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As the Index previously wrote, Rabeya’s skull restoration surgery took place in Dhaka on Tuesday. Once again, doctors from the Hungarian volunteer team, the Action for the Vulnerable Foundation, carried out another risky intervention on one of the separated Bangladeshi Siamese twins.
One of the separated Bangladeshi Siamese twins in Rabeya underwent skull restoration surgery.
Coming home from Bangladesh on Saturday András Csókay The neurosurgeon met him by phone Sunday at the Index, who said the current one was the fifth major neurosurgery operation on young girls. This time in Dhaka, the task was to replace a huge skull bone in Rabeya.
The result is promising, but it takes a matter of weeks for the skin to close smoothly. We are very happy that we were able to return home.
– We heard from András Csókay, who together with Tuesday’s operation had already performed the fifth neurosurgery on Siamese twins in Bangladesh.
The neurosurgeon, as he says, had the idea in the Jesus prayer, well known in Christianity, that the cerebral veins of Siamese twins, unlike the usual, were called, will be resolved by vascular surgery with catheter in February and August 2018. This was done by István Hudák, a cerebral vascular surgeon. This was followed by a total of 43 plastic surgeries and skin surgeries led by plastic surgeon Gergely Pataki, primarily at Semmelweis University.
These were followed by some major 26-hour separation surgery led by Dr. Csókay, the first two days of August last year, when the skull, brain, cerebral arteries, and remaining veins had to separate. This was followed in December by Rukaya’s huge skull replacement, and now this has happened in Rabeya as well.
Risky skull implant in the shadow of the coronavirus
Imagine a head that has the roof of the skull removed in a circle and is covered only by skin. Despite the coronavirus, the intervention could not wait any longer because the little girl could even run, and who knows what will happen to her if she hits her head after her brain was still without the skull just under the skin before the current surgery.
The neurosurgeon says why, despite the epidemic, they were traveling to Dhaka at this time.
Thus, on Tuesday, an artificial skull made of special bone cement with antibiotics manufactured by the Biomechanics Laboratory of the University of Debrecen was placed on Rabeya’s head, which he arranged with his neurosurgeon colleagues.
They did five tests with us along the way, but thank goodness they all got negatives every time so we could do everything planned.
– adds the neurosurgeon, who also points out that the success of the operation did not depend only on medical knowledge and vocation, the power of hundreds of thousands of supportive prayers at home helped them a lot this time too.
Because neurosurgery is a medical field where complications can be dramatic, and can even end with death or unilateral paralysis, it is best for such difficult interventions that operations are always performed in the form of prayer. Even now I have prayed to myself many times that You would have mercy on us Lord Jesus! Last year, I also got two good professional ideas from him during major surgery, when the situation became very critical.
– tells András Csókay about the spiritual background of the separation of the twins, who also considers that the success of Tuesday’s surgery is a merit of the Lord: the fact that there was no postoperative bleeding on the CT scan, despite the enormous affected zone. Little Rabeya was already feeling well the day after surgery.
Life after separation
Rabeya’s brother was less fortunate, as 33 days after the major separation surgery, a very severe hemorrhage developed on the girl’s head.
When we returned home from Dhaka, everything was still fine, there was an absolute possibility that both children were in good condition, for some reason we had unexplained bleeding.
The neurosurgeon explains how one of the girls almost got lost at some point.
He believes they got another miracle because then his neurosurgeon colleagues said they were losing the girl.
In comparison, they could now see with their own eyes the tremendous development that Rukaya had undergone. He cannot speak, but he moves all four limbs, crying, laughing, enjoying life a little.
What comes after the current surgery? András Csókay, like many doctors who handle rehabilitation, says he has seen a small number of children recover from a similar serious injury to the skull before. After all, Rukaya and Rabeya’s separation was, in a sense, nothing more than a huge but direct injury to the skull of both boys.
He hopes that beyond friendly gatherings with children and family, there will be no more neurosurgical tasks in the near future. Based on experience to date, it is conceivable that children will “outgrow” the current size of the roof of the skull by five to eight years, which must therefore be replaced.
Recovery would mean that if Rukaya’s mental abilities fell short of those of her contemporaries and were never fully fulfilled, the girl could still live a happy life, at least Dr. Csókay hopes for this, as well as a miraculous cure. That is why the neurosurgeon now encourages prayer.
The famous neurosurgeon, now preparing for his latest surgery on Bangladeshi girls, has pushed his limits many times with his own limits. Interview.
(Cover image: Isza Ferenc / Index)
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