Skull Separation of Conjoined Bangladeshi Twins Successfully Started by Hungarian Surgeon Team

Doctors of the Action for Defenceless People Foundation (Dr. Andras Csokay, Dr. Istvan Hudak, and Dr. Greg Pataki) successfully started separating the conjoined twins in Bangladesh.

The Foundation had 6 surgery missions to date in Bangladesh, all of them led by Dr. Pataki, so it was very convenient for the locals to ask for help from the Hungarian team in the special case of the two-year-old Rabeya and Rokeya.

Dr. Csokay is the leader of the Neurosurgery Department of Military Hospital in Budapest, and Dr. Hudak is a head physician in the same hospital. Dr. Pataki is the Head of Premium Plastic Surgery and leader of Pediatric Plastic Surgery Ambulance at Pediatric Surgery Department of St. John’s Hospital in the capital of Hungary.

The team successfully performed the first one from the long line of surgeries, the separation of the vascular system of the twins’ conjoined brains, which is also the most difficult because even in the most advanced clinics it has a 60-80% mortality rate. This crucial „first step” caused the high death rates for the past 100 years in such cases.

The Hungarian surgeons used an endovascular method, which means approaching the brain from the veins. On 28 February 2018, they managed to separate the conjoined large blood vessels of the twins’ brains. The successful five-hour intervention was directed by Dr. Hudak, one of the world’s most respected professionals in this field.

The next step is to stretch the skin and soft tissue parts outside the skull by implanting special tissue expanders used in plastic surgery. This is followed by the rebuilding of the skull and plastic surgery restoration of the meninx, giving a proper shape to the underdeveloped parts. Finally, the field of plastic surgery has to step in again to cover the huge wound after the separation of the twins – which is also not an easy task, especially because of the risk of infection.

The doctors also agreed to perform all of the operations in Bangladesh, fitting the missions of the Hungarian Action for Defenceless People Foundation. The goal is to set an example that difficult medical problems can be treated on the spot with appropriate teamwork, so there is no need to move the patients to other countries. The success of the surgery of the Hungarian team is ground-breaking and acknowledged internationally.

The operations are performed in Dhaka Medical College, where Bangladeshi Surgeons along with Hungarian Surgeons show an exemplary teamwork just like during the previous missions of the Action for Defenceless People Foundation.

The surgeons hope their activities can serve to further networking between the two countries. The series of operations is supported by Hasnat Mia, President of For-Bangladesh Association, Premium Plastic Surgery Budapest, and Interplast Hungary.

The surgeons hope their activities can serve to further networking between Hungary and Bangladesh.

The series of operations is supported by Interplast Hungary; Hasnat Mia, President of For-Bangladesh Association; Prof. Samanta Lal, National Institute of Burn and Plastic Surgery, Anaesthesiology, Neurosurgery and Cardiology Departments with the administrative support of Director of Dhaka Medical College and Hospital, Bangladesh; Prof. Abul Kalam as President of the Society of Plastic Surgeons of Bangladesh (SPSB), Premium Plastic Surgery Budapest; the Hungarian Government; and Sheikh Hasina, Prime Minister of Bangladesh.


To create ideal conditions for the operations, we kindly ask for donations.

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Cselekvés a Kiszolgáltatottakért Alapítvány
(Action For Defenceless People Foundation)
H-1039 Budapest, Petofi utca 9/b

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MAGYAR TAKAREKSZOVETKEZETI BANK RT.
H-1122 BUDAPEST, PETHENYI KOZ 10

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