Twins from Nigeria get new lives

Written By Unknown on Kamis, 05 September 2013 | 22.10

NEW DELHI: Hassana and Hussaina, conjoined twins from Nigeria, can now lead separate lives. The twins shared their spinal cords, lower intestinal tract and genitourinary tracts. This meant that they had one common passage for fecal matter and another one for passing urine. But after the surgery—conducted by a team doctors involving 10 super-specialties at a private super-specialty hospital in the capital—they are now separated.

"The separation surgery took 13 hours, with further surgery of five hours for reconstruction," said Dr Prashant Jain, consultant of paediatric surgery at BLK Super-specialty Hospital, who led the surgery. Praneet Kumar, CEO, said, "The girls were seven months old when they were brought here. They suffered from pygopagus, a case in which the babies are joined in the sacral region. It's a rarest of rare case that occurs in 50,000 or 1,00,000 births."

Doctors said incidence of conjoined twins is high in southwest Asia and Africa, with cases in Nigeria as high as 53 per 1,000 deliveries.

The surgery was conducted in multiple stages. In the first stage, tissue expanders were placed to get adequate skin for covering the wounds after separation. This was followed by the actual separation of the spinal cords, intestine and genitourinary tract which was carried out along with the reconstruction. In the same stage, a temporary passage for fecal matter was created in the sisters' abdomen which will be closed after two months.

"The girls were colour coded (one pink and the other blue) for eight days before the surgery so that there would be no error at all. All tubes, wires, catheters, leads, syringes, injections and drugs were also colour coded in accordance with the pink or blue code to avoid any error or miscalculation," Dr A K Bath, plastic and reconstructive surgeon at the hospital, said.


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