Birth-July 2007A team of physicians at the children’s hospital in San Jose, Costa Rica have cared for Yurelia and Fiorella. Dr. Gerardo Mora-Badilla is their main physician. He is a pediatric cardiovascular surgeon (a doctor who operates on children’s hearts and blood vessels).Evaluation at Lucile Packard Children's Hospital - July 26, 2007The twins had an extensive examination and evaluation by their Packard Children’s Hospital team on July 26, 2007. This included an echocardiogram in our Children’s Heart Center. This was an outpatient clinic visit, and the twins did not stay overnight in the hospital.Imaging Studies - August 12, 2007Yurelia and Fiorella were placed under general anesthesia and had:
Tissue Expander Insertion Surgery - August 21, 2007The twins had surgery to have three tissue expanders inserted. Tissue expanders are like balloons. They will eventually give each twin an additional 8 centimeters of skin. This additional skin will help to close their incisions once they are separated.Weeks Prior to SurgeryThe weeks leading up to surgery will allow the surgical team to:
SurgeryThe surgery is expected to take approximately 12 hours. Some specific aspects of the surgery will only be known once the girls are in the operating room. Each twin will have her own full team in the operating room.After SurgeryOnce the Packard Children’s health care team feels that the girls are stable and clear of complications, they will return home to Costa Rica. The Packard care team as well as the girls’ primary care team in Costa Rica will remain in contact as necessary.Lucile Packard Children's Hospital is located in Palo Alto, adjacent to Stanford University Hospital, approximately 20 miles north of San Jose, CA and 40 miles south of San Francisco.
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