Conjoined twins Riddhi, Siddhi separated successfully at AIIMS Delhi
New Delhi, Jul 27: Doctors at AIIMS Delhi have successfully separated conjoined twins Riddhi and Siddhi who were joined from chest and upper part of the belly.
They were diagnosed prior to birth as thoraco-omphalopagus conjoined twins in the fourth month of pregnancy of Deepika Gupta in Uttar Pradesh's Bareilly, Dr Minu Bajpai, head of Department of Paediatric Surgery, said.
Subsequently, they were referred to AIIMS because advanced medical facilities were not available locally, he said.
They were born on July 7 last year and were in the ICU for five months. They were separated on June 8 last month following a nine-hour long surgery.
The twin girls celebrated their first birthday at the hospital.
"The anomaly was peculiar with fused rib cages, livers, partially common diaphragms and fused pericardium (outer covering of the heart). Both the hearts were very close to each other, almost touching and beating in contact. The pericardium was partially fused," Dr Prabudh Goel, Additional Professor in the Department of Paediatric Surgery, said.
The girls were operated at the age of 11 months when they were old enough to tolerate the trauma of surgery, he said.
The surgery was performed under general anesthesia in the newly-commissioned Mother and Child Block at AIIMS, said Dr Bajpai, adding it went for nearly 9 hours and coupled with pre- and post-surgical anesthesia time, it was 12 and a half hours.
"Steps in the surgery involved separation of the common abdominal and chest walls, division of liver tissue in a way that sufficient tissue remain for each baby, division of fused rib cage. It also involved separation of diaphragm, and of pericardium," Dr Bajpai said.
Surgical repair was completed for each twin separately, Dr Goel added.
Prosthetic tissues and grafts were kept available for possible use, however, these were not required since the kids had enough of native tissues to complete the repair successfully, he stated.
The children are still admitted but are now doing well, much to the relief of their parents Deepika and Ankur Gupta. Their happiness knew no bounds as they thanked the doctors profusely for saving the kids.
"We were very much worried when the surgery was being done. But thanks to god and the doctors, our girls were given a new lease of life," said Deepika.
The Paediatric Surgery department has successfully separated three pairs of conjoined twins over the last three years with the case of Riddhi and Siddhi being the latest.
The first and second pair of twins were joined at the hip and shared a common spinal cord and major vessels of the lower body and legs. The first operation was done in 2020 and the second in 2021.
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Akash Singh says signature celebration fuels motivation, reinforces dominance
Lucknow (PTI): Pacer Akash Singh caught the eye with his unique celebration during Lucknow Super Giants' win over Chennai Super Kings, pulling out a piece of paper from his pocket after a wicket, a gesture he said was aimed at "motivating" himself and "asserting dominance" over batters.
The left-arm pacer pulled out a scrappy piece of paper after each of the three wickets he took in LSG seven-wicket win over CSK, with the message reading: "Akki on fire -- Akash knows how to take wickets in T20 cricket.
The 24-year-old, who began his IPL journey with Rajasthan Royals and was part of Chennai Super Kings’ title-winning campaign in 2023 before moving to Lucknow Super Giants, registered his best IPL figures with 3 for 26 on Friday.
"'Akki knows how to take wickets in T20 cricket', right?" Akash said when asked about the message on the piece of paper, adding that it serves as a source of motivation and helps him focus on dominating batters and delivering stronger performances for the team.
"Different things motivate different people. Some days I show the paper, some days I don't, but it reflects my mindset on that particular day. When you carry a piece of paper with something written on it, you manifest things and the most important part is when those manifestations actually materialise," he added.
Akash, who hails from Bharatpur in Rajasthan, said the strong backing from the Lucknow Super Giants support staff over the last two years had played a huge role in his growth as a cricketer.
"I've been with LSG for two years and the most important thing has been the backing from the coaches, even when I'm not in the playing XI. This year we have Bharat Arun sir, last year Zaheer sir was there...Tom Moody. The way they guide us, prepare us and keep us ready for opportunities is very important when there are 25 players in the squad," he said.
"When you are not playing, you naturally seek backing and every player wants to make the most of the opportunities he gets. The support from the captain also matters a lot and with Rishabh bhaiya backing you, the confidence grows and you are able to perform better," Akash said, referring to Rishabh Pant.
Akash said Pant had asked him to trust his strengths ahead of the clash against CSK.
"He told me that the new ball is my strength and that I can swing it both ways. So I just tried to make the best use of my skills. The wicket also had good bounce, so I focused on using the bouncer effectively,” added Akash.
On his success against CSK, Akash said his experience of playing in the IPL since 2020, including a stint with CSK, helped him understand the opposition batters better, while backing his own strengths with the ball also played a key role in his impressive spell.
"Obviously, when you play in the IPL and have shared the dressing room with some players, you understand their strengths and weaknesses. My focus was first to back my own strengths, then exploit their weaknesses and also make the best use of what the wicket was offering," Akash said.
Akash said he had sensed over the last two-three games that an opportunity could come his way after being repeatedly told to "be ready", though he admitted he was unfortunate not to get a chance earlier.
"Two days before the match, during practice, I was told to be ready," he said.
Clarifying that he had not been carrying the piece of paper in anticipation, Akash said he often notes down thoughts that could help improve his game..
"Whenever I’m alone or about to sleep, any thought that comes to my mind which can help my cricket, I write it down. The other night I got this thought and jotted it down on paper," he added.
