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
• President's Message
• The Southeastern Surgical Congress
• CME Credit
• Location and Accommodations
• Invited Speakers
• Saturday Postgraduate Course
• Sunday Scientific Program
• Monday Scientific Program
• Monday Residents' Forum
• Tuesday Scientific Program
• Fun Things To Do
• Planned Tours
• Babysitting Information
• Registration Information & Forms

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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.  Bring your questions and comments to this very important address.  Order your luncheon ticket on the registration form.

BUSINESS MEETING AND LUNCHEON

Tuesday Business Meeting, Election of Officers, and Luncheon 

This is a time for the Fellows of the Congress to hear reports from their  representatives to the Advisory Council, the American Board of Surgery, and the Board of Governors of the American College of Surgeons.   It is a time to provide input for these representatives and to conduct the annual business of the Congress.   New members will receive their certificates of membership.  No charge is made to members for lunch, but tickets must be requested on the registration form.  Surgeons who are not members, and guests of members,  may purchase tickets.

PRESIDENTS' PANELS

from 5:20 - 6:20 PM on Sunday there will be panels on designated topics led by prominent surgeons to provide an opportunity to discuss your cases with experts and peers.   Refreshments will be served; just wear your badge to attend.

STUMP THE EXPERTS

On Monday afternoon a panel of chairmen from medical schools in the Southeast will face a challenge  from private practice surgeons to discuss tough clinical cases from their practice experience.  Hear what these experts have to say about these cases from surgeons "in the trenches"  and participate in the discussion that follows

GRAND ROUNDS FOR POSTERS

These rounds provide an opportunity for poster authors to make an oral presentation to the Grand Rounds Professors and their peers which enhance the poster exhibits.  Scheduled Sunday through Tuesday, 7:00 _ 7:50 AM.  Stroll with the rounding teams while you eat  breakfast.

  GOLD MEDAL PAPERS   

These winning papers, selected from a large number of entries, are identified in the program by the seal of the Congress.  The Gold Medal Forum is a tangible stimulus for research by young surgeons.  In addition to peer recognition, the presenters receive cash awards at the business meeting of the Fellows on Tuesday. 

RESIDENTS' FORUM

Because of the in_service exam on Saturday, the Residents' Forum has been rescheduled to  Monday, February 2, 4:00 _ 8:00 PM.  A number of residents will present research papers applicable to surgery, and residents will discuss the papers.  The purpose of the Forum is to provide an opportunity for residents to present and discuss their research with others in an atmosphere that encourages academic exchange without social pressure.  Assigned discussers will also be residents.  The Forum will be moderated by Dr. Ronald Clements and Dr. William C. Wood from the CME Committee.  All residents are encouraged to attend and participate in the discussion of papers from the floor, and senior surgeons are invited to assist with discussion.  All residents who will participate or plan to attend the Forum are required  to  attend a luncheon at 12:00 Noon.  Sign up for the Residents' Luncheon on the registration form.

SATURDAY RESIDENTS' LUNCHEON

This luncheon is scheduled  to provide an opportunity for residents to receive instruction for presenting and discussing papers.   Dr. William C. Wood, President-Elect, will talk with the residents about how professional organizations such as the Southeastern Surgical Congress  can assist them in their professional lives.

FROM THE PRESIDENT

The Southeastern Surgical Congress, organized in 1930, is the largest regional surgical society in the United States. It is an association of surgeons in Alabama, Delaware, District of Columbia, Florida, Georgia, Kentucky, Louisiana, Maryland, Mississippi, New Jersey, North Carolina, Pennsylvania, Puerto Rico, South Carolina, Tennessee, Virginia, and West Virginia. THE AMERICAN SURGEON, published monthly, is the official scientific journal of the Congress.

MISSION OF THE 2004 SCIENTIFIC PROGRAM

The Southeastern Surgical Congress was founded to provide opportunities for surgeons and surgeons in training for educational, scientific, and social purposes to promote and advance the study and practice of surgery.

