Salivary Endoscopy Now Done at Stony Brook Gland-Sparing Minimally Invasive Procedure First Performed on Long Island

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P A T I E N T C A R E / E D U C A T I O N / R E S E A R C H / C O M M U N I T Y S E R V I C E NEWS UPDATE FROM THE DEPARTMENT OF SURGERY STONY BROOK UNIVERSITY MEDICAL CENTER FALL-WINTER 2010 NUMBER 27

In this issue . . . Our otolaryngology-head Salivary endoscopy is and neck surgery team a minimally invasive Introducing Our performed in October the technique that allows New Full-Time Faculty for salivary gland surgery — Colorectal Surgeon ﬁ rst salivary endoscopy ever in a safe and effective — Head and Neck Surgeon, done on Long Island. This Otolaryngologist way, and is done on an — Intensivist, Traumatologist, new, minimally invasive tech- outpatient basis. General Surgeon nique allows for the exami- — Pediatric Otolaryngologist MARK MARZOUK, F. MD | DEPARTMENT OF SURGERY nation of the salivary ducts The current standard in LI’s First LVAD Program under endoscopic guidance. most institutions for treat- For Destination Therapy Treatments, such as stone ing salivary duct stones has New Smithtown Ofﬁ ce removal, duct dilatation, and been surgical removal of the Expands Our Accessibility steroid injection, can be done gland that entails an incision Endoscopic view showing salivary New Surgical Skills Center at the same time. in the neck and an overnight gland stone 0.5 cm in diameter Provides Simulation Training stay in the hospital. (just under one quarter inch) Conducting Clinical Trials Sialolithiasis, or stone(s) in within the submandibular gland duct, prior to removal. To Advance Patient Care the salivary duct, is the most Salivary endoscopy spares Resident Wins Clinical common disease of the sali- the gland without risk to Scholar Research Award vary gland. It affects approxi- adjacent vital structures Offering CME Credits mately 12 in 1,000 adults. such as the tongue and facial literature, with less than 5% — Saturday Seminar Series Symptoms of sialolithiasis nerves, and patients can go recurrence. Recovery time is — Surgical Grand Rounds — Trauma Conference include pain, intermittent home the same day. much faster than with an open — Vascular Surgery Conference swelling of the gland, and technique, and patients may possibly severe infection. Division Briefs & The success rate of salivary return to a normal diet the Alumni News endoscopy is over 90%, as same day. continued on Page 2 Plus More! reported in the current

Otolaryngology-Head and Neck Surgery (ENT) Our new faculty members, Now Provides Full Range of Specialized Care who have been practicing with Two New Faculty Members Complete Our Team us since they came to Stony Brook this past summer, are: We are very pleased to an- The ﬁ ve-member ENT nounce that our Division of faculty, under the direction · Mark F. Marzouk, MD, as- Otolaryngology-Head and of David A. Schessel, MD, sistant professor of surgery, who is a head and neck Neck Surgery (ENT) is now PhD, associate professor of and endoscopic skull base complete, with the addition surgery, now provides a full surgeon; and of two key new team mem- range of specialized care for · Wasyl Szeremeta, MD, professor of surgery, who is bers who recently joined the both adults and children with a fellowship trained pediatric division. disorders of the ear, nose, otolaryngologist. and throat, plus related areas of the head and neck. continued on Page 3

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Salivary Endoscopy Now Done at Stony Brook continued from Page 1

Stony Brook University Salivary endoscopy with Medical Center is the steroid injection is now only institution in both giving new hope to patients Nassau and Suffolk coun- ties currently providing suffering with post-radiation this state-of-the-art sialadenitis. These patients service to patients. suffer from chronic inﬂ ammation of the salivary glands Mark F. Marzouk, MD, secondary to radiation expo- assistant professor of sur- sure with symptoms of pain gery, leads our program in and dry mouth.

