Southeastern Surgical Congress

"Celebrating 70+ Years of Service to Surgeons"
Annual Scientific Meeting
Atlanta, Georgia
January 31 - February 3, 2004

   "I attend many meetings, but at the Southeastern Surgical Congress, I can have a one-on-one discussion with some of the best minds in surgery."

    Table of contents

PROGRAM FEATURES

ROUND TABLE LUNCHEONS

         

Sunday Round Table Luncheon -  MEDICAL ETHICS

Moderator:  Talmadge A. Bowden, Jr., MD
Guests:        William C. Wood, MD
                      J. Wayne Meredith, MD
                     Thomas R. Russell, MD

You are invited to hear their presentations and bring your own concerns to this forum.  Order your luncheon ticket on the registration form.

 

Monday Round Table Luncheon - Socio-Economic Pressures on the General Surgeon
Host: Kenneth W. Sharp, MD
Guest: Thomas R. Russell, MD, Executive Director, The American College of Surgeons

Dr. Russell will discuss a variety of the pressures and "hot button" topics facing general surgeons today including his personal views,  and as a College spokesman, on surgeon work actions in the face of increasing medical liability crisis.  He has been asked to address the subject of the ACS PAC, its success and costs as well as the VA Quality Improvement Project and patient safety proposals.

 INVITED SPEAKERS

L. D. Britt, M.D.
Chairman
Department of Surgery
Eastern Virginia Medical School
Norfolk, VA
Keith D. Lillemoe, M.D.
Professor of Surgery & Vice Chairman
Johns Hopkins Hospital
Baltimore, MD
Hiram C. Polk, Jr., M.D.
Program Director
Department of Surgery
University of Louisville
Louisville, KY
Thomas R. Russell, M.D.
Executive Director
The American College of Surgeons
Chicago, IL
Michael G. Sarr, M.D.
Professor of Surgery
Mayo Clinic
Rochester, MN

POSTGRADUATE COURSE

Saturday, January 31, 2004

BREAST DISEASE: CURRENT EVALUATION AND MANAGEMENT - 2004

This is a comprehensive course which will cover the use of sentinel lymph node biopsy in the diagnosis of breast disease including the technical advances which have occurred since this method was introduced a few years ago.  Other topics to be covered include the use of frozen section and immunohistochemistry with SLN biopsy, an update on the NSABP and ACOSOG sentinel node trials, management of women at high risk of developing breast cancer, neoadjuvant chemotherapy, stereotactic and ultrasound_guided biopsy, alternative imaging modalities, skin and areola-sparing mastectomy, and modern breast reconstruction including the economics of this surgery.

 Surgeons who complete the course will have become acquainted with the most up to date information and methodology for handling the evaluation and management of breast disease.  Surgeons should then be able to evaluate and manage patients who present with breast cancer in a more effective way.

Topics to Be Covered (Subject to Change)

Is Sentinel Lymph Node Biopsy the Standard of Care?  
Michael J. Edwards, MD, University of Arkansas for Medical Sciences, Little Rock, AR

Sentinel Lymph Node Biopsy - Its Use in Patients with DCIS
George M. Fuhrman, MD
, Ochsner Clinic, New Orleans, LA

Sentinel Lymph Node Biopsy: Technical Advances
Todd M. Tuttle, MD
, University of Minnesota, Minneapolis, MN

The Use of Frozen Section and Immunohistochemistry for SLN Biopsy
Celia Chao, MD
, University of Texas Medical Branch, Galveston, TX

Update on the NSABP and ACOSOG Sentinel Node Trials _ Richard L. White, Jr., MD, Carolinas Medical Center, Charlotte, NC

Management of Women at High Risk of Developing Breast Cancer
V. Suzanne Klimberg, MD,
University of Arkansas for Medical Science, Little Rock, AR

Neoadjuvant Chemotherapy of Breast Cancer
William G. Cance, MD, University of Florida Health Sciences, Gainesville, FL

Stereotactic and Ultrasound Guided Breast Biopsy
Richard E. Fine, MD,
The Breast Center, Marietta, GA

Alternative Imaging Modalities in Breast Cancer
Lorraine Tafra, MD
, Anne Arundel Medical Center, Annapolis, MD

