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Conjoined Twins Separated by Surgical Team at Children's Hospital of Pittsburgh of UPMC During Complex, 24-Hour Procedure
Date:2/16/2009

The twins were conjoined from the breast bone to the groin

PITTSBURGH, Feb. 16 /PRNewswire-USNewswire/ -- A multidisciplinary team of surgeons, pediatricians and nurses at Children's Hospital of Pittsburgh of UPMC has successfully separated conjoined twins during a 24-hour procedure.

The 2-year-old twin girls -- Dagian and Danielle Lee, of Cleveland -- were separated during a procedure that began at 6:30 a.m. Saturday, Dec. 13, 2008, and ended 24 hours later. The girls currently are recovering well at Children's Hospital.

The team that separated Dagian and Danielle was led by Joseph E. Losee, MD, FACS, FAAP, chief of the Division of Pediatric Plastic Surgery at Children's Hospital. He orchestrated more than 50 physicians and nurses who were either involved with the Lees' preoperative care or in the surgery itself. The surgical team consisted of specialists from Pediatric Anesthesiology, General and Thoracic Surgery, Orthopaedics, Plastic Surgery and Urology. Specialists from Cardiology, Critical Care Medicine, Nursing, the Paul C. Gaffney Diagnostic Referral Service and Pulmonology have also been involved in the twins' pre- and post-operative care.

The girls were conjoined from the breast bone to the groin. Among the many challenges facing the team was the fact that the twins shared a colon and had livers that were connected. They also shared a third leg.

"This complex separation was the culmination of 18 months of preparation and planning. The surgery itself went extremely well and we're very optimistic that Dagian and Danielle will continue their strong recovery," Dr. Losee said. "It's important to emphasize how remarkable it was to have more than 50 people working together in such a smooth and orchestrated fashion to ensure the best possible outcome for these two beautiful little girls. They still face future risks and surgeries, but we look forward t
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SOURCE Children's Hospital of Pittsburgh of UPMC
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