SUMMARY OF PROGRAM Sherman House

POST GRADUATE COURSE GRAND BALLROOM MEZZANINE SCIENTIFIC SYMPOSIUMS GRAND BALLROOM MEZZANINE SURGICAL FILll! PROGRAM GREAT HALL MEZZANINE TECHNICAL EXH!ll!TS EXHIBIT HALL MEZZANINE SCIENTIFIC EXHIBITS ExmBIT HALL MEZZANINE SOCIETY OFFICE EXHIBIT HALL MEZZANINE LADIES HOSPITALITY CRYSTAL ROOM FIRST FLOOR

SYMPOSIUMS AND SURGICAL FILMS

~IO~DAY MORNING PAGE AFTERNOON AND EVENING PAGE Acute Abdomen 6 Stomach and Duodenum - 9 :00 a.m. - 10 :45 a.m. Peptic Ulcer Diathesis 10 New Horizons in I :30 p.m. - 3 :00 p.m. Biomedical Research 8 Hernia 12 11 :IS a.m. - 12 :00 Noon 3 :30 p.m. - 5 :00 p.m. Surgical Film Program 29 Surgical Film Program 30 9 :00 a.m. - 12 :00 Noon l :30 p.m. - 5 :00 p.m. 7 :30 p.m. - 10 :00 p.m. Presidential Reception TUESDAY MORNING 6:00 p.m. Colon Surgery 14 See inside back cover 8 :30 a.m. - 10 :00 a.m. Post Operative Care and Complications 16 AFTERNOON AND EVENING PAGE 10 :30 a.m. - 12 :00 Noon Radiology 18 Surgical Film Program 31 I :30 p.m. - 3 :00 p.m. 8 :00 a.m. - 12 :00 Noon Pancreas and Spleen 20 3 :30 p.111. - 5 :00 p.m. Surgical Film Program 32 WEDNESDAY MORNING I :30 p.m. - 5 :00 p.m. Biliary Tract Surgery 24 7 :00 p.m. - 10 :30 p.111. 8 :30 a.m. - 10 :00 a.m. Clinical Laboratory A ids for J. Harry Hayes Memorial the Abdominal Surgeon 22 Lecture - Abdominal Angina 26 8 :00 p.m. - 10 :00 p.m. I I :00 a.m. - 12 :00 Noon Scientific Exhibits 36 Distinguished Service A ward Technical Exhibits 38 Luncheon 27 General Information and Surgical Film Program 34 Special Activities 8 :00 a.m. - 12 :00 Noon Inside Back Cover WELCOMING ADDRESS

EDWARD J. KROL, :\LD. President

The Ameri can Society of Abdominal Surgeons is pleased to welcome you to its Seventh Annual Clinical Congress. An annual scientific meeting such as this one offers to our members and to our colleagues and guests, unexcelled continua­ tion of their surgical education. This is accomplished through a comprehensive program of eminent speakers and panelists, informative surgical fi lms and excellent technical and scienti fic exhibits. \\·e believe that both the content and quality of the 1966 Congress are consistent with the high standards set in previous years. \Ye are grateful for your attendance, and hope that you will find the Congress informative, interesting and beneficial. \Ve also express our sincere thanks to the various Committee Chair­ men and the Committeemen whose dedication and hard work haYe made the 1966 Clinical Congress of Abdominal Surgeons possible. American Society of Abdominal Surgeons SEVENTH ANNUAL CLINICAL CONGRESS OF ABDOMINAL SURGEONS

Officers March 26-30, 1966 1965 - 1966 SHERMAN HOUSE CHICAGO Chairman: EDWARD J. KROL, M.D., Chicago, Illinois Vice Chairman: JOHN W. TURNER, l\LD., Atlanta, Georgia EDDIE F. BARR, M.D., Blythe, California DuRAND BENJAMIN, M.D., St. Louis, Missouri FRANK J. BORRELLI, M.D., New York, New York MEYER 0. CANTOR, M.D., Huntington Woods, Michigan ANDRE B. CARNEY, M.D., Tulsa, Oklahoma FRANK E. CIANCIMINO, M.D., Nyack, New York JosEPH M. DE LOS REYES, M.D., Los Angeles, California PA UL M. EGEL, M.D., Chicago, Illinois JoHN W. EGOVILLE, M.D., Philadelphia, Pennsylvania President President Elect C. RICHARD A. GILBERT, M.D., Washington, D.C. EDWARD ]. KROL, M.D. c. ELMO BOYD, M.D. BENJAMIN GITLITZ, M.D., Thermopolis, Wyoming Chicago, Illinois Shreveport, Louisiana EARL J. HALLIGAN, M.D., Jersey City, New Jersey EDWARD C. JENKINS, M.D., Delaware, Ohio ELMER G. LINHARDT, M.D., Annapolis, Maryland ALBERT B. LoRINCZ, M.D., Omaha, Nebraska IRA J. MARSHALL, M.D., Roswell, New Mexico FRANK J. NowAK, M.D., Chicago, Illinois JoHN ROBERTS PHILLIPS, M.D., Houston, Te.."'

MEDICO LEGAL PANEL 8 :30 A.:\!. - Call to Order of Clinical Congress of ,\Joderated by . \hclo111inal Surgeons BERNARD D. HIRSCH, Director Law Department, American Medical Association Tnv ocation :\{edicolegal problems presented from the view points of: TuE PLAIKTIFF \!e ry R ev. :\Isgr. James V. :\Ioscow T11E DEFENDAXT Asst. Director of Hospitals, Archdiocese o[ ORGANIZED MEDICINE T 11 E COURT Chicago

\ Velcome . \ddress Eckard J. Krol, :\I.D., P resident A 111crican Society of Abdominal Surgeons

\ Velcome Address Caesar P ortes, :\I.D., President Elect Illinois State :\[edical Society

\ Velcome Address BERNARD D. HtRSCH, Director FELIX FORTE, J ustice Law Department Superior Court of Massachusetts Francis \\'. Y oung, :VI.D., Secretary American Medical Association Chicago l\Iedical Society

\ Velcome Acid ress Sa111uel Andelman, :\I.D., Commissioner of l lealth. City of Chicago

\ \' elco111e Address lllaise F. A lfano, M.D., Secretary American Society of Abdominal Surgeons

RICHARD P. BERGEN, J.D. MAX W ILDMAN, Esq. Secretary, Committee on Kirkland, E llis, Hodson, Chaffetz Medicolegal Problems, A.M.A. & Masters Chicago, Illinois

4 s Monda)•, March 28, 1966 SYMPOSIUM JOSEPH P. CASCINO, M.D. Chicago, Illinois University of Illinois; Assistant ACUTE ABDOMEN Professor of Neurosurgery, Stritch School of Medicine; Chairman De­ partment of Surgery, St. Anne's 9 :00 A.M.-10 :45 A.M. Hospital, Chicago. GRAND BALLROOM Moderator:

