US News: Twins conjoined by skulls separated after 50 hours of operations - PressFrom - United Kingdom
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US NewsTwins conjoined by skulls separated after 50 hours of operations

02:25  16 july  2019
02:25  16 july  2019 Source:   news.sky.com

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Conjoined twins are identical twins joined in utero. An extremely rare phenomenon, the occurrence is estimated to range from 1 in 49,000 births to 1 in 189,000 births

CONJOINED twin boys have been successfully separated after a remarkable twelve- hour operation using 3D printer technology. Medics in China worked tirelessly to separate five-month-old twins Yu Ce Yuan and Yu Ce Xiang - known as James and Harley - who were joined at the abdomen.

Twins conjoined by skulls separated after 50 hours of operations © PA The girls were craniopagus twins, with their skulls and blood vessels fused together Two-year-old twins who were joined by their skulls and blood vessels have been successfully separated after having three major operations at a London hospital.

The surgery on Safa and Marwa Ullah, from Charsadda in Pakistan, took place at Great Ormond Street in what has been described as a "long and complex journey".

There were also several smaller procedures and experts carried out a total of more than 50 hours of operations involving 100 staff.

The conjoined twins, whose father has died, were discharged on 1 July and moved to a London address with their mother, grandfather Mohammad Sadat, 57, and an uncle.

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Conjoined twins who were connected at the chest and abdomen have been separated after an operation that has never before been successfully attempted.

Twins joined at the head are extremely rare, occurring once in about two million births. Operations to separate them in infancy or childhood have been reported in 30 to 40 Those twins , 29-year-old Iranian sisters, Ladan and Laleh Bijani, bled to death on the operating table after 50 hours of surgery.

Video: How conjoined twins were separated

They are now having daily physiotherapy as part of their rehabilitation.

Their mother, Zainab Bibi, 34, said: "We are indebted to the hospital and to the staff and we would like to thank them for everything they have done. We are extremely excited about the future."

Twins conjoined by skulls separated after 50 hours of operations © PA The twins after they were separated

Conjoined twins are very rare - affecting about one in every 2.5 million births.

The girls, who were born by Caesarean section, were craniopagus twins, with their skulls and blood vessels fused together.

The surgery began last October when the girls were 19 months old, and they were finally separated this February.

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Though conjoined twins are normally separated at a much younger age, surgeons had to wait until Maliyah was strong enough for a kidney transplant. The procedure began at 7.15am yesterday, and by 10. 50 pm last night the separation was completed. Shortly after , one of the twins was moved to

A PAIR of twins who were conjoined at the head have been separated after a life-changing 20- hour surgery. Despite seeing their boys as perfect, Nicole and Christian decided to have the operation as there was an 80 per cent chance the boys would die before the age of two if they remained conjoined .

Experts used virtual reality to create an exact replica of the girls' anatomy to visualise the complex structure of their skulls as well as how their brains and blood vessels were positioned.

Twins conjoined by skulls separated after 50 hours of operations © PA The girls have now been discharged from hospital

The team used 3D printing to create plastic models of the structures that could be used for practice and cutting guides were created so surgeons could work more precisely.

During the surgery, doctors first worked to separate the girls' blood vessels and then inserted a piece of plastic into their heads to keep the brains and blood vessels apart.

The final major operation involved building new skulls using the girls' own bone.

They also used tissue expanders to ensure the girls' own skin would stretch over the top of each of their heads.

Neurosurgeon Noor ul Owase Jeelani and craniofacial surgeon Professor David Dunaway, who led the team, said: "It has been a long and complex journey for them, and for the clinical team looking after them.

"From our personal point of view, it has been great to get to know the girls and their family.

"Their faith and determination have been so important in getting them through the challenges they have faced. We are incredibly proud of them.

"We are also incredibly proud of the [hospital] team responsible for their treatment and care over the past 10 months."

Great Ormond Street Hospital has previously successfully separated craniopagus twins in 2006 and 2011.

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