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Thoraco Omphalopagus Female Twins from Tanzania Successfully Separated at Apollo Hospitals


December 16, 2014 - Chennai, Tamil Nadu, India

In a rare surgery, doctors at Apollo Childrens Hospital Chennai successfully separated Tanzanian twins Abriana and Adriana who were joined at their chest and abdomen. The twins who shared a single heart cavity and a connected liver are the only living pair of thoraco-omphalopagus conjoined twins who have undergone successful separation in India

In yet another medical marvel showcasing clinical excellence at Apollo Hospitals, doctors successfully separated rare Thoraco Omphalopagus twins who were joined at lower chest and abdomen. Technical and medical expertise helped prevent excessive blood loss during the separation, which was one of the most crucial aspects of the surgery along with precise division of the shared structures. Same time last year, Ericana & Eluidi, also from Tanzania, were the first pair of Pygopagus male twins to be successfully separated in India by Apollo Hospitals again, thereby strengthening India’s image as a preferred destination for world class healthcare delivery.
 
   
Hailing from Dar-es-Salaam, Tanzanian twins Abriana and Adriana, all of eight and a half months, were operated for 11 hours by a team of 50 staff members including surgeons, nurses and intensive care specialists. Father Mr. Jimmy Mtemi and mother Mrs. Carolyn Zakaria were visibly elated post the procedure. 
 

Since 2007, eight pairs of conjoined twins with fused livers and intestines have been reported after separation from various parts of India. Aradhana and Stuthi were the only pair of twins with two hearts in one cavity – a condition similar to the case of the Tanzanian twins. Though separation was successful, Aradhana died after three weeks reportedly after heart attacks.

Adriana and Abriana beat incredible odds to survive this rare procedure, which involved separation of the pericardium (heart lining), diaphragm and the connected livers. Conjoined births are rare – one in 50000/- to one in one lakh. However more than 35% die after birth.

Another important aspect of the surgery was the careful closure of the huge defect created by the separation.  “After the separation, Adriana’s heart had to be covered with bovine pericardium and carefully closed with skin and soft tissue. The liver, which was abnormally large, could not be fully reduced in both babies. It took almost four hours and two teams to provide cover for the heart, liver and intestine” added Dr. K S Sivakumar Plastic & Reconstructive Surgeon, under whom the twins were admitted.
 
Commenting on the feat Dr Prathap C Reddy, Chairman & Founder, Apollo Hospitals Enterprises Ltd. added “When I look back at 2014, I can only see how many lives we have touched in a positive way. More than the children’s plight, it’s often the trauma the parents go through that taunts me.  With many developing nations like Africa lacking in tertiary care, we often find them coming to India as we have the expertise and skill to offer world class healthcare at a fraction of a cost. It’s heartening to know this Christmas eve Jimmy and Carolyn can be back home with their two daughters and the rest of their family”.

The team of doctors who undertook this case include under the supervision of Dr Sripathi include:
 
  • Radiologists: Dr Harish and Dr Rochita Ramanan
  • Anesthesia team: Dr Anuradha Vasudevan, Dr Vasantharoopan, Dr Rajagopal and Dr Sanjay Prabhu
  • Liver and  gastrointestinal team: Dr Mahesh Gopasetty, Dr Anand Ramamurthy, Dr Anand Khakkar, Dr RK Bagdi and Dr Prakash Agarwal
  • Cardiac team: Dr Neville Solomon and Dr Ganapathy Subramanian
  • Plastic surgery team: Dr KS Sivakumar, Dr Ganapathy Krishnan, Dr Roshini Gopinathan and Dr Praveen Leela Kumar
  • Pediatric intensive care: Dr Suchitra Ranjit, Dr Indira Jayakumar and Dr Sathishkumar
  • Pediatric physician: Dr Jayakumar Reddy
 
About Apollo Hospitals

It was in 1983, that Dr. Prathap Reddy made a pioneering endeavour by launching India’s first corporate hospital - Apollo Hospital in Chennai. Now, as Asia largest and most trusted healthcare group, its presence includes 8,488 beds across 51 Hospitals, 1,586 Pharmacies, 92 Primary Care and Diagnostic Clinics, 100 Telemedicine units across 10 countries. Health Insurance services, Global Projects Consultancy, 15 colleges of Nursing and Hospital Management and a Research Foundation with a focus on global Clinical Trials, epidemiological studies, stem cell & genetic research and the first Proton Therapy Center across Asia, Africa and Australia.

In a rare honor, the Government of India issued a commemorative stamp in recognition of Apollo's contribution, the first for a healthcare organization. Apollo Hospitals Chairman, Dr. Prathap C Reddy, was conferred with the prestigious Padma Vibhushan in 2010. For more than 28 years, the Apollo Hospitals Group has continuously excelled and maintained leadership in medical innovation, world-class clinical services and cutting-edge technology. Our hospitals are consistently ranked amongst the best hospitals globally for advanced medical services and research.

Timeline of separation
 
  • 21-08-2014: Twins Abriana and Adriana admitted under plastic surgeon  Dr KS Sivakumar
  • 10-09-2014: Twins undergo tissue expander surgery for extending skin
  • 17-11-2014: Final separation surgery
  • 6:00 AM: Procedure begins; team of 11 surgeons and three anesthetists  separate the twins after 9 hours
  • 5:00 PM: Procedure concludes. It takes two teams and four hours to provide skin cover for the heart, liver and intestine

Source: Business Wire India

BusinessWireIndia

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