Thursday , July 7 2022

The joint duo in Bhutan is undergoing a separation operation in Melbourne


INFANT twins, Nima and Dave, entered the operating room in the morning to be detained at the Roial Children's Hospital in Melbourne.

It is unclear how long connected twins from Bhutan will remain in operative theater to separate their bodies. Despite the extensive planning of pediatric teams and scanning their body organs for 15 months, it remains unclear which parts of their bodies share girls.

The doctors found that they were connected to the torso and to share the liver. The girls also have a bowel to be divided, but they said it can be separated or shared.

Traveling the twins to Australia was a bit scary. Their mother, Bhumchu Zhangmo, traveled with them in a terrible 26-hour transit, which included a difficult end in Bangkok.

On Friday, the head of pediatric surgery, Dr Joe Crameri, who leads a team of 18 who includes surgeons, anesthetists and nurses, said: "We continue to assume how long this will last, but the reality is until the operation begins and in the end we see what connecting girls, we will not know how long.

"We know the hose is mixed and can be completely separated and sit next to each other, or it may also be that girls share parts of the bowel and we need to find a way to share it.

"One of the benefits we all have is that we are all born with a lot of intestines and you can afford to reduce it."

The difficulty in surgery on joint twins is anesthesia and the different effects that poles can have on twins, as they share the body. Twins have a common circulation before surgery, their condition is described as "fragile".

"One of the complexities is that you really do not know what you're doing with a twin, how it affects others," added Dr. Crameri.

Gemini and their mother are from the Himalayan nation of Bhutan, a country known for its mountain ranges, calmness and rule that has launched a plan to govern "gross national satisfaction".

While arriving in Australia, Dr Crameri said he was delighted with the presentation of Nima and Dave last month.

"I was convinced that the twins were active and communicated with each other, and I was pleased to see that Mama nourished the girls well," he said.

Their mother, Ms. Zhangmo, was excited and engaged to complete the operation.

"These little girls are extra special, because if we did not do this operation … we're just worried about living," said Elizabeth Lodge, director of the Children First Foundation.

She encouraged the public to donate subsequent care and rehabilitation of Nima and Dava, which will be held at the facility for children for the first time at a farm location in Kilmore, Victoria.

"We have a team of physiotherapists who work with us pro bono, which is unbelievable … so we'll crawl them and move and hit all those tags that most 14-month-old girls probably hit right now," she said Sydney Morning Herald.

"We will have some of the same surgeons, anesthetists, theater staff, we will have ICU team with us again, so we are very confident that these little girls will be successfully separated and soon they can crawl, roll, jump and run as two little independent ones."

It is expected that the $ 350,000 operation will be covered by the Victorian state.


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