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Spunky toddlers, Eva and Erika Sandoval, born conjoined twins have a party to celebrate moving near their home 3 months after risky separation surgery

&Tab;&Tab;<div class&equals;"wpcnt">&NewLine;&Tab;&Tab;&Tab;<div class&equals;"wpa">&NewLine;&Tab;&Tab;&Tab;&Tab;<span class&equals;"wpa-about">Advertisements<&sol;span>&NewLine;&Tab;&Tab;&Tab;&Tab;<div class&equals;"u top&lowbar;amp">&NewLine;&Tab;&Tab;&Tab;&Tab;&Tab;&Tab;&Tab;<amp-ad width&equals;"300" height&equals;"265"&NewLine;&Tab;&Tab; type&equals;"pubmine"&NewLine;&Tab;&Tab; data-siteid&equals;"109460728"&NewLine;&Tab;&Tab; data-section&equals;"1">&NewLine;&Tab;&Tab;<&sol;amp-ad>&NewLine;&Tab;&Tab;&Tab;&Tab;<&sol;div>&NewLine;&Tab;&Tab;&Tab;<&sol;div>&NewLine;&Tab;&Tab;<&sol;div><h6><span style&equals;"color&colon;&num;120101&semi;">Eva and Erika&comma; twins born conjoined at the sternum celebrate moving to rehab facility near their home just weeks after risky separation surgery<&sol;span><&sol;h6>&NewLine;<h6><span style&equals;"color&colon;&num;120101&semi;">The gestation was risky as well&comma; Aida then-44 was urged to abort the little girls&comma; she refused <&sol;span><&sol;h6>&NewLine;<h6><span style&equals;"color&colon;&num;120101&semi;">She already had 3 adult children with husband Arturo then 49 <&sol;span><&sol;h6>&NewLine;<h6><span style&equals;"color&colon;&num;120101&semi;">Two-year-old twins Eva and Erika Sandoval were attached from the sternum <&sol;span><&sol;h6>&NewLine;<h6><span style&equals;"color&colon;&num;120101&semi;">They shared a digestive system&comma; uterus&comma; liver&comma; bladder&comma; and a third leg <&sol;span><&sol;h6>&NewLine;<h6><span style&equals;"color&colon;&num;120101&semi;">The girls had 18-hour separation on December 6 after months of preparation left each girl with one leg<&sol;span><&sol;h6>&NewLine;<h6><span style&equals;"color&colon;&num;120101&semi;">Their 3rd leg&comma; which was fused&comma; was used for reconstruction <&sol;span><&sol;h6>&NewLine;<h6><span style&equals;"color&colon;&num;120101&semi;">Erika&comma; the smaller twin&comma; was getting dangerously weak before the operation &&num;8211&semi; but now she is improving faster than her sister <&sol;span><&sol;h6>&NewLine;<h6><span style&equals;"color&colon;&num;120101&semi;">On Friday&comma; they were moved from their Palo Alto hospital to a Sacramento rehab facility much closer to their home in Antelope&comma; Califor<&sol;span><&sol;h6>&NewLine;<p class&equals;"author-section byline-plain">&NewLine;<div id&equals;"articleIconLinksContainer"><&sol;div>&NewLine;<div>&NewLine;<p class&equals;"mol-para-with-font">It was one of the riskiest separation surgeries ever performed&period; The conjoined Sandoval twins have separation surgery at Stanford&period;<br &sol;>&NewLine;But now &&num;8211&semi; three months after doctors untangled Eva and Erika Sandoval&&num;8217&semi;s digestive system&comma; a uterus&comma; a liver&comma; a bladder&comma; a pelvis&comma; and a third leg &&num;8211&semi; the girls are leaving their Palo Alto hospital&period;<br &sol;>&NewLine;On Friday&comma; the hospital released photos of the two-year-old twins eating cakes at a celebration party as they prepared to move to a rehab facility at UC Davis in Sacramento&comma; near their hometown of Antelope&period;<&sol;p>&NewLine;<div class&equals;"mol-img">&NewLine;<div class&equals;"image-wrap fff-pic">&NewLine;<h6 class&equals;"overlay-icon mobile-gallery"><img class&equals;"alignnone size-full wp-image-152026" src&equals;"https&colon;&sol;&sol;konniemoments&period;com&sol;wp-content&sol;uploads&sol;2017&sol;03&sol;eva-and-erika-sandoval-celebrate-with-a-princess-picnic-in-their-ward&period;jpg" alt&equals;"Eva and Erika Sandoval celebrate with a princess picnic in their ward &period;jpg" width&equals;"634" height&equals;"357" &sol;><br &sol;>&NewLine;<strong>Three months after their marathon surgery&comma; time to celebrate for Eva and Erika Sandoval with a princess picnic in their ward on Monday&period;The twins are moving closer to home in a midway house&period;<&sol;strong><&sol;h6>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<p class&equals;"mol-para-with-font">They will stay there for a few weeks before finally being able to return home&period;<br &sol;>&NewLine;&&num;8216&semi;Erika and Eva look really