Skin-Sparing and Areola Sparing Mastectomy
Anees B. Chagpar, MD
, University of Louisville School of Medicine, Louisville, KY

Immediate Breast Reconstruction: Can We Afford It?
Grant W. Carlson, MD
, Winship Clinic at Emory University School of Medicine, Atlanta, GA


SUNDAY, FEBRUARY 1, 2004

6:45 AM Continental Breakfast - Exhibit Area
7:00  Registration Open
Grand Rounds of Posters
8:00  Opening Session
Call to Order by the President
Invocation  
Introduction of Officers & Councilors
Introduction of Past Presidents
Welcome to Atlanta
8:15 #1 SHERMAN LECTURE
The Trauma Profession: Current Threats
L. D. Britt, MD, Norfolk, VA
8:55 #2 Laparoscopic Fundoplication: 5 Year Follow-Up
MS Dassinger MD; A Torquati MD; HL Houston MD; MD Holzman, MD; KW Sharp MD; WO Richards MD, Vanderbilt University Medical Center, Nashville, TN
9:15 #3 Impact of Neoadjuvant Therapy on Postoperative Complications in Patients Undergoing Resection of Rectal Adenocarcinoma. Immanuel I Turner, BS; Gregory B Russell, MS; Edward A Levine, MD, Wake Forest University, Winston-Salem, NC
9:35 #4 Resident Work Hours: Can We Meet the ACGME Requirements?
WT Cockerham, MD; JB Cofer, MD; PL Lewis, RN; CM Scroggins, EMT; RP Burns, MD, University of Tennessee - Chattanooga Unit, Chattanooga, TN
9:55 #5 The Operative Note as a Billing Document; A Preliminary Report
 Michael B Flynn, MD and Dora A Allen, CPC, University of Louisville School of Medicine, Louisville, KY
10:15 Break - Coffee and Soft Drinks - Exhibit Hall - Exhibits Open
10:45 #6 Magnetic Resonance CholangioPancreatography (MRCP) Accurately Detects Common Bile Duct Stones in Resolving Gallstone Pancreatitis
I Jeroukhimov, MD; A Hallal, MD; E Buitrago, MD; J Amortegui, MD; Y Klein, MD; D Sleeman MD; S Cohn, MD, University of Miami, Miami, FL
11:05 #7  Sentinel Lymph Node Mapping in Colorectal Cancer: A Prospective Study in a Community Hospital Setting
KB Nicola, MD; B Long, MD; R Davenport MD; J Foster, MD; PA Carmichael, MD, Carilion Roanoke Memorial Hospital, Roanoke, VA
11:25 #8 Gold Medal Forum Paper     
Cholangiocarcinoma: Advocate an Aggressive Operative Approach with Adjuvant Chemotherapy
ST Kelley, MD; M Bloomston, MD; F Serafini, MD; LC Carey, MD; RC Karl, MD; E Zervos, MD; S Goldin, MD; P Rosemurgy; AS Rosemurgy, MD, University of South Florida and the H. Lee Moffitt Cancer and Research Center, Tampa, FL
