+
upworthy
Science

Conjoined twins with fused brains separated; surgeons practiced for months in virtual reality

Arthur and Bernardo finally get to see each other face to face.

surgery, conjoined twins
Image by sasint/Canva

Surgeons prepared to separate 3-year-old conjoined twins in Brazil using virtual reality.

The things human beings have figured out how to do boggles the mind sometimes, especially in the realm of medicine.

It wasn't terribly long ago that people with a severe injury had to liquor up, bite a stick, have a body part sewn up or sawed off and hope for the best. (Sorry for the visual, but it's true.) The discoveries of antibiotics and anesthesia alone have completely revolutionized human existence, but we've gone well beyond that with what our best surgeons can accomplish.

Surgeries can range from fairly simple to incredibly complex, but few surgeries are more complicated than separating conjoined twins with combined major organs. That's why the recent surgical separation of conjoined twin boys with fused brains in Brazil is so incredible.



The twins, Bernardo and Arthur Lima, are almost 4 years old and have never seen one another's face. They've spent their lives conjoined at the top of their heads, facing opposite directions. Born as craniopagus twins (joined at the cranium), their brains were also fused together, making their separation extremely complex. According to the BBC, they've been cared for at the Instituto Estadual do Cérebro Paulo Niemeyer (Paulo Niemeyer State Brain Institute) in Rio de Janeiro for the past two and a half years.

Surgeon Noor ul Owase Jeelani is the founder of medical charity Gemini Untwined, which funded the surgery. He helped lead the team of nearly 100 medical workers who worked for months to prepare for the boys' separation, which was one of the most complicated of its kind.

Jeelani told the BBC that it was the first time surgeons in separate countries practiced by operating in the same "virtual reality room" together, wearing VR headsets.

"It's just wonderful," he said. "It's really great to see the anatomy and do the surgery before you actually put the children at any risk. You can’t imagine how reassuring this is for the surgeons. To do it in virtual reality was just really man-on-Mars stuff."

Watch Jeelani explain how they prepared for the procedure:

Prior attempts to separate the twins had been unsuccessful, making the surgery even more challenging due to scar tissue. However, after multiple surgeries that took more than 33 hours collectively, the boys were successfully separated in June.

“It was without a doubt the most complex surgery of my career,” said neurosurgeon Gabriel Mufarrej of the Paulo Niemeyer State Brain Institute, according to EuroNews. “At the beginning, nobody thought they would survive. It is already historic that both of them could be saved."

Jeelani told the BBC that the boys' heart rates and blood pressure were "through the roof" for four days after the surgery—until they were reunited and touched hands.

According to Reuters, Bernardo and Arthur are the oldest twins with fused brains to be successfully separated. They will spend the next six months in rehabilitation.

Congratulations to the Lima family and to the global team that combined dedication, perseverance and the miracle of modern technology to create a brighter future for these young boys.


This article originally appeared on 08.04.22

A pitbull stares at the window, looking for the mailman.


Dogs are naturally driven by a sense of purpose and a need for belonging, which are all part of their instinctual pack behavior. When a dog has a job to do, it taps into its needs for structure, purpose, and the feeling of contributing to its pack, which in a domestic setting translates to its human family.

But let’s be honest: In a traditional domestic setting, dogs have fewer chores they can do as they would on a farm or as part of a rescue unit. A doggy mom in Vancouver Island, Canada had fun with her dog’s purposeful uselessness by sharing the 5 “chores” her pitbull-Lab mix does around the house.

Keep ReadingShow less
Representative Image from Canva

Let's not curse any more children with bad names, shall we?

Some parents have no trouble giving their children perfectly unique, very meaningful names that won’t go on to ruin their adulthood. But others…well…they get an A for effort, but might want to consider hiring a baby name professional.

Things of course get even more complicated when one parent becomes attached to a name that they’re partner finds completely off-putting. It almost always leads to a squabble, because the more one parent is against the name, the more the other parent will go to bat for it.

This seemed to be the case for one soon-to-be mom on the Reddit AITA forum recently. Apparently, she was second-guessing her vehement reaction to her husband’s, ahem, avant garde baby name for their daughter, which she called “the worst name ever.”

But honestly, when you hear this name, I think you’ll agree she was totally in the right.

Keep ReadingShow less

An English doctor named Edward Jenner took incredible risks to try to rid his world of smallpox. Because of his efforts and the efforts of scientists like him, the only thing between deadly diseases like the ones below and extinction are people who refuse to vaccinate their kids. Don't be that parent.

Unfortunately, because of the misinformation from the anti-vaccination movement, some of these diseases have trended up in a really bad way over the past several years.

Keep ReadingShow less

A beautiful cruise ship crossing the seas.

Going on a cruise can be an incredible getaway from the stresses of life on the mainland. However, that doesn’t mean there isn’t an element of danger when living on a ship 200-plus feet high, traveling up to 35 miles per hour and subject to the whims of the sea.

An average of about 19 people go overboard every year, and only around 28% survive. Cruise ship lawyer Spencer Aronfeld explained the phenomenon in a viral TikTok video, in which he also revealed the secret code the crew uses when tragedy happens.

Keep ReadingShow less
Joy

Kudos to the heroes who had 90 seconds to save lives in the Key Bridge collapse

The loss of 6 lives is tragic, but the dispatch recording shows it could have been so much worse.

Representative image by Gustavo Fring/Pexels

The workers who responded to the Dali's mayday call saved lives with their quick response.

As more details of the Francis Scott Key Bridge collapse in Baltimore emerge, it's becoming more apparent how much worse this catastrophe could have been.

Just minutes before 1:30am on March 26, shortly after leaving port in Baltimore Harbor, a cargo ship named Dali lost power and control of its steering, sending it careening into a structural pillar on Key Bridge. The crew of the Dali issued a mayday call at 1:26am to alert authorities of the power failure, giving responders crucial moments to prepare for a potential collision. Just 90 seconds later, the ship hit a pylon, triggering a total collapse of the 1.6-mile bridge into the Patapsco River.

Dispatch audio of those moments shows the calm professionalism and quick actions that limited the loss of life in an unexpected situation where every second counted.

Keep ReadingShow less
Joy

Yale's pep band had to miss the NCAA tournament. University of Idaho said, 'We got you.'

In an act of true sportsmanship, the Vandal band learned Yale's fight song, wore their gear and cheered them on.

Courtesy of University of Idaho

The Idaho Vandals answered the call when Yale needed a pep band.

Yale University and the University of Idaho could not be more different. Ivy League vs. state school. East Coast vs. Pacific Northwest. City vs. farm town. But in the first two rounds of the NCAA basketball tournament, extenuating circumstances brought them together as one, with the Bulldogs and the Vandals becoming the "Vandogs" for a weekend.

When Yale made it to the March Madness tournament, members of the school's pep band had already committed to other travel plans during spring break. They couldn't gather enough members to make the trek across the country to Spokane, Washington, so the Yale Bulldogs were left without their fight song unless other arrangements could be made.

When University of Idaho athletic band director Spencer Martin got wind of the need less than a week before Yale's game against Auburn, he sent out a message to his band members asking if anyone would be interested in stepping in. The response was a wave of immediate yeses, so Martin got to work arranging instruments and the students dedicated themselves to learning Yale's fight song and other traditional Yale pep songs.

Keep ReadingShow less