| Saturday, 20 June 2009 | ||
| Appointed time for Separation Of The Conjoined Morocian Twins All Times are Saudi Local time (GMT +3) |
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| Phase 1: Anesthesia | ||
| 07:15 | Preparation to transfer the twin to Operation Section | |
| 07:30 | The twin Azizah and Saeedah - have been in the Operation Room | |
| 07:45 | Preparation to start the Phase 1-Anesthesia | |
| 08:45 | Phase 1 has been completed successfully without any complications, and the team now preparing to start next phase | |
| Phase 2: Preparing & Prepping | ||
| 09:30 | This phase has been completed successfully. The team preparing the twin for the next phase | |
| Phase 3: Incision & Opening | ||
| 09:45 | This phase started few minutes ago by planning the incisions site then the preparation and positioning | |
| 10:40 | skin incision was made, followed by underling tissue, the incision was carried to the deep structure then the peritonium was opened They started the separation of the exposed side of the twins skin and the abdomen wall muscles also separation junction of the conjoined ribs |
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| 10:45 | the separation of the paracardium is going on | |
| Phase 4: Separation of Liver & Pancreas | ||
| 10:50 | now they start releasing the liver in preparation for separation using the ultrasonic scalpel | |
| 11:00 | starting now to identify the joining parts, the liver level, Bellary tree, pancreas, duodenum and proximal small bowel. Then the separation of the Bellary tree giving enough part to each twin. | |
| 11:45 | The team now is doing cholangiogram the twin to identify the Bellary tree | |
| 13:30 | operative cholangiogram identified the biliary anatomy then the liver separation started and it is in the final stage now, after which biliary tree will start | |
| 15:30 | the liver separation has been completed successfully and started biliary duct and pancreatic separation | |
| 17:15 | The anatomy of biliary tract & the pancreatic have been successfully identified & phase 5 has started | |
| Phase 5: Separation of bowel | ||
| 18:05 | the bowel has been successfully separated | |
| Phase 6: Reconstruction | ||
| 18:30 | The twin has been successfully separated & moved to separated bed for the first time. The Team will be divide to 2 teams A-B | |
| Phase 7: Dressing & Coverage | ||
| 19:45 | Wounds for Azizah and Saeedah are being closed now | |
| 20:30 | The " Dressing Phase " has been completed successfully | |
| 21:10 | separation surgery for the Moroccan Conjoined Twin “Azizah and Saeedah” have been completed successfully. The tow girls have been transported to the PICU | |