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Births of conjoined twins, whose skin and internal organs are fused together, are rare.

They are believed to occur just once in every 100,000 live births.

Medical scans revealed James and John, who have since made an 'unremarkable recovery' only shared a liver.

Their unnamed parents were referred to Narayana Health Hospital in Bangalore for surgery.

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The infants, who already defied medical expectations by surviving for so long, were classed as omphalopagus twins due to where they were attached.

These types of conjoined twins share part of gastrointestinal system and abdominal wall, doctors state.

Surgeons were able to divide their liver into two pieces, allowing both children to keep part of the vital organ - which can grow back on its own.

Dr Sanjay Rao, senior consultant at the hospital, said: 'The main factor influencing success of treatment is the shared anatomy and organs.'The goal of surgery is to achieve a safe separation and to have two normal children with no morbidity and disability.'The operation was successfully done by an interdisciplinary team consisting of six surgeons, six anesthetists, four anesthetic technicians, six nurses amongst others.'He praised the 'careful planning and coordination' between various teams that were involved in separating James and John.

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