Twin boys born conjoined celebrate 1st birthday after separation surgery

This photo provided by the Children’s Hospital of Philadelphia shows conjoined twins, Amari and Javar Ruffin, at the Children’s Hospital of Philadelphia, March 20, 2024. (Ed Cunicelli/Children’s Hospital of Philadelphia via AP)

PHILADELPHIA (AP) — Twin brothers who were born conjoined recently celebrated their first birthday after undergoing successful separation surgery.

Amari and Javar Ruffin, whose family lives in Philadelphia, were born via cesarean section on Sept. 29, 2023. The brothers — who shared part of their sternum, diaphragm, abdominal wall and liver — weighed a combined 6 pounds.

On Aug. 21, a surgical team at Children’s Hospital of Philadelphia with more than two dozen specialists, including surgeons, anesthesiologists, radiologists, nurses, and many others, operated for eight hours to separate the boys. Their abdomens were closed and rebuilt using layers of mesh and plastic surgery techniques.

The boys went home Tuesday to be with their parents, Tim and Shaneka, and their siblings, Kaylum and Anora.

“Seeing them each in their own beds was an indescribable feeling,” Shaneka Ruffin said. “It feels like we are beginning a new journey as a family of six. We are so grateful to CHOP for helping make this day possible and letting us start this next chapter.”

The Ruffins learned the twins were conjoined through a routine ultrasound 12 weeks into the pregnancy. Shaneka Ruffin said it was recommended to her that she terminate her pregnancy. They got a second opinion, and the hospital told them that though the boys had a rare condition, they could be separated successfully.

Conjoined twins occur roughly once in every 35,000-80,000 births. The hospital is one of only a few in the U.S. with expertise in separating them.

This photo provided by the Children’s Hospital of Philadelphia shows conjoined twins, Amari and Javar Ruffin, at the Children’s Hospital of Philadelphia, March 20, 2024. (Ed Cunicelli/Children’s Hospital of Philadelphia via AP)
This undated photo provided by the Children’s Hospital of Philadelphia in October 2024 shows conjoined twins, Amari and Javar Ruffin, at the Children’s Hospital of Philadelphia. (Children’s Hospital of Philadelphia via AP)
This photo provided by the Children’s Hospital of Philadelphia shows the hospital surgical team separating conjoined twins, Amari and Javar Ruffin, at the Children’s Hospital of Philadelphia, Aug. 21, 2024. (Ed Cunicelli/Children’s Hospital of Philadelphia via AP)
This photo provided by the Children’s Hospital of Philadelphia shows the hospital surgical team separating conjoined twins, Amari and Javar Ruffin, at the Children’s Hospital of Philadelphia, Aug. 21, 2024. (Ed Cunicelli/Children’s Hospital of Philadelphia via AP)
This photo provided by the Children’s Hospital of Philadelphia shows the hospital surgical team separating conjoined twins, Amari and Javar Ruffin, at the Children’s Hospital of Philadelphia, Aug. 21, 2024. (Ed Cunicelli/Children’s Hospital of Philadelphia via AP)
This undated photo provided by the Children’s Hospital of Philadelphia in October 2024 shows previously conjoined twins, Amari and Javar Ruffin, after separation surgery at the Children’s Hospital of Philadelphia. (Ed Cunicelli/Children’s Hospital of Philadelphia via AP)
This undated photo provided by the Children’s Hospital of Philadelphia in October 2024 shows one of the previously conjoined Ruffin twins after separation surgery at the Children’s Hospital of Philadelphia. (Ed Cunicelli/Children’s Hospital of Philadelphia via AP)
This undated photo provided by the Children’s Hospital of Philadelphia in October 2024 shows Tim Ruffin with his previously conjoined twins, after eparation surgery at the Children’s Hospital of Philadelphia. (Ed Cunicelli/Children’s Hospital of Philadelphia via AP)
This undated photo provided by the Children’s Hospital of Philadelphia shows previously conjoined twins, Amari and Javar Ruffin, surrounded by family after separation surgery at the Children’s Hospital of Philadelphia. (Ed Cunicelli/Children’s Hospital of Philadelphia via AP)