Doctors operate on girl with eight limbs

Randeep Ramesh in New Delhi
Wednesday November 7, 2007
The Guardian

A two-year-old girl born with four arms and four legs was yesterday 
undergoing surgery by a team of 40 doctors in an operation that the 
hospital hopes will leave her with a normal body.

The girl, named Lakshmi after the four-armed Hindu goddess of wealth, 
suffers from ischiopagus, a rare condition which means that she is 
joined to a "parasitic twin" who stopped developing in the womb. In the 
womb the surviving foetus absorbs the limbs, kidneys and other organs. 
In Lakshmi's case, the "twins" are joined at the pelvis and have one 
head and two pairs of arms and legs. The operation, paid for by one of 
India's new hi-tech multi-speciality hospitals in Bangalore, is a 
40-hour ordeal. Doctors said last night that Lakshmi's condition was stable.

Dr Sharan Patil, the orthopaedic surgeon at Sparsh hospital, which is 
part of Narayana Health City, told reporters that the first incision was 
made at 8.45am. "There were a few unexpected things but we were able to 
manoeuvre them satisfactorily. Things are progressing to our 
satisfaction and Lakshmi is stable," he said.

Lakshmi was born into a poor family in a remote village in the northern 
state of Bihar, where locals have venerated her as an incarnation of the 
Hindu deity.

"Everybody considers her a goddess at our village," her father, Shambhu, 
a labourer told the Associated Press. "All this expenditure has happened 
to make her normal. So far, everything is fine."

The operation carries a substantial risk. The surgical staff have to 
separate not only two spines but also the two stomachs, four kidneys and 
two chest cavities.

Doctors admit there is a 20% chance Lakshmi will not survive. "The 
complex surgery is being carried out to remove the extraneous parts very 
carefully and move up all structures into Lakshmi without causing any 
harm," Dr Patil said.

Conjoined twins occur in about one in every 200,000 births. Lakshmi's 
kind forms only 3% of all conjoined babies.

http://www.guardian.co.uk/india/story/0,,2206422,00.html


 
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