Texas twins conjoined at birth undergo separation surgery


A month after surgery to separate them, Texas twins born conjoined are getting ready to head home for the first time.

The four-month-old twin girls, Ella and Eliza Fuller, were born in March but spent the first months of their lives in the neonatal intensive care unit at Texas Children’s Hospital in Houston, Texas.

They were delivered via Caesarean section from their mother, Sandy Fuller, who learned they were conjoined during the second trimester of her pregnancy. Fuller was referred to Texas Children’s Fetal Center where she underwent extensive prenatal testing and imaging to determine if separation of the twins was possible after birth.

Ella and Eliza Fuller were born conjoined, but underwent a successful surgery in June at the Texas Children's Hospital in Houston, Texas.

Conjoined twins are rare, estimated to occur once in every 50,000 pregnancies, according to the Cleveland Clinic, and up to 60% are either stillborn or die after delivery. Conjoined twins are always identical, and more likely to be female.

An hour after their delivery, the twins were transferred to Texas Children’s Hospital where they spent the next three months preparing for their separation surgery.

Sandy and Jesse Fuller holding their twins, Ella and Eliza Fuller after their separation surgery.

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The twins underwent a six-hour surgery June 14, according to a release from the hospital. A multi-disciplinary team of 17 clinicians worked to separate them. The twins were conjoined at the abdomen and shared liver tissues.



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