\VALTER C. BoR!\DIEIER, :-.1.0., Chicago, Illinois ]AMES J. CALLAHAN, Jlf.D. Chicago, Illinois Loyola University School of Medi­ Collaborators: cine; Senior attending Surgeon, Cook County and St. Anne's Hospi­ Acute Abdomen due to Neurologic Conditions tals; Consulting Staff, Loretto and Holy Cross Hospitals; Professor JosEPII P. CAscrno, M.D., Chicago, Illinois and Chairman Dept. of Bone and Joint Surgery, Stritch School of Diverticulosis and Diverticulum of the Small Bowel Medicine; Professor Cook County Post Graduate School. \VALTER C. BoRNE:'lfEIER, :-.1.0., Chicago, Illi­ nois

FRANK c. LAWLER, 111.D. Acute Abdomen d11e to Orthopedic Conditions Chicago, Illinois Chicago Medical School ; Professor JAMES J. CALLAHAN, M.o., Chicago, Illinois OB Cook County Graduate School of Medicine; Associate Professor Endotoxic Shock in Surgery OB-GYN, Stritch School of Medi­ cine; Staff appointments, Coo'.k FRANK C. LAWLER, M.D., Chicago, Illinois County and Little Company of Mary Hospitals ; Chairman, Dept. of OB­ GYN, Holy Cross Hospital. Acute Pelvic Condition in the Acute Abdomen J. KEITH CROMER, M.D., W ashington, D.C.

Peritoneoscopies ]. KEITH CROM ER, JILD. Washington, D.C. BENJAMIN SHERMAN, M.D., Brooklyn, New George Washington University Medical School ; Associate Clinical York Professor OB-GYN, George 'Nash­ ington University Medical School; Senior Attending Gynecologist, Washington Hospital Center; Chair­ man Dept. of Gynecology, Doctors Hospital.

BENJAMIN SnERll[AN, M.D. Brooklyn, N cw York w ALTER c. BORNEMEIER, Jlf':D., Chicago, Illinois Vice Speaker, House of Delegates, American Medical Association. 6 7 M 011day, March 28, 1966 SPECIAL PRESENTATION 11 :15 A.M.-12 :00 NOON

AMA-ERF INSTITUTE FOR BIOMEDICAL RESEARCH

NEW HORIZONS IN BIOMEDICAL The Institute, founded hy the American Medical Associa­ tion through its Education and Research Foundation, is an RESEARCH organization free from artificial or arbitrary restrictions, where a limited number of scientists who excel in their chosen disci­ plines can combine their skills and creativity to a common end - discovering the mechanisms of the living cell.

l t is a singular undertaking because it depends for its exist­ ence solely on the faith and the funds of private physicians and private organizations.

The physician, Doct or Ritts will point out, depends on bio­ medical research for his basic tools. Scientific discoveries have led to improved diagnostic and therapeutic methods - they have made it possible for the physician to increase his compe­ tence and capabilities.

Examples of the fie lds in which the Institute scientists are working or will have interest are:

- Molecular biology, including fine structure of the cell, histochemistry and biochemical genetics.

- Biochemistry, particularly protein synthesis on a cellular Rov E. R1rrs, ]R., J\t.O., Chicago, Illinois George Washington University School of Medicine; Di­ and subcellular level, and also lipid chemistry, carbohydrate rector, AMA-ERF Institute for Biomedical Research· chemistry. enzymology and antibiotic biosynthesis. Asst. Director, Division of Scientific Activities America1~ Medical Association ;:former Chairman, Dept.' of Micro­ l>0logy, Georgetown University School of Medicine. - Immunology and host-parasite interaction.

- Neurophysiology.

8 9 Mo11day, March 28, 1966 SY)£POS1U~I LEONIDAS H. BERRY, M.D. University of Chicago; Professor, Gastroscopy & Gastroenterology, STOMACH AND DUODENUM Cook County Graduate School ; At­ tending Gastroscopist, Cook County PEPTIC ULCER DIATHESIS Hospital ; Senior Attending Physi­ cian, Michael Reese Hospital; Con­ sulting Gastroenterologist, Alexian I :30 l' .~1. -3 :00 l'.~ 1. Brothers & \Vomen & Children's Hospital ; Former Asst. Clinical GRA ND BALLROOM P rofessor of Medicine, University Moderator: of Illinois; Chief of Gastroenterolo­ gy, Provident Hospital, Chicago; EARL J. HALLIGAN, l\LD., Jersey City, New Jersey President, National Medical Associa­ tion. Collahorators: Mrdical Aspects of Peptic Ulcer Diathesis JOSEPH M. DE LOS REYES, M.D. Los Angeles, California LEONIDAS H. BERRY, l\LD., Chicago, lllinois Jefferson :Medical College; Uni­ versity of Havana; Past Vice Presi­ Va[Jofo111y with Drainage Procedure or Resection dent, Los Angeles County Medical Assn; Senior Surgeon California JosEPJI M. DE Los REYES, l\I.D., Los Angeles, Lutheran, Santa 1fonica, Culver City, Beverly Glen Hospitals; Sur­ Califo rnia gical Staff All Nations Clinic. Peptic Ulcerations ·with P11!111onary Obstruction JonN ROBERTS PHILLIPS, l\f.D., Houston, Texas ]ORN ROBERTS Pll!LLIPS, M.D. Peptic Ulcer versus Carcinoma H ouston, Texas University of Maryland School of EARL J. H ALLIGAN, M.D., Jersey City, New Medicine; Associate Professor of Jersey Surgery, Post Graduate School, Uni­ versity of Texas; Assistant P ro­ fessor of Surgery, Baylor Universi­ ty.

EARL J. HALLIGA N, M.D., Jersey City, New Jersey P rofessor af\d Chairman Department of Surgery, Seton Hall Col_lege of. Medicine, Emeritus: S urgical Director, SU RGICAL FILMS Jersey C1t_y Medic.al Center, Emeritus; Medical Director, St. Francis Hospital, .Jersey City~ Consulting Surgeon, ;\l ONO,\ Y EVEA' l ~G 7:30 P.M. - 10 :00 P.M. Margaret Hague H ospital, Jersey City; St. Mary's Hospi­ tal, Hoboken; Holy Name Hospital, Teaneck; Rahway H ospital, Rahway; Fitkin H ospital, Neptune.

10 11 i\fo11day, March 28, 1966 SYMPOSIUM

HERNIA FRANK J. NOWAK, M.D. Chicago, Illinois Senior Surgeon and former Chief 3 :30 P.i\L-5 :00 P.M. of Staff Holy Cross Hospital, Chi­ GRAND BALLROOM cag'l ; formerly with department of Gro. <; Anatomy Loyola University Moderator: Stritch School of Medicine, Chicago.

