الجمعة، 14 ديسمبر 2012

Dr. Al rabeeah gives a lecture in the seventh Dubai International Conference for medical sciences


 
He said the Minister of health, President of the surgical and medical group to separate Siamese twins Dr. Abdullah rabeeah – to build the custodian of the two Holy Mosques King Abdullah bin Abdulaziz-Allaah and continuing guidance and care of separated Siamese twins operations carried out in the Kingdom and included all the globe showed the world clearly allowing the Islamic religion and human interaction to his humanity, regardless of colour, race or sex.

Rabiah said during the lecture today at the seventh Dubai International Conference for medical sciences that Saudi Arabia has made great achievements and great leadership in separating Siamese twins, by the grace of God, and parental care of the custodian of the two Holy Mosques – may God protect him-saying its scientific effort and care is strictly humanitarian action to the class of Arabic and Islamic nation and the whole world.

Turning d. rabiah in talking about the experience and expertise in this area to the incidence of twins in the world, according to the report, in Western countries from 1 to 50,000 or 200,000 births, while in East and South Asia, and Africa to 1 between 14,000 and 25,000 births. He attributed this difference to the genetic factors associated with the birth rate of twins.

Revealed that 60% of Siamese twins born dead, and that 40% of the rest die within days of birth, showing that 70% of Siamese twins.

On the clinical classification of Siamese twins at the rabiah that these cases can be classified into two limbs, lower limbs, and quad limbs, "Siamese twins originates from a single egg, and holds both the twins and the same genetic qualities.

And Dr. rabiah types of Siamese twins, including twins, twins spammer spammer abdominal lower pane, vertical twins twin the twins within a spammer.

With regard to the causes of Siamese twins the real causes are unknown, but some studies indicate incomplete separation of the fertilized egg, gluing and organizations.

And Dr. rabiah diagnosis methods and phases of Siamese twins, indicating that it can be diagnosed during pregnancy, postnatal diagnosis through routine scans or magnetic rays, heart scan, scan, CT scan, nuclear Radiology.

Rabiah said during the review stages of conducting separate twins before planning process, through a multidisciplinary team, and approval process with minute examinations and surgical plan is written, as well as a fake.

He said that the experience of Saudi Arabia in this field experience successful and extended, with more than 20 years 1990-2012 has seen many successes that have made the name of a distinct Kingdom in the field of medicine, and have experience in reference to separate the twins, as well as a medical team specialized in this area, praised the Group's efforts and stressed that this success reflects an integrated team effort, and that the Outlook for early surgery of Siamese twins either at birth or before birth.

During Dr. Al rabeeah Saudi medical team's experience up to 69 Siamese twins case for 22 years during which a 30 separation, with the rest where defects were not detachable, while awaiting another case-currently, noting that he has been dealing with all these cases one group experience; distributed to 69 range, with prenatal diagnosis in 49 group, and caesarean section to 49 group, adding such cases distributed to the 17 States included All continents of the world, including 35 case of Saudi Arabia, 7, and 5 from Egypt, Yemen, 2, and 3 from Cameroon, and 3 from Morocco, 3 from Iraq, and 2 from Syria, and one from each of the Sultanate of Oman, Malaysia, the Philippines, Poland, Somalia, Bahrain, Palestine, Jordan, and Algeria.

And Dr. rabiah cases that were separated in Saudi-by glue-to several places, where the number of 24 cases attached to the chest, and 21 cases attached to the abdomen, chest and pelvis, stuck six abdominal, and 7 cases in the basin, with a total of seven cases of parasitic twins, and glue the hip 3 cases, and only one head.
He said the number of cases that have been separated, 30 cases of several nationalities were distributed to various continents of the world, with the number of cases that have not been separated 39 cases, while there is one case under wait, why some cases of some birth defects, such as one heart, and large deformation, and contact between the Philippines, as well as birth defects to life.

It was long and protracted experience dealing with cases through several ways is a joint team comprising two chambers: one other multidisciplinary surgical team; the team several minutes before testing the surgical decision, through multiple meetings and consultations, with the involvement of parents in the debate from the outset, followed by psychosocial therapy for parents, in particular during the process, and then perform the operation, in addition to ways of dealing with the media before, during and after the operation.
 

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