Former Siamese Twins in Costa Rica Out of ICU and Continue Slow Recovery

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42 days have passed since Samuel and Ezequiel Nuñez, former siamese brothers overwent their separation surgery at the National Children’s Hospital (HNN) in Costa Rica; both 2-year-olds finally left the intensive care unit and are evolving slowly.

Ezequiel has been out of ICU for almost a month, while Samuel had left the ICU on March 23 but had to go back only five days later after suffering severe convulsions and since his respiration required closer monitoring; however, according to Olga Arguedas, director of the HNN, he is back out of the ICU now.

Arguedas explained that he is stable but still requires the help of a mechanic ventilator to breathe properly; he gained some weight and managed to get the convulsions under control.

Ezequiel, on the other hand, continues to have fever and therefore is receiving antibiotics.

The twins progress so far represents only a 10% of the total recovery process. The road ahead is long.
Ezequiel and Samuel were conjoined by the top of their heads, didn’t share brain or cerebellum but did share veins, arteries and corpus callosum (the part of the mind that allows communication between the two hemispheres of the brain). The characteristics of the procedure made this one of the most complex surgeries done in the National Children’s Hospital and required the assistance of 20 specialists and over 18 hours of work.

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