi, and Dr. Nasser Al-Hudayeb. It is reported that the (preparation and processing) phase takes half an hour.
(10:38)
The first stage (anesthesia)
The first stage (anesthesia) has started in the operation of separating the Iraqi Siamese twins (Chris and Christian), which is currently taking place in the King Abdulaziz Medical City in the National Guard in Riyadh. This stage is supervised by a medical team consisting of the consultant at King Fahd Specialist Hospital in Dammam, the team leader, Dr. Muhammad Al-Jamal, Dr. Abdullah Al-Rabiah, the consultant anesthesia, Dr. Nizar Al-Zoghbi, the consultant Abdul-Alim Al-Atassi, Dr. Ahmed Al-Saad, Dr. Al-Shaima Al-Madani, and the anesthesia technicians (Saleh Al-Bishi, Zuhair Al-Ghamdi and Hani Burgan).