DuRAND BENJA~r1N, ~1.D., St. Louis, Mis ouri

Collahorators: Anatomy of the lnguinal Region IRVING L. LKliTENSTElN, M.0. FRANK J. NowAK, M.D., Chicago, Illinois Beverly Hills, Cali fornia Hahnemann 1\frdical School ; Sur­ I111111 ediate Return to Worli Follcrwing Inguinal gical Staff Cetlars of Lebanon, Mt. H crniorrhaphy Sinai Hospitals ; Assistant Clinical IRVING L. LICHTENSTEIN, l\f.D., Beverly Hills, Professor of Surgery, U. C. L. A. California Medical School. V c11tral Hernia DONALD R. J. "WELSH, M.D., Toronto, Canada Duodenal Ulcer, Sliding Esophageal Hiatal H crnia a11d Peptic Esophagi/is: The Results of Treat­ DONALD R. J . WELSTI, .M.D. ment Toronto, Canada DA NIEL F. CASTEN, M.D., New York City, New University of Toronto; Staff Sur­ York geon Shouldice Surgery, Toronto; Janes Surgical Society.

DANIEL F. CASTEN, M.D. New York City, New York Long Island College of Medicine; Associate Clinical Professor of Sur­ gery, New York Medical College; Director of Surgery, Sydenham Hospital; Attending Surgeon, Hos­ pital for Joint Diseases and St. Clare's Hospital, New York City.

DURAND BENJAMIN, M.D., St. Louis, Missouri St. Louis University School of Medicine; Surgical Staff, A lexian Brothers Hospital, Incarnate Word, Lutheran, St. Presidential R eception and Cocktail Party Joseph's Hospitals and St. Louis University Group of Hospitals; Former Chief of Surgery, St. Anthony's Hospi­ tal; President 1%4-1965 American Society of Abdominal Bal Tabarin 6 :00 P.M. Surgeons.

12 13 Tuesday, March 29, 1966 SYMPOSIUM MEYER 0 . CANTOll, ~Lil. Huntington Woods, Michigan University of Michigan; Attending COLON SURGERY Surgeon and Vice-Chief of Surgery Grace H ospital ; Attending Surgeon and former Chief of Surgery, North 8 :30 A.M.- 10:00 A.M. Detroit General Hospital; former attending Surgeon, S inai and Dea­ GRA ND BALLROOM coness Hospitals; Research: De­ veloped Cantor Tube, Cantor Moderator: Intestinal Sound, Silicone rubber decompression tube, Gelfoam and GEORGE SHROPSH EAR, M.D., Chicago, Illinois Thrombin in management of upper G.I. hemorrhage. Collaborators: Carcinoma of the Colon DONOVA N F. WARD, ~!. D. GEORGE SHROPSHEAR, M.D., Chicago, Illinois Dubuque, Iowa University of Iowa College o[ Medi­ cine; Senior Surgeon, Finley, St. Diverticulitis and Diverticulosis Joseph's and St. Francis Xavier MEYER 0. CANTOR, M.D., Huntington Woods, H osvitals; President, American Medical Association 1964-1965. Michigan

Appendicitis -Appendiceal Lesions CAESAR PORTES, 111.D. DONOVAN F. WARD, M.D., Dubuque, Iowa Chicago, Il1inois Clinical Assistant Professor of Sur­ gery, Department of Proctology, Polyposis Chicago Medical School ; Medical D irector, Cancer Prevention Center CAESAR PORTES, M. D., Chicago, Illinois of Chicago; Medical D irector, Gott­ lieb Memorial H ospital, Melrose Park ; Senior Staff and Head of Proctology Department, Henrotin H ospital ; Consultant at Columbus, Alexian Bros., Cuneo and North­ west H ospitals.

BE SURE TO VISIT THE EXHIBITS GEORGE SHROPSHEAR, M.D., Chicago, Illinois University of Illinois, College of Medicine, Chicago; Senior Attending Surgeon, P resident of the Medical Staff, Provi­ dent Hospital, Chicago.

14 15 Tuesday, March 29, 1966 SYMPOSIUM

POST OPERATIVE CARE AND DANTE BIZZARI, M.D. New York City, New York COMPLICATIONS New York Medical College; Assist­ ant Clinical P rofessor, New York Medical College, Metropolitan 10 :30 A.M.-12 :00 NooN Medical Center; Associate Visiting in Anesthesia, Metropolitan Medi­ GRAND BALLROOM cal Center. Moderator: HERMAN F. DEFEO, M.D. Chicago, Illinois

LEONARD F. KOWALSKI, M.D. Collaborators : Melrose Park, Illinois Loyola University School of Medi­ Blood Loss-Managenient and Replacement cine; Chief, Department of -".\nes­ DANTE B1zzARI, M.D., New York City, New t hes i o logy, Mercy Hos pital; Assistant Clinical P rofessor, Stritch York School of Medicine. Cardio Pulmonary Complications in Abdominal Sur­ gery HERMAN F. DEFEO, M.D., Chicago, Illinois

Analgesics and Sedatives in Post Operative Care p A UL M. EGEL, M.D. LEONAI_W KowALSKI, M.D., Melrose' Park, Illi­ Chicago, Illinois nois Chicago Medical School; Depart­ ment of Surgery, Chicago Medical School. Post Operative Infections in Abdominal Surgery PAUL M. EGEL, M.D., Chicago, Illinois

~ESSAGE CENTER FOR PHYSICIANS Incoming calls will be accepted at R egistration Desk. Messages will be placed on bulletin board. HERMAN F . DEFEO, M.o., Chicago, Illinois Loyola University School of Medicine; Medical consultant and Cardiologist St. George's Hospital, Holy Cross Hospital, Chicago, and Ingalls Memorial Hospital, Harvey, Illinois.

16 17 Tuesday, March 29, 1966 SY:l!POSIUM CHARLES M. NrcE, ]R.,M.o. New Orleans, Louisiana THE RADIOLOGIC ABDOMEN? University of Kansas; Pr

Collaborators: ELBERT K. LEWIS, Jl!.0. Chicago, Illinois CHARLES M. NICE, ]R., M.D., New Orleans, University of Illinois College of Louisiana Medicine · Chief Radiologist Evan­ gelical a~d St. Ben:1ard's Hospit~l s, ELBERT K. LEw 1s, M.D., Chicago, Illinois Chicago and Christ Com~um~y LEO S. F1c1EL, ~ !.D. , Detroit, Michigan Hospital, Oak Lawn; Assoc1'.1te I? Radiology Northwestern Universi­ ty Medical School.

LEO s. FIGIEL, M.O. Detroit, Michigan . Chairman Department of Radiolo­ gy Grace' Hospital, Detroit; Oinical In~tructor of Radiology, Wayne State University School of Medi­ cine, Detroit.

