Valery LEBOVKA, “FACTS”
Italian doctors from the Children’s hospital of the Vatican managed to separate Siamese twins joined at the head. This is the first successful such operation, as previously carried out the operation to separate conjoined twins in the crown of the head.
The head is considered much more complex from a surgical point of view the place, as there are a large number of vessels providing inflow and outflow of blood, writes CNN.
Sister of Erwin and Pravina Bangalow born in the Central African Republic on 29 June 2018. Because both conjoined heads of their brain is supplied with blood through the shared blood vessels. Such cases are observed only once for every two million births.
Soon the girls learned the President of the hospital Mariella Enoch. She met with the family and helped them to move to Rome to local doctors found out whether they operate.
In a hospital owned by the Vatican, the sisters endured three surgeries, the last of which took place on 5 June 2020 and finally allowed to share them.
“This is one of those cases in which a doctors say — You know, we’re not sure it can be done safely, says Jesse Taylor, head of the division of plastic surgery Children’s hospital of Philadelphia, Taylor. — Work with vessels often becomes a limiting factor in the operations of twins joined at the head”.
Usually, separated twins, doctors can use fragments of other vessels that connect the veins and arteries of every child. But when working with head options to choose from is very small.
Dr. Carlo Marras, chief of the division of pediatric neurosurgery, confirmed — the most difficult was to establish the blood circulation in the head of each of the girls. Basically this was the subject of all three operations. Last lasted 18 hours, the work was led by a team of 30 doctors and nurses. Also, experts have resorted to 3D process visualization and neurosimulators.
“We have set ourselves a very ambitious goal and we achieved it, “he says.
Before the surgery, the doctors gave the girls a mirror so they can see each other. This allowed each of them to associate the voice of my sister with her facial expressions.
After surgery small both of the patient felt good. Now they are successfully restored. Marras believes that in the future they can lead a perfectly normal life.
According to Enoch, the decision about the operation raised many questions about the ethical and economic sides of it. The operation was financed by the Foundation of the hospital and cost a million euros. This amount could be spent on less risky procedures that would benefit a greater number of children.
“When there is life that can be saved, it must be done, “said Enoch.
The girls ‘ mother, Ermin of Sotto, never went to school. Looking at daughters, she hopes that they will learn to become doctors to save lives of other children around the world.
She also would like to Pope Francis baptized them. Thanks to him, the Vatican hospital has partnered with children’s hospital in the Central African Republic for five years.
Until now was known only one such operation, said Marras, and it ended sad. In 1987, the Johns Hopkins University team under the direction of Dr. Ben Carson operated on fused neck boys Patrick and Benjamin binder. The operation was conducted in seven pediatric anesthesiologists, five neirohirurgii, two surgeons and five plastic surgeons. All of them a few months preparing for the surgery, practicing on mannequins.
Alas, despite the fact that both boys survived, they were disabled. Benjamin was able to make sounds, Patrick was speechless. Even in the hospital, choking, spent some time without oxygen — perhaps it injured the child’s brain.
By 1993, neither of the twins could not eat on her own or something to take care of themselves. 2015 Patrick passed away. Benjamin was able to adapt, but never learned to speak. The children’s father took to drink and died, the mother married another man and gave birth to another boy, this time a healthy.
Earlier, the “FACTS” wrote that in the American city of Dayton (Ohio) at the age of 68 years died the world’s oldest conjoined twins — Ronnie and Donnie Gelion. The brothers were born conjoined at the abdomen. They had one to two bowel and sexual organ, which was controlled by Donny. In this case, each of them had their own heart, stomach, a pair of arms and legs.