great&comma;&&num;8217&semi; said pediatric surgeon Gary Hartman&comma; MD&comma; professor of surgery at the Stanford University School of Medicine who led the 50-person team that separated the twins in a 17-hour operation and has closely monitored their recovery&period;<br &sol;>&NewLine;&&num;8216&semi;The girls have just blossomed in terms of personality&comma;&&num;8217&semi; he said&period; &&num;8216&semi;They&&num;8217&semi;re very engaging and chatty&period;&&num;8217&semi;<br &sol;>&NewLine;At a March 6 hospital farewell party&comma; parents Art and Aida Sandoval were excited&period;<br &sol;>&NewLine;&&num;8216&semi;I&&num;8217&semi;m over the moon&comma;&&num;8217&semi; Aida said&period; &&num;8216&semi;It&&num;8217&semi;s still surreal seeing them separate&comma; knowing that it&&num;8217&semi;s still them as two individual bodies&period; Now we&&num;8217&semi;re just waiting for their next chapter to begin&comma; and the anticipation is indescribable&period;&&num;8217&semi;<br &sol;>&NewLine;Eva was discharged from Packard Children&&num;8217&semi;s on Thursday&comma; March 9 after a three-month healing period in which her doctors closely watched the condition of the wound at her separation site&period;<&sol;p>&NewLine;<h6 class&equals;"mol-para-with-font"><img class&equals;"alignnone wp-image-152221" src&equals;"https&colon;&sol;&sol;konniemoments&period;com&sol;wp-content&sol;uploads&sol;2017&sol;03&sol;after-surgery-aida-arturo-and-two-of-their-three-adult-children-embrace-with-joy-after-the-operation1&period;png" alt&equals;"After surgery&colon; Aida&comma; Arturo&comma; and two of their three adult children embrace with joy after the operation1&period;png" width&equals;"694" height&equals;"423" &sol;><strong>After surgery&colon; Aida&comma; Arturo&comma; and two of their three adult children embrace with joy after the operation<&sol;strong><&sol;h6>&NewLine;<p class&equals;"mol-para-with-font">For a while&comma; the plastic surgery team thought she might need a skin graft&comma; but Eva&&num;8217&semi;s wound is now healing well&comma; and a graft will not be necessary&period;<br &sol;>&NewLine;Erika healed more quickly&comma; allowing her to be discharged from Packard Children&&num;8217&semi;s on February 13&comma; when she left the hospital for the first time since the separation&period;<br &sol;>&NewLine;However&comma; Erika was readmitted on March 4 to monitor some vomiting that was persisting over several days&period;<&sol;p>&NewLine;<h6 class&equals;"mol-para-with-font"><img class&equals;"alignnone size-full wp-image-152040" src&equals;"https&colon;&sol;&sol;konniemoments&period;com&sol;wp-content&sol;uploads&sol;2017&sol;03&sol;aida-and-arturo-sandoval-44-and-he-49-view-their-miracle-twins&period;jpg" alt&equals;"Aida and Arturo Sandoval 44 and he 49&comma; view their miracle twins&period;jpg" width&equals;"634" height&equals;"423" &sol;><br &sol;>&NewLine;<strong>Aida and Arturo Sandoval lovingly gaze at their miracle twins&period;<&sol;strong><&sol;h6>&NewLine;<p class&equals;"mol-para-with-font">Aside from that bump in the road&comma; for the last few months&comma; both girls have been receiving physical and occupational therapy at Packard Children&&num;8217&semi;s to help them learn new movement patterns that are suited to their individual bodies&period;<br &sol;>&NewLine;They have also participated in play therapy to help them adapt psychologically to the separation&period;<br &sol;>&NewLine;&&num;8216&semi;Neither girl seems to have trouble adjusting&comma;&&num;8217&semi; said Packard Children&&num;8217&semi;s child psychiatrist Michelle Goldsmith&comma; MD&comma; who has worked with the sisters&period; &&num;8216&semi;They&&num;8217&semi;re both rolling with what&&num;8217&semi;s going on very well&period;&&num;8217&semi;<br &sol;>&NewLine;The healing process has even had its share of light moments&comma; Aida said&period;<br &sol;>&NewLine;&&num;8216&semi;The other day&comma; Eva said &&num;8220&semi;feet&&num;8221&semi;&comma; and I told her &&num;8220&semi;foot&&num;8221&semi;&period; I said&comma; you have one foot and your sister has the other foot&period; And then I showed her that she has one leg&comma; and that Erika has the other leg&period; And she pointed at Erika across the room and said &&num;8216&semi;Erika took it&excl; Erika took my leg&excl;&&num;8217&semi;<br &sol;>&NewLine;Before