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Conjoined Egyptian 2 y/o twins Seperated
Caraj
10/12/03 at 00:06:51
Doctors: 'No problems' so far in separating twins
Procedure at Dallas hospital could take four days
Saturday, October 11, 2003 Posted: 7:40 PM EDT (2340 GMT)

Mohamed and Ahmed Ibrahim have separate brains but share blood vessels.

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(CNN) -- Neurosurgeons at a hospital in Texas report "no problems" from the operating room as 2-year-old Egyptian twins undergo surgery to separate the tops of their heads.

At 3 p.m. (4 p.m. EDT), doctors started the delicate task of separating blood vessels between the boys' brains. The process could take nearly four days.

Dr. Jim Thomas of Children's Medical Center in Dallas said, "Everything's going fine; there have been no problems."

Ahmed and Mohamed Ibrahim have separate brains but share a complex attachment of blood vessels that must be divided.

Removing the skull plate and dividing the blood vessels is the riskiest phase of the surgery.

"This is an absolute prerequisite to having the twins separated," Thomas said.

Doctors began the separation phase after carefully positioning the twins for the surgery and harvesting skin from their hips to cover their skulls once the separation is complete.

The only complication so far -- a minor one -- was the discovery of mucus in Ahmed's windpipe, which had to be suctioned out, Thomas said.

More than 60 people are on the medical team performing the separation, a procedure that is expected to last between 30 and 90 hours. The twins arrived at the hospital Thursday morning and underwent two days of pre-operative preparation.

They entered the operating room at 9:07 a.m. (10:07 a.m. EDT).

Despite the risks involved in trying to separate the twins, Thomas said the surgeons were convinced "that the prospects for a successful separation offered benefits that outweighed the certain and progressive loss of function that the twins would face if they remained conjoined."

The boys' parents are at the hospital and are holding up well, he said.

"I think the parents are helped in many ways by a very strong faith structure," Thomas said. "They have said repeatedly, to all the parties involved, that this is in God's hands."

The twins, who were born in a small town about 500 miles south of Cairo, came to Dallas with the help of the World Craniofacial Foundation, which helps children with head and face deformities receive treatment.

The foundation has raised $125,000 of the estimated $2 million cost of the separation surgery, according to its Web site. The hospital and the medical team are donating their services, the foundation said.

The twins' deformity, called craniopagus twinning, occurs in just one in 10 million live births, according to the foundation, or about 2 percent of conjoined twins' births .


10/12/03 at 21:51:09
Caraj
Re: Conjoined Egyptian 2 y/o twins
SisterHania
10/12/03 at 04:37:25
Inshallah their operation will go well. Are they conjoined in the same way as the Iranian Siamese twins Laleh and Ladan Bijani?

[wlm]
Re: Conjoined Egyptian 2 y/o twins
Caraj
10/12/03 at 21:50:35
[quote author=Hania link=board=ummah;num=1065928012;start=0#1 date=10/12/03 at 04:37:25]Inshallah their operation will go well. Are they conjoined in the same way as the Iranian Siamese twins Laleh and Ladan Bijani?

[wlm][/quote]

Hania, sort of and not really. These 2 y/os heads are attached but from the pictures looks top of head to top of head not sides joined like the Iranian twins.
New update below



Doctors Separate Egyptian Conjoined Twins
1 hour, 6 minutes ago  Add Health - AP to My Yahoo!


By JAMIE STENGLE, Associated Press Writer

DALLAS - Two-year-old Egyptian twins joined at the top of their heads were successfully separated Sunday, but face a long recovery after the marathon surgery that began a day earlier and that took more than a year of planning.

News of the successful separation of Ahmed and Mohamed Ibrahim overjoyed their parents, surgeons and caregivers.


"At one point when someone came up and said you have two boys, the father jumped to my neck and he hugged me and he fainted and I cared for him," said Dr. Nasser Abdel Al, who was one of the twins' doctors in Egypt. "The mother on the other hand was crying like everybody else. She was there thanking everybody around and thanking her faith that brought her to this great place — Dallas, Texas."


As surgeons worked to finish closing the boys' head wounds, part of the medical team at Children's Medical Center Dallas talked Sunday about the successful completion of the surgery.


Ahmed and Mohamed, who had an intricate connection of blood vessels but separate brains, were physically separated about 26 hours after they entered the operating room. Doctors then went to work covering the head wounds. The entire surgery took 34 hours.


The twins were listed in critical but stable condition, and doctors said the surgery went according to plan. Concerns now include risk of infection and how the wounds will heal.


Dr. Kenneth Salyer, a craniofacial surgeon who founded the World Craniofacial Foundation that brought the boys to Dallas, said his feelings had ranged "from moments of ecstasy to moments of anxiety."


Dr. Dale Swift, a pediatric neurosurgeon, said it was too early to tell if the boys would have neurological damage.


After leaving the operating room, the boys will be taken to an intensive care unit, where they will remain in a drug-induced coma for three to five days. Both boys will need additional reconstructive surgery in coming years.


The boys were born June 2, 2001, by Caesarean section to Sabah Abu el-Wafa and her husband, Ibrahim Mohammed Ibrahim. Both parents, from el-Homr, some 400 miles south of Cairo, were in Dallas for the surgery.


A team of specialists determined in June 2002 that the boys could be separated, though the risks included possible brain damage and death. The boys' father told doctors he felt it was worth it to give them a chance at a normal life.


On Saturday, four-month-old twin girls from Greece who were joined at the temple were successfully separated during surgery in Rome. The ANSA news agency said the 12-hour surgery was simplified because the infants didn't share any organs.


Prior to the operations in Rome and Dallas, there had been at least five surgeries around the globe in the past three years to separate twins joined at the head. Three were successful; one resulted in one twin dying and in another both twins died.


The fate of the Egyptian twins has become a talking point there and throughout the Middle East, where television news stations have been following the surgery's progress.


In el-Homr, villagers have been praying in mosques for the twins "to return safely," said Mohammed Ibrahim, 65, the twins' grandfather.


"If this is true then this is very good news," Nasser Mohammed Ibrahim, the twins' uncle, told The Associated Press, after learning of the separation. "We are waiting for any good news from over there."


But the uncle said he was anxious to have the news, relayed by TV stations in the Middle East, confirmed by his brother, the boys' father.

 
"I'm sure that everyone loves Ahmed and Mohammed," he said, "but I can only trust my brother to tell me the news."

___


Re: Conjoined Egyptian 2 y/o twins Seperated
jannah
10/26/03 at 00:37:21
[slm]

This is wonderful@!!! Some great ramadan beginning ma'shallah :)

http://story.news.yahoo.com/news?tmpl=story&u=/nm/life_twins_dc


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