Separation of conjoined twins: the highly complex operation at San Gerardo in Monza

The San Gerardo hospital in Monza is at the centre of international attention for a complex and delicate operation separation of two conjoined twins from Senegal, joined at the head. This rare type of conjoined twin, known as “craniopagi,” shares brain and vascular structures, making separation not only one of the most complex surgical operations, but also a feat that requires extraordinary planning and precision to minimize risks and maximize the chances of success.

Separation of conjoined twins joined at the head, procedure and technologies used

The medical team has dedicated months of intense work to the intervention planning, developing sophisticated three-dimensional models of the twins' brain and vascular structures.

Thanks to the collaboration withUniversity of Milan, these 3D models allowed neurosurgeons to analyze the shared anatomy in detail, simulating every single phase of the operation in advance.

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During the operation, which lasted approximately 12 hours, cutting-edge technologies were used, including advanced 3D imaging and high-precision microsurgical techniques, to isolate shared tissues and blood vessels without damaging them.

Considered a pioneering achievement, the intervention required careful organization and the use of specialized resources, made available thanks to a significant international donation, which helped transform this operation into a clinical reality.

An autonomous future

If the operation is successful, the twins will be able to aspire to a independent living, with new opportunities for physical and psychological recovery.

The separation of Craniopagus twins It is one of the most complex interventions in neurosurgery and, if successfully completed, would represent a major breakthrough for pediatric surgery worldwide.

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This innovative operation, made possible thanks to the expertise of the Monza team and the support of institutions and donors, symbolizes the progress of medical science.

It offers, once again, hope to families in similar circumstances around the world, renewing confidence in the ability of the modern medicine to transform lives and improve the future of many patients.