Twin girls, joined at the skull, successfully separated in 18-hour operation in Vatican hospital

The twins, Ervina and Prefina, pictured with their mother, Ermine.

(CNN)A pair of conjoined twin girls with an extremely rare condition have been successfully separated at a hospital in the Vatican City.

Ervina and Prefina, aged 2, were joined at the skull before an operation that lasted 18 hours and involved 30 doctors and nurses, according to a press release from the Bambino Gesù Pediatric Hospital published Tuesday.
The separation took place on June 5 and the girls, who are from the Central African Republic, are expected to make a full recovery.
    The girls shared a skull and a majority of blood vessels.
    This is the first time that doctors in Italy have successfully separated conjoined twins in total posterior craniopagus, which means they shared a skull and a majority of blood vessels.
      There are no other cases of a successful intervention described in medical literature anywhere else in the world.
      The team said this is "one of the rarest and most complex forms of fusion," and they prepared for the intervention for more than a year.
      Hospital president Mariella Enoc met the twins on a trip to Central African Republic in July 2018 and offered to treat them in Rome.
        The girls are expected to make a full recovery.
        The twins arrived in Italy in September 2018 with their mother, Ermine, and the first stage of their treatment was carried out in May 2019.
        A second stage took place in June 2019, and they were finally separated last month.
        "It was an exciting moment, a fantastic, unrepeatable experience," said Carlo Marras, head of neurosurgery at the hospital.
        Doctors carried out two procedures before a third one separated the twins.