Insane World

Brazil: Conjoined twins with fused brains separated after 33 hours of operations

Conjoined twins who shared fused brains have been successfully separated after 33 hours of operations.

Bernardo and Arthur Lima underwent several surgeries in Rio de Janeiro, under the direction of UK-based paediatric surgeon Noor ul Owase Jeelani from London’s Great Ormond Street Hospital.

The three-year-old boys had a total of seven operations, involving more than 33 hours of operating time in the final two surgeries alone, and almost 100 medical staff were involved.

Surgeons spent months trialling techniques using virtual reality before beginning the real procedures.

Their surgery was led by Mr Jeelani, alongside Dr Gabriel Mufarrej, head of paediatric surgery at Instituto Estadual do Cerebro Paulo Niemeyer.

Mr Jeelani described the operation as a “remarkable achievement” by medics, but added the charity, Gemini Untwined, relies on public donations to keep its work going.

He said: “The successful separation of Bernardo and Arthur is a remarkable achievement by the team in Rio and a fantastic example of why the work of Gemini Untwined is so valuable.

“Not only have we provided a new future for the boys and their family, we have equipped the local team with the capabilities and confidence to undertake such complex work successfully again in the future.

“It is through this process of teamwork and knowledge-sharing globally that we can hope to improve the outcome for all children and families that find themselves in this difficult position.

“This is only possible through generous donations from members of the public.”

Since the twins are almost four years old, they are also the oldest craniopagus twins with a fused brain to have been separated.

Both twins are recovering well in hospital, and will be supported with six months of rehabilitation, the charity has said.

According to Gemini figures, one in 60,000 births result in conjoined twins, and only 5% of these are craniopagus children.