On Oct. 19, Jones used the da Vinci robot to perform mitral valve surgery on Melancon at Lafayette General Medical Center. A week later, Melancon was up and around, then released from the hospital. This was a significant change from her first cardiac surgery, where her recovery took about a month. "We wanted to avoid going through her breastbone because of her prior surgery, because of the scar and adhesions," Jones says. "And, that's big stress on anybody, much less an 85-year-old. So, we were able to go through the side of her chest, and she did really well. With the other surgery, her recovery would have been much more severe, much harder."
Today, Melancon is doing just fine. "I feel better," she says in her Cajun accent. "Before the surgery, I was hurting, and I'm not hurting anymore."
Jones performs two closed-chest valve procedures which are new to this area. The first is aortic valve surgery through a small incision in the upper chest. Most heart surgery is performed through sternotomy, which involves dividing or cracking the breastbone. Jones' technique uses small, 5-centimeter incisions through the chest to reach the aortic valve. Since moving to Lafayette two months ago, Jones has performed six aortic valve replacements using this technique.
The other minimally invasive procedure is the one he performed on Melancon, mitral valve surgery with the da Vinci robot. Jones was the first surgeon in the state to use the robot for cardiac procedures and has the most experience with a variety of robotic heart procedures nationwide. With this technique, the surgeon places instruments into the patient's chest through small "poke holes." At a console, the doctor uses two "joy sticks" to operate the arms of the robot, which are actually inside the heart. The instruments have two small hinge points, allowing the surgeon to move the instruments with a wrist-like motion to do whatever is necessary ' dissect, cut, sew ' to repair or reconstruct the valve.
While this all sounds like science fiction, Jones says this technique is perfectly safe. Since the da Vinci uses a state-of-the-art camera in 3-D and high definition, the surgeon's vision is much better with the console. "You just have finer details when you are operating with the robot, as opposed to the standard way," he says.
Most significantly, the recovery time is drastically reduced. "We are not breaking or cutting any bones," Jones says, "so patients really can get back to work in two or three weeks, as opposed to eight weeks."
After surgery, patients' limitations are what he calls "miniscule." Within a week, they have few, if any, physical restrictions. Jones cites the example of a 79-year-old Nebraska farmer who was hauling 25-pound buckets of feed to his cattle just 10 days post-surgery. "You just can't do that if you have the sternotomy," he says. "We've shown that the recovery time in the hospital is quicker as well. We've had people go home on post-operative day number two and post-operative day number three, as opposed to being in the hospital four or five days."
Additionally, the resulting scar is minimal. Open-chest procedures typically leave an 8- to 10-inch gash down the center of the torso, while closed-chest surgeries produce just a slight incision mark. In Melancon's case, she was left with small scars under her right arm and on her breast.
While robotic mitral valve surgery is relatively new ' the first case was performed in May 2007 ' the reports are encouraging so far. "We've had anecdotal results and five-year results," Jones says, "and those results, to date, are very, very positive, and show just as good a result as surgery done the old-fashioned way."
Another advantage is that just about anyone with isolated valve problems is a candidate for the surgery. Jones has used the robot on three morbidly obese women in Nebraska and performed the closed-chest valve procedure on a 400-pound man in South Carolina. "I think anyone who needs mitral valve surgery should at least be evaluated for a minimally invasive approach," he says. Currently, Jones performs 14 different cardiac procedures with the da Vinci. In fact, he did the first robotic tricuspid valve repair in the country. The tricuspid valve is located between the right atrium (top chamber) and right ventricle (bottom chamber). Its role is to make sure blood flows in a forward direction from the right atrium to the ventricle, but if it does not function properly, blood can leak backwards across the valve.
Jones is optimistic about the future of robotics, anticipating that they will expand to lung surgery. "I think the techniques will get better, and the software, the robot and the computer will get better," he says. "It will just become more of a standard of care. Five years or 10 years from now, the technology is only going to get better. The number of programs offered for robotic cardiac surgery is expanding. So, it's a technique that people need to know. [Patients] need to look at the Internet, and see what's out there for options. Because not all facilities offer this, and probably not all cardiologists are going to offer this. And patients need to know that it is available for them, and to ask for it."
Word of mouth might be the best way to educate the public, as patients like Melancon aren't shy about talking up the procedure. "Because it works ' it works good," she says emphatically.
We can safely assume incumbent Chief K.P. Gibson isn’t too worried about this challenger.
Nationally, Republicans must gain six seats to win Senate control. The most competitive races, many in states where Obama lost in 2012, remain too close to call.
The Baton Rouge Republican has repeatedly battled a perception within his own party that he perhaps wasn't the best choice to carry the GOP banner.
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Prestigious honor annually recognizes a single attorney for excellence in public interest/pro bono work.
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"I have never seen anyone who worked harder for our people than Sen. Mary Landrieu, so I would like to share a synopsis of a few of the many things she has done to help Louisiana."
Even if Jimmy Graham's production dips while the star tight end recovers from a shoulder injury, it looks like Drew Brees won't have much trouble finding other targets.
A former campaign manager for Senate candidate Rob Maness is striking at the Republican contender's tea party support, saying Maness only sought to appeal to conservative organizations because he needed money for his campaign.
Ninety-two percent of public school teachers were rated either effective or highly effective in a report the state issued marking the second year of a new statewide evaluation process.
Corporations spending in state elections; Kenny G and Hong Kong; states resist gay marriage and more national and international news for Thursday, October 23, 2014.
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School board members Mark Babineaux, Hunter Beasley and Tehmi Chassion can vote to fire Cooper — because we all know that’s exactly what they’ll do.
District 2 school board candidate Simon Mahan is hoping to unseat first-term incumbent and former Carencro Mayor Tommy Angelle in the Nov. 4 election.
District Attorney Mike Harson is showing his desperation by falsely attributing quotes to his opponent and blocking journalists from his social media.
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The governor is traveling the country laying the groundwork for a possible 2016 presidential campaign, but his approval ratings at home hover well below 50 percent.
State District Judge Bob Downing extended the order and delayed a planned Wednesday hearing about a permanent injunction while negotiations continue between Attorney General Buddy Caldwell and the waste disposal site operator.
New Louisiana higher education commissioner Joseph Rallo will be paid more than his predecessor.
The recently established Downtown Lafayette Restaurant & Bar Association will host a special viewing of the upcoming New Orleans Saints taking on the Carolina Panthers in the open air of Parc Sans Souci on Thursday, Oct. 30.
Belief in a national outbreak of the Ebola zombie virus is becoming more of a threat every day, and The Hayride — Louisiana’s one true bastion for unrelentingly conservative political commentaries — thought it wise to share a certain special someone's “important message” with readers Tuesday on what to do when, not if, it comes.
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Elijah McGuire and Alonzo Harris each had four rushing touchdowns, and Louisiana-Lafayette rolled to 419 yards on the ground in a 55-40 victory over Arkansas State on Tuesday night.
Bill and Hillary Clinton are the validators-in-chief for Democrats struggling through a bleak campaign season in states where President Barack Obama is deeply unpopular.
JPMorgan Chase is giving $1 million to Louisiana's community and technical colleges, to help with workforce training efforts to match students to available jobs.
President Barack Obama is turning to black radio listeners to plead for midterm votes, a targeted approach to drum up Democratic support at a time when many candidates don't want him around in person.
Law firm unveils newly renovated 200-year-old building.
UL grad named web developer at BBR Creative