separation&comma; the twins&&num;8217&semi; anatomy was like that of two people above the sternum&comma; gradually merging almost to one below the diaphragm&period; They had a total of three legs&comma; one of which was unlikely to ever be functional&period;<br &sol;>&NewLine;Tissue from the third leg was used as part of Erika’s reconstructive surgery&comma; meaning that each twin now has one leg&period;<br &sol;>&NewLine;Both girls are now sitting on their own for short periods and will need to learn to use customized wheelchairs to move around&period;<&sol;p>&NewLine;<h6 class&equals;"mol-para-with-font"><img class&equals;"alignnone size-full wp-image-152012" src&equals;"https&colon;&sol;&sol;konniemoments&period;com&sol;wp-content&sol;uploads&sol;2017&sol;03&sol;two-year-old-twins-erika-and-eva-sandoval-were-reunited-after-separation&period;jpg" alt&equals;"two-year-old twins Erika and Eva Sandoval were reunited after separation" width&equals;"634" height&equals;"423" &sol;><br &sol;>&NewLine;<strong>This is the moment twin sisters Erika and Eva Sandoval were reunited after an 18-hour long separation surgery<&sol;strong><&sol;h6>&NewLine;<p class&equals;"mol-para-with-font">Because they each lack some pelvic bones on the side without a leg&comma; it is unclear if they will be able to receive prosthetic legs in the future&period; But whether they use prosthetics or not&comma; physical and occupational therapy will help them gain more independence&period;<br &sol;>&NewLine;Erika and Eva will continue to receive regular checkups with Hartman and other caregivers at Packard Children’s after they go home to Antelope&period;<br &sol;>&NewLine;&&num;8216&semi;They&&num;8217&semi;re doing really well and they&&num;8217&semi;re ready to go&comma;&&num;8217&semi; Hartman said&period; &&num;8216&semi;It&&num;8217&semi;s a great thing for everyone on our team to see&period;&&num;8217&semi;<&sol;p>&NewLine;<div class&equals;"artSplitter mol-img-group">&NewLine;<div class&equals;"mol-img">&NewLine;<div class&equals;"image-wrap fff-pic">&NewLine;<div class&equals;"overlay-icon mobile-gallery">&NewLine;<h6 class&equals;"mobile-gallery-icon"> <img class&equals;"alignnone size-full wp-image-152019" src&equals;"https&colon;&sol;&sol;konniemoments&period;com&sol;wp-content&sol;uploads&sol;2017&sol;03&sol;two-year-old-twins-erika-and-eva-sandoval-reunited-after-separation2&period;jpg" alt&equals;"two-year-old twins Erika and Eva Sandoval reunited after separation2&period;jpg" width&equals;"634" height&equals;"423" &sol;><&sol;h6>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<h6 class&equals;"mol-para-with-font"><strong>Happy parents hang out with conjoined twins Erika and Eva Sandoval&comma; who are reunited after separation<&sol;strong><&sol;h6>&NewLine;<div class&equals;"artSplitter mol-img-group">&NewLine;<div class&equals;"mol-img">&NewLine;<div class&equals;"image-wrap fff-pic">&NewLine;<div class&equals;"overlay-icon mobile-gallery">The girls&comma; from Antelope&comma; California&comma; started on their path to surgery years ago&comma; as they began to suffer countless infections&comma; and Erika was becoming dangerously weak&period;<&sol;div>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<p class&equals;"mol-para-with-font">On December 6&comma; in one of the riskiest separation operations ever performed&comma; the twin girls were successfully separated&period;<br &sol;>&NewLine;Their parents Aida and Arturo made the harrowing decision to attempt separating them in 2016&comma; as it became clear that with every month&comma; more medical issues arose&period;<br &sol;>&NewLine;They had been hospitalized with dozens of urinary tract infections and countless cases of dehydration&period;<br &sol;>&NewLine;And it was getting worse with time&period;  The good news is that the girls have suffered no complications since separation&period;<&sol;p>&NewLine;<h6 class&equals;"mol-para-with-font"><img class&equals;"alignnone size-full wp-image-152110" src&equals;"https&colon;&sol;&sol;konniemoments&period;com&sol;wp-content&sol;uploads&sol;2017&sol;03&sol;aida-and-her-girls-settle-into-their-new-apartment-in-palo-alto-in-october-aida-has-struggled-to-care-for-the-twins-in-their-temporary-home-while-husband-arturo-stayed-back-in-the-sac&period;jpg" alt&equals;"Aida and her girls settle into their new apartment in Palo Alto in