15 hours separated the Siamese twins from Brazil
held four operations, the last and decisive of which lasted 15 hours.
Isabelle Isadora Freitas (Ysabelle and Ysadora Freitas) were born fused to the head. They began to first in the history of Brazilian Siamese twins with conjoined heads, reports dailymail.
The doctors initially did not know what to advise their mothers. Each girl had a brain, but their heads are connected the dense vascular network that makes possible the operation is very dangerous.
Deborah Freitas took care of the girls 18 months, almost without getting help, and still hoped that one day her daughter will be able to live a normal life.
In order to separate the girls took to assemble a team of physicians from around the world.
Isabela and Isadore had to do four operations, the last and decisive of which took place in November 2018. It lasted 15 hours.
Their parents, Deborah and Diego, said that to keep the girls in the individually hand - "a real miracle."
As Deborah says that children develop properly, she learned more during pregnancy. "When I did ultrasound, the doctor told me:" It's twins, but they do something wrong. Still too small, so it's hard to say, but I fear that they may be fused ", - she said.
On the 41 th week of pregnancy, Deborah gave birth to a girl by Caesarean section. Girl weighed 3, 5 kilograms and were completely healthy, except that they were fused in the head. "We spent in the hospital for three months, hoping that doctors will be able to separate them, - says Deborah. - I learned how to feed them. I learned how to deal with them alone.
Later, the family was sent to a neurosurgeon, Professor Helio Machado, who placed them in the hospital Medical University of Ribeirão Preto in São Paulo and engaged in a thorough study of the heads of conjoined twins.
One of the participants of the international medical team was an American neurosurgeon, Dr. James Goodrich, who during his career has successfully divided the nine pairs of Siamese twins janiceps.
He has developed his own technique for such transactions, involving the separation seam space into four sections, each of which is divided in a separate operation. Even before the operation, doctors have increased their heads girls extra skin, which was supposed to close the previously connected location.
The first of a series of surgeries conducted neurosurgeon Brazilian Ricardo Oliveira. During surgery, part of the blood vessels that connect the heads of the girls was disconnected. During the second and third operations, surgeons have successfully separated the portion of the seam place where girls brains are almost touching. To everyone's surprise, after each surgery, the girls got better very quickly and without complications.
The fourth step was to consist of two parts - the division heads of girls and create an additional skin at the site of separation. In total, the operation was continued for 14 hours. "The doctors told us not to worry about the time, and that all should be well," - said Deborah. As a result, the operation lasted an hour longer than planned: 8, 5:00 took the separation of Siamese twins, and another 6, 5 hours - the procedure for creating a new skin for the heads of the two girls.
Now, five months later, biennial twins are doing well. They are actively developing and diligently learn to walk under the guidance of a pediatrician, Dr. Maristela Bergamo, and her team.
"Of course, they would need a physical and neurological rehabilitation, - says Dr. Bergamo. - It will be prolonged, likely to reach girls five. By this time, I think they will catch up with their peers and live a perfectly normal life. "