Conjoined twins born with fused brains separated after 27-hour surgery

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Conjoined twins born with fused brains have been successfully separated following a 27-hour surgery involving more than 100 medics corresponding via virtual-reality headsets in two different countries.

The 3-year-old twins, Bernardo and Arthur Lima, underwent six smaller procedures to prepare for the marathon surgery, which took place in Rio de Janeiro under the direction of British doctor Noor ul Owase Jeelani.

“There were a lot of tears and hugs,” Dr. Jeelani told PA Media after the operation was completed. “It was wonderful to be able to help them on this journey.”

Conjoined twins Bernardo and Arthur Lima were successfully separated during a miracle 27-hour surgery in Brazil. The boys are pictured with their parents and surgeon Dr Noor ul Owase Jeelani prior to the procedure at left.
Conjoined twins Bernardo and Arthur Lima were successfully separated during a miracle 27-hour surgery in Brazil. The boys are pictured with their parents and surgeon Dr. Noor ul Owase Jeelani prior to the procedure at left.
PA

Twins born with a conjoined cranium are incredibly rare, accounting for only 1 in 2.5 million live births, according to the National Institutes of Health. Only 30% of those survive the first month of life.

Therefore, surgeons performing separation procedures don’t have a wealth of prior experience to draw upon, making the operations incredibly risky.

Bernardo and Arthur were born back in 2018 with a conjoined cranium. The procedure to separate them was incredibly risky and rare.
Bernardo and Arthur were born back in 2018 with a conjoined cranium. The procedure to separate them was incredibly risky and rare.
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Twins born with a conjoined cranium are incredibly rare, accounting for only 1 in 2.5 million live births. Most don't survive the first month of life.
Twins born with a conjoined cranium are incredibly rare, accounting for only 1 in 2.5 million live births. Most don’t survive the first month of life.
Gemini Untwined

In order to prepare for the procedure on the Lima twins, medics spent months using virtual reality projections to trial their surgical techniques — something that proved instrumental when it came time for the actual operation.

“It’s really great to see the anatomy and do the surgery before you actually put the children at any risk,” Dr. Jeelani explained. “You can imagine how reassuring that is for the surgeons.”

During the procedure, a team of surgeons was set up in a “virtual-reality room” in London and liaised with surgeons in Rio who were wearing headsets and performing the actual operation.

“In some ways, these operations are considered the hardest of our time, and to do it in virtual reality was just really man-on-Mars stuff,” Dr. Jeelani explained.

The surgery took a whopping 27 hours, with medics stationed in two different countries, liaising over headsets.
The surgery took a whopping 27 hours, with medics stationed in two different countries, liaising over headsets.
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Surgeons in Rio are seen performing the complex and intricate procedure.
Surgeons in Rio are seen performing the complex and intricate procedure.
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Dr. Jeelani was in Rio and only took four 15-minute breaks over the course of the 27-hour operation. He admitted he was “shattered” by the end of the surgery.

But the payoff was well worth it, with the Lima family feeling “over the moon” after the boys were successfully separated.

In the aftermath of the surgery, the twins were suffering from high blood pressure and dangerously high heart rates. Heartwarmingly, however, their stats returned to normal once they were reunited and were able to hold hands.

The Lima twins now face six months of recovery before they’ll be able to do the same activities that other toddlers can do.

One of the Lima twins is pictured following the successful separation procedure.
One of the Lima twins is pictured following the successful separation procedure.
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A family member is seen embracing a surgeon after the incredible operation was completed.
A family member is seen embracing a surgeon after the incredible operation was completed.
Gemini Untwined

The miracle surgery is not the first involving conjoined twins to make headlines in recent years.

Closer to home, Ballenie and Bellanie Camacho were successfully separated at a hospital in Westchester, New York in 2017 after an epic operation that took 22 hours.

The twins, who were joined at the back, are now 6-years old and said to be “thriving.”

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