 This mission is carried out by holding an annual scientific meeting that features one or more postgraduate courses covering new techniques and technology for specific surgical topics plus a three_day plenary session that includes (1) prominent surgical authorities as invited speakers; (2) presentations competitively selected from a large number of abstracts with informed discussers; (3) current surgical research projects selected by competition; (4) surgical operative procedures by noted surgeons on videotape (or CD's); (5) informal discussion groups at luncheon meetings; (6) specialty panels providing opportunities for active participation by the surgeons attending; and (7) a poster session covering a wide variety of general surgical topics.  Papers presented at the meeting are submitted for peer review and then published in THE AMERICAN SURGEON, a journal owned and published by the Southeastern Surgical Congress.  The journal is an additional educational service provided by the Congress and publishes many other original surgical manuscripts.

The Southeastern Surgical Congress, in conjunction with the Southwestern Surgical Congress, annually prepares and presents the "Comprehensive Clinical Review in General Surgery," in a plenary session with recognized experts covering the broad spectrum of surgery.  It is specifically planned for surgeons who wish to review areas of general surgery that may no longer be current in the surgeon's practice, and it incorporates principles of basic science applicable to clinical practice.

The Congress expects that its activities will assist surgeons in learning new and emerging technology to make surgery safer and more effective in patient care.  The Congress, like the practicing surgeon, is committed to improving the surgical care of patients with attention to critical analysis of outcomes and patient satisfaction.

Adopted August 2, 2003

AMERICAN MEDICAL ASSOCIATION CME CREDIT

LOCATION AND ACCOMMODATIONS

With 80% of the US population within a two-hour flight of the city, Atlanta is easily accessible.  From the heart of downtown, visitors can reach the city's many attractions, entertainment venues, restaurants, and neighborhoods through a short ride by cab, bus, or rail.  Furthermore, Atlanta's rapid rail and bus system, MARTA (Metropolitan Atlanta Transit Authority) has 38 stations and 154 bus routes covering the metropolitan area  for  $1.75 each ride.

The city welcomes more than 17 million visitors each year to experience the world-class restaurants, festive nightlife, exciting sports teams, and an abundance of cultural attractions and events.  Check with the concierge to find out what's going on in the city during your visit, or check out the web page link to the Atlanta Convention and Visitors Bureau prior to your arrival.

The Omni Hotel at CNN Center is across the street from Atlanta's Centennial Olympic Park, the perfect place to walk or jog.  Enjoy the ambiance of an in-town neighborhood,  created by  the many people walking dogs, strolling children, and joggers.  Trendy and elegant living spaces around the park give  this area a unique environment.

The Omni Hotel at CNN Center has been luxuriously renovated and expanded so that it boasts an international flavor both inside and out.  This sophisticated hotel is equipped with the most modern amenities so that you can discover a level of hospitality that embodies the age-old charm and friendly spirit of the South.  Renown for its location and magnificent city views, the hotel features outstanding restaurants and lounges, sophisticated gathering places for specialty drinks and appetizers as well as Continental cuisine.  Guest rooms have been elegantly renovated, and the suites exude an atmosphere of unparalleled good taste and style, all with a modern touch.  Guest rooms in the new tower will have commanding views of Centennial Park and downtown Atlanta.  Guests will enjoy access to the Turner Athletic Club equipped with top of the line equipment as well as a 25-meter lap pool, indoor track, aerobic studio, steam room, and sauna.  Make your plans now to participate in an outstanding learning experience in a truly memorable setting of this exciting city.

