Guest guest Posted July 7, 2003 Report Share Posted July 7, 2003 As fellow souls...keep aside a moment....lets send a kind prayeful thought to the twins wishing them success... SINGAPORE, July 8 (Reuters) - Neurosurgeons trying to separate Iranian twins joined at the head teased apart tightly packed brain tissue and blood vessels on Tuesday as the life-threatening operation moved into its third day. Soothing classical music played in the operating theatre as the team of 28 doctors and about 100 assistants at a Singapore hospital battled unstable blood circulation amid an array of lines that feed Laleh and Ladan Bijani intravenously and monitored their vital signs. After cutting open the 29-year-old pair's joint skull in the hours after the surgery began on Sunday, five neurosurgeons were prying apart the brains millimetre by millimetre, said Dr Prem Kumar Nair, a spokesman for Singapore's Raffles Hospital. "In the process of separating, you cannot just tear them apart. They have to be teased apart very slowly, cut, teased apart, cut, teased apart," he told reporters. "Although the brains are distinctly separate, because they have been fused for the last 29 years they are very adherent to each other." Another official said this part of the surgery had taken much longer than the expected 10 hours. "Part of the brain has been dissected, but they haven't reached the base yet," the official said. "It has been 16 hours since they started this part of the operation and the separation has taken much longer than expected." German doctors turned away the twins in 1996, saying splitting them could prove fatal. But the Bijanis were determined to lead separate lives and persuaded Singapore doctors to operate despite the risks. CIRCULATION PROBLEM Nair said doctors had completed a key part of the operation, using a leg vein extracted from Ladan's right thigh to replace for her a shared major vein that drained blood from the brains. But after the bypass, blood circulation between the twins became unstable. As well as music to soothe them in their work, the doctors have been taking food and massage breaks through the night. The operation has drawn worldwide attention as the twins' elderly parents await the outcome in Iran. Supporters in Singapore are holding a prayer vigil at the hospital. On Monday, Iranian President Mohammad Khatami pledged to cover the cost of the surgery, estimated at around $300,000. Asked if the vein bypass was the riskiest part of the surgery, Nair said other hurdles lay ahead. The first stage of the operation, opening the two skulls, also took longer than expected because the bone where the twins are joined was thick and compact. "The process that is now being undertaken by the neurosurgeons is equally difficult," Nair said. Twins joined at the head occur only once in every two million live births. Successful separation is very rare. (With additional reporting by Jacqueline Wong) Quote Link to comment Share on other sites More sharing options...
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