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Conjoined twins, Jagannath and Balram, fused together at the head are successfully separated after a grueling 20-HOUR procedure

&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;000000&semi;"><strong>Two-year-old conjoined twins fused together at the head were successfully separated after a grueling 20-HOUR procedure <&sol;strong><&sol;span><&sol;h6>&NewLine;<h6><span style&equals;"color&colon;&num;000000&semi;"><strong>Jagannath and Balram&comma; from Kandhamal in eastern Indian&comma; underwent a grueling 20-hour procedure at a hospital in New Delhi&comma; India<&sol;strong><&sol;span><&sol;h6>&NewLine;<h6><span style&equals;"color&colon;&num;000000&semi;"><strong>Surgeons were worried as they shared veins which carried blood to their brains&comma; but the first part of surgery was successful <&sol;strong><&sol;span><&sol;h6>&NewLine;<h6><strong><span style&equals;"color&colon;&num;000000&semi;">The sisters will go through a second surgery within a few days to complete the pro<&sol;span><&sol;strong><span style&equals;"color&colon;&num;000000&semi;">cedure<&sol;span><&sol;h6>&NewLine;<div id&equals;"articleIconLinksContainer"><&sol;div>&NewLine;<div>&NewLine;<h6 class&equals;"mol-para-with-font"><strong><img class&equals;"alignnone wp-image-246373" src&equals;"https&colon;&sol;&sol;konniemoments&period;com&sol;wp-content&sol;uploads&sol;2017&sol;08&sol;jagannath-and-balram-1&period;png" alt&equals;"Jagannath and Balram 1&period;png" width&equals;"886" height&equals;"557" &sol;>Two-year-olds Jagannath and Balram&comma; from Kandhamal in eastern Indian&comma; have been separated<&sol;strong><&sol;h6>&NewLine;<p class&equals;"mol-para-with-font">Doctors in India have successfully completed the first stage of a tricky operation to separate conjoined twins who are fused together at the head&period;<br &sol;>&NewLine;Jagannath and Balram&comma; from Kandhamal in eastern Indian&comma; were successfully parted following a grueling 20-hour procedure&period;<br &sol;>&NewLine;Despite sharing crucial veins which carry blood from their heart to their brains&comma; the first part of surgery was hailed as a triumph&period;<br &sol;>&NewLine;<strong>Related articles&colon;<&sol;strong><br &sol;>&NewLine;<a href&equals;"https&colon;&sol;&sol;konniemoments&period;com&sol;2016&sol;10&sol;14&sol;conjoined-twin-anias-and-jadon-mcdonald-joined-at-the-head-successfully-separated-in-epic-surgery-veteran-surgeon-almost-stopped-half-way-through-marathon-op&sol;" rel&equals;"bookmark">Conjoined twin&comma; Anias and Jadon McDonald&comma; joined at the head successfully separated in epic surgery -Veteran surgeon almost stopped half-way through marathon op<&sol;a><&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;"mobile-gallery-icon"><&sol;div>&NewLine;<h6 class&equals;"overlay-icon mobile-gallery"><img class&equals;"alignnone wp-image-246375" src&equals;"https&colon;&sol;&sol;konniemoments&period;com&sol;wp-content&sol;uploads&sol;2017&sol;08&sol;jagannath-and-balram-5&period;gif" alt&equals;"Jagannath and Balram 5&period;jpg" width&equals;"755" height&equals;"470" &sol;><strong>Preping for surgery&colon; Jagannath and Balram&comma; from Kandhamal in eastern Indian&comma; were successfully parted following a grueling 20-hour procedure<&sol;strong><&sol;h6>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<p>&nbsp&semi;<&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;"overlay-icon mobile-gallery">&NewLine;<div class&equals;"mobile-gallery-icon"><img class&equals;"alignnone size-full wp-image-246377" src&equals;"https&colon;&sol;&sol;konniemoments&period;com&sol;wp-content&sol;uploads&sol;2017&sol;08&sol;jagannath-and-balram-6&period;jpg" alt&equals;"Jagannath and Balram 6&period;jpg" width&equals;"640" height&equals;"480" &sol;><&sol;div>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<p class&equals;"imageCaption">Despite Jagannath and Balram &lbrack;photo&rsqb;&comma;  sharing crucial veins which carry blood from their heart to their brain&comma;<strong> <&sol;strong> the first part of surgery was hailed as a triumph<&sol;p>&NewLine;<&sol;div>&NewLine;<p class&equals;"mol-para-with-font">A second operation is expected to be performed within a few days at the All India Institute of Medical Sciences in New Delhi&period;<br &sol;>&NewLine;Surgeons are hopeful at least one of the twins will survive&comma; despite the high death rates for conjoined twins of their kind&period;<br &sol;>&NewLine;The two-year-olds are known as &&num;8216&semi;craniopagus twins&&num;8217&semi; &&num;8211&semi; a phenomenon that occurs just once in every 2&period;5 million births&period;<br &sol;>&NewLine;Around 40 per cent of these kind of twins are stillborn&period; Of those that survive&comma; a third die within 24 hours of birth&period;<br &sol;>&NewLine;If craniopagus twins survive to that point&comma; there is still an 80 per cent risk they would die before the age of two if they are not separated&period;<br &sol;>&NewLine;Separation means one or both of the twins may suffer developmental complications&period;<br &sol;>&NewLine;Usually the twins would share brains and have completely separate organs&comma; but in this instance&comma; the pair each have their own brain&period;<br &sol;>&NewLine;If craniopagus twins survive that point&comma; there is still an 80 per cent risk they would die before the age of two if they are not separated&period;<br &sol;>&NewLine;Separation means one or both of the twins may suffer developmental complications&period;<br &sol;>&NewLine;<span class&equals;"mol-style-bold health-ccox mol-style-medium">Before the operation&comma; one doctor told local media&colon; &&num;8216&semi;We are hoping to save both but even if one of the twins survives&comma; it will be a historic achievement&period;&&num;8217&semi;<br &sol;>&NewLine;<&sol;span>The pair of girls underwent a series of tests to determine whether surgery would be successful before it was attempted&period;<br &sol;>&NewLine;Multiple MRI scans and angiograms were conducted to examine the brain structure of the twins over the last month&period;<br &sol;>&NewLine;The doctors went through literature on such surgeries conducted worldwide and even contacted some of the surgeons who did them&period;<br &sol;>&NewLine;Finally&comma; it was decided to put them under the knife with the hope of saving at least one of the twins&comma; local reports say&period;<&sol;p>&NewLine;<&sol;div>&NewLine;<p>&nbsp&semi;<&sol;p>&NewLine;

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