FRANK J. BORRELLI, M.o., New York City, New York New York Medical College; Professor and Chairman, Department of Radiology NY Medical College; Direc­ Scientific and Technical Exhibits tor of Radiology, Metropolitan, Bird S. Coler and FlowerFifth Avenue Hospitals; Consultant Radiologist, Booth Memorial, Holy Name, St. Joseph's, St. Mary's All D ay Today and Yonkers Professional Hospitals; Chairman, Isotope Committee, NY Medical College; Research: Radioac­ tivity in Sterility, Lymphography, Mammography, Ar­ tcriography, Angiography; Past President and Member of the Board Radiological Society of the State of New York; Past President, New York Roentgen Society ; Past President and Chairman of the Board of American College of Gastroenterology; Councillor to the American College of Radiology for N.Y. Roentgen Society; Member of Executive Committee of American Standards Assoc. 18 19 Tuesday, March 29, 1966 SYMPOSIU~I JosEPl:l H. ROBBINS, M.D. PANCREAS AND SPLEEN Chicago, Illinois University of Illinois School of Medicine; Consultant in Hema­ 3 :30P.l\I.-5 :00 P.M. tology, Louis A. Weiss Memorial GRAND BALLROOM and Illinois Masonic Hospitals ; As­ sociate Professor of Medicine, Cook Moderator: County Graduate School of Medi­ cine. JAMES T. Nix, M.D., New Orleans, Louisiana

CoUahorators: Indications for S plenectomy JAMES T. Nix, M.D., New Orleans, Louisiana

The Enigma of the Spleen, Vital or Vestigial FREDERICK HANSEN, M.D. JoSEPII H. ROBBINS, M.D., Chicago, Illinois Richmond, California Instructor of Internal Medicine, Tu­ Medical Management of Pancreatitis lane Medical School ; formerly Head FREDERICK HANSEN, M.D., Richmond, Cali­ of Internal Medicine, J. T. Nix Clinic, New Orleans, Louisiana. fornia Management of Surgical Complications of Acute Pancreatitis NIKOLAS K AZMERS, M.D., Lakeview Michigan

NIKOLAS KAZMERS, M.D. Lakeview, Michigan Medical Faculty of University of Latvia, Riga; Surgical Staff, Kel­ sey Memorial Hospital; Clinical In­ vestigator of Kallikrein-Trypsin In­ activator Trasylol.

JAMES T. Nix, M.D., New Orleans, Louisiana SURGICAL FILMS Louisiana State University School of Medicine; Clinical Assistant Professor of Surgery, Louisiana State University T UESDAY EVENING School of Medicine; Faculty Advisor, Department of Ex­ 7:00 P.M. -10:30 P.M. perimental Biology, Loyola University of the South ; Hos­ pital Staff affiliations : Hotel Dieu, Charity, Sara Mayo, Flint Goodridge Hospitals, New Orleans ; Terrebonne General Hospital, Houma; St. James Parish Hospital, Lutcher, Louisiana. 20 21 Tuesday, March 29, 1966 SY "[POSIU"1 CONTINUING SURGICAL EDUCATION

CLINICAL LABORATORY AIDS FOR "Lord Lister said, 'If you are not wi lling to learn and unlearn all your life through, you should give up medicine and take THE ABDOMINAL SURGEON up a third-rate trade.' Learning is difficult enough, unlearning and relearning is not only difficult but is opposed by habit and 8 :00 P.M.- 10:00 P ."L false pride. It is nevertheless the price to be paid if you wish GRAND BALLROO"I to be a worthy member of a learned profession." Moderator: l Whitteridge, David : Learning and Relearning, GEORGE J. RuKSTlKAT, M.D., Chicago, Illinois Lancet 1 :192 ( 1959)

The above quotation sums up the reason why we as surgeons must vigorously pursue a personal program of continuing surgi­ cal education. Surgical meetings are a must for every surgeon because such gatherings afford a face to face dynamic exchange of informa­ tion. We learn from the speakers, the exhibits and from the other surgeons who come from all sections of the country.

GEORGE J. RuKSTINAT, M.D., Chicago, Illinois Rush Medical College; Surgical Staff, Holy Cross Hospi­ tal; Clinical Professor of Pathology, Stritch School of Medicine, Loyola University; Clinical Pathological and Statistical Research in Surgical Pathology; Councilor, Chicago Medical Society, Past President, Chicago, Patho­ logical Society. See Inside Back Cover for Special Activities

ROBERT HASTERLIK, M.o., Chicago, Illinois Professor of Medicine, Argonne Cancer Research Hospital and Department of Medicine, University of Chicago.

22 23 Wednesday, March 30, 1966 SYMPOSIUM

BILIARY TRACT SURGERY DAVID s. )ONES, M.D. Chicago, Illinois Loyola University School of Medi­ 8:30 A.l\1.-10 :00 A.M. cine; Professor of Anatomy, Stritch School of Medicine a nd Cook GRAND BALLROOM County Graduate School of Medi­ Moderator: cine; Staff affiliations: St. Anne's, Hines V.A., Cook County H ospitals. N. FREDERICK HICKEN, M.o., Salt Lake City, Utah

CoUaborators : Surgical Anatomy of the Biliary Tract MITCHELL A. SPELi.BERG, M.D. Chicago, Illinois DAVIDS. JoNES, M.o., Chicago, Illinois Loyola University School of Medi­ cine; M.Sc. University of 111inois ; Clinical Professor of Medicine, Uni­ CholelithiaS1·s and I.V. Cholangiograms versity of Illinois School of Medi­ cine; Chief, G.I. Clinic and attending N. FREDERICK H rcKEN, M.o., Salt Lake City, Physician, Department of Medicine, Utah ~1ichael Reese Hospital.

Differential Diagnosis of Surgical Jaundice

MITCHELL A. SPELLBERG, M.n., Chicago, Illi­ \ii/ALTER A. 'vV!CllOWS KI, 1\1.D. nois Chicago, Illinois Loyola Medical School; Clinical Asst. Professor of Surgery, Loyola Surgical Technique of Acute and Gangrenous Gall­ Medical School ; Associate Pro­ bladder fes sor of Surgery, Cook County Post Graduate School of Medicine; WALTER A. W1cHowsK1, M.D., Chicago, former Chief of Surgery, Holy Cross Hospital, Chicago; Senior Illinois Surgeon, Illinois Central and H oly Cross Hospitals; Senior Associate Surgeon, Cook County H ospital, Chicago.

BE SU RE TO VISIT

N . .Fiu:~ER1CK HICKEN, 111.0., Salt Lake City, Utah T H E EXHIBITS University of Pennsylvania, School of Medicine Philadel­ phi~, Pe!msylvania; Associate Professor of Clinic~! Surgery, University of Utah College of Medicine; Surgical Staff· Latter-day Saints and University Hospitals, Salt Lak~ City.

24 25 T11edncsday, March 30, 1966 Wednesday, March 30, 1966 12 :00 NOON BAL T ABARIN J. HARRY HAYES MEMORIAL LECTURE PRESENTATION OF 11 :00 A.M.-12 :00 NOON GRAND B ALLROOM DISTINGUISHED SERVICE AWARD

ABDOMINAL ANGINA to presented by ALEXANDER BRUNSCIIWIG, M.D. \VALTER L. PALMER, M.D.

