LONDON: Two-year-old twins joined at the head have undergone successful surgery at a British hospital to separate their skulls, brains and blood vessels, doctors said on Tuesday.
The highly complex surgery involved multiple operations on Safa and Marwa Ullah, who were born in Pakistan in January 2017 with a condition known as “craniopagus” in which the girls’ skulls and parts of their brains were joined and intertwined.
“Craniopagus is an exceptionally rare and complex condition,” said David J. Dunaway, who co-led the surgical team that treated the twins. The operation, conducted in February, was the most complex such separation his team had performed to date, he said.
Having twins joined at the head with fused skulls and separate bodies occurs in less than one in a million births, while having the connection extend into the brain tissue is rarer still. Around 50 sets of craniopagus twins are estimated to be born around the world every year, of which only around 15 are thought to survive beyond the first 30 days of life.
Dunaway said this separation was helped by state-of-the-art technology including virtual reality, advanced imaging and three-dimensional rapid prototyping — allowing the surgeons to use images of the girls’ brains and blood vessels to plan and practice the surgery in advance to minimize complications.
The procedures took place at London’s Great Ormond Street hospital, with the girls well enough to be discharged from hospital four months later on July 1.
“These cutting-edge scientific techniques greatly increased the chance of success for Safa and Marwa. Their brains were more intertwined than the previous sets of craniopagus twins making it the most complicated separation to date,” the Great Ormond Street team said in a statement.
Five months after their final operation, Safa and Marwa are making slow but steady progress, the doctors said, adding that “a further period of recuperation and rehabilitation is essential to maximize their recovery.”
UK doctors reveal separation of Pakistani twins joined at the head
UK doctors reveal separation of Pakistani twins joined at the head
- Highly complex surgery involved multiple operations
- Their brains were more intertwined than the previous sets of craniopagus twins, says doctor
Tens of thousands flee northwest Pakistan over fears of military operation
- More than 70,000 people, mostly women and children, have fled remote Tirah region bordering Afghanistan
- Government says no military operation underway or planned in Tirah, a town in Khyber Pakhtunkhwa province
BARA, Pakistan: More than 70,000 people, mostly women and children, have fled a remote region in northwestern Pakistan bordering Afghanistan over uncertainty of a military operation against the Pakistani Taliban, residents and officials said Tuesday.
Pakistan’s Defense Minister Khawaja Mohammad Asif has denied the claim by residents and provincial authorities. He said no military operation was underway or planned in Tirah, a town in Khyber Pakhtunkhwa province.
Speaking at a news conference in Islamabad, he said harsh weather, rather than military action, was driving the migration. His comments came weeks after residents started fleeing Tirah over fears of a possible army operation.
The exodus began a month after mosque loudspeakers urged residents to leave Tirah by Jan. 23 to avoid potential fighting. Last August, Pakistan launched a military operation against Pakistani Taliban in the Bajau r district in the northwest, displacing hundreds of thousands of people.
Shafi Jan, a spokesman for the provincial government in Khyber Pakhtunkhwa, posted on X that he held the federal government responsible for the ordeal of the displaced people, saying authorities in Islamabad were retracting their earlier position about the military operation.
Khyber Pakhtunkhwa Chief Minister Suhail Afridi, whose party is led by imprisoned former Prime Minister Imran Khan, has criticized the military and said his government will not allow troops to launch a full-scale operation in Tirah.
The military says it will continue intelligence-based operations against Pakistani Taliban, who are known as Tehrik-e-Taliban Pakistan, or TTP. Though a separate group, it has been emboldened since the Afghan
Taliban returned to power in 2021. Authorities say many TTP leaders and fighters have found sanctuary in Afghanistan and that hundreds of them have crossed into Tirah, often using residents as human shields when militant hideouts are raided.
Caught in the middle are the residents of Tirah, who continued arriving in Bara.
So far, local authorities have registered roughly 10,000 families — about 70,000 people — from Tirah, which has a population of around 150,000, said Talha Rafiq Alam, a local government administrator overseeing the relief effort. He said the registration deadline, originally set for Jan. 23, has been extended to Feb. 5.
He said the displaced would be able to return once the law-and-order situation improves.
Among those arriving in Bara and nearby towns was 35-year-old Zar Badshah, who said he left with his wife and four children after the authorities ordered an evacuation. He said mortar shells had exploded in villages in recent weeks, killing a woman and wounding four children in his village. “Community elders told us to leave. They instructed us to evacuate to safer places,” he said.
At a government school in Bara, hundreds of displaced lined up outside registration centers, waiting to be enrolled to receive government assistance. Many complained the process was slow.
Narendra Singh, 27, said members of the minority Sikh community also fled Tirah after food shortages worsened, exacerbated by heavy snowfall and uncertain security.
“There was a severe shortage of food items in Tirah, and that forced us to leave,” he said.
Tirah gained national attention in September, after an explosion at a compound allegedly used to store bomb-making materials killed at least 24 people. Authorities said most of the dead were militants linked to the TTP, though local leaders disputed that account, saying civilians, including women and children, were among the dead.
