Southeastern Surgical Congress

SCIENTIFIC PROGRAM AND POSTGRADUATE COURSES
ANNUAL SCIENTIFIC MEETING
FAIRMONT NEW ORLEANS - NEW ORLEANS, LOUISIANA
FEBRUARY 11 - 15, 2005

Program Features
Invited Speakers
Postgraduate CourseS
Sunday Scientific Program
Monday Scientific Program
Tuesday Scientific Program

PROGRAM FEATURES

CONTROVERSIES IN SURGERY - “Laparoscopic Colectomy versus Open Colectomy – Pro and Con”
From 5:15 - 7:00 PM on Sunday there will be a presentation in a pro/con fashion debating the merits of open vs laparoscopic colon resection. With the recent publications regarding the outcomes of laparoscopic colorectal surgery, there is great debate as to what the “Gold Standard” will be. This session will discuss the controversies in this field. Dr. Heidi Nelson, author of the recent study on laparoscopic colon resections will be present as a discussant.

SUNDAY ROUND TABLE LUNCHEON  - The Expert Witness: “With Liberty and Justice For All?”

MONDAY ROUND TABLE LUNCHEON  - “Competence: The Future of Maintenance of Certification”

INVITED SPEAKERS

	Frederick L. Greene, MD Professor of Surgery University of North Carolina Chapel Hill, NC
	Lazar J. Greenfield, MD Professor Emeritus Department of Surgery University of Michigan Ann Arbor, MI
	John G. Hunter, MD, FACS Chairman Department of Surgery Oregon Health & Science University Portland, OR
	Monica Morrow, MD G. Willing Pepper Chair in Cancer Research and Chairperson Department of Surgery Fox Chase Cancer Center Philadelphia, PA
	Heidi Nelson, MD Professor of Surgery Mayo Medical School Chair Division of Colon and Rectal Surgery Mayo Clinic Rochester, MN

POSTGRADUATE COURSES

Friday, February 11, 2005      1:00 pm – 5:00 pm
Postgraduate Course – “Laparoscopic Approach to Ventral and Incisional Hernias”
Course Coordinator –  Daniel J. Scott, M.D.,
                                    Assistant Professor of Surgery
                                    Director, Tulane Center for Minimally Invasive Surgery
                                    Tulane University School of Medicine
                                    New Orleans, LA

Course Description:
This course is designed for practicing surgeons and other clinicians who are interested in the laparoscopic approach to ventral and incisional hernias.  The program will focus on basic techniques critical to success and extensive video tutorials will be used in the didactic component.  Lectures will emphasize patient selection, the use of biomaterials, surgical technique, and outcomes.

There will be an intensive hands-on session on Saturday using a porcine model to allow ample practice of the laparoscopic technique.

Objectives:
Following the didactic component, participants should be able to:
1.      Discuss various biomaterials and their adhesion properties used in ventral hernia repair.
2.      Discuss appropriate patient selection.
3.      Discuss surgical techniques.
4.      Discuss various mesh fixation techniques and controversies.
5.      Discuss outcomes compared to open ventral hernia repairs.
6.      Discuss appropriate treatment of post-operative complications.

Lab Schedule – Saturday, February 12, 2005 - Limited to 42
Tulane University School of Medicine Vivarium

Following the hands-on lab component, participants should be able to:
1.      Acquire skills related to laparoscopic access techniques.
2.      Acquire skills related to mesh sizing.
3.      Acquire skills related to mesh placement.
4.      Acquire skills related to mesh fixation.

Schedule  

Faculty

B. Todd Heniford , MD
Adrian E. Park, MD
Bruce J. Ramshaw, MD
Daniel J. Scott, MD
Guy R. Voeller, MD

Saturday, February 12, 2005     8:00 am – 3:00 pm
Postgraduate Course – “Bariatric Surgery: Do I Really Want to Do This?”

The goal of this all day didactic session is to introduce the general surgeon to the needs in considering the development of a quality Bariatric Surgical program. Topics to be discussed include; the team approach to bariatric surgery; the economic impact to a practice; managing post-operative complications; training and credentialing, and malpractice issues.

