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AIIMS doctors create new venous bypass channel for conjoined twins

Bhubaneswar, August 30, 2017: A team of 40 doctors from AIIMS, New Delhi has successfully separated a significant portion of the brain of Jaga and Balia, aged two years and four months, the twins who are joined at head, and created a new venous bypass channel in them on Tuesday during the first phase separation surgery that lasted for over 24 hours.

“This was the first stage of the planned multistage surgical separation carried out at AIIMS, Delhi. A new bypass technique was used for the first lime in conjoint twin at head. Surgery was uneventful and there was no major bloos loss or intraoperative problems. Both the children are still united at head as before from outside. However, a significant portion of their brain was separated and a new venous bypass channel has been created in them,” AIIMS pediatric neurosurgeon Prof Deepak Gupta.

Prof Gupta led the 40-memebr doctor team under guidance AIIMS Neuroscience Centre chief Prof AK Mahapatra.

“Both kids are doing relatively well after the first phase of separation surgery,” added Prof Gupta.

Surgical planning in this case began almost two months back and a team of 40 doctors at AIIMS were involved in management at various stages of planning of this extremely rare   and complex condition of craniopagus in these twin kids.

Craniopagus is a very rare condition wherein twins are joined at the head and have a very high risk during surgical separation. Surgical planning was done in such a way in these twin brothers so that lives of both children could be saved at the same time giving minimal side effects, said Prof Deepak Gupta.

The kids will require one to two more operations within three months time for final separation and will be kept under our observation till then.

The twins are admitted at the All India Institute of Medical Sciences (AIIMS), New Delhi with the State Government initiative. Chief Minister Naveen Patnaik has already sanctioned Rs 1 crore from the Chief Minister’s Relief Fund (CMRF) for their treatment.

The twins Jaga and Balia, hailing from Nelupada under Phingiria police station in Kandhamal district in Odisha are joined from their heads by birth. 

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