Hayes v. Autin

685 So. 2d 691, 1996 WL 734597
CourtLouisiana Court of Appeal
DecidedDecember 26, 1996
Docket96-287
StatusPublished
Cited by253 cases

This text of 685 So. 2d 691 (Hayes v. Autin) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hayes v. Autin, 685 So. 2d 691, 1996 WL 734597 (La. Ct. App. 1996).

Opinion

685 So.2d 691 (1996)

Donald HAYES, Plaintiff-Appellant,
v.
Dr. David AUTIN and St. Paul Fire and Marine Insurance Company, Defendants-Appellees.

No. 96-287.

Court of Appeal of Louisiana, Third Circuit.

December 26, 1996.
Writ Denied March 14, 1997.

*692 Randall Scott lies, Lafayette, for Donald Hayes.

Nicholas Gachassin, Jr., Lafayette, for Dr. David Autin et al.

Before KNOLL, WOODARD, and DECUIR, JJ.

KNOLL, Judge.

In this medical malpractice case, Donald Hayes sued Dr. David L. Autin, alleging that Dr. Autin had failed to secure his informed consent for a vasectomy procedure. Mr. Hayes also alleged that Dr. Autin was negligent in performing the vasectomy. We are called upon to decide the correctness of the trial court's granting of a motion for summary judgment in favor of defendant, Dr. David Autin.

FACTS

Donald Hayes saw Dr. David Autin, a board certified urologist in Lafayette, for the purpose of obtaining a "no scalpel" vasectomy. A "no scalpel" vasectomy differs from a conventional vasectomy in the way the doctor accesses the vas. In a conventional vasectomy, the doctor makes either one or two small cuts in the scrotal skin and lifts out each vas in turn, cutting and blocking them so that the sperm cannot reach the semen. In a "no scalpel" vasectomy, the doctor first immobilizes the vas with a small clamp before accessing the vas through a small puncture in the scrotum. The tubes are blocked through the same method as a conventional procedure. Since the "no scalpel" technique requires only a single small puncture, there is little bleeding and no stitches are required.

On June 30, 1993, Dr. Autin examined Mr. Hayes and informed him about the no scalpel procedure. Dr. Autin extensively apprised Mr. Hayes of the risks and complications of vasectomy, including loss of testicle and future pregnancy. Mr. Hayes and his wife decided to go through with the sterilization. Prior to surgery, Mr. & Mrs. Hayes signed the following consent form:

CONSENT FOR STERILIZATION OPERATION

WHEREAS, Dr. David L. Autin has been asked to perform an operation of sterilization to the undersigned husband, such an operation being known as a vas ligation and section, and WHEREAS, Dr. David L. Autin is willing to perform said operation only upon the written consent and agreement of the undersigned husband and wife, freely and fully given, and WHEREAS, the undersigned by execution of this agreement, hereby give their consent and agreement, individually and jointly, to the performance of a vas ligation and section upon the husband with the full understanding that said operation may forever and irrevocably deprive said husband of the ability to produce children or cause pregnancy in a female partner.
The undersigned further agree that Dr. David L. Autin shall not be responsible in any way for any deleterious consequences resulting from said operation, and hereby release and discharge them from any or all claims and demands whatsoever which they, their heirs, executors, administrators or assigns have or may have against Dr. David L. Autin.
We acknowledge by our signatures affixed hereto that we are informed that the operation will be performed by Dr. David L. Autin who is both licensed and qualified to perform vasectomy.
We fully understand all details about vasectomy as a means of birth control.

The vasectomy was performed on July 19, 1993. Dr. Autin's narrative report of the operation reveals that Mr. Hayes was placed on the operating room table in the supine position, and that he was given a local anesthetic in the scrotal area. Dr. Autin began *693 with Mr. Hayes' left side. Due to extreme thickness of the scrotal skin, Dr. Autin had a difficult time palpitating Mr. Hayes' left vas. Eventually Dr. Autin was able to locate and grasp the left vas through the skin, and was able to perform a "no scalpel" vasectomy on the left side.

The procedure was significantly more difficult for the right side, however, and Dr. Autin was unable to locate the vas on Mr. Hayes' right side. Dr. Autin noted in his report:

Numerous occasions which were very frustrating ensued with trying to grab the right vas which was impossible because of the extreme thickness of the scrotal skin and the very short cord on the right side. Numerous manipulations were performed in order to grab the vas on the right side and pull the cord to the right side, but the scrotal skin was extremely thickened and noncompliant.

