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Doctors in India have successfully operated on a young girl born with four arms and four legs to give her the chance of a normal life.
Lakshmi Tatma, 2, was born suffering from a rare condition known as isciopagus, in which she was born attached to a partially-formed twin. The condition occurs in fewer than one in 50,000 births, and extreme examples like Lakshmi are very rare.
A team of around 30 medics spent more than a day carefully detaching what amounted to Lakshmi Tatma’s headless identical twin sister who was joined to her at the pelvis.
The trickiest parts of the operation were to transplant one of her kidneys, which was partially in the body of her twin, and to reconstruct the veins and blood vessels shared by both bodies.
“It went very well,” said Mamta Patil, a doctor involved in the surgery at Sparsh Hospital in Bangalore in south India.
“She’ll be in intensive care for the next 48 hours.”
The risky operation began early yesterday morning. Lakshmi, named after the four-armed Hindu goddess of wealth, was expected to be in the operating theatre for 40 hours, but the surgery was over after 27.
Doctors said the surgery was worth the risk, saying that Lakshmi, who could not walk on her deformed limbs, would not otherwise have much chance of living past adolescence.
“We have been told that she can lead a normal life after the operation. I am just praying for her,” Poonam, Lakshmi’s mother, told reporters.
Lakshmi’s parents are poor labourers from Bihar state in northern India, where local villagers regarded the eight-limbed little girl as a goddess.
Others had a more sinister interest in Lakshmi - her parents told newspapers that they had refused offers from circus owners to buy their daughter.
Besides the removal of the extra limbs, Lakshmi’s deformed pelvis and spine were corrected, and redundant extra organs removed, doctors said. She will now need extensive skin grafts.
The hospital said it is covering the cost of the surgery. It took up Lakshmi's case after orthopaedic surgeon Dr Sharan Patil read of the little girl's story in a local newspaper and decided to offer her medical help free of charge.
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I agree that the Indian doctors who operated on Lakshmi are at last beginning to get at least some recognition for their efforts, with the western media seeking them out. Better late than never.
Contrast this against the tremendous amount of instant worldwide media coverage recently that was given to the premature newborn baby who survived after falling through a moving train's washroom in India.
The prurient, egregious, and sensational coverage was there for instant global consumption, because it fit the stereotype of India that much of the world appears comfortable with - and that much of India has moved beyond - that of a nation eternally condemned to backwardness.
Instances such as Lakshmi's successful surgery go against this stereotype and present an image of India to the world that most Indians, certainly myself, and hopefully Vikram, should be comfortable with.
Lalit Ganapathy, Chicago, US
Lalit and Vikram.....I think you should both agree to disagree. One thing I think you both agree on is that this little girl is doing fine. One more thing Lalit....I did see the doctors on tv discussing this on the Today show. So I wouldn't say that they aren't looking for kudos too. It's not just the US that in your opinion is the only country who wants publicity for things they have accomplished. For me I am happy this little girl can lead a normal and happy life. Every child deserves that, no matter what country they live.
Lori , Coffeen, usa/ IL
To Donate cut and paste:
www.sksn.org/sucheta/lakshmiaftercarefund/index.html
into your browser
Scott Brodsky, Londonderry, NH, USA
Vikram,
I stand by my so-called "unwarranted claim" and can be certain had a surgery like this one been performed successfully in the US, there would have been a media frenzy, just like the one on July 21, 1969 when Neil Armstrong stepped on the moon.
Conjoined twins have a 5-25% survival rate and separating asymmetrical or 'parasitic' twins is a tremendous feat of medicine, even if it has a 75% success rate.
The human interest side of the story would have been (and might yet be) a perfect subject for a 60 minutes segment.
Lalit Ganapathy, Chicago, US
i agree with lalit...
just look at the media publicity that was there in the us after the rescue of baby jessica..
well done docs! we are proud of u!
kj, ny, us
Lalit,
I believe u said something like ....
"Had a similar such surgery been performed successfully in the the US, the media would have been all over the surgeons, falling over themselves trying to bring this to global attention."
The Americans put a man on the moon, did they try to "bring this to global attention" ? They invented the automobile, democracy, computers etc. , did they seek global attention then ? Why are you accusing them of being arrogant when in reality they are quite humble inspite of being the most powerful countrry?
I did not mean to personally attack you, but you did make unwarranted claims.
Vikram, Austin, USA
a ray of sunshine admist the dreary news reports. blessings and success to that family and the surgeons!
publichealthstudent, new orleans,
good job
Sath N, London,
Congrats Docs. Splendid Job. We wish Lakshmi not only speedy recovery and a healthy, happy and meaningful Life.
God bless her.
Rajans, Dallas, Texas, USA
Vikram, let me extend to you my congratulations on your love for the United States, as well as your obvious love for India. Let me also congratulate you for a rabid and unsolicited response with courtesy, a courtesy you appear unwilling or unable to extend to me as a civil human being.
My post mentioned nothing about my love or "hatred" for one country versus an another, merely my contempt for Indian politicians, a contempt I am glad to note you share.
As for my reasons for staying here in the US, they are frankly my own personal reasons and should be none of your business, your "shame" for me notwithstanding. It is you who appears to have an inferiority complex that you unwittingly project onto me.
The article is very positive one detailing the achievements of some wonderful human beings, namely competent Indian doctors who performed on an underprivileged patient, and performed gratis.
It is not an invitation to post unrestrained personal attacks on someone you don't even know.
Lalit Ganapathy, Chicago, US
From our family, to that beautiful little girl and her family, we wish you a speedy and healthy recovery. You're in our thoughts and prayers.
Thank you to the doctors and staff who made it possible. You are truly a blessing to this family and the people around you.
Kathleen Herr, Silver Spring, U.S.
I extend my heartiful congratulations to the devoted doctors, nurses and all others who have directly taken part in the surgery of the toddler. All Indians must learn to be duty bound like them and many other such people of the country. More so great attention should be given upon primary health of the common man living below poverty line especially in states like Bihar where only politicians like Lalu Prasad reign to be rich.
Kamala from Kerala
Kamala , Trivandrum, Kerala, India
I extend my heartiful congratulations to the devoted doctors, nurses and all others who have directly taken part in the surgery of the toddler. All Indians must learn to be duty bound like them and many other such people of the country. More so great attention should be given upon primary health of the common man living below poverty line especially in states like Bihar where only politicians like Lalu Prasad reign to be rich.
Kamala , Trivandrum, Kerala, India
Lalit,
If you love India so much and hate America so much, why on earth do you live in the US? Your arrogance is unbelievable and just reveals the deep inferiority complex we suffer from when compared to the west. How many kids on our country dont even get basic medical care ? Whats our infant mortality, life expectanacy etc ? I feel proud of those doctors as a human but I feel ashamed of you as an Indian.
Vikram Garg, Austin, USA
These are such wonderful humans - it gives me great pride to call myself an Indian in such moments.
Had a similar such surgery been performed successfully in the the US, the media would have been all over the surgeons, falling over themselves trying to bring this to global attention.
I wish Indian politicians also recognize that our doctors and surgeons, with their understated competence, are the best in the world - especially before they bill the exchequer millions of rupees in medical fees when traveling overseas for surgery or healthcare.
Lalit Ganapathy, Chicago, US
just looking at the lovely smile of that amazing child. Wish a complete recovery and hopefully the girl can also receive a quality education
Paul Taylor, London, UK
Dr.Patil and his team be blessed for such noble thoughts and deeds..
Preetha, Texax,
Well done all who helped make the operation a success,
Bless them all.
Jo Sparkes, Mattishall Dereham Norfolk, England UK