Get your reservation in early - prior to December 31, 2003 - to get the best rate possible.  Group rates will apply three days prior to and following the meeting dates.   Check-in time is 3:00 PM, and  check-out is  12:00 Noon.  To avoid early departure fee, change your departure date no later than check-in.  Cancel reservations 7 DAYS prior to scheduled arrival to avoid room and tax charge.  You can mail or FAX (404/818-4426)  the enclosed reservation form to make your reservation or call the hotel at  1/800-400-1700.    Be sure to tell them you're with the Southeastern Surgical Congress to obtain the group rate of $195 single/$220 double.  Address of the hotel is 100 CNN Center.

HOW TO GET THERE

Airlines and Rental Cars - All About Travel is the official travel agency for the 2004 meeting in Atlanta.  For discounts on airline tickets and car rental rates (with Budget, Hertz, and Alamo), contact Lorikay by telephone at 404/748_4135 or by FAX  253/681_1509, or email LKTravel@mindspring.com   Special fares are available  through Delta Air Lines, but if Delta doesn't provide the best fare for your travel, Lorikay will find the best carrier for you.  Contact her from 8:30 AM to 5:00 PM Eastern Time Monday through Friday.   Please let her know that you are attending the Southeastern Surgical Congress meeting.  Call early û seats at special prices are limited and some restrictions apply.  You can also call Avis Car Rental directly and give them the Southeastern Surgical Congress discount number of AWD_J994822 for special rates.

Transportation between Airport and Hotel - Absolutely the best way to get to the hotel from the airport is to use the MARTA train to the Georgia Dome/Georgia World Congress Center/Phillips Arena Station. Tokens are $1.75 (fare for one way). Atlanta Airport Shuttle service is $14 each way, and taxis are $25.

MARTA DIRECTIONS - Take the North Train to Five Points Station. Transfer to the West line and go one stop to the Georgia World Congress Center/Georgia Dome/Phillips Arena stop. At the top of the escalators exiting the MARTA station, go to the right and up the stairs along the side of Phillips Arena. Walk past Phillip’s Arena along the sidewalk and enter CNN Center at the large sign. Continue to the food court and turn right past the CNN Tours Ticket area. Pass the Turner Store, take the escalators up to the Omni Hotel Lobby.

Driving Directions: Traveling South on I-75 and I-85 - Follow I-75/85 into downtown Atlanta. Exit 249-C (Williams Street) and continue straight at the exit to the 5^th traffic light. Turn right onto International Boulevard. Turn left on Centennial Olympic Park Drive and go three blocks to to Marietta Street, and turn right; the Omni Hotel Motor Lobby will be on your left..

Traveling North (from airport) on I-75 and I-85 - Follow I-75/85 into downtown Atlanta. Exit 248-C ( International Blvd.) And go to the top of the exit ramp. At second traffic light turn left onto Andrew Young International Boulevard. Turn left onto Centennial Olympic Park Drive and go three blocks to Marietta Street; turn right, and then the Omni Hotel Motor Lobby will be on your left.

Traveling East or West on I-20 - Follow I-20 to exit 56-B (Windsor Street/Spring Street - Westbound). Turn right onto Spring Street (Eastbound). Turn left onto Spring Street. Go approximately one-half mile to Marietta Street and turn left. Go two blocks to International Boulevard. Turn left into the Omni Hotel Motor Lobby (just before you reach Andrew Young International Boulevard).

 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 AVAILABLE

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

TENTATIVE ANNUAL SCHEDULE FOR SCIENTIFIC PROGRAM
(Schedule Subject to Change)

Who Should Attend

 Surgeons, particularly general surgeons, who are challenged to keep up to date on the diagnostic and surgical skills necessary to successfully manage patients who suffer from a wide spectrum of general surgical diseases, including trauma, critical care, cancer, diseases of the gastrointestinal tract, hernias, infections, endocrine abnormalities, malnutrition, biliary diseases, thoracic and vascular problems, organ failure requiring transplantation, and obesity.

