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HomeUKLondon physician efficiently separates Brazilian conjoined twins in uncommon process

London physician efficiently separates Brazilian conjoined twins in uncommon process


razilian twins who have been joined on the head have been efficiently separated with the assistance of a British neurosurgeon.

Bernardo and Arthur Lima, who have been born with fused brains, underwent a number of operations in Rio de Janeiro, with the route of Nice Ormond Road Hospital paediatric surgeon Noor ul Owase Jeelani.

The three-year-olds had seven surgical procedures, involving greater than 27 hours of working time within the last operation alone, and virtually 100 medical workers.

It was probably the most complicated separation processes ever accomplished, based on the charity which funded it and which Mr Jeelani based in 2018 – Gemini Untwined.

Surgeons in London and Rio spent months trialling strategies utilizing digital actuality projections of the twins based mostly on CT and MRI scans – one thing Mr Jeelani described as “space-age stuff”.

He stated that, for the primary time on the planet, surgeons in separate international locations wore headsets and operated in the identical “digital actuality room” collectively.


Talking in regards to the VR side of the surgical procedure, Mr Jeelani stated: “It is simply fantastic, it is actually nice to see the anatomy and do the surgical procedure earlier than you truly put the kids at any danger.

“You’ll be able to think about how reassuring that’s for the surgeons.

“In some methods these operations are thought of the toughest of our time, and to do it in digital actuality was simply actually man-on-Mars stuff.”

He stated that beforehand unsuccessful makes an attempt to separate the boys meant their anatomy was sophisticated by scar tissue, and he was “actually apprehensive” in regards to the dangerous process.

Mr Jeelani stated he was “completely shattered” after the 27-hour operation, the place he took solely 4 15-minute breaks for meals and water, nevertheless it was “fantastic” to see the household feeling “over the moon” afterwards.

“There have been numerous tears and hugs,” he stated. “It was fantastic to have the ability to assist them on this journey.”

He added that, as with all conjoined twins after separation, the boys’ blood pressures and coronary heart charges have been “by way of the roof” – till they have been reunited 4 days later and touched fingers.

Mr Jeelani stated they have been recovering nicely.

He added that his charity has quick turn into a “international repository for data and expertise” of separation surgical procedure, and he hopes it is going to function a mannequin for a “international well being service” offering knowledgeable care in different uncommon ailments.

“The concept behind the charity was to create a world well being service for super-rare circumstances to attempt to enhance outcomes for these children,” he stated.

“The mannequin of what we’ve got completed, I believe, can and ought to be replicated for different super-rare circumstances.”


This was Mr Jeelani’s sixth separation process with Gemini Untwined, after beforehand working on twins from Pakistan, Sudan, Israel, and Turkey.

He led the process alongside Dr Gabriel Mufarrej, head of paediatric surgical procedure at Instituto Estadual do Cerebro Paulo Niemeyer in Brazil.

Dr Mufarrej stated the hospital the place he works has been caring for the boys for two-and-a-half years, and their separation can be “life-changing”.

He stated: “For the reason that mother and father of the boys got here from their house within the Roraima area to Rio to hunt our assist two-and-a-half years in the past, they’d turn into a part of our household right here within the hospital.

“We’re delighted that the surgical procedure went so nicely and the boys and their household have had such a life-changing consequence.”

As Bernardo and Arthur are virtually 4 years previous, they’re additionally the oldest craniopagus twins with a fused mind to have been separated.

Based on Gemini figures, one in 60,000 births lead to conjoined twins, and solely 5% of those are joined on the head – referred to as craniopagus kids.

It’s estimated that fifty such units of twins are born world wide yearly.

Of them, it’s thought solely 15 survive past the primary 30 days of life.

With present applied sciences, which the charity goals to make extra accessible, roughly half of those circumstances can be candidates for profitable surgical separation.

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