What exactly are they doing the entirety of those hours? Are they literally just cutting and stitching and suctioning the entire time? Do they have breaks?
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Some of the longest surgeries are the separation of conjoined twins. Very delicate work most of the time, sometimes brutal work of cutting apart conjoined bones, lots of vascular and neural surgery that is tricky because the full vein or nerve may not be in the normal place.
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