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A multinational medical mission successfully separated conjoined twins born in a remote region of Papua New Guinea after urgent transfer to Sydney.
The boys, Tom and Sawong, born in October and joined at the chest, abdomen and pelvis, shared a liver, portions of the gastrointestinal tract and several major blood vessels.
Tom had a congenital heart defect and underdeveloped lungs and was sustaining both infants’ circulation, leading clinicians to conclude that without separation both would die.
After assessments in Port Moresby by visiting specialists, the twins were airlifted to Children’s Hospital at Westmead in Sydney.
An eight‑hour operation involving five specialist surgeons and a large theatre team uncovered more complex shared anatomy than scans had shown.
Tom died shortly after separation; Sawong survived and has been recovering in hospital and is expected to return to Papua New Guinea in the coming weeks.
Doctors and the boys’ mother, Fetima Tinggar, described the mission as technically demanding and emotionally wrenching.
The case highlighted limits of neonatal surgical capacity in PNG and the logistics of cross‑border retrieval care.

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