Objectives:
At the completion of the program, the participant should be able to:
1.                  Comprehend the impact of morbid obesity on healthcare.
2.                  Understand the evolution of bariatric surgery.
3.                  Know the currently accepted operative procedures for the treatment of morbid obesity.
4.                  Understand the comparison of open to laparoscopic procedures and know the indications and contraindications to each method.
5.                  Know the alternative bariatric procedures that are not currently adopted by the NIH consensus statement.
6.                  Diagnose and mange complications after bariatric surgical procedures.
7.                  Comprehend the importance of a team approach to the preoperative evaluation, insurance approval process, and postoperative follow-up.
8.                  Apply complication management strategies as a non-bariatric surgeon when called upon to see this population on an emergency bases.
9.                  Comprehend the important issues in training and credentialing new bariatric surgeons.
10.              Understand the malpractice insurance and legal issues involved with bariatric surgery.

Course Topics:
1.                  History and Future
2.                  Training and Credentialing
3.                  Team Approach
4.                  Choosing the “Right” Procedure
5.                  Managing Post-Operative Complications
6.                  Economic Impact to a Practice
7.                  Establishing a Bariatric Surgical Program
8.                  Malpractice and Legal Issues involved with Performing Bariatric Surgery

Course Schedule

Sunday, February 13, 2005, Scientific Program
6:45 a.m.		Continental Breakfast
7:00		Registration Opens
7:00		Grand Rounds of Posters
8:00		Opening Session
8:15	1	Letton Lecture Monica Morrow, MD, Philadelphia, PA
8:55	2	5 Year Follow-Up after Sentinel Node Mapping for Breast Cancer Demonstrates Better than Expected Treatment Outcomes GM Fuhrman, MD; J Gambino, RN; JS Bolton, MD; G Farr, MD, Ochsner Medical Foundation, New Orleans, LA
9:15	3	Post-operative Psychosocial Effects Following Prophylactic Mastectomy NY Hanna, MD; JL Bell, MD, University of Tennessee Medical Center, Knoxville, TN
9:35	4	Selective Use of Intraoperative Touch Prep Analysis of Sentinel Nodes in Breast Cancer RC Forbes, BS; GC Balch, MD; MC Kelley, MD, Vanderbilt University Medical Center, Nashville, TN
9:55	5	Impact of Obesity on Utilization of Non-Bariatric General Surgery Resources KR Finan, MD; RR Leeth, MPH; BM Whitley, MPH; KI Bland, MD; SM Vickers, MD; MT Hawn, MD, University of Alabama at Birmingham, Birmingham, AL
10:15		Break
10:45	6	Gold Medal Forum Paper Are Colon Resection Outcomes Affected by Surgeon Experience of Level of Training? CS Joels, MD; G Mostafa, MD; AM Carbonell, DO; KW Kercher, MD; BD Matthews, MD; RF Sing, DO; HJ Norton, PhD; BT Heniford, MD, Carolinas Medical Center, Charlotte, NC
11:05	7	Super-Selective Cathertezation and Embolization as First Line Therapy for Lower Gastrointestinal Bleeding HB Neuman, MD; BL Zarzaur, MD; AA Meyer, MD; BA Cairns, MD; PB Rich, MD, University of North Carolina-Chapel Hill. Chapel Hill, NC
11:25	8	Surgeon-Performed Ultrasound Improves Localization of Abnormal Parathyroid Glands TM Lee, MD; MC Ramirez, MD; GL Irvin, III, MD; CC Solorzano, MD, University of Miami, Miami, FL
11:45	9	Presidential Address - William C. Wood, MD
12:30 p.m.		Round Table Luncheon – The Expert Witness: “With Liberty and Justice For All?”
Sunday Afternoon Session
		Abdominal Catastrophe Issues Moderator: Grace Rozycki, MD
