Surgeons in Australia separating conjoined girls from Bhutan

Conjoined Bhutanese Twins Who Share Liver To Undergo Separation Surgery

Conjoined Bhutanese Twins Who Share Liver To Undergo Separation Surgery

The 15-month-old girls, Nima and Dawa, are joined at the torso and share a liver and possibly a bowel.

Head of paediatric surgery Dr Joe Crameri, who led the operation, said there had been no surprises, despite fears the girls' bowel may have been shared.

Dr. Karma Sherbub, Bhutan's only pediatrician, flew to Australia with the twins, and was in the operating room for their surgery.

Crameri said if there were any unexpected problems during the operation, the hospital had all the resources and experts on hand that it would need.

Mother Bhumchu Zangmo, who brought Nima and Dawa to Australia in October, was said to be "very relieved" and filled with joy following the successful surgery.

He said the operation was expected to last around six hours and would involve 18 medical staff divided into two teams, one for each girl.

The charity's chief executive Elizabeth Lodge said the toddlers' mother Bhumchu Zangmo was feeling "a little bit scared" about the operation, but was otherwise in good spirits.

"Like any siblings, they're getting cranky, so mom's really looking forward to the operation happening sooner rather than later".

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The surgical team will also split in half once the initial separation is complete.

They were separated after a marathon 27-hour surgery, despite doctors initially giving them only a 25% chance of making it.

Conjoined twins are very rare - it is thought one in every 200,000 births - and around 40-60% of these births are delivered stillborn. About 70% are female, and they are always identical twins.

The pair had been joined at the the lower chest above the pelvis and shared a liver.

From that point on, to avoid confusion, Nima was known as "Green" and Dawa as "Red".

They were previously commonly referred to as "Siamese twins", a name that originated with Eng and Chang Bunker, a set of conjoined twins who were born in Siam (now Thailand) in 1811.

"If they don't share much of a connection beyond what we have seen on scans, we should nearly finish by 4pm". Chang and Eng both married and fathered a total of 21 children between them.

The case of two United States boys joined at the top of their skulls attracted global attention in 2016 as doctors successfully operated to separate them.

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