11:45 #9 Presidential Address
The Southeastern Surgical Congress: Past, Present, and Future
Kenneth W. Sharp, MD
12:30 Round Table Luncheon - Ethics in Medicine
Moderator:   Talmadge A. Bowden, Jr., MD
Participants:  William C. Wood, MD, J. Wayne Meredith, MD, Thomas R. Russell, MD
1:50 #10 Gold Medal Forum Paper     
Abdominal Wall Hernia Repair: A Long-term Comparison of Sepramesh™ and Dualmesh™ in a Rabbit Hernia Model
E K Johnson, MD; C H Hoyt, MD; R C Dinsmore, MD, Eisenhower Army Medical Center, Ft. Gordon GA 
2:10 #11  Components Separation Technique and Laparoscopic Repair: Two Evolving Strategies for Ventral Hernia Repair.
R Gonzalez MD; A Ramaswamy, MD; R D Rehnke, MD*; J M Clarke, MD*; C D Smith, MD; B J Ramshaw, MD, Emory University School of Medicine, Atlanta, GA and * Palms of Pasadena Hospital, St. Petersburg, FL
2:30 #12 Repair of Giant Abdominal Hernias: Does the Type of Prosthesis Matter?
JJ Diaz, MD; BW Gray, BS; JM Dobson, BS; EL Grogan, MD; AK May, MD; PJ O'Neill, PhD, MD; J Guy, MD; JA Morris, MD, Vanderbilt University Medical Center, Nashville, TN
2:50 #13 Reoperative Fundoplications Are Effective Treatment for Dysphagia and Recurrent Gastroesophageal Reflux
AS Rosemurgy, MD; DJ Arnaoutakis; NB Giarelli, RN; M Bloomston, MD; SG Goldin, MD, University of South Florida, Tampa FL
3:10 Break – Soft Drinks - Exhibit Hall Area - Exhibits Open
3:40 #14 Bariatric Surgery in the New Millennium
Michael G. Sarr, MD, Mayo Clinic, Rochester, MN
4:10 #15 Routine Preoperative Upper Endoscopy for Laparoscopic Gastric Bypass: Is It Necessary?
AK Madan, MD; KS Speck, BS; ML Hiler, MD, University of Tennessee - Memphis, Memphis, TN 
4:30 #16 Laparosocpic Revision of Bariatric Procedures is Feasible and Safe
L Khaitan, MD; K Van Sickle, MD; R Gonzales, MD; E Lin, MD; B Ramshaw, MD; CD Smith, MD, Emory University School of Medicine, Atlanta GA 
4:50 #17 Surgeon-Performed Ultrasound in the Management of Thyroid Malignancy
CC Solorzano, MD; M Ramirez, MD; DM Carneiro, MD; T Lee, MD; GL Irvin, III, MD, University of Miami, Miami, FL
5:10 #18 The Utility of a Rapid Parathyroid Assay for Uniglandular, Multiglandular and Recurrent Parathyroid Disease
CA Arciero, MD; A Stojadinovic; GE Peoples; CD Shriver, MD, Walter Reed Army Medical Center, Washington DC 
5:30 Evaluate Session and Adjourn
5:30 - 6:30 President’s Panels