ALEXANDER BRUNSCHWIG, M.D. Clinical Professor of Surgery, Cornell University Medical College, New York City WALTER L. PALMER, M.D., PH.D., M.A.C.P. The Richard T. Crane Professor of Medicine, Emeritus, The University of Chicago.

Distinguished Service Award Luncheon sponsored by

WILLIAM H. RORER, INC.

26 27 Wednesday, March 30, 1966 12:00 NooN SURGICAL FILM PROGRAM BAL TABARIN 1966 Clinical Co ngress of A bdominal Surgeo ns SPECIAL PRESENTATION SUNDAY, MARCH 27, 1966 to (EVENING) PERCY E. HOPKINS 8:00 P.M.-HANDLlNG THE DUODENAL STUMP IN GASTRIC for outstanding SURGERY SERVICE AND LEADERSHIP T he duodenum may be distorted by inflammation, the vital structures impossible to define; but this method makes the operation safe.

8:29 P.M.- T HE HELLER OPERATION FOR CARDIOSP ASM Operations fo r achalasia fai l because of regurgitant esopha­ gitis (incompetent sphincter). Cardiomyotomy (extra­ mucosal) has been a successful compromise since 1913.

8 :49 P.M. - SPLENORENAL SHUNT FOR PORTAL HYPERTEN- SION Bleeding esophageal varices treated by end-to-side porta­ caval shunt, in a second case intractable ascites is treated by the same method. T hird case: Bile duct strictures led to cirrhosis and esophageal varices ; treated by end-to-side splenorenal shunt.

9 :16 P.M. - CARDIAC MONITORING FOR THE PREVENTION AND TREATMENT OF CATASTROPHIC CARDIAC ARREST (American College of Surgeons Film Library)

9 :31 P .M. - HYPOGLYCEMIC CRISI S DuE TO FrnRousMEso­ THELIOMA ARISING FROM THE DIAPHRAGM (American College of Surgeons Film Library)

MONDAY, MARCH 28, 1966 PERCY E. HOPKINS, M.D. 9 :00 A. M. - CHOLELITBIASIS AND CHOLEDOCHOLITHI ASIS Chairman, Board of Trustees American Medical Association Cholecystectomy and cholangiography are illustrated. The transduodenal approach to choledochotomy is shown.

9 :30 A.M. - P ITFALLS JN BILI ARY TRACT SURGERY The technique of "safe" cholecystectomy is shown. T he anatomy of the biliary tree is reviewed, as well as the mechanism of injury to the duct and blood vessels, and their management.

