Conjoined twins are separated in four stage operation

BMJ 2011; 343 doi: (Published 21 September 2011) Cite this as: BMJ 2011;343:d6033
  1. Jacqui Wise
  1. 1London

British surgeons have successfully separated craniopagus conjoined twins in a series of four complex operations carried out at Great Ormond Street Hospital for Children in London.

The twin girls, Rital and Ritag Gaboura, from Sudan, were classed as total type III craniopagus, which means they were joined at the head with significant blood flow between their brains.

Only 5% of conjoined twins are craniopagus, and 40% of these are stillborn or die in early infancy.

Ritag supplied half her sister’s brain with blood while draining most of it back to her heart. As a result Ritag’s heart had to pump …

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