MONDAY, FEBRUARY 2, 2004

6:45 AM Continental Breakfast - Exhibit Area
7:00 Registration Opens
Grand Rounds of Posters 
Video Session
8:00 #19  Laparoscopic Repair of Giant Hiatal Hernia
AS Rosemurgy MD and DJ Arnaoutakis, University of South Florida, Tampa, FL
8:20 #20 Percutaneous Endoscopic Trans-Gastric Jejunostomy: A New Approach
JD Fernandez, MD and W Melvin, MD, Vanderbilt University, Nashville, TN
8:40 #21 Laparoscopic Repair of a Suprapubic Ventral Hernia
AM Carbonell, DO; KW Kercher, MD; BD Matthews, MD; RF Sing, DO; BT Heniford, MD, Carolinas Medical Center, Charlotte, NC 
9:00 #22 Robotic Heller Myotomy for Achalasia
WC Brunner, MD; R Sierra, MD; RL Coresetti, MD; DJ Scott, MD, Tulane University Health Sciences Center, New Orleans, LA
Paper Session
9:20 #23 Gold Medal Forum Paper 
Correlation Between Perceptual, Visio-Spatial, and Psychomotor Aptitude to Duration of Training Required to Reach Performance Goals on the MIST-VR Surgical Simulator 
DA McClusky, III, MD; EM Ritter, MD; AB Lederman, MD; AG Gallagher, PhD; CD Smith, MD, Emory University School of Medicine, Atlanta, Georgia
9:40 #24 Gold Medal Forum Paper
Outcomes of Laparoscopic Versus Open Appendectomy
AM Carbonell, DO; JM Burns, MD; AE Lincourt, PhD; KL Harold, MD, Carolinas Medical Center, Charlotte, NC 
10:00 Break – Coffee in Exhibit Area - Exhibits Open
10:30 #25 LETTON LECTURE
Continuing Need to Attract Students to Surgical Specialty Careers: A Step Forward but at What Expense?
Hiram C. Polk, MD, University of Louisville, Louisville, KY
11:10 #26 Efficacy of Laparoscopic Appendectomy in the Treatment of Appendicitis with Peritonitis
Gregory J Mancini, MD; Matthew L Mancini, MD; Henry S Nelson, Jr, MD, University of Tennessee Medical Center, Knoxville, TN
11:30 #27 Predicting In-hospital Mortality in the Surgical Intensive Care Unit: Do the Total Number of Acquired Infections Have Prognostic Value?
RL Smith, MD; TW Chong, MD; HL Evans, MD; MG Hughes, MD; DP Raymond, MD; AR Saalwachter, MD; ST McElearney, MD; TL Pruet,t MD; RG Sawyer, MD, University of Virginia Health System, Charlottesville, VA
11:50 #28 Gold Medal Forum Paper
Rapamycin Inhibits Release of Tumor Necrosis Factor Alpha from Human Vascular Smooth Muscle Cells
JR Adkins, MD; WB McKinney, MD; JH Morgan, III, MD; JR Groves, MD; ML Dalton, MD; WE Newman, PhD, Medical Center of Central Georgia, Macon, GA 
12:10 Adjourn Morning Session
12:25 Round Table Luncheon - Socio-Economic Pressures on the General Surgeon
Host:       Kenneth W. Sharp, MD
Guest:      Thomas R. Russell, MD
1:50 #29 Accuracy of Gross Examination of Surgical Margin Status in Women Undergoing Partial Mastectomy for Breast Malignancy
GC Balch, MD; SK Mithani, MD; J Simpson, MD; MC Kelley, MD, Vanderbilt University Medical Center, Nashville, TN 
2:10 #30 Management of Women Who Present With T4 Breast Cancer
GV Poole, MD; JT Thigpen, MD; RB Vance, MD; WH Barber, MD, University of Mississippi Medical Center, Jackson, Mississippi
2:30 #31 The Hottest Sentinel Lymph Node (SLN) is not Always the Positive Node
ER Camp, MD; JC Cendan, MD; R Feezor, MD; DS Lind, MD; E Wilkinson, MD; EM Copeland III, MD, University of Florida, Gainesville, FL 
2:50 #32 Gold Medal Forum Paper
Accurate Axillary Nodal Staging Can Be Achieved Following Neoadjuvant Therapy for Locally Advanced Breast Cancer
NA Patel, MD; G Piper, MD; JA Patel, MD; MB Malay, MD; TB Julian, MD, Allegheny General Hospital, Pittsburgh, PA
3:10 #33 Preoperative Lymphoscintigraphy And Internal Mammary Sentinel Lymph Node Biopsy Does not Enhance the Accuracy Of Lymphatic Mapping For Breast Cancer
LL Lawson, MD; M Sandler, MD; W Martin, MD; RD Beauchamp, MD; MC Kelley, MD, Vanderbilt University Medical Center, Nashville, TN 
3:30 Break - Soft Drinks in Exhibit Area, Exhibits Open
4:00 Stump the Experts Panel 

RESIDENTS' FORUM

Purpose: To provide an opportunity for residents to present research papers and discuss their work with other residents in an atmosphere that encourages academic exchange without social pressure.

