A team of 20 specialists at Mulago National Specialized hospital
have successfully separated 11 months
old Siamese twins.
Dr Philis Khisa, one of the doctors involved in the operation said that the process started last week with an
investigation technically known as scoping where they had to identify the exact
organs that the twins shared. They found that while the vaginal opening was one, inside they
had separate organs. Also, they found that the twins were conjoined at the pelvis, at the large
bone called the sacrum.
Dr John Sekabira, a consultant paediatric surgeon who led the team told
journalists this afternoon that the Siamese twins’ rectum was fused at the end,
they didn’t have a separate vagina, shared a urethra and the spinal code was
joined at the tail end.
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The operation that started at Midday on Monday ended at 9:00 am but
doctors who conducted the surgery refer to it as one of the most complicated
procedures which have to be done slowly and carefully since it also separating
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Separation of the babies didn’t happen until 4 a.m, Dr Khisa says, adding that this is
a major milestone as the children had been kept under monitoring since December
21 when they were referred from Lira hospital three days after birth through a Caesarean
However, during the lockdown in April, the couple requested to go back home
with a halt in non –emergency health services. “Unfortunately the children got malnourished. The parents could not afford
proper feeding so we had to treat this before embarking on this operation”.
In September, they start the early processes with plastic surgeons putting on
them tissue expanders which would this morning be used to cover the defect. They worked in teams of vascular surgeons, neurosurgeons and pediatric surgeons
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says the babies are to remain admitted in the hospital for six months to one year as
they await another surgery to correct other tissues like the reproductive system
such that each can live healthily on their own.
However, conjoined twins especially in African countries like Uganda rarely
survive and when they survive usually they don’t survive the surgery.
Uganda’s first conjoined twins to survive were operated on seven years
ago in a surgery that was conducted in Egypt.
Dr Byarugaba Baterana, the hospital director says the earlier operation was
conducted by Ugandan doctors who travelled abroad because the country didn’t
have the necessary equipment for the operation which can go for the highs of
10,000 dollars in countries like India and much higher in the West.
The operation which is also the first to be conducted at the new super-specialized
theatre facility has been conducted at a free charge in Mulago in their test
running initiative before fully opening for other tertiary operations like
Annually, three to four Siamese twins are referred to Mulago hospital but many
times they only have to do emergency operations. For instance, recently Dr
Sekabira says they had to conduct an operation on twins where one had
died. The other twin didn’t survive the operation either.