You might have enjoyed seeing twins many times in your life but if you imagine twins whose skin or internal organs are fused together, it can surprise you a lot. These fused twins are called conjoined twins. According to the findings of University of Maryland, approximately 40 to 60 percent of conjoined twins arrive stillborn, and about 35 percent survive only one day. The overall survival rate of conjoined twins is somewhere between 5 percent and 25 percent. Recently, conjoined twins were separated in Memphis by difficult surgery. Yet another surgery took place in the Great Ormond Street Hospital, London, England separated craniopagus conjoint twins who were born with joined heads.
Twins Rital and Ritag Gaboura, who were 11 months old and are the craniopagus conjoint born via C-section. Hospital says the baby girls do not appear to have suffered any neurological side effects. Rital and Ritag were born in Khartoum, Sudan.
What are craniopagus twins?
Craniopagus are conjoined twins whose heads are fused together.
What is the percentage of craniopagus and what is the success rate of surgery?
About 5% of conjoined twins are craniopagus. One in every 10 million twins joined at the head survive, which is extremely rare condition. Approximately 40% of twins whose heads are fused are stillborn or die during childbirth, while a third die within 24 hours of being born.
What were the complications in surgery?
Bloodflow to the brain was a complicated process in these two girls. Half of the blood in Rital’s brain was supplied from her sister, who also drained most of it back to her heart. This could cause considerable changes in blood pressure in the brain, which could raise a serious risk of neurological damage.
By the time they arrived in the Hospital, Ritag’s heart was already beginning to fail. Their separation occurred in four
href="http://www.knowabouthealth.com/wp-content/uploads/2011/09/conjoined-twins.jpg" target="_blank"> stages. They underwent two surgical procedures in May’2011 and tissue expanders were inserted in July. The final separation took place on 15th August.
The Cranofacial Team at Great Ormond Street Hospital donated their services, as did several other health care professionals, including pediatricians, radiologists, cardiologists, nephrologists, anesthesiologists, endocrinologists, specialist nurses, therapists, and play specialists.
Their parents, who are both doctors, were extremely happy to get two pretty girls and were greatly thankful to the Hospital and the charity Facing the World for funding for their possible separations.
Many other organizations like CATS (The Children’s Acute Transport Service) helped the great job to be done. The Sick Children’s Trust provided housing for the twins’ parents and Anatomical models needed to plan surgery were provided by Cavendish Imaging.
POST OPERATION INDICATIONS
The doctors reported that both the girls reacted to stimuli and tests in the same way. This indicates that there is a good chance they have not suffered any neurological side effects.
They were out of the ICU and in the general ward within a few days, playing and interacting as they used to do before the separation.
It was good to see the successful surgery considerig the complications of the case.