SALT LAKE CITY - They were born in a perpetual hug, their little bodies fused
at the midsection so that they are practically face-to-face, and have grown into
outgoing 4-year-olds who chatter away and finish each other's sentences.
Kendra and Maliyah Herrin say they like being together all the time, but they
are also full of plans for separate lives. They want to walk without using their
wheeled walker, sleep in bunk beds and ride bikes.
 Conjoined twins Kendra
and Maliyah, left, Herrin provide medical attention to a set of conjoined
twin dolls outside their hospital room Thursday, July 13, 2006, at Primary
Children's Medical Center in Salt Lake City. In preparation for their own
surgery, they performed play surgery on the dolls. The twins say they like
being together all the time, but they are also full of plans for separate
lives. They want to walk without using their wheeled walker, sleep in bunk
beds and ride bikes. [AP]
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"I want to have a princess bike," Kendra said. "I can go fast."
On Monday, surgeons at Primary Children's Medical Center will try to separate
the twins in an operation that could take 14 to 30 hours.
The sandy-haired, blue-eyed girls share one pair of legs, a liver, one
functioning kidney, and part of the large intestine. If all goes according to
plan, each girl will get one leg and Kendra the kidney. Maliyah will be put on
dialysis until she is strong enough for a kidney transplant from her mother,
Erin Herrin, ideally within three to six months.
Dr. Rebecka Meyers, the hospital's chief of pediatric surgery, said she
believes this will be the first time separation surgery has been attempted on
twins with a shared kidney.
Conjoined twins occur about once in every 50,000 to 100,000 births. Only
about 20 percent survive to become viable candidates for separation, and most
separation surgeries occur when the twins are 6 to 12 months old.
"The reason for that is partly psychological, partly mechanical," Meyers
said. "If Maliyah had had a kidney, these girls would have been separated a long
time ago."
A kidney transplant would have been harder before age 4, and doctors advised
waiting.
Before deciding to go ahead, doctors and the girls' parents гн who also
have 6-year-old daughter and 14-month-old twin boys гн talked with
ethicists, because the surgery could make things worse for Maliyah, who faces
the risky prospect of an organ transplant.