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3D tech aids successful separation of conjoined twins

POSTED ON September 19, 2024 •   Health & Wellness      BY Benedicta Bassey •   VIEWS 40
Conjoined twins in the head, Minal and Mirha before separation

A London surgeon, Professor Owase Jeelani, has expressed joy after successfully separating one-year-old conjoined twin girls in an operation section.

The operation which took 14 hours long, the professor, a consultant Paediatric neurosurgeon at Great Ormond Street Hospotal said the opration occured in Turkey, according to Evening Standard report.

The conjoined twins, Minal and Mirha, born in Pakistan and joined at the head as craniopagus twins, are now recovering and expected to make full recoveries.

 

Minal and Mirha after separation

Conjoined twins are rare, occurring in one in every 2.5 million births, with a high mortality rate.

The duo according to report, shared vital blood vessels and brain tissue, requiring extremely delicate surgery.

Jeelani, who led the operation through his charity, Gemini Untwined, described the moment as “a really wonderful feeling” as the twins’ parents watched their daughters start a new chapter in life.

He said, “It was so rewarding to see two healthy children and the joy on their parents’ faces,” Jeelani told the Evening Standard, adding, “a really wonderful feeling.”

The complex surgery carried out at Ankara Bilkent City Hospital, spanned over three months and involved advanced techniques, including mixed reality (MR) technology, to separate the twins’ shared brain tissue and blood vessels.

“We used special goggles to view images of the brain and blood vessels superimposed onto the child’s head during surgery,”

Jeelani described the process as successful, crediting technology for its precision and potential to revolutionise surgical planning.

The case was referred to Jeelani’s team in 2023, and with support from Gemini Untwined and the Turkish government, the twins were transported from Pakistan for the life-saving operation.

Reflecting on the achievement, Jeelani praised the collaboration, saying, “Against the odds, we managed to pull it off.”

Jeelani’s expertise is internationally recognised, having successfully separated other conjoined twins in Brazil, Israel, and Pakistan.

Minal and Mirha were born with a rare prenatal condition, leading to their conjoined state, sharing critical blood vessels. “They’re making an excellent recovery, really wonderful,” Jeelani said, according to Sky News report.

“They should be in a position to go back to Pakistan in a few weeks,” he stated.

The charity Gemini Untwined, founded by Jeelani, focuses on improving surgery and treatment for craniopagus children and those with complex craniofacial conditions.

MR Technology, 3D impact

The surgery was aided by mixed reality (MR) technology, which combines 3D images with real-world surroundings to enhance precision.

“For the surgery, we used special goggles that can give you images of the brain, blood vessels, or any other part of the anatomy that you want. Then you can position it and superimpose it on a child’s head during the procedure.

“The technology helps to give you that assurance that your surgical planning has been correct. Sometimes it can show me something that I haven’t seen. Within the next five years, I can see mixed reality being used in more routine surgery. Hopefully, we can encourage young engineers and surgeons to further develop it,” Jeelani explained.

Conjoined twins

Conjoined twins are a rare phenomenon resulting from the incomplete separation of a single fertilised egg during early development.

The degree of confluence between the twins can vary, from partial connections of the chest or abdomen to more complex merges involving the heart, liver, or other vital organs.

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