1:50	10	Hyperacute Abdominal Compartment Syndrome:  An Unrecognized Complication of Massive Intra-Operative Resuscitation for Extra-Abdominal Injuries EB Rodas, MD; AK Malhotra, MD; R Chhitwal, BS; MB Aboutanos, MD; TM Duane, MD; RR Ivatury, MD, VA Commonwealth Univ, Richmond, VA
2:00	11	Secondary Abdominal Compartment Syndrome: Risk Factors and Outcomes RC Britt, MD; T Gannon, MD; JN Collins, MD; FJ Cole, MD; LJ Weireter, MD; LD Britt, MD, Eastern Virginia Medical School, Norfolk, VA
2:10	12	Protocol for Bedside Laparotomy in Trauma and Emergency General Surgery: A Low Return to the Operating Room J Diaz, MD; V Mejia, MD; A Proctor; T Subhawong; R Miller, MD; P O’Neill, PhD, MD; J Morris, MD, Vanderbilt University Medical Center, Nashville, TN
2:20 - 2:50		Discussion
2:50		Break
3:10	13	Gold Medal Forum Paper Microdissection – Based Allelotyping: A Novel Technique to Examine Timing of Colorectal Metastasis TC Gamblin, MD; SD Finkelstein, MD; D Blumberg, MD, University of Pittsburgh,   Pittsburgh, PA
3:40	14	Invited Speaker - Frederick Greene, MD, Charlotte, NC
4:10	15	Emergent Right Hemicolectomies AD Wyrzykowski, MD; TJ George, BA; LN Tremblay, MD, PhD; GS Rozycki, MD; DV Feliciano, MD, Emory University, Atlanta, GA
4:30	16	Outcomes of Right vs Left-Sided Colectomy G Mostafa, MD; AM Carbonell, DO; AR Rana, MD; KW Kercher, MD; RF Sing, DO; BT Heniford, MD, Carolinas Medical Center, Charlotte, NC
4:50	17	T4 Rectal Cancer: Analysis of Patient Outcome Following Surgical Excision CE Amshel, MD; S Avital, MD; AM Miller, PharmD; LR Sands, MD; F Marchetti, MD;  MD Hellinger, MD, University of Miami Sylvester Comprehension Cancer Center, Miami, FL
5:10		Adjourn
5:10 - 7:00		Controversies in Surgery - "Laparoscopic Colectomy versus Open Colectomy - Pro and Con"
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Monday, February 14, 2005, Scientific Program
6:45 a.m.		Continental Breakfast
7:00		Registration Opens
7:00		Grand Rounds of Posters
Video Session
8:00	18	Laparoscopic Left Lateral Segmentectomy JM Burns, MD; JA Suits, MD; JW Jones, MD; BD Matthews, MD; BT Heniford, MD; KW Kercher, MD, Carolinas Medical Center, Charlotte, NC
8:20	19	A Logical Approach to Abdominal Vascular Injuries C Dente, MD; DV Feliciano, MD; GS Rozycki, MD, Emory University School of Medicine, Atlanta, GA
8:40	20	Laparoscopic Wedge Resection of a Posterior Gastric Cardia Gist JR Korndorffer, Jr., MD; DJ Scott, MD, Tulane Health Sciences Center, New Orleans, LA
9:00	21	Laparoscopic Heller Myotomy with Diverticulectomy and Anterior Fundoplication AS Rosemurgy, MD; B Boe, BS; DP Thometz, BA; DV Villadolid, BS, Tampa General Hospital, University of South Florida, Tampa, FL
Paper Session
9:20	22	Water-soluble Contrast Upper GI based on Clinical Findings is Reliable to Detect Anastomotic Leaking After Laparoscopic Gastric Bypass RH Clements, MD; T Leath, RN; D Tishler, MD; C Canon, MD, University of Alabama-Birmingham; Birmingham, AL
9:40	23	Gold Medal Forum Paper Two Distinct Clones of Rat Vascular Smooth Muscle Cells: Growth Rate and Production of Tumor Necrosis Factor-a  JR Groves, MD; Z Wang, MD, PhD; WH Newman, PhD, Mercer University School of Medicine, Macon, GA
10:00		Break
10:30	24	Sherman Lecture - John Hunter, MD, Portland, OR
11:10	25	Laparoscopic Nissen Fundoplication Offers High Patient Satisfaction with Relief of Extra-esophageal Symptoms of GERD AS Rosemurgy, MD; AN Thomas; DV Villadolid, BS; SS Rakita, MD; MH Albrink, MD; SB Goldin, MD, Tampa General Hospital, University of South Florida, College of Medicine, Tampa, FL