10: 10 A.M. - INTRA HEPATIC CHOLANGIOJEJUNOST0ll1Y FOR EXTRAHEPATIC STENOSIS Biliary stricture may be repaired by ( 1) E nd-to-end anas­ tomosis (2) Anastomosis of hepatic duct to duodenum (Roux Y) (3) Intrahepatic bile duct to the jejunum. Pro and con of the different methods are considered. 28 29 10:30-11 :00 A.M. - BREAK (EVENING) 11 :00 A.:-.r. - GASTRIC SURGERY Billroth's contributions to gastric surgery, and the later 7 :30 P.M. - VAGINAL l TvsTERECT<>MY. A S rMPLIFIED TECH­ modifications are demonstrated. NIQUE This technique permits vaginal approach in many instances 11 :33 A.M. - MULTIPLE GASTRIC POLYPS where only the abdominal approach could have been used. Diagnosis, pathology and surgical techniques of subtotal gastrectomy are described; x-rays are also shown. 7:58 l'.M.-VAGOTOMY AND PYLOROPLASTY FOR BLEEDING AND FOR PERFORATED DUODENAL ULCER 11 :53 A.M. - PYLORIC STENOS IS Vagotomy induces rapid healing of duodenal ulceration. The Ramstedt operation has not changed since 1912. Pyloroplasty permits exposure, control, and excision as Modern preparation, anesthesia and after-care now pro­ well of the bleeding lesion. duce a very low mortality. 8 :23 P.M. - CARDIAC PACEMAKER: IMPLANTATION FOR 12 :00-1 :30 P.M. - LUNCH STOKES-ADAMS DISEASE The many precautions for caring for a patient with heart l :30 P.M. - PAN CREATI COL ITIIIASIS block through surgery are described. Electrodes are im­ Pancreas and duodenum are resected ; pancreatic, biliary planted in the myocardium for long-term stimulation. and gastro-intestinal continuity are restored. The anatomi­ cal safeguards during surgery are emphasized. 8 :45 P.M. - CARC INOl\IA OF CECUM AND ASCENDING CoLON - SILENT, OBSTRUCTING, PERFORATED 2 :04 P.:\f. - SPLENECTOll!Y WITH THORACO-ABl>O MINAL IN­ A routine screening technique for early detection is neces­ CISION sary. Principles of surgical care of right colon with vari­ Exposure is complete, vascular control is precise, tissue ous cancers are shown. necrosis is minimal. 9 :10 P.M. - TECUNJQUE OF INFusroN CuEMOTIIERAPY FOR 2 :24 P.M. - TREATMENT OF ABDOMINAL PENETRATI NG I NTRA ABDOMINAL MALIGNANCIES WouNDS IN Civ1LIAN PRACTICE (American College of Surgeons Films) These may be complicated, skill and resourcefulness are 9 :30 P.M. - RIGHT HEMICOLECTOMY FOR CARCINOMA needed for successful management. Problems and solu­ Early treatment of the blood supply in the operation is tions are illustrated. emphasized. Early closure of the bowel lumen is demon­ 3 :00-3 :30 P.M. - BREAK .. strated. 3 :30 P.M. - MODIFIED WHITEHEAD PROCEDURE FOR HEM­ 9:45 P.M. -WouNo CLOSURE USING ABDOMINAL TAPES Dr. J. Engelbert Dunphy describes the connective tissue ORRIIOIDECTOMY processes of wound healing and shows this method avoids Personal narration by the author, Dr. John Egoville. Favorable results obtained in 1100 cases are described. the abscess, foreign body reaction and edema of conven­ tional stitches. 4 :00 P.M. - REVERSED GASTRIC TuBE EsoPHAGOPLASTY Dr. Charles Hufnagel · describes its use in chest surgery, USING STAPLING TECHNIQUE Dr. Robert J. Freeark in emergency lacerations and Dr. Personal narration by the author, Dr. Henry Heimlich. Tord Skoog (S\\"eden) in plastic surgery. The stapling instrument expedites the procedure eliminat­ ing contamination and diminishing blood loss. The entire TUESDAY, MARCH 29, 1966 esophagus is replaced by a tube constructed from the greater curvature of the stomach. 8 :00 A.M. -HERNIATION OF ENTIRE STOMACH THROUGH THE HIATUS OF THE DIAPHRAGM INTO TIIE THORAX 4 :35 P.M. -ELECTRON RoENTGENOMANOMETRY OF THE Symptoms of partial obstruction are relieved by surgery, BILIARY Ducrs management of the problem is discussed and illustrated. By Professor I. Fagarasanu, Bucharest, Rumania. (Nar­ 8 :20 A.:\L - RECURRENT I NGUINAL H ERNIA REPAIR WITH ration by Dr. Henry Heimlich)_ Operative cholangiogra­ FASCIAL SUTURES phy with concomitant readings of intraluminal pressures The history of fascia repair is described (McArthur, 1901), of the biliary tract sharpens decision-making at operation Gallic 1924) the technique is demonstrated. as to whether a sphincterotomy should also be done. 30 31 8 :46 A. :\f. - IN GUIN AL HERNIOPLASTY 3 :30 P.M. -TOTAL GASTRECTOMY WITH }EJUNAL I NTER- Two small indirect, and one large direct inguinal herniae POSITION are shown using the Cooper's ligament repair. T he proximal jejunum replaces the stomach between the 9:19 A.~L -T I IE REPAIR OF VENTRAL HERNIA esophagus and duodenum. The operation is for malignancy Incisional herniae are associated with obesity and vertical and is accompanied by splenectomy. incisions. And each case represents its own individual 3 :53 P .M. - DrvERTICULTTS problem. Massive hemorrhage requi red emergency resection. Sub­ 9 :44 A.M. - SuBPHRENIC A nCEss sequent obstruction and fistula, secondary resection and The anatomy and pathology of this entity are simplified anastomosis, and closure of colostomy are shown. by the author. T reatment of right and left sided abscess is shown. 4 :08 P .M. - O NE STAGE PAN-COLECTOMY F OR ULCERATIVE COLITIS 10 :00-10 :30 A.M. - BREAK This is the procedure of choice when fulminating attacks of massive hemorrhage are associated with irretrievable 10 :30 A.M. -TOTAL SURGICAL DECOMPRESSION OF L ATE I N- TESTINAL OBSTRUCTION damage. T he distended atonic gut from the ligament of Treitz to 4 :29 P.M. - EXPLORATJON OF PANCREAS FOR I SLET CELL the point of obstruction must be decompressed; an easy T UMOR method to do this is shown. A technique for mobilization, inspection and palpation of 11 :00 A.M . - F LUID MANAGEMENT IN I NTESTINAL OBSTRUC- the entire pancreas is shown. An islet cell tumor is found TION and cnucleated. The preoperative assessment of salt and water deficit is 4 :44 P.M. - OPERATIVE CnoLANGIOGRAPIIY AKD ITS I N DI- described, and the needed replacement calculated and given CATIONS in order to prepare the patient for surgery. Cholangiography may show stones that are overlooked 11 :22 A.M. - TECH NJ QUE AND EXPERIENCE WITH GYNEKOIL by palpation and inspection. Technique of positioning the Personal narration by the author Dr. Robert J. Sherman. patient is illustrated. Technique o[ inserting an intra-uterine contraceptive device and results in 300 cases arc shown. (EVENING) 12 :00-1 :30 P.:\I. - LUNCH 7 :00 P.M. - SURGERY FOR ADVANCED CANCER OF PELVIC 1 P.M. - EMERGENCY J N PoRTACAVAL S u uNT :30 VtSCERA Results in 70 patients with cirrhosis and acute bleeding from varices. Operative technique is simplified by the use Radical surgery emphasized total exenteration. but modi­ of a ring retractor. fied operations for limited lesions, and for rectosigmoid cancer are shown. 2 :01 P.:i.I. -A NEW LooK AT T IIE SURGERY OF THE BILIARY P.M. - ADRENALECTOMY TREE 7 :36 To avoid " further obstruction at the lower end of the Relationship of hormones to cancer of the breast is de­ common duct" a procedure for by-pass of the bile into the scribed. Bilateral adrenalectomy is performed. bowel is demonstrated. 8 :06 P.~1. - i\I ANAGEl\lENT OF ADVANCED AND TEGLECTED 2 :35 P.:\f. -AN ALTERNATE METHOD OF REPAIR OF BILE SURGICAL LESIONS D UCT S TRICTURES Technical operative problems in numerous advanced surgi­ Roux-Y bile duct repair requires that the proximal hepatic cal lesions are shown in patients from Appalachia. duct be ''fish-mouthed"; the two Raps are sutured to the hilum of the liver and the distal jejunum is then sutured 8 :38 P.M. - SuRGICAL TREATMENT or llvPERPARATHYROID­ to the liver around the Raps. ISM Technical problems in surgical and operative treatment in 3 :00-3 :30 P.~I. - BREAK three cases are shown.

32 33 10 :00-10 :30A.M. - EXHIBITS 9 :02 P.M. - CARDIAC RESUSCITATION The causes of cardiac arrest are presented. Prevention is 10:30 A.M. - GASTRECTOMY: TIIE P LACE OF CONSERVATIVE discussed. and techniques of open and closed resuscitation RESECTION IN THE MANAGDIENT OF DUODENAL are shown. U LCER

·9 :37 ·P.M. - LATE SEQUELAE OF NoNPENETRATING AB- A two-thirds resection removes the antrum (hormone­ DOl\HNAL TRAUMA secreting) and 0 the body (acid-secreting). The (limited) indication for vagotomy and antrectomy is also developed. Damage from blunt trauma may initially escape detection. Late sequelae of injuries to the liver, pancreas, spleen, and 10 :57 A.M. - SIGMOJDOSCOPI C EXAMINATION intestine are demonstrated. Technique and differential diagnosis of anorectal disease 10 :04 P.M. - INTESTINAL OBSTRUCTION JN THE NEWBORN is described. AND I NFANT 11 :32 A.M. - EsoPIIAGEAL RESECTION FOR STRICTURE Various types of obstruction are depicted by drawing and A long right paracostal incision is made, and also a separate the operative procedures are shown. right thoracotomy.

WEDNESDAY, MARCH 30, 1966 Films on this program come largely from Davis and Geck. 8 :00 A.M. - PENETRATING WOUNDS OF THE LARGE I N - Some are from the American College of Surgeons, Ayerst, 3-M TESTINE Company, and private sources. One fi lm comes from Rumania. Aggressive surgery has reduced the mortality of penetrat­ ing colon wounds, but the choice of technique remains controversial. This illustrates one approach to the problem and shows two cases.

8 :22 A.l\l. - COMPLICATED GASTRIC SURGERY One patient with duodenal ulcer and hiah1s hernia has a sub-diaphragmatic repair in addition to vagotomy and antrectomy. Another with marginal ulcer and abscess following gastroenterostomy has a Billroth I done.

8 :45 A.i\!. - PROCEDURE OF CHOICE IN DUODENAL ULCER PROBLEMS The physiologic basis of ulcer surgery is discussed, and the advantages and the disadvantages of the newer pro­ cedures are clarified.