Moderators: Ronald H. Clements, MD, University of Alabama, Birmingham, AL
William C. Wood, MD, Emory University School of Medicine, Atlanta, GA
4:00 PM Welcome 
4:10 #1 Infectious Complications Following Hepatic Resection
RA Garwood, MD; L Thompson, MD; RG Sawyer, MD; RB Adams, MD, University of Virginia Health Sciences Center, Charlottesville, VA 
4:30 #2 The Impact of the Eighty Hour Work Week in Surgical Training: A Survey of Attending Surgeons
TE Bishofberger, MD; GP McDonald, MD; BJ Daley, MD, University of Tennessee Medical Center at Knoxville, Knoxville, Tennessee
4:50 #3  Apoptosis and Necrosis in the Development of Acute Lung Injury after Hemorrhagic Shock
TW Jernigan, MD; TC Fabian, MD; MA Croce, MD, University of Tennessee Health Science Center, Memphis, TN
5:10 #4 Esophagotomy During Laparoscopic Heller Myotomy can not be Predicted by Application of Preoperative Therapies and Does not Influence Long-term Outcome
M Bloomston, MD; D Pinkas; N Giarelli, RN; C Kalipersad; D Villadolid; E Zervos, MD; A. Rosemurgy, MD, University of South Florida, Tampa, FL
5:30 #5 Norepinephrine Is a More Potent Inhibitor of TNF Production over a Range of Doses than Dopamine
JH Morgan, III, MD; JR Adkins, MD; J Groves, MD; JW Mix, MD; ML Dalton, MD; DW Axhley, MD, Mercer University School of Medicine, Macon GA
5:50 Break
6:10 #6 Diabetes Insipidus in the Head Injured Patient
JC Boughey, MD; MJ Yost, PhD; RP Bynoe, MD, University of South Carolina School of Medicine, Columbia, SC
6:30 #7 Neoadjuvant Chemotherapy for Locally Advanced Breast Cancer Results in Alterations in Preoperative Tumor Marker Status
NA Patel, MD; JA Patel, MD; G Piper, MD; MB Malay, MD; TB Julian, MD, Allegheny General Hospital, Pittsburgh, PA
6:50 #8 Determining Standards for Laparoscopic Competency Using Virtual Reality
WC Brunner, MD; R Sierra, MD; JB Dunne, PhD; CL Yau, PhD; RL Corsetti, MD: DP Slakey, MD; MC Townsend, MD; DJ Scott, MD, Tulane University Health Sciences Center, New Orleans, LA
7:10 #9 A Nutrition Support Team Led by General Surgeons Decreases Inappropriate Use of Total Parenteral Nutrition on a Surgical Service
AR Saalwachter, MD; HL Evans, MD; KF Willcutts, MS, RD; K O'Donnell, MS, RD; AE Radigan, RD; ST McElearney, MD; RS Smith, MD; TW Chong, MD; BS Schirmer, MD; TL Pruett, MD; RG Sawyer, MD, University of Virginia Health Sciences Center, Charlottesville, VA
7:30 #10 Admission Serum Albumin Is Predictive of Outcome in Critically Ill Trauma Patients
A Costas, MD; G Bochicchio, MD; M Joshi, MD; K Bochicchio, RN; J Sung, MD; K Tracy, MS; T Scalea, MD, R Adams Cowley Shock Trauma Center, Baltimore, MD
7:50 - 8:00 Evaluate the Course and Adjourn

