Conjoined Bhutanese Twins Who Share Liver To Undergo Separation Surgery

Desiree Burns
November 9, 2018

The 15-month-old girls, Nima and Dawa Pelden, had been joined at the torso and shared a liver.

The operation will involve 18 medical staff, with each girl designated a separate team to care for her in theatre, plus nursing and anaesthetic support teams.

Conjoined Bhutanese twins Nima and Dawa are expected to undergo life-changing separation surgery in Victoria following weeks of preparation.

Doctors faced a hard challenge separating the girls; until the first cut was made, they didn't know how many organs the twins shared.

"We keep making guesses as to how long this will take, but the reality is until the operation starts and ultimately we get to see what is connecting the girls, we won't really know how long", said Joe Crameri, Melbourne Royal Children's Hospital's head of pediatric surgery. The girls were found not to share a bowel - something surgeons had said was an "unknown" before the operation.

Nima and Dawa have been successfully separated.

Celtic hammer Hearts to reduce gap
I think we had more energy and once you set out that way it is very hard to change it until you get to half-time. It is not just that, it is what else he gives the team.

Dr Sherub first met the girls when they were only a day old and played a major role in getting the twins to Australia, having already spent time in the country as the victor of a medical scholarship.

If so it would also be divided, he said, and "our challenge will be to reconstruct their abdominal walls to close it over".

The girls and their mother, Bhumchu Zangmo, 38, were brought to Australia from Bhutan by Children First Foundation, an Australian-based charity. "This morning she used the word happy, yesterday she said she was a little bit scared and just pleased that today is finally here", Lodge told Melbourne radio station 3AW.

She spent Friday praying and meditating.

The family is expected to return to the Himalayan kingdom, one of the world's poorest nations, after the twins have recovered.

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