Separation of Conjoined Twins and technology to separate them has improved drastically, but success rates of these procedures are still sub par.

references:
1. https://www.youtube.com/watch?v=O1yNoxLMIHg
2. https://www.ncbi.nlm.nih.gov/pubmed/28060197

I was watching youtube as usuals and organizing some videos in my youtube playlists.  I came across this video via youtubes assistive algorithms.

And it has occurred to me that now neurosurgeons should have the technology as well as the ability to more reliably separate conjoined twins, even up until the ages of 18 to 21 years old, or even at the ages of 35 to 40 years old, dependant on the ability of the patients involved.

So, the conjoined twins could be separated at infancy, or even wait until they are cognizant enough to choose to be separated.

The surgical approach is to:

1. gain informed consent from those two patients, or more.
2. if informed consent is consented to by the patients, then proper evaluative studies of the patients must be done.
3. proper radiological studies must be done to document and map the entire vasculature of the patients bodies, or enough to rule out all other cardiovascular problems and all other problems of the rest of the organ systems of those patients.  In this case it is typically two patients as opposed to three or more.
4. proper radiological studies must be done to map the vasculature and other structures of their brains.
5. these radiological studies include, radiographs, computed tomography scans, and magnetic resonance scans.  as well as pet scans, if necessary.

6. in this case if surgery is to be done, then other blood tests will be necessary
7. an electrocardiogram, or two electrocardiograms at the least will be necessary too.
8. chest radiographs will also be necessary.


A surgical approach that is already known, is to saw through the skulls of the conjoined twins in a linear plane and in a manner that minimizes blood loss.

Control of blood loss is critical.

Material to recover the exposed brain will be necessary.





Adrian Dane Kenny, M.D.

Jamway Hospital



reference:
3. https://www.childrenshospitaloakland.org/main/chase-and-grant-yoakum-a-tale-of-twins.aspx



what I am looking for is conjoined twins at this moment, via the Internet.

using Google.  primarily.

search term or frase is: neurosurgery for separation of conjoined twins


primary result is:

https://www.google.com/search?q=neurosurgery+for+separation+of+conjoined+twins&rlz=1C1NHXL_enUS735US763&oq=neurosurgery+for+separation+of+conjoined+twins&aqs=chrome..69i57j33l2.6734j1j8&sourceid=chrome&ie=UTF-8


a secondary result is:

https://en.wikipedia.org/wiki/Patrick_and_Benjamin_Binder


[Ben] Carson described this separation as the first of its kind, with 23 similar attempted separations ending in the death of one or both twins.

Ben Carson killed 45 individuals and one lived.  

Regarding the Binder twins, :

Although Carson was able to separate the boys, they were both left profoundly disabled. The Associated Press reported, in 1989, two years after the separation, that Patrick remained in a "vegetative state", following the surgery.^[2] He never came out of his coma. According to a 2015 Washington Post article, he "died sometime in the last decade".^[3]


from what i know regarding this story, when ben carson finally had one successful outcome as a neurosurgeon, one of the twins still died, and the other one lived.  He told the parents somethings.

And, Eventually that surviving , or living and remaining twin died.  too.



So according to this reference that I found today, , the wikipedia reference, Ben Carson,

Is Ben short for Benjamin in this case?

regarding Ben Carson a neurosurgeon of Johns Hopkins, who studied at Yale University and then the University of Michigan for medical school and eventually he chose to be at Johns Hopkins for Neurosurgery.

reference:

4. https://en.wikipedia.org/wiki/Ben_Carson#College




by:  Adrian Dane Kenny. M.D.