Separate Siamese

Separate Siamese

By Lisa Waddell Buser
Fetal Center at Le Bonheur Children in Memphis, making the medical director Giancarlo Mari a fetal ultrasound to 27 years Adrienne Spaten. After learning she was pregnant with conjoined twins, Spaten has been controlled in the center of the fetus for eight weeks. The boys were Spaten prenatal diagnosis by ultrasound at 25 weeks gestation, then returned to Mari, who has developed a plan of care delivered and boys at 34 weeks gestation by Caesarean section on Jan. 24 at Memphis Regional Medical Center.

Seven hours after birth, the boys were transferred to the neonatal unit Le Bonheur intensive care. Born joined the division of the spine and the rectum, the muscles and nerves, the twins are one of only six ever recorded in Memphis. Joshua is on the left, and Jacob is right.

Joshua and Jacob are twins pygopagus, which is a rare form of reunited twins to return to the pelvis and lumbar spine, each with separate hearts, heads and limbs. This represents only 15% of conjoined twins. The boys have spent seven months in the happiness of the Neonatal Intensive Care Unit prior to separation.

Respiratory therapist Jessica Mann, dean of the hands of Siamese twins Joshua and Jacob Spaten their mother, Adrienne Spaten in Happiness neonatal intensive care unit.

Spaten Joshua, with his brother, James, in the background at the age of 10 weeks.

Adrienne Spaten comforts her newborn twins, Joshua (left) and Jacob (right).

In combination with the twins, Jacob (left) and Joshua (right) plays with her mother days before their separation surgery.

The surgical team of Jacob and Joshua Spaten arrives to transport the boys to the operating room at 6:30 on August 29 Spaten Adrienne said goodbye to her boys.

On the day of surgery, Melody Cunningham, Adrienne Spates comfort before his twins were produced by Joel Saltzman, and anesthesiology.

The team of Anesthesiology happiness is preparing for sleep position and twins surgery. The surgical team consisted of twin 34 physicians, nurses and technicians.

Joshua and Jacob are marked with the letters "A" and "B" to eliminate confusion during the operation. Surgical teams were divided into teams and the B team during the separation.

William Warner orthopedic surgeon explains the procedure for the surgery group.

Plastic surgeon Robert Wallace is working with other surgeons and they begin the separation of Joshua and Jacob Spaten.

Double fused when Jacob Spates successfully separated from his brother, Joshua.

Certified nurse anesthetist Gordon Corder keeps a watchful eye on the boys in the 13 hours of surgery.

The surgical team members are prepared to spend an Spates Joshua to bed before it is transferred to another operating room.

Nurses and doctors to move Joshua Spates in his bed after the surgery is completed for about twenty to 29 August. Joshua and Jacob was transferred to the pediatric intensive care unit in the operating room.

After waiting for a surgery that lasted more than 13 hours, the mother of Adrienne Spates welcomed their son, Jacob, on his return from surgery. To the right is an anesthesiologist Paidipalli Rao.

Adrienne Spaten comforts his son James, shortly after his return from surgery.

Adrienne Spaten is comforted by his uncle.

Guy Ben plastic surgeon sutures control Gblulie Jacob Spaten "back one day after surgery. Jacob is still in the happiness of the pediatric intensive care unit. His brother, Joshua, moved to the unit of the hospital care for babies.

Today is separated twins Joshua, above, and Jacob Spaten welcome for the first time since the separation operation. Both were recovering in separate rooms, since their Aug. 29 surgery.

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