Published: Sun, November 11, 2018
Health Care | By Cedric Leonard

Surgeons in Australia separating conjoined girls from Bhutan

Surgeons in Australia separating conjoined girls from Bhutan

"We saw two young girls very ready for surgery, were able to cope very well with the surgery and now in recovery doing very well, " he said.

Twins Nima and Dawa at a previous visit to the hospital.

He said they would separate the liver, but there was one "unknown" -whether the girls shared a bowel.

"But if the connections are greater, I suspect we will need the full day, and maybe even moving into the evening", Joe Crameri, the Royal Children Hospital's head of paediatric surgery, said on Friday morning.

The worst-case scenario would have been if the girls shared a component that was vital to both.

They headed into the theatre at 8am on Friday, with doctors administering the anaesthestic about 8.45am.

The surgeon said the next 24 to 48 hours would be the most critical for the little girls, but the twins will be closely monitored.

Get well soon Nima and Dawa!

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Their mother Bhumchu Zangmo was understandably nervous before the operation, but spent today praying and meditating at a Buddhist temple. "But we just did not know what we would find".

"She still has this extraordinary calmness about her, which is just unbelievable".

The delicate procedure took place over six hours and involved about 25 surgeons, nurses and anesthetists, according to CNN affiliate 9 News.

Conjoined twins have been successfully separated after undergoing a six-hour long surgery in Australia.

The surgical team will also split in half once the initial separation is complete. Bhutan's only paediatrician, who has always been involved in the girls' care, travelled to Melbourne to watch the surgery. They could stand but only at the same time.

The girls and their mother, Bhumchu Zangmo, were brought to Australia last month by the Children's First Foundation charity, which said the Victorian state government had covered the cost of the surgery while it looked after transport and accommodation.

"The muscles in their limbs have not been used so far, because they have not learnt to crawl and do the usual stuff kids at this stage do", Dr. Sherbub explained. Earlier on Friday, Crameri told the ABC the challenges of the surgery would depend on where the girls were connected, with the team unsure if they shared a bowel.

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