Surgery to separate the Herrin twins went as well as they had hoped, doctors say.
By Wire services
Published August 9, 2006
SALT LAKE CITY - Swathed in gauze, twin sisters Kendra and Maliyah Herrin were rolled from the operating room and moved to separate beds for the first time in their lives Tuesday after 26 hours of surgery in which doctors separated the 4-year-olds and reconstructed their internal organs.
"When I was done with the operation and we were getting ready to take (Kendra) to the ICU, I got tears in my eyes, because they looked so good," said Dr. Michael Matlak, a pediatric surgeon.
The girls had been born in a perpetual hug, their little bodies fused at the midsection so they were practically face-to-face. They shared a liver, a kidney, a pelvis, one set of legs and part of their intestines.
Surgeons at Primary Children's Medical Center gave each girl one leg, split their liver and intestines and reconstructed their bladders and their pelvic rings. Kendra kept their one functioning kidney, while Maliyah will be put on dialysis and receive one of her mother's kidneys in a transplant operation in three to six months.
Parents Jake and Erin Herrin, who also have a 6-year-old daughter and twin 14-month-old boys, had an emotional reunion with their daughters.
"There were happy tears and sad tears," hospital spokeswoman Bonnie Midget said.
Shortly after the announcement was made about the separation, the girls' parents thanked the community and expressed their relief.
"We have two separate little girls," said Jake Herrin. "We're very excited and hear they are doing great. We were nervous and scared but our faith brought us through it."
The operation is thought to be the first time surgeons separated conjoined twins with a shared kidney, said Dr. Rebecka Meyers, chief pediatric surgeon at Primary Children's Medical Center.
Matlak was the first to cradle Kendra after separation, lifting her gently from the operating table to move her to another room for reconstruction surgery. "It was a great moment," Matlak said. "In one sense, she was mine."
Matlak said he feared the gaping separation wound on the girls' bodies would be difficult to close. But tissue expanders placed in the twins weeks ago to grow their skin and muscles, combined with plastic surgery, made the job easier than expected, he said.
But the days ahead will be difficult. The girls are breathing with the assistance of ventilators, their bodies swollen from the hours of surgery and at risk for dangerous infections, Meyers said. They were swathed in gauze from chest to pelvis.
The twins are expected to remain in intensive care for about a week and recover in the hospital for at least a month before doctors can consider sending them home. The Herrins said they were amazed at the strength their girls showed in the days and moments before heading into the operating room. Their spirits remained high, and they broke into tears only at the last minute as their parents left them in the doctors' care.
"They've given us courage we didn't realize 4-year-olds could possess," said Erin Herrin, 25.
Said 26-year-old Jake: "Our family bond has just grown. We're very thankful to have been the parents of Kendra and Maliyah. They are so energetic, so lively and they inspire. We could all learn a lot from them."
Conjoined twins occur when an embryo fails to completely separate within two weeks of fertilization. That happens about once in every 50,000 to 100,000 births. Only about 20 percent survive to become viable candidates for separation.
"It was hard to decide whether or not to separate them," Meyers said. "I feel good about the decision right now."
Information from the Associated Press and the Salt Lake Tribune was used in this report.