ROCHESTER, Minn. - Twin girls Abbigail and Isabelle Carlsen,
joined at the chest since their birth five months ago, were
separated Friday by a team of doctors at the Mayo Clinic.LAST MINUTE TRAVEL DEALS
The last tissue connecting the girls was cut at 4:28 p.m.,
"for the first time, completely separating the two young
twins", said Mayo Clinic spokesman Lee Aase.
Aase said Isabelle was moved to a separate table in the
operating room where surgeons were reconstructing her abdomen and
closing up the surgical wound. That process was expected to take a
few hours. He did not give any specific information about Abbigail.
"The family is elated", Aase said, saying that
parents Amy and Jesse Carlsen, of Fargo, N.D., were happy to now
have two separate babies.
The two girls were born in November and spent their first
five months looking eye to eye. They were joined at the diaphragm,
pancreas and liver, and shared a common bile duct and part of an
intestine.
Since February a Mayo Clinic team of 70 people had been
caring for the girls and preparing for Friday's procedure. A team of
30 people, including 18 surgeons, participated in the tightly
orchestrated operation, with specialists rotating in and out of the
operating room as needed.
Aase said that after the girls' livers were separated, the
medical team applauded, having completed one of the more complicated
parts of the operation. The liver separation was difficult because
of the way the organs were fused and because the circulatory
structures inside the livers needed to be divided correctly.
"This is in the phase that is probably the most
critical", Aase said. "All along, each of these operations
individually is a serious operation. So I wouldn't want to minimize
any of those, but this liver phase is the more complicated of the
complicated."
Isabelle retained the common bile duct, and doctors were
constructing a biliary structure for Abbigail.
In other good news, Aase said, doctors found there was
enough intestinal tissue available for each girl, which was one of
the unanswered questions prior to surgery.
Aase said the surgery went as planned. Nothing of a
"serious realm" had occurred during the procedure, he
said. Doctors had estimated there was a 90 percent to 95 percent
chance that both girls would survive.
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Donations or cards can be sent to: Town & Country Credit
Union, 815 25th St. S., Fargo, N.D., 58103
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For updates during the surgery:
http://www.mayoclinic.org/carlsen-twins/
To read the Carlsens' journal or post a message to the
family:
http://www.caringbridge.org/cb/inputSiteName.do?methodsearch&si
eNa meabbybelle
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Amy Forliti can be reached at aforliti(at)ap.org