Jakarta (ANTARA) \u2013 A team of doctors at Dr Cipto Mangunkusumo\nNational Central General Hospital (RSUPN\/RSCM) has successfully\nseparated twin boys joined at the abdomen and pelvis\n(abdomino-ischiopagus), identified as NA 1 and NA 2. The operation set a\nrecord for the longest procedure in the hospital\u2019s history.<\/p>\n
Prof.\u00a0Dr.\u00a0dr. R.A. Setyo Handryastuti, head of RSCM\u2019s conjoined-twin\nseparation surgical team, said in Jakarta on Monday that the operation\non the first patient lasted 29 hours, while the second took 23 hours and\n55 minutes.<\/p>\n
\u201cThis is the longest conjoined-twin separation operation ever\nperformed by RSCM, with the total time spent on treatment reaching 36\nhours when preparation is included,\u201d Prof.\u00a0Setyo said at a press\nconference at RSCM Kiara in Jakarta.<\/p>\n
The separation operations took place on 15\u201316 September. After more\nthan a month of intensive care in the paediatric intensive care unit\n(PICU), the two boys, who were born in December 2024, are now stable and\nhave been moved to a general ward.<\/p>\n
\u201cTheir post-operative wounds are healing, they have no fever, and\ntheir oral nutritional intake is optimal, so today they have officially\nbeen transferred to a general ward,\u201d she said.<\/p>\n
Prof.\u00a0Setyo explained that the cases involving NA 1 and NA 2 were\nhighly complex. Although vital organs such as the heart, lungs, stomach,\nkidneys and bladder were separate, the twins shared several important\nstructures, including part of the liver tissue, the portal vein, the\nlarge intestine with one functioning anus, the pelvic bones (ischium),\nand joined urinary and reproductive tracts.<\/p>\n
RSCM deployed a multidisciplinary team comprising paediatric\nsurgeons, reconstructive plastic surgeons, paediatric orthopaedic\nsurgeons, urologists, paediatric anaesthetists and rehabilitation\nspecialists to separate the twins and reconstruct their anatomy.<\/p>\n
RSCM paediatric orthopaedic specialist Dr.\u00a0dr. Aryadi Kurniawan said\nclosing the abdominal wall posed a particular technical challenge\nbecause the abdominal cavities of both babies were left widely open\nafter separation.<\/p>\n
Aryadi said the orthopaedic team cut part of the pelvic bones to help\nbring them into a closer position after the separation, enabling the\npaediatric and plastic surgery teams to close the abdominal walls.<\/p>\n
RSCM said the twins\u2019 treatment is not yet complete. They will need\nfurther reconstructive operations, including procedures on their urinary\ntracts and reproductive organs, as well as long-term monitoring of their\ngrowth and development.<\/p>", "url": "https:\/\/jawawa.id\/newsitem\/rscm-successfully-separates-conjoined-twins-in-hours-long-operation-1792425083", "image": "" }, "sponsor": "Okusi Associates", "sponsor_url": "https:\/\/okusiassociates.com" }