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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Putin meets Iran's FM Araghchi, says Russia ready to do its best to help bring peace to West Asia
Moscow (PTI): Iran's Foreign Minister Abbas Araghchi on Monday met Russian President Vladimir Putin, who hailed the Iranian people for fighting bravely and heroically for their sovereignty and said Moscow is ready to do its best to help bring peace to West Asia as soon as possible.
Araghchi, who held talks with Omani and Pakistani leadership before arriving in Russia, met Putin in St. Petersburg and thanked him for supporting Iran, state-owned TASS news agency reported.
"Russia is ready to do everything in its power to ensure that peace in the Middle East is achieved as soon as possible," Putin said during his meeting with Araghchi, which was also attended by Russian Foreign Minister Sergey Lavrov.
Revealing that he received a message from Iranian Supreme Leader Mojtaba Khamenei last week, Putin asked Araghchi to convey his "gratitude for this message and best wishes for his health and well-being."
He praised the Iranian people for fighting "bravely and heroically" for their sovereignty, Iran's state-run PRESS TV reported.
"We really hope that, based on the courage and desire for independence, the Iranian people, under the guidance of the new leader, will weather this difficult period of trials and peace will come,” Putin said.
He also stressed that Russia “intends to maintain” its strategic relations with Iran.
Araghchi said that the world witnessed Iran’s strength in countering the US during the recent war, and that the Islamic Republic is a "stable and powerful establishment."
"With their courage, the Iranian people succeeded in resisting the US aggression and will be able to endure it,” he said.
He said that it became clear that Iran has “great friends and allies” like Russia, and conveyed “warmest greetings” from Supreme Leader Mojtaba Khamenei and President Masoud Pezeshkian to the Russian leader.
Araghchi said relations between Moscow and Tehran represent a “strategic partnership at the highest level” and will continue to develop "regardless of circumstances."
"We are grateful to you for the solid and strong positions in support of the Islamic Republic of Iran," he said.
Foreign Minister Lavrov said that the talks between President Putin and the Iranian Foreign Minister were "useful and constructive."
Kremlin Spokesman Dmitry Peskov later said that Russia is "ready to provide any good offices, any mediation services that are acceptable to the parties."
"We will be ready to do everything so that ultimately peace ensues, guaranteed peace, and that there is no return to hostilities," Peskov was quoted as saying by TASS.
He was asked how Moscow can assist in future negotiations on the Iranian settlement.
Araghchi arrived in Russia after his whirlwind trip to Islamabad, which, according to him, was “very productive” and involved “good consultations" with Pakistan's Army Chief Field Marshal Asim Munir, amid uncertainty over the second round of peace talks to resolve the war in West Asia.
"We held good consultations with our friends in Pakistan. The trip was successful. We assessed the outcome of our recent (meetings) and discussed in what direction and under what conditions talks can move on,” Araghchi said in a video posted on his Telegram channel upon his arrival in St Petersburg.
Referring to the second round of talks between the US and Iran to resolve the conflict in West Asia, Araghchi said: "Developments have taken place in the negotiations."
"Despite some progress in earlier rounds, the talks failed to reach their objectives due to the Americans' approach, the excessive demands they made, and the wrong approaches they adopted. Therefore, it was necessary to consult with our friends in Pakistan to review the latest situation,” Iran's official news agency IRNA quoted him as saying.
He said that the trip to Pakistan was a good opportunity to review developments related to the US-Israeli war against Iran, expressing confidence that “these consultations and coordination between the two countries will be highly significant.”
Araghchi arrived at St. Petersburg's Pulkovo Airport early Monday, where he was welcomed by Russian officials and Iran’s ambassador to Russia, Kazem Jalali, the report said.
The first round of peace talks between Iran and the US, held on April 11 and 12, failed to bring the desired result for the parties to the conflict.
The Iranian minister arrived in Islamabad for the second time on Sunday after a short visit to Oman, where he held talks with Sultan Haitham bin Tariq al-Said on security in the Strait of Hormuz and diplomatic efforts to end the Iran-US conflict.
After Araghchi left Pakistan for Oman on Saturday, President Donald Trump announced that US negotiators Steve Witkoff and Jared Kushner would no longer be going to Islamabad for talks with Iran, contending that Washington held all the cards on the matter.
Trump on Sunday reiterated that the US and Iranian officials can talk by phone for a peace solution to the conflict.
On Tuesday, Trump extended the two-week ceasefire with Iran indefinitely to give Tehran more time to prepare a unified proposal to end the war, just hours before the truce was set to expire.
The war began when the US and Israel jointly attacked Iran on February 28, killing Iranian Supreme Leader Ayatollah Ali Khamenei and several top commanders. The retaliation by the Islamic Republic extended the war to the entire Gulf region.
