Bhubaneswar: Even as the 16-hour long separation operation of Jaga and Kalia was successful, but they are still critical kept in the ICU at the All India Institute of Medical Sciences (AIIMS). Next 15 days are very critical for them, said AIIMS experts.
Sharing the entire operation procedure with media, AIIMS Neurosciences Centre chief Dr Ashok Kumar Mahapatra said that Jaga and Kalia craniopagus (conjoined) twins were given anaesthesia at 6 am on October 25 and the surgery started at 9.30 am which lasted for 16 hours.
“Babies were separated around 8.45 pm and for cobvering the brain and use of skin flap and graft too another 4-5 hours,” said Prof Mohapatra.
“Both the babies are kept in ICU under the care of a team of doctors,” added Prof Mohapatra.
Prof Mohapatra said that the reconstruction was a challenge for them as the twins had common circulation of blood and other fluids in the brain and there was no skin on the top of skull which was reconstructed through plastic surgery.
Plastic surgeon Manish Singhal said that tissue expanders were placed during the first surgery as advance planning. The head skin had expanded.
So we took some portion from thigh and flap and back of thigh, added Singhal.
The twins aged two years and four months, born to Bhuiyan and Pushpa, farmers from Kandhamal district, were referred to AIIMS in July and the first phase operation was successfully conducted on August 28 at the State Government’s initiative.
The toddlers are joined from their heads by birth. In medical term, kids with such sort of deformity are known as ‘craniopagus conjoint twins,’- an extremely rare condition found in 1 in 2.5 million births in the world.
The twins suffer from a rare condition which afflicts one in 30 lakh children, of which 50 per cent die either at birth or within 24 hours. Surgery is feasible only on 25 per cent of the survivors, while the rest continue to live with the condition.
Odisha Chief Minister Naveen Patnaik on July 19 also sanctioned Rs 1 crore for the treatment of conjoined twins of Kandhamal district. The amount of Rs 1 crore was given to the Director AIIMS from the Chief Minister’s Relief Fund. State Health and Family Welfare Minister Pratap Jena had also visited AIIMS and consulted with the treating doctors.


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