9 :09 A.i\!. - (HOLECYSTECTO~JY WITH ELECTIVE REPAIR OF EsoPTIAGEAL HIATUS DrAPHRAGMATIC HERNIA Biliary disease and pancreatic disease are interrelated. Gall­ stones may lead to attacks of se,·ere pancreatitis; also mild attacks of pancrcatitis cause stones to form in the gall­ bladder.

9 :38 A.~r. - CINEGASTROSCOPY \\'!TH TIIE FIBRESCOPE, AN Arn TO D1AG1'osrs OF GASTRIC LESIONS Preparation of the patient and passing the scope arc shown. Also demonstrated are peristalsis and normal mucosa. Pathology seen include polypi, carcinoma, ulcers, gastritis, and lesions after freezing and surgery.

34 35 SCIENTIFIC EXHIBITS BOOTH the author's operation through Step (stage) I - 14 BOOTH cases, Step II - 26 cases and Step III- 23 cases (9 Robert Tauber, M.D., Emeritus Associate Professor of Obstetrics and primary, 14 revisions) - TOTAL 63 cases. Gynecology of School of Medicine, University of Pennsylvania Photocopies of case reports and postoperative comments written by patients. Modern Hemostasis S-1 Laboratory studies indicating return to normal of glucose The exhibit will present modern hemostatic procedures in tolerance curves which preoperatively revealed hyper­ order to prevent wasting of blood d11ri11g surgery and to glycemia, and disappearance of glycosuria. Roentgeno­ avoid hemorrhages afterwards. A frequently overlooked logical evidence indicating what a LONG AFFERENT cause of puzzling hemorrhages is called Hidden Error. LOOP is and its disappearance after the application of The Stump Stitch and the Chain Suture will eliminate the PHYSIOLOGIC-ANATOMIC principles. this dangerous error. As sample operations for these techniques are shown: The Retrograde Appendectomy American Medical Association and the Vaginal Hysterectomy. Division of Socio-Economic Activities Twin Stitches are very helpful in many operative proce­ Group Medical Practice S-5 dures. The hemostatic effect of this interesting technique is demonstrated on the Myomectomy and the Tonsillecto­ A new exhibit on the group practice of medicine has my. been developed through the cooperation of the Ameri­ can Association of Medical Clinics, the American Medical A safe and easy technique for the control of widespread Association and the Medical Group Management Associa­ oozing areas is shown on models. tion. Not intended to either promote or discourage this The exhibit is also a teaching forum for visitors who type of practice, the exhibit seeks to identify elementary are invited to try the new techniques on training boards. problems which should be considered by physicians con­ templating establishing a medical group or those who are Dante Bizzari, M.D., ]. Giuffrida, K. Tsueda, F. Latteri, H. considering joining an already functioning group. Berger, A. Schnookler and L. Fierro, New York Medical College-Metropolitan Medical Center Seymour Diamond, M.D. Blood Loss - Its Measurement and Replacement S-2 The Samuel H. Flamm Foundation, Chicago, Illinois By means of photographs, legends, charts, the exhibit Clinical Research in Private Practice S-6 will demonstrate the critical need of knowing correct amounts of blood loss incurred by patients. Relative The rationale, pre-requisites, procedures of doing con­ merits of methods currently used will be evaluated. trolled clinical research in a private practice are discussed and outlined. The advantages, both to the patient and to Michael Meftah, M.D., Department of Surgery, Madison the physician, as well as the disadvantages are discussed. County Hospital, London, Ohio An example of a completed controlled study is given and the results shown. A Modified Technique in Transduodenal Oddi Sphinc­ terotomy - An Expanding Abdominal Retractor S-3 John Roberts Phillips, M.D., Houston, Texas The exhibit consists of two parts ; Castro-Duodenal Ulceration in Obstructive Lung Diseases S-7 Part 1-A modified technique for trans-duodenal Oddi - Place for Carotid Body Surgery sphincterotomy is shown in multiple drawings. The It has been found that 25% of the patients with obstruc­ procedure is performed with a new sphincterotomy probe tive lung diseases have associated peptic ulceration. A which allows full exposure of the sphincter at all times complication from peptic ulcer is a very serious problem and also reduces the size of the duodenotomy opening in this group of cases. The exhibit will show a plan of considerably. initial carotid body surgery before other major surgical Part II - A new concept in design of self retaining ab­ procedures are done. Also shown will be the operative dominal retractors is discussed. Multiple colored slides procedures that have been used in the care of these com­ show the use of the instrument in all of the commonly plications. The very simplest procedure possible is used used abdominal incisions. in order to shorten the anesthetic and to minimize all the chances of complications. This information has been Leon A. Frankel, M.D., St. Lukes and Children's Medical accumulated through our experience with carotid periar­ Center, Philadelphia, Pennsylvania terial sympathectomy with removal of the carotid body in over 1,300 cases. The Surgical Prevention and Treatment of the Post­ gastrectomy Syndrome S-4 American Medical Association Description of the historical background of gastric sur­ Law Department gery and the principles involved, on a chronological basis Combined Services Exhibit S-8 and presentation of the author's concept of an "Ana­ The exhibit will show in detail the services provided by lytical Review of Gastric Surgery". Reinterpretation of the Law Department to organized medicine, physicians, the "Physiologic-anatomic" relationship and its applica­ attorneys and the public. Samples of material available tion to surgical technique. Presenting the evolution of to physicians will be displayed. 36 37 TECHNICAL EXHIBITORS TECHNICAL EXHIBITS

BOOTH Booth 1 Americana Corporation 22 Merck Sharp & Dohme The Merck Sharp & Dohme exhibit has been designed to supplement American Silk Sutures, Inc. 6 the physician's therapeutic armamentarium. Technically trained per­ Ames Company 25 sonnel are present to discuss the scope and variety of services offered. Audio Digest Foundation 21 Cameron-Miller Surgical Inst. Co. 4 Booth 2 S. H. Camp & Company 2 S. H. Camp & Company Carnation Company 19 Be sure to stop at the Camp booth. Just a few minutes of your time, Coreco Research Corporation 13 doctor, to see the newest ideas from Camp research to help your pa­ Encyclopaedia Britannica, Inc. 17 tients. Remember there is no substitute for Camps quality and "IF Great Books 11 IT'S CAMP IT FITS". Guardian Chemical Corporation 10 Hollister, Incorporated 26 Booth 3 Lawton Company 12 Williams & Wilkins Company Eli Lilly & Company 24 Featured at the Williams & Wilkins exhibit are the following new J. B. Lippincott Company 18 books and new editions, among others : Jamieson & Kay: Textbook of Surgical Physiology, 2nd ed. 1965; Ledingham: Hyperbaric Oxygena­ The Marsan Mfg. Co., Inc. 20 tion, 1965 ; Lee & Atkinson: A Synopsis of Anaesthesia, 5th ed. 1965; Medical Plastics Laboratory 14 Farquharson: Textbook of Operative Surgery, 3rd ed. 1966; Lillington Merck Sharp & Dohme l & Jamplis: A Diagnostic Approach to Chest Diseases, 1965; Rovinsky C. V. Mosby Company 5 & Guttmacher: Medical, Surgical, and Gynecologic Complications of Pregnancy, 2nd ed., 1965; And ... recent issues of Monographs in the Ohio Chemical & Surgical Equipment 7 Surgical Sciences l George P. Pilling & Son Co. 28 Professional Life & Casualty Company 27 Booth 4 William H . Rorer, Inc. 8 Cameron-Miller Surgical Inst. Co. W. B. Saunders Company 15 The Williams & Wilkins Co. 3 Booth 5 C. V. Mosby Company You'll find new knowledge, new ideas and new techniques discussed and evaluated in virtually all of the new Mosby books and new editions for 1966-1967 on display in the Mosby booth. Come in. Examine our selection of new, important titles at your leisure and convenience. If you wish his assistance, our experienced representative will be happy to discuss any book with you. Booth 6 American Silk Sutures, Inc. Bring us your non-absorbable suture problems. We are featuring non­ absorbable suture needle combinations to suit the doctor not ourselves. Hand finished stainless steel needles swedged to dacron, silk, and stain­ less steel wire, for the cardiovascular and chest surgeon. Gardlok special­ ties to make your operations a little safer. Booth 7 Ohio Chemical & Surgical Equipment Company A complete assortment of the world-famous, high-quality line of Stille Surgical Instruments will be available for your inspection. Included are several new and improved instruments for abdominal surgery. Our Stille Instrument specialist, Mr. James M. Burns, will be in attendance to assist you in any way he can.