TUESDAY, FEBRUARY 3, 2004

6:45 AM Continental Breakfast - Exhibit Area
7:00 Registration Opens 
Grand Rounds of Posters
8:00 #34 Improved Pulmonary Function Using a Continuous Infusion of a Local Anesthetic for Pain Management Following Thoracotomy
JM DiMaio, MD; M Paul, BS; MA Wait, MD; DM Meyer, MD; ME Jessen, MD; WS Ring, MD, UT Southwestern Medical Center, Dallas, TX 
8:20 #35 Radiofrequency Ablation of Large Nonresectable Hepatic Tumors 
JH Morgan, III, MD; GM Royer, MD; P Hacket, MD; TC Gamblin, MD; ML Dalton, MD; PS Dale, MD, Mercer University School of Medicine, Macon GA
8:40 #36 Laparoscopy Reduces Likelihood of Perioperative Complications in Patients Undergoing Adrenalectomy
Rodrigo Gonzalez, MD; C Daniel Smith, MD; David A McClusky, III, MD; Archana Ramaswamy, MD; Gene D Branum, MD; John G Hunter, MD; Collin J Weber, MD, Emory University School of Medicine, Atlanta, GA
9:00 #37 Colonoscopic Perforations: Incidence, Management, and Outcomes 
WS Cobb, MD; LB Sigmon; BD Matthews, MD; R Hasan; KW Kercher, MD; C Simms, RN; BT Heniford MD, Carolinas Medical Center, Charlotte NC
9:20 #38 A Novel Intestinal Anastomosis Device in a Porcine Model
AE Park, MD; GL Adrales, MD; R McKinlay, MD; C Knapp, PhD, University of Kentucky Medical School; University of Kentucky Center for Biomedical Engineering, Lexington, KY, and Medical College of Georgia, Augusta, GA
9:40 Break – Soft Drinks in Exhibit Area - Exhibits Open
10:10 #39 The Minimalist Approach
L. D. Britt, MD, Eastern Virginia Medical School, Norfolk, VA
10:40 #40 Subintimal Recanalization is Safe and Effective in Treating Infrainguinal Arterial Insufficiency in Selected Patients
NL Harthun, MD and DJ Spinosa, MD, University of Virginia Health System, Charlottesville, VA
11:00 #41 Twenty-One Cases of Aortoenteric Fistula: Lessons for the General Surgeon
Juan C Cendan; John B Thomas; James Seeger, University of  Florida, College of Medicine, Gainesville, FL
11:20 #42 Stent Graft Placement for Traumatic Thoracic Aortic Rupture
B Neuhauser, MD; B Czermak, MD; W Jaschke, Univ.-Prof; P Waldenberger, MD; G Fraedrich, Univ.-Prof; R Perkmann, MD, University Hospital Innsbruck, Innsbruck, Austria
11:40 #43 Combined Lower Extremity Arterial and Orthopaedic Injuries from Penetrating Trauma: Which to Repair First?
DT Alfonso, MD; DV Feliciano, MD; GS Rozycki, MD; RB Ballard, MD; WL Ingram, MD; JP Salomone, MD; JM Nicholas, MD; JP Ansley, MD, Grady Memorial Hospital/Emory University School of Medicine, Atlanta, GA
12:00 Adjourn Morning Session
12:15 Business Meeting of the Fellows of the Congress with Lunch
Install New President
Gold Medal Forum Awards
1:30 #44 Current Management of Bile Duct Injuries
Keith D. Lillemoe, MD, University of Indiana School of Medicine, Indianapolis, IN
Video Session
2:00 #45 Superior Mesenteric Artery Syndrome: Laparoscopic Repair
Rodrigo Gonzalez, MD and Bruce J Ramshaw, MD, Emory University School of Medicine, Atlanta, GA
2:20 #46 Laparoscopic Resection of Synchronous Pheochromocytoma and Renal Cell Carcinoma
KL Harold, MD; AM Carbonell, DO; BD Matthews, MD; BT Heniford, MD; KW Kercher, MD, Carolinas Medical Center, Charlotte, NC 
2:40 #47 Simultaneous Laparoscopic Gastric Band and Hiatal Hernia Repair
Jeffrey W Allen, MD, University of Louisville, Louisville, KY
3:00 #48 Laparascopic Transhiatal Esophagectomy
Marc Bisseck, MD and Carl Westcott, MD, Wake Forest University, Winston-Salem, NC 
Paper Session
3:20 #49 Combined Pancreatoduodenal Injuries: Review of Current Management
RE Benjamin, MD; MI Cockburn, MD; PP Lopez, MD; P Li, RN; D Mishkin, BS; SM Cohn, MD, Ryder Trauma Center, Miami FL
3:40 #50 A Modern Analysis of Morbidity following Pancreatic Resection
BT Rush, MD; SW Behrman, MD; RA Dilawari, MD, University of Tennessee Health Science Center, Memphis, TN
4:00 #51 Retrospective Analysis of Traumatic Bladder Injury: Does Suprapubic Catheterization Alter Outcome of Healing?
RP Gonzalez,MD, University of South Alabama, Mobile, AL, and D Margolin, MD, Alton Ochsner Medical Foundation, New Orleans, LA
4:20 #52 Management of Blunt Pediatric Hepatic and Splenic Injury: Similar Process, Different Outcome 
HN Paddock, MD; ML Ramenofsky, MD; DW Vane, MD; C DiScala, PhD; JJ Tepas, III, MD, University of Florida Health Science Center, Jacksonville, FL
4:40 #53 Congenital Diaphragmatic Hernia Repair on Extracorporeal Life Support: A Decade of Lessons Learned 
MT Austin, MD; HN Lovvorn, MD; JB Pietsch, RN; TM Earl, MD; R Bartilson, RN; WW Neblett, MD; JB Pietsch, MD, Vanderbilt University Medical Center, Nashville, TN 
5:00 Evaluate the meeting and Adjourn


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