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Front Page

Friday June 27th
. Lalu Inaugurated A New Rail Line On a 17.5-km Stretch Between Phulwaria, Gopal Ganj (0 comments)

Thursday June 26th
. Officials Press For Wider Highways,Proposed 4-Lane Project of NH- 33 Connecting Barhi With Bahragora (0 comments)
. Bihar Govt Mukhamantri Cycle Yojna Its Way Into Religious Controversy (0 comments)
. National Institute of Technology (NIT) Patna Urged To Introduce Course On Hydel Power (0 comments)

Wednesday June 25th
. Address May Soon Be A 6-Digit Number,Postal Deptt Is Working On 'PinPlus' Which Can Access On GPS (0 comments)

Tuesday June 24th
. Falling Re Raises Computer Prices Due To Increased Taxes On Hardware Companies (0 comments)

Monday June 23rd
. Putting Their Services Online Should Allow Govt's To Serve Their Citizens More Effectively (0 comments)
. Four-Star Hotel To Come Up With a 150-200 Room In Ranchi (0 comments)
. Another Effort To Set Up 'Fresh Vegetable' Outlets,BSWDC Launch Fully A/c Outlets In Patna (0 comments)
. Bihar Military Police Builds Hospital For Their Colleagues And The Families (0 comments)
. Aligarh Muslim University (AMU) Campuses to Come In Bihar and Other Four States (0 comments)
. Online land registration possible from next year (0 comments)
. Bihar Does The Impossible, It Gets Better Every Day (0 comments)

Friday June 20th
. Brand Magic: Bihar Laps Up 'Lalu Mango', old Digha mango with a new name (0 comments)
. Govt agrees to shift proposed IIT sitecome up in Amhara, classes to start from August (0 comments)
. Classes to start in new engineering colleges in Madhepura, Nalanda (0 comments)
. Distance Education Council Agrees to Recognize DDE Degree (0 comments)

Wednesday June 18th
. Japanese Experts Meet With State Energy Minister To Setting Up Hydro-Electrical Power Plants (0 comments)
. Modi Seeks Compensation For Bihar Due To Reduction In Excise And Customs Duties On Petro Products (0 comments)
. Super-Specialty Hospital For Eye To Come Up In Patna Soon (0 comments)

Monday June 16th
. Bihar shows smart card way to cleaner rural job scheme (0 comments)
. BJP names 'Rajiv Pratap Rudy' Its Rajya Sabha Candidate From Bihar For The Forthcoming Elections (0 comments)
. Centre To Build Para-Medical Institute On Nalanda Medical College Hospital (NMCH) Campus (0 comments)

Friday June 13th
. Bhartiya Janata Party (BJP) Moots 'Core Group' To Bring Bihar Leaders Closer (0 comments)

Wednesday June 11th
. Third Tremor In Gaya Within 10 Days, Meteorological Experts Visiting Town On Tuesday (0 comments)
. Ara, Bhagalpur Among 158 Cities To Come Under Digital Mapping To Check Illegal Construction (0 comments)
. Pawar Laid The Foundation Of Rs 800 Cr Biggest Sugar Mill In The Country At Shariatpur Village (0 comments)
. Vice President Inaugurates Chandragupta Institute of Management Patna (CIMP) (0 comments)

Tuesday June 10th
. CM Seeks Central University Status For Rajendra Agriculture University (RAU) Pusa in Samastipur (0 comments)
. State Govt Planning To Build A New Colony For Ministers And Legislators (0 comments)

Older Stories...

Indian doctors mull separation of 10-year-old conjoined twins

NEW DELHI -- Conjoined twins Saba and Farah have never enjoyed a normal life. Joined at the head for 10 years, they rarely leave home for fear of being stared at, and one of their few joys is watching famous Bollywood actor Salman Khan on television.

But Indian doctors are hoping to change that by separating them in an operation never performed in the South Asian nation. A decision on whether to go ahead with the risky surgery is expected within weeks.

