Muscat: The Sultanate of Oman has reached a remarkable medical achievement by successfully separating Omphaloischiopagus conjoined twins for the first time. This uncommon condition involves twins who share a pelvic area and have interconnected intestines, urinary systems, and blood vessels. The intricate procedure, which lasted 19 hours, showcases the pinnacle of medical skill and teamwork. The Omani twins are currently under intensive medical care, with their health showing consistent improvement.
The operation was overseen by His Excellency Dr. Hilal bin Ali Al Sabti, the Minister of Health. A proficient medical team, including specialists from various disciplines such as surgeons and healthcare professionals from the Royal Hospital, Khoula Hospital, the Medical City Hospital for Military and Security Services, and Nizwa Hospital, collaborated closely. Their work was guided by a sophisticated medical strategy aimed at achieving optimal results. This procedure necessitated a thorough and integrated approach, leveraging the expertise of specialized Omani teams across multiple surgical and supportive medical fields. This accomplishment highlights the progress of healthcare services in the Sultanate of Oman. The operation involved meticulous phases, starting with comprehensive evaluations and surgical preparations, followed by the separation and tissue reconstruction, and concluding with post-operative care and intensive monitoring to ensure the twins' recovery and stability. This medical success represents a significant milestone for Oman's healthcare sector, illustrating the ability of Omani professionals to conduct highly complex surgical operations to international standards, thereby elevating Oman's reputation in the realm of advanced surgery.
Dr. Mohammed Jaafar Al-Sajwani, Senior Consultant Paediatric Surgeon at the Royal Hospital and leader of the Siamese twin separation team, underscored the infrequency of conjoined twins, pointing out that many do not survive due to congenital issues. He specifically noted the heightened complexity associated with pelvic conjoined twins, particularly in females, due to the intricate arrangement of organs in that region. The medical team had been closely monitoring the case throughout the pregnancy and opted to perform the surgery in Oman. The delivery went smoothly, and the twins were subsequently admitted to the neonatal intensive care unit. Over the past 11 months, the team faced various challenges, which they addressed through thorough preparations, including extensive meetings and imaging studies to understand the twins' shared anatomy. Dr. Al-Sajwani credited the success of the operation on February 7th to the proficiency and capabilities of Omani specialists.
Additional surgeons and medical personnel elaborated on their contributions. Dr. Muhannad Mohammed Batal, Consultant Paediatric Surgeon, described the operation as a significant achievement, affirming the capability of Omani professionals to adhere to the highest international medical standards. Dr. Ali bin Taleb Al-Jabri, Senior Consultant Neonatal Intensive Care, detailed the year-long planning and monitoring process involved. Dr. Nawal bint Abdullah Al Sharji, Consultant Paediatric Urologist, discussed the challenges posed by the shared urinary tracts. Dr. Masoud bin Nasser Al Abdali, Consultant Paediatric Orthopaedic Surgeon, explained the procedures involved in bone separation. Dr. Sheikhan bin Nasser Al Hashemi, Consultant Paediatric Plastic and Reconstructive Surgeon, provided insights into the complex tissue preservation and restoration efforts. Dr. Ramla Malallah Al Qassab, Senior Consultant Anaesthesia and Intensive Care Physician, highlighted the careful planning required for anaesthesia. Dr. Farhana bint Ishaq Al Othmani, Consultant Physician in Paediatric Intensive Care, addressed the lengthy recovery process and the management of infection risks.
Saeed Al Musalhi, the father of the twins, conveyed his heartfelt appreciation to His Majesty Sultan Haitham Bin Tarik and commended the commitment of the medical team. Ruqayyah bint Abdullah Al Jardani, a nurse and the head of the operations wing, highlighted the thorough preparations and teamwork involved with other departments. The report wrapped up by underscoring the remarkable rarity of Omphaloischiopagus conjoined twins, positioning this Omani medical accomplishment as truly outstanding on an international level.