October&period; Aida has struggled to care for the twins in their temporary home while husband&comma; Arturo&comma; stayed back in the Sacramento area for work&period;jpg" width&equals;"1639" height&equals;"1075" &sol;><strong>In preparation Aida and her girls settled into a temporary apartment in Palo Alto&comma; Calfor&period;&comma; in October&period; Husband&comma; Arturo&comma; stayed back in the Sacramento area for work for the period<&sol;strong><&sol;h6>&NewLine;<h6 class&equals;"mol-para-with-font"><strong><img class&equals;"alignnone size-full wp-image-152118" src&equals;"https&colon;&sol;&sol;konniemoments&period;com&sol;wp-content&sol;uploads&sol;2017&sol;03&sol;aida-sandoval-on-an-outing-with-eva-and-erika-on-an-outing-in-palo-alto-before-the-surgery&period;jpg" alt&equals;"Aida Sandoval on an outing with Eva and Erika on an outing in Palo Alto before the surgery&period;jpg" width&equals;"1069" height&equals;"1603" &sol;>Divine guidance&colon; Aida Sandoval&comma; seen here during an outing with Eva and Erika on an outing in Palo Alto before the surgery&comma; said her faith helped see her through trying moments<&sol;strong><&sol;h6>&NewLine;<div>In a lengthy profile of the family&comma; the <a class&equals;"" href&equals;"http&colon;&sol;&sol;www&period;miamiherald&period;com&sol;news&sol;nation-world&sol;national&sol;article116616403&period;html" target&equals;"&lowbar;blank" rel&equals;"nofollow">Sacramento Bee<&sol;a> last month described how the cost and scale of the operation &&num;8211&semi; and pre-surgery&comma; has taken such a heavy toll on the family&period;<&sol;div>&NewLine;<p class&equals;"mol-para-with-font">Aida was urged to abort the little girls when she and Arturo surprisingly fell pregnant two years ago at the age of 44&comma; Arturo was 49&period; Without hesitating&comma; the religious couple&comma; who already have three kids in their 20s&comma; kept the pregnancy&period;<br &sol;>&NewLine;But life was becoming increasingly difficult for the girls&period;<&sol;p>&NewLine;<h6 class&equals;"mol-para-with-font">&NewLine;<img class&equals;"alignnone wp-image-152230" src&equals;"https&colon;&sol;&sol;konniemoments&period;com&sol;wp-content&sol;uploads&sol;2017&sol;03&sol;artoro-holding-his-twin-daughters1&period;jpg&quest;w&equals;612" alt&equals;"Artoro holding his twin daughters" width&equals;"300" height&equals;"234" &sol;><img class&equals;"alignnone wp-image-152040" src&equals;"https&colon;&sol;&sol;konniemoments&period;com&sol;wp-content&sol;uploads&sol;2017&sol;03&sol;aida-and-arturo-sandoval-44-and-he-49-view-their-miracle-twins&period;jpg&quest;w&equals;612" alt&equals;"Aida and Arturo Sandoval 44 and he 49&comma; view their miracle twins" width&equals;"353" height&equals;"235" &sol;> <strong>Arturo &lbrace;left&rsqb; holding his twin daughters&comma; &lbrace;Right&rsqb; Aida holds the girls<&sol;strong><&sol;h6>&NewLine;<div class&equals;"artSplitter mol-img-group">&NewLine;<p class&equals;"imageCaption">Aida said last month that she was confident the surgery would be a success&comma; and that it would allow Erika &&num;8211&semi; the smaller and weaker of the two &&num;8211&semi; to grow into her own person&period; While Arturo continued his construction work near their home in Antelope&comma; California&comma; Aida had been forced to move to Palo Alto to live close to the hospital with the girls&period;<&sol;p>&NewLine;<&sol;div>&NewLine;<div class&equals;"artSplitter mol-img-group">&NewLine;<div class&equals;"mol-img">&NewLine;<div class&equals;"image-wrap fff-pic">&NewLine;<h6 id&equals;"share-pictures-7" class&equals;"share-pictures-overlay"><strong><img class&equals;"alignnone wp-image-152126" src&equals;"https&colon;&sol;&sol;konniemoments&period;com&sol;wp-content&sol;uploads&sol;2017&sol;03&sol;screenshot-from-2017-03-10-18-49-59irrepressible-two-year-olds-twin-sisters-eva-and-erika-sandoval-are-excitable-playful-before-their-separation&period;png" alt&equals;"Screenshot from 2017-03-10 18-49-59Irrepressible two-year-olds&comma; twin sisters Eva and Erika Sandoval are excitable&comma; playful before their separation&period;png" width&equals;"730" height&equals;"671" &sol;>Irrepressible two-year-olds&comma; twin sisters Eva and Erika Sandoval are excitable&comma; playful before their separation<&sol;strong><&sol;h6>&NewLine;<h6 class&equals;"overlay-icon mobile-gallery"><strong><img