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Some of the best medical minds in the country are preparing to separate a pair of 18-month-old twins from Bhutan who will arrive in Melbourne on Tuesday.
Some of the best medical minds in the country are preparing to separate a pair of 18-month-old twins from Bhutan who will arrive in Melbourne on Tuesday.
Nima and Dawa Pelden were born one opposite each other, united at the bottom of the abdomen and share, doctors suspect, some of their liver and intestines.
The Monash University team was informed of the twins last year and, after months of arguments with the Australian and Bhutanese immigration departments, the Children First Foundation finally asked the twins to come to the school. Royal Melbourne Hospital for Children Life Changing Procedure.
"It's a good time to separate them," said Dr. Joe Crameri, pediatric surgeon. "Their life is getting very complicated now, they are old enough to mobilize when they face each other."
The main areas of concern will be the liver and intestines, he said, hoping doctors that the "channeling" of the liver is not also linked.
"All Siamese twins are unique in the way they are connected," he said. "We expect this set to be primarily connected to the abdomen. We hope not to have to deal with structures in the chest. "
Excessive bleeding from the liver is another area of major concern because blood is flowing freely. However, the liver is a "forgiving organ," said Crameri, and in children, it has the ability to regenerate.
A large team of doctors, including surgeons, intensive care specialists, anesthetists and pediatricians, will be needed for the surgery, but they do not know how long the process might take.
"I could dial a number – I think I said this morning from six to eight o'clock – but until we prepare the reports, the reality is that I do not know," Crameri said.
The next step will be to physically examine the twins once they are in the hospital, with more detailed analyzes scheduled later in the week.
The medical team is "confident": it will separate the Siamese twins successfully
Doctors will then develop a plan of attack and set a date.
With the rudimentary data available, doctors believe that both twins have the same risk of survival and are confident that they can be separated in a single operation.
They also do not think that this operation will look like the 32-hour marathon surgical operation aimed at separating the spouses twins Krishna and Trishna in 2009, who were born with their skull and their brain tissue fused together.
Crameri said that they would depend a lot on the anesthesia and intensive care teams involved in this operation, which had been held in the same hospital, but they specified that the surgery team would be slightly different because of the different areas of participation.
If all goes well, it is likely that the twins and their mother will stay with the Children First Foundation team for a six-month rehab.
In total, the operation will cost about $ 350,000, $ 250,000 for the surgery itself, at humanitarian rates, and an additional $ 100,000 for rehabilitation.
The money was largely funded by donations from the Australian public, said Elizabeth Lodge, CEO of the Children's Foundation Foundation.
Although the goal has not yet been reached, Lodge is confident.
"We will achieve this goal because we know how generous the Australian community is," she said.
"As [Nima and Dawa’s mum] said, they are two independent girls, but they are not independent. And now, they have a chance of that.
Photo: Children Foundation first.
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