Objectives:

Surgeons who complete this program will have received an overview of information which general surgeons need to keep their diagnostic and surgical skills up to date including the use of various modalities such as laparoscopy.  Upon completion of this scientific program, a general surgeon will have become familiar with the latest techniques and technology to care for trauma and critical care patients, those who need treatment and surgery for various cancers, hernias, gastrointestinal and colorectal diseases, infections, endocrine abnormalities, nutrition, biliary diseases, thoracic and vascular problems, patients with complications of organ transplantation, as well as patients who suffer from obesity and hepatobiliary problems.

 These objectives will be met by a variety of educational techniques including a didactic program utilizing talks by renown speakers, talks selected from abstracts submitted, discussion of individual papers from the floor, panels to explore various case reports, informal panels to discuss cases with experts and peers, and the rounding of posters with experts to cover a wide range of surgical topics with discussion. 

SUNDAY, FEBRUARY 1, 2004

6:45 AM          Continental Breakfast - Exhibit Area
7:00                  Registration Open 
7:00                  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
                             Eric K Johnson, MD; Christopher H Hoyt, MD; Robert 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.
                             Rodrigo Gonzalez MD; Archana Ramaswamy, MD; Robert D Rehnke, MD*; John M
                             Clarke, MD*; C Daniel Smith, MD; Bruce 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
7:00                         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 
7:00                              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

THINGS TO DO IN ATLANTA!!

Downtown Transportation - 

PLANNED TOURS

Arranged Tours _ We're working with Eventz over Georgia to bring you two great tours so that you can  experience some of the real history of the South.

 Sunday - Famous Times-Famous People - The group will leave the hotel at 1:00 PM to visit the world-famous Cyclorama, a painting in the round depicting scenes from the Battle of Atlanta.  The story of this event is movingly narrated in  a comfortable theatre-in-the-round located in Grant Park.  From there the group will travel  to the Martin Luther King, Jr. Center to visit Ebenezer Baptist Church where Dr. King preached, his birth home, and his tomb, and learn more about the life of this great statesman.  You will return to the hotel by 5:00 PM.  Inclusive cost is $35.  Order tickets on the enclosed form.

 Monday - A Touch of the Old South - The group will leave the hotel at 10:00 AM for a visit to the Margaret Mitchell House where you will hear the story of how she wrote, "Gone with the Wind," and  about some of the mysteries of her life.  Lunch will be at the Swan Coach House with time to visit the Gift Shop and Gallery.  Time permitting, the group will visit Bennett Street where you can stop in numerous  art galleries and antique shops.  The group will then head to Stately Oaks Plantation (circa 1839) to experience history and genuine Southern hospitality as you visit this antebellum plantation located in the legendary land of Gone with the Wind.  You'll hear the fascinating story of Rebecca McCord (a real life Scarlett O'Hara) whose strength and perseverance prevailed throughout the Civil War.  This beautifully restored home has its original log cookhouse and other outbuildings.  Nineteenth century costumed docents provide tours depicting customs and lifestyles of the rural South and tell why Margaret Mitchell's heroine, Scarlett, loved the "red earth of Tara."  The group will return to the hotel by 5:00 PM.  Inclusive cost is $85.  Order tickets on the enclosed form.  

BABYSITTING INFORMATION

The following babysitting services were recommended by the Omni Hotel at CNN Center.  

Friends of the Family          770/643-3000

TLC                                   770/435-6250

REGISTRATION & MEMBERSHIP FORMS

If you are not a member of the Congress and wish to received membership information, please send your address by FAX to 404/255-5442 or click here to be directly linked to our application. Completed member applications must be received by December 1, 2003, to receive member rates for the meeting. All members of the Congress receive a subscription to THE AMERICAN SURGEON.

January 26, 2004 - Registration is still open for the postgraduate course and the scientific meeting. You may complete your registration at the registration desk at the Omni Hotel, North Tower, Floor M2, International Ballroom Pre-function area.

Omni at CNN Center Reservation Form - Cut Off Date is December 31, 2003

Omni at CNN Center On-line Reservation Form