class&equals;"alignnone size-full wp-image-152123" src&equals;"https&colon;&sol;&sol;konniemoments&period;com&sol;wp-content&sol;uploads&sol;2017&sol;03&sol;aida-sandoval-tries-to-soothe-the-twins-after-a-surgery-to-insert-balloon-like-tissue-expanders-in-their-sides-and-back&period;jpg" alt&equals;"Aida Sandoval tries to soothe the twins after a surgery to insert balloon-like tissue expanders in their sides and back&period;jpg" width&equals;"1346" height&equals;"1071" &sol;>Aida Sandoval tries to soothe the twins after a surgery to insert balloon-like tissue expanders in their sides and back<&sol;strong><&sol;h6>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<p class&equals;"mol-para-with-font">Aida said she maintained her faith&colon; &&num;8216&semi;You just have to remember that doctors tell you the worst&period;<br &sol;>&NewLine;&&num;8216&semi;I have faith in God&comma; and I know that if it&&num;8217&semi;s meant to be&comma; it will be&period;<br &sol;>&NewLine;&&num;8216&semi;They want life&comma; and they&&num;8217&semi;re going to fight for it&period;&&num;8217&semi;<br &sol;>&NewLine;She said she was confident that the surgery would be a success&comma; and that it would allow Erika&comma; the smaller and weaker twin&comma; to grow into her own&period;<br &sol;>&NewLine;Eva was described as &&num;8216&semi;the larger and more dominant twin&&num;8217&semi; and she carried them both around&period;<&sol;p>&NewLine;<div class&equals;"artSplitter mol-img-group">&NewLine;<div class&equals;"mol-img">&NewLine;<div class&equals;"image-wrap fff-pic">&NewLine;<h6 id&equals;"share-pictures-8" class&equals;"share-pictures-overlay"><strong><img class&equals;"alignnone size-full wp-image-152130" src&equals;"https&colon;&sol;&sol;konniemoments&period;com&sol;wp-content&sol;uploads&sol;2017&sol;03&sol;eva-and-erika-were-attached-from-the-sternum-to-the-pelvis-and-shared-several-internal-organs1&period;jpg" alt&equals;"Eva and Erika were attached from the sternum to the pelvis and shared several internal organs&period;jpg" width&equals;"1556" height&equals;"1088" &sol;>Complex&colon; Eva and Erika were attached from the sternum to the pelvis and shared several internal organs<&sol;strong><&sol;h6>&NewLine;<div class&equals;"overlay-icon mobile-gallery">&NewLine;<div class&equals;"mobile-gallery-icon"> Eva and Erika were attached from the sternum to the pelvis&period; They shared a digestive system&comma; a uterus&comma; a liver&comma; a bladder&comma; and a third leg with a seven-toed foot&period; Now they are separate&comma; but as they grew&comma; they were experiencing more and more health concerns&period; They were hospitalized with dozens of urinary tract infections and countless cases of dehydration&period;<&sol;div>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<h6 class&equals;"mol-para-with-font">&NewLine;<strong><img class&equals;"alignnone size-full wp-image-152128" src&equals;"https&colon;&sol;&sol;konniemoments&period;com&sol;wp-content&sol;uploads&sol;2017&sol;03&sol;eva-and-erika-before-separation-show-off-their-amazing-dexterityeva-and-erika-before-separation-show-off-their-amazing-dexterity1&period;jpg" alt&equals;"Eva and Erika before separation show off their amazing dexterityEva and Erika before separation show off their amazing dexterity&period;jpg" width&equals;"1643" height&equals;"1094" &sol;>Eva and Erika before separation show off their amazing dexterity &lbrack;Eva thrust forward with two arms and one thick leg&comma; while Erika scrambled to support herself on spaghetti-thin limbs&comma; sometimes giving up entirely and letting herself be dragged along&comma;&&num;8217&semi;&rsqb; reporter Sammy Caiola observed&period;<&sol;strong><&sol;h6>&NewLine;<p class&equals;"mol-para-with-font">Prior to the surgery&comma; Dr Hartman said Eva would likely keep their bladder&comma; while Erika would get a colostomy bag&period;<br &sol;>&NewLine;Erika&comma; the weaker twin&comma; was expected to keep their third leg while Eva would get the other two&period;<br &sol;>&NewLine;Both were expected to be missing vital body parts&semi; and both needed significant reconstruction of their lower bodies&period;<br &sol;>&NewLine;The surgeons estimated the operation carried a 30 percent risk that one or both of them would die &&num;8211&semi; largely due to the fact that they shared a tangled