38 39 Booth 8 Booth 17 \\'illia111 11. Rorer, Inc. Encyclopaedia Britannica, Inc. \\'illia111 Ir. Rorer, Inc., takes great pride in exhibiting its fine pharma­ ceutical producb at this co1wention. Our representatives will gladly Booth 18 di'cu'' the 111cri1> of these products \\·ith you. J. B. Lippincott Company Booth 10 Lippincott's impressive array of new surgical books now on display is ( ;uarclian Che111ical Corporation headed by the brand new third edition of SURGERY: PRINCI PLES AND P RACTICE by Moyer, Rhoads, Allen and H arkins. Also now .\t the 1966 Clinical Congress in Chicago, Guardian Chemical available are Nyhus, H ER N IA, Kimbrough, GYNECOLOGY, PRO­ Corporation \\ill exhibit its Clorpactin XCB (oxychlorosene) for use CEEDINGS OF THE FIFTH NATIONAL CANCER CON F ER­ in de,troying viable tu111or cclb during cancer surgery for the purpose ENCE, Kaplan. FUNCTIONAL AN D SURGICAL ANATOMY of minimiring local recurrences; Clorpactin \VCS-90 (sodium oxychloro­ OF THE H AND. Ney and Friedenberg, RADIOGRAPHIC ATLAS >cne) for 11>c in the prevention of postoperative infections and in the OF T H E GE N IT OU RINARY TRACT and many others. trcatml'nt of infections \\'hich arc antibiotic resistant; and Lubraseptic Jelly, the anesthetic and antibacterial water-soluble lubricating jelly. Booth 19 Booth 11 Carnation Company Great Books Booth 20 The gn·at<» l writing in 3,000 years of \ \ 'cstcrn civilization, 7-1 authors and -1-13 work, in 25, 000,000 words in the Great Books of the \Vestern T he Marsan }..I fg. Co., Inc. \\'orld featuring the master key to the Great Books. the Syntopicon. Featured here arc disposable SAF-T-POUCHES fo r colostomy pa­ The unique Synlopirnn is the idea index: your key to the Great Books. tients, Single Service Irrigating Sets, and a complete line of colostomy supplies. Also shown are two new developments: a light weight ileosto­ Booth 12 my pouch designed for fitting in the hospital and new concept in Ileal­ Bladdcr pouches. Disposable self-adhering pouches are also featured. I,;\\\ ton Company . \traumatic-non slip '.\IT )a\\' instruments for surgery will be featured Booth 21 at the La\\'ton Booth. t\ new automatic Blood \ \'armer special slender dissecting ;cissors, micro-dis,ccting instruments and a 'complete selec­ A udio Digest Foundation tion of Dura-(;rip >:ecdlc H olders \\'ill also be shown. \Ve will be Audio-Digest Foundation (a non-profit subsidiary of the California plca;ed to di>cuss your ideas for new and impro\·cd designs. Medical Association) gives the busy physician a time-saving tour through the best of some 600 current medical journals, plus the high­ Booth 13 lights of scores of national meetings. Time-proven, but still unique - these medical tape-recorded services are now offered in seven series - Corcrn Rc;earch Corporation General Practice, Surgery, Internal Medicine, Obstetrics & Gynecology, The Curet Camera emhodics the principle of electronic flash and Anesthesiology and Opthalmology. Digest subscribers listen in their cmbtant automatic control of such factors as distance, aperture, field, car, home or office. Carefull y selected tape equipment fo r playing the and ex1>0>urc., :\low, ~o~ the fi rst time, Coreco offers a completely auto­ Digests is offered at the convention by Pacific Medical Equipment Co. mauc professional chmcal camera purposely designed to achieve the ultimate . in ~udacc, intra-o.ral and intra-tubular photography. Because Booth 22 of the '11npl 11:1ty of operation, e\·cn an inexperienced doctor or nurse can achieve consistently perfect color transparencies. Americana Corporation Booth 14 Booth 24 '.\Icdical Plastics Laboratory E li Lilly & Company '.\ll~L is the on.ly company in the world today that molds three-di­ You are cordially invited to visit the Lilly exhibit. Our sales repre­ !11cm,1onal anatonucal models from the actual bone. Our models are sentatives in attendance welcome your questions about L illy products, mvaluablc for teaching anatomy and simplifying patient explanations. and offer you precise information on recent therapeutic developments '.\[Pl: models hav~ been checked by practically every major anatomist of Lilly research. and tound to be faithful reproductions in all the original detail. Booth 25 Booth 15 Ames Company, Inc. \ \ '. B. Saunders Company Blood Volume measurement is as simple as 1, 2, 3 with VOLEME­ . Sau~1ders will have ~n display a complete line of their medical books, TRON, being demonstrated in the Ames booth. Measurement of dilu­ mcludmg many new titles of intt:r est to the practicing physician and tion of Radio-Activated Human Serum Albumin, injected intravenously surgeon. results in a direct-read out in litres of blood, with no need for computa­ tion or special personnel. Consult our trained personnel for details .

..J.O 41 CONGRESS NOTES Booth 26 ------·------Hollister, Incorporated A complete line of disposable colostomy and ileostomy products, featuring the Karaya Seal Ring, a new development in ostomy care originated by Hollister. The Karaya Seal Ring is a solid-state karaya compound, easily applied, which protects the skin from stoma discharge and resulting excoriation, permits rehabilitation to begin in the hospital soon after surgery. Booth 27 Professional Life & Casualty Company Booth 28 George P. Pilling & Son Co.

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