Carl and Clarence Aguirre
Encyclopedia
Clarence and Carl Aguirre (born April 21, 2002) are former conjoined twins
Conjoined twins
Conjoined twins are identical twins whose bodies are joined in utero. A rare phenomenon, the occurrence is estimated to range from 1 in 50,000 births to 1 in 100,000 births, with a somewhat higher incidence in Southwest Asia and Africa. Approximately half are stillborn, and a smaller fraction of...

 born in Silay City
Silay City
Silay City is a 2nd class city in the province of Negros Occidental, Philippines. According to the August 1, 2007 census, it had a total population of 120,365 people...

, Philippines
Philippines
The Philippines , officially known as the Republic of the Philippines , is a country in Southeast Asia in the western Pacific Ocean. To its north across the Luzon Strait lies Taiwan. West across the South China Sea sits Vietnam...

. They were conjoined at the top of the head (vertical craniopagus). In 2003 they were brought to the United States
United States
The United States of America is a federal constitutional republic comprising fifty states and a federal district...

 by their mother Arlene in the hopes of having them surgically separated. A revolutionary new process was used in separating the twin boys. Because "marathon" surgical operations have historically led to a high rate of mortality and morbidity, Clarence and Carl's doctors chose to separate them in several smaller operations, allowing the twins to recuperate after each surgery.

In October 2003, tissue expanders (pouches filled with saline
Saline (medicine)
In medicine, saline is a general term referring to a sterile solution of sodium chloride in water but is only sterile when it is to be placed intravenously, otherwise, a saline solution is a salt water solution...

) were implanted under the boys' scalps. This is common practice in separating conjoined twins, as it creates more skin that can be used to cover the twins' wounds after separation. Over the next ten months, the brothers underwent several more surgeries to tease apart their joined skulls and brains. On August 4, 2004, the final surgery was completed. All of these surgeries were performed at Montefiore Medical Center
Montefiore Medical Center
Montefiore Medical Center, in the Bronx, New York, is the University Hospital for the Albert Einstein College of Medicine. The hospital, named for Moses Montefiore, is one of the 50 largest employers in New York State . In 2011, Montefiore Medical Center was ranked as #6 of the 180 New York City...

 in the Bronx
The Bronx
The Bronx is the northernmost of the five boroughs of New York City. It is also known as Bronx County, the last of the 62 counties of New York State to be incorporated...

, New York
New York
New York is a state in the Northeastern region of the United States. It is the nation's third most populous state. New York is bordered by New Jersey and Pennsylvania to the south, and by Connecticut, Massachusetts and Vermont to the east...

 by a team led by Dr. James T. Goodrich, a pediatric neurosurgeon and Dr. David A. Staffenberg, a plastic surgeon. They received most of their post-operative rehabilitation at Blythedale Children's Hospital
Blythedale Children's Hospital
Blythedale Children's Hospital is a children's hospital in Valhalla, New York, United States. It is the only independent children's hospital in New York State. The hospital cares for children with chronic diseases and those who have birth defects, have been in accidents, paralysis, cancer and other...

 in Valhalla, New York
Valhalla, New York
Valhalla is an unincorporated hamlet and census-designated place that is located within the town of Mount Pleasant, New York, in Westchester County. Its population was 3,162 at the 2010 U.S. Census...

 (Westchester County).

The Aguirre brothers and their mother now live in a donated house in Scarsdale, New York
Scarsdale, New York
Scarsdale is a coterminous town and village in Westchester County, New York, United States, in the northern suburbs of New York City. The Town of Scarsdale is coextensive with the Village of Scarsdale, but the community has opted to operate solely with a village government, one of several villages...

. The twins continue to attend physical therapy
Physical therapy
Physical therapy , often abbreviated PT, is a health care profession. Physical therapy is concerned with identifying and maximizing quality of life and movement potential within the spheres of promotion, prevention, diagnosis, treatment/intervention,and rehabilitation...

at Blythedale. As of December 2005, Clarence can walk short distances unassisted, and Carl can walk with a walker.

External links

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