Kenyatta National Hospital (KNH) main theatre
CConjoined twins are \
University of Nairobi (UoN) surgeons and technicians participated in a rare surgery of separation of conjoined (Siamese) twins perfomed at the Kenyatta National Hospital (KNH) from 1st - 2nd November 2016. The UoN team led by Professors JM Mwangombe and Prof JM Kyambi comprised of Neurosurgeons, Plastic surgeons, Paediatric Surgeons and two technicians. In the accompanying photo are neurosurgeons Dr Julius Kiboi and Dr Chris Musau.
Conjoined twins are rare and many are still born or die soon after birth. The separation can be easy or difficult and delicate depending on the body organs involved. Separation can result in the death of one or both twins depending on the complexity of the surgery. The first successful separation of conjoined twins was performed in United States in 1955 and there have been several others since that time. This was a difficult separation as the spine, buttock and pelvic muscles, nerves, genital-urinary and gastrointestinal tracts were shared. Therefore the approach had to be multidisciplinary and this is usually the case in most separations.
Kenyatta National Hospital (KNH) is the teaching hospital of the University of Nairobi (UoN) and therefore it has the benefit of the university pool of skilled and experienced surgeons. UoN Anaesthetists, Paediatric surgeons, Plastic and Reconstructive surgeons and Neurosurgeons worked alongside their KNH counterparts in the preparatory stages and were there during the difficult surgery which took 23 hours. UoN has installed live video recording facilities within KNH theatres which made it possible for the post-graduate students from the different disciplines to follow the surgery from a class room within the operating theatres.