NEW DELHI: Conjoined twins Sita and Gita were successfully separated by doctors at Batra Hospital on Monday night. The 25-member team, divided into eight groups, began the complicated surgery at 7 am.
The surgery ended close to midnight, after which the twins were shifted to the intensive care unit.
The sisters, originally from Bihar, had common reproductive/genital organs and a single urinary tract. They also shared a lower intestinal opening.
Speaking to TOI, doctors from the team said the sisters were separated from the hip joint around mid-afternoon, and reconstructive surgery to cover the muscle flaps was completed by plastic surgeon Dr Rohit Nayyar and urologist Dr P P Singh.
Lead paediatric surgeon Dr Arvind Sabbarwal then successfully operated around the abdomen to create separate intestinal openings. After that, reconstruction of the lower genital urinary tract was taken up.
Dr Sanjeev Bagai, CEO of Batra Hospital, told TOI late on Monday night, "We first anaesthetised the children and put in central lines to get vascular access. We then put in very fine tubes for intensive care monitoring for cardiac pressure and output. The kids should be stable by 10 am on Tuesday morning."
According to Dr Bagai, the sisters will be kept in the ICU for 10 days to monitor against infection of surgical areas. Physiotherapy and rehabilitation will take another two to four weeks. "They should walk out hale and hearty as separate individuals in a month's time," he added.
Over the past few days, the sisters have been subjected to a series of tests liver and kidney function, electrolyte, urine tests and X-rays of all their body parts. The sisters underwent DTPA renal scans, spiral CT scans of the abdomen and MRIs of their hip and spine.
Sita and Gita are the daughters of a daily wager, Subhash Mukhiya, and Nirmala Devi, from Bhawanipur Kushwaha village of Bihar's East Champaran district.
Conjoined twins are rare, occurring in about one in every 200,000 births. The overall survival rate of conjoined twins is between 5% and 25%. Historical records over the past 500 years point to about 600 surviving conjoined twins.
Approximately 40% to 60% of conjoined twins are stillborn and about 35% survive only one day. For some reason, female siblings seem to have a better chance of survival than their male counterparts. Although more male twins conjoin in the womb than female twins, females are three times as likely as males to be born alive. Approximately 70% of all conjoined twins are girls.
Conjoined twins are genetically identical, and are, therefore, always of the same sex. They develop from the same fertilised egg.
Source (www.timesofindia.indiatimes.com) Thanks...
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