Saba and Farah have for 10 years shared one set of kidneys, a common artery that carries blood to their hearts and a common blood drainage vessel in the brain.

Their family, in the impoverished Indian state of Bihar, never thought of separating them, because such an operation had never before been performed in India, nor did they have the money to send them abroad.

By Rajesh Kumar, Section Health
Posted on Mon Sep 12, 2005 at 01:46:51 AM EST
But all that changed suddenly last month after the girls' father, who runs a small restaurant, told reporters he was hoping for "a miracle" to separate his daughters.

When the news, and a photo of the girls, appeared in newspapers in the Middle East, Abu Dhabi's Crown Prince Sheik Mohammed bin Zayed Al Nahyan offered to pay for the surgery. His aides contacted Indraprastha Apollo Hospital in New Delhi, one of the best in the country, and the doctors there agreed, pending feasibility tests.

"We want to do it not because it is an interesting medical case, but these are two beautiful girls who have lived extraordinary lives," said Anne Marie Moncure, the hospital's managing director.

A 40-plus team of doctors at the hospital are carrying out various tests and consultations to determine whether such surgery is possible, Moncure said.

They are also consulting with overseas experts such as Dr. Benjamin Carson at the U.S.-based Johns Hopkins Children's Center, who has led surgeons in four such operations at the Baltimore-based center, where six sets of conjoined twins have been separated since 1982.

Doctors at a Singapore hospital who successfully carried out a similar surgery on Nepalese twins four years ago are also being consulted, said neurologist Mukul Verma, who is examining the girls.

A major concern for doctors is separating the brain circulatory system. Because the girls share a major blood drainage vessel in the brain, the surgical team may need to graft blood vessels from other parts of their bodies to give them individual drainage vessels, the doctors said.

An added complication is that one of the girls, Farah, has two kidneys while the other, Saba, has none. "If it is decided to separate them, we will take one of Farah's kidneys and transplant it for Saba," said nephrology expert Vijay Kher.

Although their brains are somewhat merged, the girls haven't suffered any neurological damage, the doctors said.

And they are developing into very individual characters.

Saba wants to be a doctor when she grows up while Farah says she would like to become a teacher.

"They like to play carom and watch popular Bollywood actor Salman Khan on television," Moncure said, referring to an Indian version of billiards. "They don't go to school, because they don't like going out, because they don't like to be stared at."

If doctors agree to proceed with the operation, it would take a few months to prepare for the actual surgery.

It wasn't immediately clear how much the surgery would cost, although the crown prince of Abu Dhabi has paid for all expenses since the twins arrived at the hospital last week.

"It would be in the millions of dollars, but we haven't got to costs yet," Moncure said.

Most conjoined twins -- one in 2 million births -- are born dead. Out of those born alive, some 60 percent die within hours or days after the birth. The number for those surviving more than a year worldwide is believed to be between 10 and 20.

The instances of doctors operating on conjoined twins are rare, because the surgery requires extremely sophisticated technology and medical knowledge available at very few hospitals across the world.Moncure said if successful, the surgery would be a huge boost to the Apollo Hospital and other Indian hospitals that are trying to attract overseas patients.

"This surgery would reinforce India's growing reputation as a country of very talented doctors," she said.

Although hospitals in Bombay, Delhi and Bangalore have received patients from neighboring countries and the Middle East since the 1970s, Americans and Europeans have only recently started to trickle in, fleeing staggering costs and long waits at home.

Moncure said Apollo has lately seen a rush of American and British patients after it won accreditation from the U.S.-based Joint Commission International, which sets global benchmarks for health care provided by hospitals across the world.

Many patients come to India because they don't have health insurance at home, while others don't want to wait months for specialized surgery. The biggest demand is for orthopedic surgery, followed by plastic surgery, infertility treatment and cardiology. (AP)

September 12, 2005
http://mdn.mainichi-msn.co.jp/international/news/20050912p2g00m0in015000c.html

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