salivary endoscopy, which MEDIA SERVICES | STONY BROOK UNIVERSITY Dr. Mark Marzouk (left) performing salivary offers patients an attractive Until now, these patients endoscopy procedure. new treatment option. had few to no options for treatment. However, the new “In recurrent swelling of the salivary glands, particularly in endoscopic approach offers cases in which the underlying reason cannot be diagnosed with Dr. Marzouk’s practice is conventional methods, most physicians associate the ductal focused on the treatment of safe access to the gland with disorder with salivary gland stones and use a conservative cancer of the head and neck local infi ltration of steroids, treatment (including wait-and-see and follow-up). and management of diseases thus decreasing infl amma- of the salivary glands. He tion to the gland. Up to 75% “However, it is now known that the stones obstructing salivary has special interest and of patients have shown im- gland ducts grow about 1 mm each year. Consequently, the chance of removing the calculi by a sialendoscopic method decreases year training in the newest tech- provement of their symptoms by year and paves the way for conventional surgery. niques in minimally invasive with this intervention. and endoscopic treatment of “Thus, the current concept of conservative treatment has changed. head and neck disease. THE PROCEDURE The modem practice regarding ductal disorders of salivary glands Salivary endoscopy involves is to advocate sialendoscopy as a conservative treatment.” placement of a 1.1 mm endo- Serbetci E, Sengor GA. Sialendoscopy. Annals of Otology, scope (about one-sixteenth Rhinology, and Laryngology 2010;119:155-64. POST-OP is published by of an inch thick) into the sali- The Department of Surgery vary duct, and can be done Stony Brook University Salivary endoscopy—fi rst tion of the stone is done with Medical Center with patients under local done in 1990—is made transoral sialodochoplasty, or Stony Brook, New York anesthesia in selected cases. possible by the develop- incision on the duct, to remove The endoscope is a thin, ment of miniaturized Editor-in-Chief the stone with marsupializa- Todd K. Rosengart, MD tube-like instrument with a imaging tools that can fi t tion. This provides markedly video camera plus light and inside tiny parts of the Writer/Editor body. less risk of morbidity com- Jonathan Cohen, PhD channels to enable passage pared to an open approach. Advisory Board of surgical instruments. Roberto Bergamaschi, MD, PhD Any stenosis can be dilated Pioneered by Francis Marchal, Alexander B. Dagum, MD First, the papilla of the duct using a balloon dilator, biop- Thomas K. Lee, MD MD, PhD, at the University of is dilated transorally with sies can be taken, and stones Brian J. O’Hea, MD Geneva, Switzerland, the sali- David A. Schessel, MD, PhD probes of increasing size. A up to 5 mm in size (about Marc J. Shapiro, MD vary endoscopy procedure has small endoscope is then in- one quarter of an inch) can A. Laurie Shroyer, PhD, MSHA had tremendous success, and Apostolos K. Tassiopoulos, MD troduced into the duct so the be harvested using a wire Bonnie Wang, MHSA is truly one of the most fasci- anatomy can be visualized as basket. Kevin T. Watkins, MD nating innovations introduced the duct is being irrigated. in the recent years in the fi eld All correspondence This provides 360-degree vi- Steroids can also be injected should be sent to: of otolaryngology-head and sualization of the lumen from in cases of radiation-induced Dr. Jonathan Cohen neck surgery. Writer/Editor, POST-OP papilla to the actual gland. sialadenitis. In cases of Department of Surgery larger stones, a combined Stony Brook University For consultations/appointments with Stony Brook, NY 11794-8191 approach can be utilized in Dr. Marzouk, please call which endoscopic manipula- (631) 444-4121. HEARTMATE ILLUSTRATION ON PAGE 13 REPRINTED WITH THE PERMISSION OF THORATEC CORPORATION. 3 DEPARTMENT OF SURGERY I STONY BROOK UNIVERSITY MEDICAL CENTER I STONY BROOK UNIVERSITY

Otolaryngology-Head and Neck Surgery (ENT) Now Provides Full Range of Specialized Care continued from Page 1 Our ENT physicians (from left to right): Drs. Elliot Regenbogen, Wasyl New Smithtown Ofﬁ ce Szeremeta, David Schessel, Mark Expands Our Accessibility Marzouk, and Offering Full Range Of Ghassan Samara. Diagnostic And Consultative Services

Our Smithtown ofﬁ ce is our newest ofﬁ ce—opened last

SAM LEVITAN PHOTOGRAPHY May to better serve patients Drs. Szeremeta and Marzouk join our three other ENT Our ENT practice includes in Smithtown and points west. faculty, whose primary ofﬁ ce is located at our facility in East application of the most Here, we see patients who Setauket, NY: advanced techniques in require the following care:

