Siamese twins have flown from Bhutan to Australia for a separation operation


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Joe Crameri, a doctor at the Royal Melbourne Children's Hospital, said the staff were examining binoculars, Dawa and Nima Pelden, who are meeting at the stomach, hoping to lead to well an operation that would separate them.

"Once we get this information, we will be able to formulate a more specific plan on how to separate these twins, but for the moment, we are convinced that we should do it in one operation and be able to achieve a good result. the two twins, "said Crameri.

A team of six surgeons and dozens of specialized nurses have been reunited for an operation that is likely to be a lengthy operation for the twins, according to CNN affiliate 9 News.

"All these twins are unique in the way they are connected.This set of twins is primarily connected in the abdomen, perhaps slightly in the lower chest," said Crameri.

"We know that the main areas we are going to have to focus on are the intestines and the liver.We hope we will not have to worry about the structures located in their chest and the initial report suggests that we : will not be obliged. "

& # 39; They become grumpy & # 39;

The Children's Foundation Foundation, a nonprofit organization based in Melbourne, has raised money for girls' operation, which is expected to cost around 180,000 USD (AUD 250,000), according to 9 News.

"Mom said the girls were getting a little frustrated with each other, as you would at 14 months," said Tuesday the organization's CEO, Elizabeth Lodge.

"Like all siblings, they become cranky, so Mom really can not wait for the operation to happen as soon as possible."

Born from a caesarean section last year, the girls would be the first Siamese twins in Bhutan.

In addition to mobility and comfort issues, Lodge said the twins had recently lost weight, which was a concern for doctors who are now watching them closely.

Several members of the surgical team responsible for separating the Bhutanese girls have already participated in the success of the operation to separate twins Trishna twins and Siamese Krishna, in 2009.

They were separated after a 27-hour marathon operation, although doctors initially gave them only a 25% chance of success.

Difficult surgery

Siamese twins occur once per 200,000 live births, according to the Medical Center of the University of Maryland. About 70% are women and they are still identical twins.

Scientists believe that Siamese twins grow from a single fertilized egg that fails to separate completely when it splits.

"Although two fetuses develop from this embryo, they will stay physically connected – most often to the chest, abdomen, or pelvis." Siamese twins may also share one or more internal organs, "according to Mayo Clinic.

"The success of the surgery depends on where the twins are joined and the number and number of organs shared, as well as the experience and skills of the surgical team."

Previously, they were commonly called "Siamese twins", named Eng and Chang Bunker, a set of Siamese twins born in Siam (present-day Thailand) in 1811. They lived up to 63 years and have participated in traveling exhibitions. Chang and Eng both married and gave birth to a total of 21 children.

While twins separation surgeries connected to the abdomen and to other parts of their body, twins connected to the head pose a much greater risk.

The case of two American boys gathered at the top of their skull caught the attention of the world in 2016, the doctors having managed to separate them.

James Griffiths, CNN, did an additional story.

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