11:30	26	Is Outcome Following Blunt Splenic Injury in Adults Better in High Volume Trauma Centers? BG Harbrecht, MD; MS Zenati, MD; LH Alarcon, MD; JB Ochoa, MD; JC Puyana, MD; VD Schuchert, MD; AB Peitzman, MD, University of Pittsburgh Medical Center, Pittsburgh, PA
11:50	27	Gold Medal Forum Paper Prospective Evaluation of Accuracy of Operative Reports Dictated by Surgical Residents at a Tertiary Care Hospital YW Novitsky, MD; RF Sing, DO; KW Kercher, MD; BT Heniford, MD, Carolinas Medical Center, Charlotte NC
12:10		Round Table Luncheon - "Competence: The Future of Maintaining Credentials"
Monday Afternoon Session
1:50	28	The General Surgery/Trauma Model: A More Appealing and Sustainable Alternative for the Care of Trauma Patients RH Roettger, MD; SM Taylor, MD; JR Youkey, MD, Greenville Hospital System, Greenville, SC
2:10	29	Gold Medal Forum Paper What is the Optimal Observation Time for a Penetrating Wound to the Flank? B Ryan, MD; JBA MacLeod, MD; D Freiberger; GS Rozycki, MD; DV Feliciano, MD, Emory University School of Medicine/Grady Hospital, Atlanta, GA
2:30	30	Are Biological Mesh Implants Effective When Used in Infected Ventral Hernia Wounds? CJ Osier; M Baghai, MD; BJ Ramshaw, MD, Emory University School of Medicine, Atlanta, GA
2:50	31	Prevention of Seroma Infection in Laparoscopic Ventral Hernia Repair C Edwards, MD; J Angstadt, MD; O Whipple, MD; Memorial Health University Medical Center, Savannah, GA; R Grau, Mercer University School of Medicine, Macon, GA
3:10	32	Gold Medal Forum Paper Necrosectomy through Cyst-Gastrostomy for the Treatment of Pancreatic Necrosis PJ Ramirez, MD; OH Gonzalez, MD; LC DeRosier, MD; RR Leeth, MPH; SM Vickers, MD, University of Alabama at Birmingham, Birmingham, AL
3:30		Break
4:00	33	Experience with Intraoperative Monitoring of the Recurrent Laryngeal Nerve in a Teaching Hospital PJ Klingler, MD; K Potoschnigg, MD; P Rehder, MD; HC Klingler, MD, University of Innsbruck, AUSTRIA
4:20	34	Unexpected Findings During Thyroid Surgery in a Regional Community Hospital-A Five Year Experience of 738 Consecutive Cases RM Palmer, MD; JS Lokey, MD, Greenville Hospital System, Greenville, SC
4:40	35	Postoperative Outcomes According to Preoperative Functional Status After Infrainguinal Revascularization for Critical Limb Ischemia in Patients 80 and Older SM Taylor, MD; CA Kalbaugh, MS; DW Blackhurst, DrPH, Greenville Hospital System, Greenville, SC
5:00	36	Effect Of Malnutrition On Morbidity After Surgery For Chronic Pancreatitis T Schnelldorfer, MD; DB Adams, MD, Medical University of South Carolina, Charleston, SC
5:30 - 6:30		President's Panels
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Tuesday, February 15, 2005, Scientific Program
6:45 a.m.		Continental Breakfast
7:00		Registration Opens
Video Session
7:00	37	Thoracic Outlet and Mediastinal Exposures for the General Surgeon LN, Tremblay, MD, PhD; DV Feliciano, MD; GS Royzcki, MD, Grady Memorial Hospital and Emory University School of Medicine, Atlanta, GA
7:20	38	Laparoscopic Vagotomy and Antrectomy with Roux-en-Y Anastamosis JM Burns, MD; AM Carbonell, DO; KW Kercher, MD;  WS Cobb, MD; BD Matthews, MD; BT Heniford, MD, Carolinas Medical Center, Charlotte, NC
7:40	39	Hand-Assisted Laparoscopic Splenectomy for Massive Splenomegaly AM Carbonell, DO; KW Kercher, MD; BD Matthews, MD; BT Heniford, MD, Carolinas Medical Center, Charlotte, NC
8:00	40	The Chain Technique for Massive Panniculectomy CG Knight, MD, Pittsburgh, PA
Paper Session
8:20	41	Invited Speaker - Lazar Greenfield, M.D., Ann Arbor, MI