skeletal system&comma; with many shared and tangled blood vessels&period;<br &sol;>&NewLine;&&num;8216&semi;This is a worrisome number because in most cases doctors only perform with a tenth of a percent chance of fatality&comma;&&num;8217&semi; their parents Aida and Arturo wrote on their Facebook page before the surgery&period;<&sol;p>&NewLine;<div class&equals;"artSplitter mol-img-group">&NewLine;<div class&equals;"splitRight">&NewLine;<div class&equals;"mol-img">&NewLine;<div class&equals;"image-wrap fff-pic">&NewLine;<div class&equals;"overlay-icon mobile-gallery"><img class&equals;"alignnone wp-image-152144" src&equals;"https&colon;&sol;&sol;konniemoments&period;com&sol;wp-content&sol;uploads&sol;2017&sol;03&sol;these-are-the-intricate-3d-printed-models-showing-the-girls-entangled-skeletal-structures-which-the-surgeons-used-to-make-a-game-plan-ahead-of-the-surgery-the-pelvis1&period;jpg" alt&equals;"These are the intricate 3D-printed models showing the girls' entangled skeletal structures&comma; which the surgeons used to make a game plan ahead of the surgery&period; The pelvis1" width&equals;"335" height&equals;"446" &sol;><img class&equals;"alignnone wp-image-152142" src&equals;"https&colon;&sol;&sol;konniemoments&period;com&sol;wp-content&sol;uploads&sol;2017&sol;03&sol;these-are-the-intricate-3d-printed-models-showing-the-girls-entangled-skeletal-structures-which-the-surgeons-used-to-make-a-game-plan-ahead-of-the-surgery-the-pelvis2&period;jpg" alt&equals;"These are the intricate 3D-printed models showing the girls' entangled skeletal structures&comma; which the surgeons used to make a game plan ahead of the surgery&period; The pelvis2" width&equals;"335" height&equals;"448" &sol;><&sol;div>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<div class&equals;"clear"><&sol;div>&NewLine;<p class&equals;"imageCaption">The team used intricate 3D-printed models showing the girls&&num;8217&semi; entangled skeletal structures&comma; which enabled the surgeons used to plan ahead of the actual operation&period; The pelvis &lpar;left&rpar; was the biggest obstacle&comma; since it was entwined and tangled with many shared blood vessels&period;<&sol;p>&NewLine;<&sol;div>&NewLine;<div class&equals;"artSplitter mol-img-group">&NewLine;<p class&equals;"imageCaption">It was reported as one of the most complicated procedures surgeons at Lucile Packard Children&&num;8217&semi;s Hospital Stanford have ever faced so complicated that the pre-op took over a year as the operation kept getting pushed back<&sol;p>&NewLine;<&sol;div>&NewLine;<div class&equals;"moduleFull mol-video">&NewLine;<div class&equals;"item">&NewLine;<div class&equals;"vjs-flyout-wrapper-fixed">&NewLine;<div class&equals;"vjs-flyout-wrapper-absolute">&NewLine;<div id&equals;"v-5829352522089384680" class&equals;"vjs-video-container vjs-fixed vjs-span-two-col health">&NewLine;<div id&equals;"vjs&lowbar;video&lowbar;825" class&equals;"video-js vjs-default-skin vjs-paused vjs-controls-enabled mol-empty-playlist mol-fe-animated-preview vjs-visually-ready vjs-user-inactive">&NewLine;<div class&equals;"vjs-control-bar">&NewLine;<div class&equals;"vjs-social-controls vjs-control">&NewLine;<h6 class&equals;"mol-para-with-font"><strong><img class&equals;"alignnone size-full wp-image-152135" src&equals;"https&colon;&sol;&sol;konniemoments&period;com&sol;wp-content&sol;uploads&sol;2017&sol;03&sol;aida-sandoval-rests-twins-eva-and-erika-on-her-shoulders-during-a-hospital-visit&period;jpg" alt&equals;"Aida Sandoval rests twins Eva and Erika on her shoulders during a hospital visit&period;jpg" width&equals;"1643" height&equals;"1094" &sol;>Aida Sandoval rests twin daughters Eva and Erika on her shoulders during a hospital visit&period; The girls were hospitalized for seven months after birth&comma;followed by dozens of medical appointments and emergency room visits&period;<&sol;strong><&sol;h6>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<div class&equals;"vjs-menu"> &&num;8216&semi;It&&num;8217&semi;s hard to see the numbers and find comfort on the odds&period;<&sol;div>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<p class&equals;"mol-para-with-font">&&num;8216&semi;But &&num;8230&semi; from the beginning our girls have superseded the doctors expectations of life and will continue to show us their strength&period;&&num;8217&semi;<br &sol;>&NewLine;Ahead of the