India | Updated Nov 07, 2007 at 03:09pm IST

Lakshmi's marathon surgery in final stage

CNN-IBN

Bangalore: A marathon operation on 2-year-old Laksmi, who was born with four arms and four legs, went ''wonderfully well'' doctors said on Wednesday as they announced that she was safe and stable after almost 40 hours of surgery.

A team of 30 doctors at the Sparsh Hospital in Bangalore successfully removed the child's extra limbs, salvaged her organs, and rebuilt her pelvis area,

''Beyond our expectations, the reconstruction worked wonderfully well,'' said Dr Sharan Patil at a press conference. Lakshmi was born joined to a ''parasitic twin'' that stopped developing in the mother's womb. The surviving foetus absorbed the limbs, kidneys and other body parts of the undeveloped fetus.

The doctors worked through the night to remove the extra limbs and organs, surgery that doctors say will give her a good chance to live past adolescence. The procedure included separating the fused spines along with removing the extra limbs and the rest of the ''parasite,'' said Patil, the orthopedic surgeon leading the operation.

Lakshmi is recovering at the hospital’s intensive care unit and will be under observation for a few days.

The journey from a remote village—where she was revered as a Goddess—near the Bihar-Nepal border to Bangalore was long and arduous but Lakshmi won in the challenge.

A team of paediatrics worked all night on Tuesday to separate organs from the twin body and before that neurosurgeons had separated the spinal chord. The complicated procedure involved separating the parasitic twin's tissues, giving Lakshmi one of the functional kidneys, shifting the genital system and bladder from the left side of the body to a more centred position, reconstructing the pelvic ring, plastic surgery to close her wounds and operations to correct her club feet.

Lakshmi’s parents are hopeful their daughter will be able to lead a normal life. “We are her parents and naturally get worried often. But we are praying and are hopeful,” says her father Shambhu.

It’s a medical complication seen in one among 50,000 cases and if this risky surgery is successful, it will not only be a first in India but will also be a landmark in the surgery of ischiophagus conjoined twins in India.

Planning for the surgery took a month and doctors say without it Lakshmi may not have survived beyond early adolescence.

(With inputs from Priyanjana Dutta and The Associated Press)

<table width="248" border="0" cellpadding="3" cellspacing="2"> <tr bgcolor="#AE111D"> <td height="20" valign="middle" bgcolor="#DB1524"><div align="center"><strong class="Wtext11">LAKSHMI'S STORY</strong></div></td> </tr> <tr bgcolor="#e7e7e7"> <td width="248" height="20" valign="middle" class="Btext11 pLeft10"><img src="/pix/common/bullet.gif" width="7" height="7" alt="bullet" />Revered by some in her village as the reincarnation of a Hindu goddess, a 2-year-old girl born with four arms and four legs is undergoing surgery to leave her with a normal body.</td> </tr> <tr> <td width="248" height="20" valign="middle" class="Btext11 pLeft10"><img src="/pix/common/bullet.gif" width="7" height="7" alt="bullet" />Lakshmi was born joined to a ''parasitic twin'' that stopped developing in the mother's womb. The surviving fetus absorbed the limbs, kidneys and other body parts of the undeveloped foetus.</td> </tr> <tr> <td width="248" height="20" valign="middle" class="Btext11 pLeft10"><img src="/pix/common/bullet.gif" width="7" height="7" alt="bullet" /> The conjoined twin stopped developing in the mother's womb, and has a torso and limbs, but no head. It was joined to Lakshmi at the pelvis.</td> </tr> <tr> <td width="248" height="20" valign="middle" class="Btext11 pLeft10"><img src="/pix/common/bullet.gif" width="7" height="7" alt="bullet" /> When Lakshmi was born into a poor, rural Indian family, villagers in the remote settlement of Rampur Kodar Katti in Bihar believed she was sacred. As news of her birth spread, locals waited in line for a blessing from the baby.</td> </tr> <tr> <td width="248" height="20" valign="middle" class="Btext11 pLeft10"><img src="/pix/common/bullet.gif" width="7" height="7" alt="bullet" /> Her parents, Shambhu and Poonam Tatma, named the girl after the Hindu goddess of wealth who has four arms. However, they were forced to keep her in hiding after they were approached by men offering money in exchange for putting their daughter in a circus.</td> </tr> <tr> <td width="248" height="20" valign="middle" class="Btext11 pLeft10"><img src="/pix/common/bullet.gif" width="7" height="7" alt="bullet" /> The couple, who earn just $1 a day as casual laborers, wanted her to have the operation but were unable to pay for the rare procedure, which has never before been performed in India.</td> </tr><tr> <td width="248" height="20" valign="middle" class="Btext11 pLeft10"><img src="/pix/common/bullet.gif" width="7" height="7" alt="bullet" /> After Patil visited the girl in her village from Narayana Health City hospital in Bangalore, the hospital's foundation agreed to fund the $200,000 operation. Planning for the surgery took a month, Patil said, and Lakshmi spent that month in the hospital.</td> </tr></table>

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