Rare Conjoined Twins Successfully Separated by Nemours Surgeons at Wolfson Children’s Hospital


[MUSIC PLAYING] Conner is a little
more laid back usually. It takes him– he kind
of observes everything and makes his decisions
about how he’s gonna react. Carter is much more
social initially. He’s quicker to smile. His whole face lights up. And he’s just a little
flirt, aren’t you? The babies were
thoraco-omphalopagus conjoined twins. It’s a fancy term that
means their lower chest walls were connected,
their livers were fused, as it turns out, their bile
ducts were fused as well. Then finally, they
did share a portion of their small intestine. This is such a rare
anomaly, and it’s such a significant
procedure, that you really do need to bring
together a team that has the expertise
to be able to deal with what you’re gonna fix. First time I met
Dr. Robie and Dr. Poulos was when I was
pregnant with the twins and they actually went over
the MRI results with us. What gave me confidence with
these doctors in the place here is their confidence level. I’ve actually
participated in separation of omphalopagus twins
before, and so I did have a pretty good idea of
how things were going to go. Dr. Dunn is the chief of
surgery, the department head of surgery at the duPont
Hospital in Wilmington. But he’s also a gifted
pediatric transplant surgeon. My role is to help
Dr. Robie, Dr. Poulos decide where it is to
actually divide the liver. We had our experts from Nemours
Children’s Specialty Care, Wolfson Children’s
Hospital, and our colleagues from the University of Florida. We were all united taking care
of these special little boys. One of the issues
was trying to get both twins to grow adequately. And since blood supply
was shunted from one twin to the other, you
fed both twins, but one grew a lot and
one grew very slowly. We were actually thinking
about waiting til they were nine months of age. They essentially told us, no,
we need to go sooner than that. [INTERPOSING VOICES] When I seen Carter and
Conner’s NICU nurses all there today, it made me feel
so– I can’t even– I don’t know the word. But they love Carter and Conner
and it was really awesome that they were there. The anesthesia team were two
attendings– one for each boy. We had a green team
and a blue team. The green team
took care of Connor and the blue team’s Carter. It’s not every day that you get
to be involved in separation of conjoined twins. It was a really climactic
point for most of our careers. When we were dividing the twins
as the separation continued, I could see that everything
was going to be fine. Dr. Poulos picked up Carter and
took him over to another bed. When the boys were
actually separated, there was such an element
of excitement in the room that actually people applauded. It was really cool. [LAUGHS] I came in to update
the family about where we were in the separation
of the twins by the liver. And at that point, I got a
call from the [INAUDIBLE]. And that everything is
going about amazingly super. They’re separated! Oh! The feeling I had was
wow, that was quick! And how exciting,
because the time we’d been waiting for for so long
is here, and this is it. So after racing back there,
captured the actual movement to the table, and then being
able to bring that back to them so they could
actually witness as they’d been fully separated. Oh! Oh! [GASPS] Now they are truly
boys, individuals. It’s probably once in a
lifetime for most of us. And that piece is truly
feeling like a part of history. We were ready and successful
in separating them. That’s the man with the plan. That’s the man
that did it, dude. That’s the man
whose hands it’s in. You prepare all your
professional career for these type of major cases. And it is a very
fulfilling experience. [LAUGHTER] We all give him a hug. As of this morning,
I think we are seeing that they’re doing
better being separate rather than when
they were conjoined. It felt good to see
them in separate rooms, and they seem like
individuals now. I’d like to thank
the Mirabal family. We appreciate their
trust in allowing us to care for Carter and Conner. This hospital has shown me some
of the best people I’ve ever met in my life. I love it. And I will give them my
thanks for the rest of me and my children’s lives. We’re looking
forward to continue to care for these babies. So they look good
and we’re pleased. They still are in intensive
care, but they’re stable. And we couldn’t ask
for anything better. [MUSIC PLAYING]

25 thoughts on “Rare Conjoined Twins Successfully Separated by Nemours Surgeons at Wolfson Children’s Hospital

  1. I love Nemours, my son just had surgery today and you guys are by far the best children's hospital I've ever encountered. The level of expertise is amazing.

  2. i'm so happy all goes well with those little angels..gratzz with your beautifull twin. 🙂 god bless. from a mom from The netherlands.

  3. my question is that .how the treating gynac or any other doctor could not see the critical position of the babies ?there are periodical sonographies throughout pregnancy.then how can nobody was able to find out the strange babies?if locketed earlier thus problems may have not raised.doo surprising!in such big counties.

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