8:50	42	Personal Satisfaction and Mentorship are Critical Factors for Today’s Resident Surgeons to Seek Surgical Training JR Lukish, MD; D Cruess, PhD; The Executive Committee of the Candidate and Associate Section of the American College of Surgeons, Uniformed Services University of the Health Sciences, Bethesda, MD
9:10	43	Effect of the 80-Hour Workweek on Cases Performed by General Surgery Residents ST McElearney, MD; HL Evans, MD; AR Saalwachter, MD; TL Hedrick, MD; CS King, MD; TL Pruett, MD; RG Sawyer, MD, University of Virginia Health System, Charlottesville, VA
9:30	44	The Impact of the Night Float System and Eighty Hour Work Week on the Attending-Resident Relationship and Surgical Education: A Comparative Survey of Attending Surgeons TE Bishofberger, MD; GP McDonald, MD; BJ Daley, MD, University of Tennessee Medical Center, Knoxville, TN
9:50	45	Impact of Length of Stay on Functional Outcomes of TBI Patients ML Hawkins, MD; RS Medeiros, RN, MHSA, Medical College of Georgia, Augusta, GA; FD Lewis, PhD, Walton Rehabilitation Hospital, Augusta, GA
10:10		Break
Parallel Sessions
International Ballroom
10:30	46	Comparison of Results in Endovascular Intervention for Limb Salvage versus Claudication SM Trocciol,a MD; R Dayal, MD; SC Lin, MD; JY Rhee, BA; K Chaudhry, BA; BB Ashby, BA; M Scherer, BA; MR Garner; A Mousa, MD; E Mahanor, MD; J McKinsey, MD; NJ Morrisse, MD; KC Kent, MD; PL Faries, MD; New York Presbyterian Hospital, New York, NY
10:50	47	Hemodynamic and Pulmonary Fluid Status - Are We Slipping? WN Veale, MD; JH Morgan, MD; JS Beatty, BS; JM Van De Water, MD; ML Dalton, MD, Mercer University School of Medicine at the Medical Center of Central Georgia, Macon, GA
11:10	48	The Results of Superficial Femoral (SFA), Popliteal (POP), and Tibial (TIB) Artery Stinting for Peripheral Vascular Occlusive Disease JH Morgan, MD; CH Wall, MD; B Christy, MD; M Soli, MD, Mercer University School of Medicine, Macon GA
11:30	49	Carotid Endarterectomy: Update on the Gold Standard Treatment for Carotid Stenosis NL Harthun, MD; AJ Baglioni, Jr., PhD; GL Kongable, RN, MSN, FNP; TD Meakem, MD; A Williams; KJ Cherry, MD, University of Virginia School of Medicine, Charlottesville, VA
11:50	50	Is Laparoscopic Ventral Hernia Repair Feasible in the Morbidly Obese? WS Cobb, MD; KW Kercher, MD; JM Burns, MD; BD Matthews, MD; RF Sing, DO; BT Heniford, MD, Carolinas Medical Center, Charlotte, NC
Imperial Ballroom
10:30	51	Comparison of Endoloops and Staplers for Laparoscopic Appendectomy D Bawcombe, BS; G Zallen, MD; C Hollands, MD, University at Buffalo Women's and Children's Hospital of Buffalo, Buffalo, NY
10:50	52	All Terrain Vehicle Injury: Are They Dangerous? A Six Year Experience at a Level I Trauma Center Following Expiration of Industry Regulations AF Fonseca, MD; MG Ochsner, MD; WJ Bromberg, MD; D Gantt, RN,MS, Memorial Health University Medical Center, Savannah, GA
11:10	53	The Danger of Prophylactic Angioembolization in Patients with Pelvic Fractures AD Wyrzykowski, MD; TJ George, BA; TW Murphy, MD; GS Rozycki, MD; C Lewis, MD; DV Feliciano, MD, Grady Memorial Hospital/Emory University School of Medicine, Atlanta, GA
11:30	54	Amelioration of Gastroesophageal Reflux Symptoms Following Roux-en-Y Gastric Bypass LG Nelson, DO; R Gonzalez, MD; SF Gallagher, MD; K Haines, BA; MM Murr, MD, University of South Florida College of Medicine, Tampa, FL
11:50	55	Outcomes Of Patients With BMI ≥ 60 kg/m2 Undergoing Very Long Roux-en-Y Gastric Bypass R Gonzalez, MD; L Nelson, DO; K Haines, BA; SF Gallagher, MD; MM Murr, MD, University of South Florida College of Medicine, Tampa, FL
12:10		Evaluate and Adjourn Session
12:20		Business Lunch
2:00		Adjourn 2005 Scientific Meeting
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