operation&comma; Dr Hartman told the <a class&equals;"" href&equals;"http&colon;&sol;&sol;www&period;sacbee&period;com&sol;news&sol;local&sol;article119189263&period;html" target&equals;"&lowbar;blank" rel&equals;"nofollow">Sacramento Bee<&sol;a> the biggest concern was preventing blood loss when severing the liver and the pelvic bone&period;<br &sol;>&NewLine;Their operation is one of the most complicated procedures surgeons at Lucile Packard Children&&num;8217&semi;s Hospital Stanford have ever faced &&num;8211&semi; so complicated that the operation keeps getting pushed back&period;<&sol;p>&NewLine;<div class&equals;"artSplitter mol-img-group">&NewLine;<h6 class&equals;"imageCaption"><strong><img class&equals;"alignnone size-full wp-image-152106" src&equals;"https&colon;&sol;&sol;konniemoments&period;com&sol;wp-content&sol;uploads&sol;2017&sol;03&sol;eva-left-and-erika-right-pictured-arriving-at-the-hospital-for-their-landmark-separation-the-surgery-in-january&period;jpg" alt&equals;"Eva &lbrack;Left&rsqb;&comma; and Erika &lbrack;Right&rsqb;&comma; pictured arriving at the hospital for their landmark separation the surgery in January" width&equals;"634" height&equals;"423" &sol;><br &sol;>&NewLine;Eva &lbrack;Left&rsqb;&comma; and Erika &lbrack;Right&rsqb;&comma; pictured arriving at the hospital for their landmark separation the surgery in January<&sol;strong><&sol;h6>&NewLine;<p class&equals;"imageCaption">Surgeons spent the last few months inserting tissue expanders&comma; a common tactic in separation of conjoined twins&period;<br &sol;>&NewLine;It was a way of stretching the skin gradually so that&comma; when it came to the reconstruction surgery&comma; they have more to move and manipulate&period;<br &sol;>&NewLine;The team released photos from inside the operation&comma; and pictures of the 3D-printed models of the girls&&num;8217&semi; shared body parts&comma; which they used to practice for months&period;<br &sol;>&NewLine;&&num;8216&semi;We&&num;8217&semi;re so happy they did well during the actual separation procedure and it went smoothly&comma;&&num;8217&semi; Gail Boltz&comma; clinical professor of anesthesiology&comma; said&period;<br &sol;>&NewLine;Matias Bruzoni&comma; Dr Hartman&&num;8217&semi;s co-surgeon who made the final cut of the skin in the separation&comma; explained how the team working &&num;8216&semi;little by little&&num;8217&semi; from the upper chest down to the shared leg&period;<br &sol;>&NewLine;The surgery was challenging because they shared much of their lower body and had one liver&comma; one bladder and three legs&period;<&sol;p>&NewLine;<&sol;div>&NewLine;<div class&equals;"artSplitter mol-img-group">&NewLine;<div class&equals;"mol-img">&NewLine;<div class&equals;"image-wrap fff-pic">&NewLine;<div class&equals;"share-pictures-overlay"><&sol;div>&NewLine;<h6 id&equals;"share-pictures-16" class&equals;"share-pictures-overlay"><img class&equals;"alignnone size-full wp-image-152090" src&equals;"https&colon;&sol;&sol;konniemoments&period;com&sol;wp-content&sol;uploads&sol;2017&sol;03&sol;the-50-strong-team-had-been-preparing-for-more-than-a-year&period;jpg" alt&equals;"The 50-strong team had been preparing for more than a year&period;jpg" width&equals;"634" height&equals;"423" &sol;><br &sol;>&NewLine;<strong>It was a vast and complex operation requiring a 50-strong team and a  year&&num;8217&semi;s prep<&sol;strong><&sol;h6>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<div class&equals;"artSplitter mol-img-group">&NewLine;<div class&equals;"mol-img">&NewLine;<div class&equals;"overlay-icon mobile-gallery"> The team said they could not have effectively separated the pelvis without such advanced radiological scans&comma; used during surgery &lpar;pictured&rpar; and also before to make 3D plastic models<&sol;div>&NewLine;<div class&equals;"overlay-icon mobile-gallery">&NewLine;<p class&equals;"mol-para-with-font">In the procedure conducted last Tuesday into early Wednesday&comma; the team divided the bladder into two separate organs&period; It also split their liver to give half to each child&period;<br &sol;>&NewLine;The girls each have one leg&comma; with doctors using a third leg for reconstruction&comma; taking its skin and muscle to close one child&&num;8217&semi;s abdominal wall&period;<br &sol;>&NewLine;And it was the reconstruction that really determined whether the