During the procedure, Dr. Autin told Mr. Hayes that he was unable to locate his vas on the right side. Dr. Autin explained that it was possible that Mr. Hayes did not have a vas on the right side, and that the procedure on the left side alone might be sufficient to render him sterile. Dr. Autin explained that he could not be sure that Mr. Hayes would be sterile, however, and that the procedure might have to be repeated. Mr. Hayes did not want to repeat the procedure.

At that point, Dr. Autin gave Mr. Hayes the following options: to make an incision in order to find the vas and complete the procedure, to terminate the procedure, to proceed to the hospital for completion of the procedure, or to complete the procedure at a later date. Mr. Hayes was not interested in having the procedure done at a later time, and he stated that he wanted to be sterilized then and there. He elected that Dr. Autin should make an incision so that he could locate the vas and insure sterilization. Mr. Hayes told Dr. Autin to "go ahead and do this and lets get it over with."

Dr. Autin made a small incision in the scrotal skin to look for the vas. He stated in his report that even after the incision was made, it was impossible to tell whether the vas was present or not. He stated in his report that Mr. Hayes' epididymis, the convoluted part of the vas attached to the testicle, appeared to be blind ending, but to make a definite statement was impossible. Dr. Autin therefore removed the lower pole half of the epididymis in order to render Mr. Hayes infertile.

Mr. Hayes was unhappy with the operation. He found the incision to be longer than he had wanted, and that several stitches were necessary to close the incision. He was also displeased with the size of the resulting scar. Mr. Hayes refused to return to Dr. Autin for a post operative examination, and instead presented himself to Dr. J.W. Vildibill, a urologist in Lafayette, on August 2, 1993. Dr. Vildibill found that the incision was healing nicely and there was no undue tenderness upon examination. Dr. Vildibill assured Mr. Hayes that he had normal induration for a patient following a simple vas ligation, and that he was going to be as good as new in time.

On September 8, 1993, Mr. Hayes then went to see Dr. Glenn Landry, a urologist in Metairie, and complained that his left testicle was tender. Dr. Landry's impression was one of possible testalgia, and he recommended carbenicillin, vicodin, aspirin, and sitz baths. Mr. Hayes returned to Dr. Landry on September 16, 1993, whereupon Dr. Landry noted no apparent tenderness.

A medical review panel was convened, and the panel opined that Dr. Autin did not breach the appropriate standard of care with respect to his treatment of Mr. Hayes. Mr. Hayes then filed suit against Dr. Autin and his insurer. Dr. Autin and his insurer answered, and filed a motion for summary judgment.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Walter J. Horrell v. Jack Marks Alltmont
Louisiana Court of Appeal, 2020
Doucet v. Superior Gauging Servs., Inc.
268 So. 3d 1082 (Louisiana Court of Appeal, 2019)
Hickman v. Exxon Mobil Corp.
255 So. 3d 1097 (Louisiana Court of Appeal, 2018)
Tatney v. City of Deridder
206 So. 3d 1207 (Louisiana Court of Appeal, 2016)
Broussard v. Retail Investors of Texas, Ltd.
123 So. 3d 912 (Louisiana Court of Appeal, 2013)
Glenn ex rel. Glenn v. Grant Parish School Board
49 So. 3d 1049 (Louisiana Court of Appeal, 2010)
Alfano v. Lafayette City-Parish Consolidated Government
42 So. 3d 1088 (Louisiana Court of Appeal, 2010)
Phillips v. State Ex Rel. LSU Medical Center
9 So. 3d 1080 (Louisiana Court of Appeal, 2009)
Filipski v. Imperial Fire & Casualty Insurance
9 So. 3d 1065 (Louisiana Court of Appeal, 2009)
Tyson v. Thompson Home Health
3 So. 3d 517 (Louisiana Court of Appeal, 2008)
Bravo v. Borden
3 So. 3d 505 (Louisiana Court of Appeal, 2008)
Simon v. Biddle
946 So. 2d 733 (Louisiana Court of Appeal, 2006)
Jones v. STATE BD. OF ELEM. AND SECOND. ED.
927 So. 2d 426 (Louisiana Court of Appeal, 2005)
PG Diners, Inc. v. CAT Scale Co.
886 So. 2d 1253 (Louisiana Court of Appeal, 2004)
Cooper v. La. Dept. of Public Works
870 So. 2d 315 (Louisiana Court of Appeal, 2004)
Browning v. West Calcasieu Cameron Hosp.
865 So. 2d 795 (Louisiana Court of Appeal, 2003)
Klein v. Cisco-Eagle, Inc.
855 So. 2d 844 (Louisiana Court of Appeal, 2003)

Cite This Page — Counsel Stack

Bluebook (online)
685 So. 2d 691, 1996 WL 734597, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hayes-v-autin-lactapp-1996.