Three-month-old conjoined twins who share liver successfully separated in eight hour operation

A team of 30 medical professionals were drafted in to help with the life-saving procedure

BarcroftConjoined TwinsTechnical: A team of 30 people worked for eight hours to separate the twins
A pair of conjoined twins have been successfully separated from one another despite being just three-months-old and sharing the same liver.

The duo were rushed to a special medical research facility just moments after being born on August 27 at a private hospital in Barara, India.

Born with a combined weight of just 6lbs 6oz, the little pair, Jannat and Mannat, were joined at the abdomen and lower chest.

Specialists at the Post Graduate Institute of Medical Education and Research (PGIMER) then began examining them to see if they could be parted without significant harm.

 The youngsters were raced to a specialist centre shortly after being born
Medics decided to go ahead and last Monday completed the gruelling eight-hour, 30-person operation to separate the twins.
Dr Ravi Kanojia, associate professor at the Department of Paediatric Surgery and the surgeon who led the team, said: "Chances of such births are one in half a million.

"This is a rare case scenario and a surgeon would be fortunate to see a couple of cases in his or her lifetime."

This is the first time such a surgery has been successfully carried out at the (PGIMER), according to Dr Kanojia.
 Both Jannat and Mannat survived the operation
Dr Kanojia said: "We called the family in three or four times to conduct tests such as CT and MRI scans to find out the organs the sisters' shared. 
"We found that the twins had a conjoined liver in between, but fortunately the rest of their organs were separate. 
The doctor said that such separation surgeries on conjoined twins are generally performed when the children are over a year old.
However, in Jannat and Mannat's case it was decided - despite them weighing only 9.2lbs (4.2kg) at the time of surgery - that any delay could hinder their growth.


The twins shared a liver but the operation was still a success
The surgery was done on November 23, and a 30-member team worked for eight hours to separate the twins.
Their liver was dissected in such a manner that each twin got an adequate share of the organ, which should enable them to lead a normal life.
The entire unit was led by Dr Ravi Kanojia, assisted by paediatrics surgeon Dr Jai Kumar Mahajan.
Dr Kanojia added: "While Jannat did well from the beginning, Mannat being smaller of the two had to be kept on ventilator for some time."


BarcroftConjoined TwinsDedicated: The team of 30 worked for a staggering eight hours to separate the twins
Mannat also requires a minor procedure to remove the abdominal mesh in 3 to 4 months. Despite this the twins are recovering well.
The doctor said: "The complexity of such surgeries varies from case to case.
"It depends on the number of organs shared by the twins, if there are many organs then it becomes more difficult."
The twins' father, Mohammad Saleem - a labourer who earns only £4 a day and so could not afford basic treatment for his daughters - praised the dedication of medical staff at PGIMER.


 The twins' parents told of their thanks to the team for helping the babies
He said: "The doctors at PGI were my last hope and nobody could have attended the twins better than the doctors at this hospital."
His wife, Sonia, said: "We have been worried about our children for the last three months, but God answered our prayers."
She also thanked the team of PGI doctors and the medical staff, who looked after the girls over the last few months.

Doctors at PGIMER said the twins would be discharged from the hospital next Tuesday.

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