girls would recover well&period;<&sol;p>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<div class&equals;"artSplitter mol-img-group">&NewLine;<div class&equals;"mol-img">&NewLine;<div class&equals;"image-wrap fff-pic">&NewLine;<div class&equals;"share-pictures-overlay"><&sol;div>&NewLine;<h6 id&equals;"share-pictures-19" class&equals;"share-pictures-overlay"><strong><img class&equals;"alignnone size-full wp-image-152084" src&equals;"https&colon;&sol;&sol;konniemoments&period;com&sol;wp-content&sol;uploads&sol;2017&sol;03&sol;technology-the-team-said-they-could-not-have-effectively-separated-the-pelvis-without-such-advanced-radiological-scans-used-during-surgery&period;jpg" alt&equals;"Technology&colon; The team said they could not have effectively separated the pelvis without such advanced radiological scans&comma; used during surgery&period;&period;jpg" width&equals;"634" height&equals;"436" &sol;>Technology&colon; The team said they could not have effectively separated the pelvis without such advanced radiological scans&comma; used during surgery&period;<&sol;strong><&sol;h6>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<p class&equals;"imageCaption">Dr Hartman explained&colon; &&num;8216&semi;It doesn&&num;8217&semi;t matter if you get them separated if you cant get them reconstructed and get them closed&period;<br &sol;>&NewLine;&&num;8216&semi;Matias and Jim &lbrack;Gamble&comma; the orthopedic surgeon who guided the separation of the pelvis&rsqb; got us through the pelvis and cut the skin&period;<br &sol;>&NewLine;&&num;8216&semi;As Matias says&comma; it&&num;8217&semi;s the most anticlimactic thing&period; You&&num;8217&semi;ve been through the whole separation then you just have to cut that last bit of skin&comma; and they&&num;8217&semi;re the heroes&period;<br &sol;>&NewLine;It doesn&&num;8217&semi;t matter if you get them separated if you cant get them reconstructed and get them closed&period; The reconstructive guys are really the heroes&period;<&sol;p>&NewLine;<&sol;div>&NewLine;<div id&equals;"mol-b173d2d0-c232-11e6-80cc-6d297bb4c721" class&equals;"mol-article-quote nochannel floatRHS">&NewLine;<div class&equals;"mol-article-quote-attribution">&NewLine;<div>In the opinion of Lead surgeon Dr Gary Hartman &&num;8211&semi; &&num;8216&semi;The reconstructive guys are really the heroes&period;<&sol;div>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<p class&equals;"mol-para-with-font">&&num;8216&semi;And the proof of that is Erika&comma; who was and is the smaller twin&period; We were very concerned about her pre-surgery because she kept getting smaller&period; The more calories we gave her&comma; Eva would get bigger&period;<br &sol;>&NewLine;&&num;8216&semi;But because of the way she was reconstructed&comma; she is getting stronger and moving faster than her sister&period;<br &sol;>&NewLine;&&num;8216&semi;That is down to the creativeness of the reconstructive surgeons&period;&&num;8217&semi;<&sol;p>&NewLine;<div class&equals;"artSplitter mol-img-group">&NewLine;<div class&equals;"mol-img">&NewLine;<h6 class&equals;"image-wrap fff-pic"><img id&equals;"i-8578f156c43f4259" class&equals;"blkBorder img-share b-loaded" src&equals;"http&colon;&sol;&sol;i&period;dailymail&period;co&period;uk&sol;i&sol;pix&sol;2016&sol;12&sol;08&sol;21&sol;3B313C6300000578-4015092-image-a-46&lowbar;1481232697193&period;jpg" alt&equals;"'It's been a dream come true'&colon; Aida Sandoval wept next to her husband last week as they thanked the surgical team that separated their two-year-old daughter Eva and Erika" width&equals;"634" height&equals;"476" &sol;><br &sol;>&NewLine;<strong>Aida Sandoval &lbrack;right&rsqb; gets emotionla standing next to her husband last week as they thanked the surgical team that separated their conjoined twin daughters&comma; Eva and Erika<&sol;strong><&sol;h6>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<h3><strong>Donations for Eva and Erika can be sent to their parents Aida and Arturo Sandoval  via <a class&equals;"" href&equals;"https&colon;&sol;&sol;www&period;youcaring&period;com&sol;sandoval-twins-medical-donation-account-659236" target&equals;"&lowbar;blank" rel&equals;"nofollow">YouCaring<&sol;a><&sol;strong><&sol;h3>&NewLine;<p>&nbsp&semi;<&sol;p>&NewLine;<p>&nbsp&semi;<&sol;p>&NewLine;<p>&nbsp&semi;<&sol;p>&NewLine;

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