Case Studies

1. Bronchogenic Cyst
2. Laparoscopic Nephrectomy
3. Hand Assisted Laparoscopic Surgery
4. Removal of Gastric Duplication Cyst
5. Advances in Hernia Repair

1. Bronchogenic Cyst
   Infra diaphragmatic intra peritoneal location, posterior to gastric fundus.
     
   A rare case indeed. Histologically the structure contained respiratory, epithelium, cartilage and smooth muscle.
    
2. Laparascopic Nephrectomy
   Assisted urologist in Batesville’s first hand-assisted laparoscopic nephrectomy (removal of kidney for cancer, in this case).
    
3. Hand Assisted Laparoscopic Surgery (HALS)
   Dr. Jeffrey began performing HALS on patients with cancer of the colon in 2001 as one of the first surgeons in Arkansas to be trained in the technique. Since then, many of his patients have benefited from the less-invasive technique which allows the surgeon to combine the advantages of open surgery with the advantages of laparoscopic surgery.
    
   Using a Lap Disc developed by Ethicon Endo-Surgery, the surgeon is able to enter a hand into the abdomen with an incision of approximately four inches (rather than a 16-inch incision needed for traditional open surgery). The surgeon’s hand helps guide laparoscopic instruments, including a miniature camera, and provide the tactile sensation needed to evaluate cancer. Patients usually enjoy less pain due to the much smaller incision used and usually a quicker recovery with a shorter hospital stay.
    
4. Removal of Gastric Duplication Cyst
    
5. Advances in Hernia Repair
   Dr. Jeffrey changed the mesh used for hernias to the Prolene hernia mesh system because hernias repaired with the Prolene hernia mesh system carry the lowest recurrence rate of any other repair to date with similar numbers (approximately 11,000 hernias have been repaired with the Prolene hernia mesh system - [1/2005])
    
   One of the strengths of this repair is that it covers an area of the anatomy called the myopectineal orifice which provides protection from future hernias in this area which include femoral hernia and a lateral inguinal recurrent hernia. Another strength in this repair is that the temporary pain prevention catheter can be used in many of these cases and will markedly decrease the discomfort historically associated with inguinal hernia repairs.