minimally invasive and en- · Breast Surgery · Elliot Regenbogen, MD, assistant professor of surgery, who doscopic surgery; subspe- · Cardiothoracic Surgery specializes in general ENT and laryngology; · Colon and Rectal Surgery · Ghassan J. Samara, MD, associate professor of surgery, who cialty care in the disorders · General Surgery specializes in general ENT, rhinology (disorders of nose and and diseases of the neuro- · Hand Surgery sinuses), and endocrine surgery; and sensory system including · Plastic and Reconstructive · David A. Schessel, MD, PhD, associate professor of surgery and Surgery chief of otolaryngology-head and neck surgery, who specializes taste, smell, hearing, and · Wound Care in otology and neurotology (disorders of the ear, and related balance; and management cancer and nerve pathway disorders). of deformities and diseases Conveniently located on “Doc- of the airway in newborns tors Row” in Smithtown—at Our ENT specialists are committed to the highest degree of and adults. specialization and expertise in problems of the ear, nose, and 222 Middle Country Road throat, plus related head/neck areas, in adults and children. (Suite 209), just east of the Our ENT physicians are intersection of route 25A and joined by their colleagues In addition to our fi ve physicians, our ENT team includes highway 111—the new offi ce at Stony Brook Univer- a nurse practitioner, physician assistant, and dedicated offers patients plenty of easy sity Medical Center in the audiologist—all committed to our shared mission to provide parking. multidisciplinary treatment outstanding, leading-edge otolaryngologic care. of cancer and endocrine Offi ce hours are 8:30 am to problems of the head and The Division of Otolaryngology-Head and Neck Surgery also 5:00 pm, Monday through neck; dysfunction of voice serves as a center for outstanding teaching and research. It Friday. and swallowing; disorders is anticipated that our residency program in otolaryngology- of hearing and deafness; For consultations/appointments at head and neck surgery will be re-established and gain full disorders of balance, dizzi- our Smithtown offi ce, accreditation in the near future. please call (631) 444-4545. ness, and falling; and the di- For consultations/appointments with our ENT specialists, agnosis and management of please call (631) 444-4121. diseases of the skull base.

Providing a full range of care • Congenital defects • Ménière’s disease • Reﬂ ux esophagitis for both adults and children • Dizziness • Minimally invasive proce- • Salivary gland stones with disorders and diseases of • Ear ache (otitis externa and dures • Sinuplasty for chronic the ear, nose, and throat, and media) • Nasal airway surgery sinusitis specializing in: • Endocrine disease • Neurotology • Skull base surgery • Endoscopy • Nose inﬂ ammation • Snoring (sleep apnea) • Facial nerve problems (chronic rhinitis) • Swallowing problems • Acoustic neuroma • Geriatric otolaryngology • Otology • Thyroidectomy • Branchial cyst • Hearing loss (deafness) • Parathyroid surgery • Tonsils and adenoids • Cancers • Laryngology • Pediatric otolaryngology • Tracheostomy • Cholesteatoma • Laser therapy for voice and • Pituitary gland tumor • Vertigo • Chronic sinus conditions throat removal • Voice disorders • Cochlear implants • Loss of smell and taste • Postnasal drip 4 DEPARTMENT OF SURGERY I STONY BROOK UNIVERSITY MEDICAL CENTER I STONY BROOK UNIVERSITY

Introducing New Faculty MEDIA SERVICES | STONY BROOK UNIVERSITY MEDIA SERVICES | STONY BROOK UNIVERSITY MEDIA SERVICES | STONY BROOK UNIVERSITY MEDIA SERVICES | STONY BROOK UNIVERSITY

Colorectal Head and Neck Surgeon, Intensivist, Traumatologist, Pediatric Surgeon Otolaryngologist General Surgeon Otolaryngologist

Arnold R. Leiboff, MD, has joined Mark F. Marzouk, MD, has joined Brian M. Hall, MD, has joined Wasyl Szeremeta, MD, has joined our Division of Colon and Rectal our Division of Otolaryngology- our Division of General Surgery, our Division of Otolaryngology- Surgery as assistant professor of Head and Neck Surgery as Trauma, Surgical Critical Care, and Head and Neck Surgery as profes- surgery. An alumnus of our resi- assistant professor of surgery. Dr. Burns as assistant professor of sor of surgery. Dr. Szeremeta comes dency program in general surgery Marzouk comes to Stony Brook surgery. Dr. Hall recently completed to Stony Brook from Temple Univer- (class of ’85), Dr. Leiboff has from the University of Pittsburgh fellowship training in critical care sity in Philadelphia, PA, where since had for many years a successful Medical Center in Pittsburgh, PA, here at Stony Brook, and was 1996 he was on the faculty of the private practice in colon and rectal where he recently completed his invited to join our faculty because Department of Otolaryngology- surgery in our local community. residency training in otolaryngolo- of his outstanding performance. Head and Neck Surgery, serving gy-head and neck surgery. as residency director and, more Board certifi ed in both general sur- Dr. Hall will focus his practice recently, acting chairman as well. gery and colon and rectal surgery, Dr. Marzouk will focus his practice at Stony Brook on the pre- and Dr. Leiboff will focus his practice at Stony Brook on the treatment post-operative critical care of adult Board certifi ed in otolaryngol- at Stony Brook on all aspects of of cancer of the head and neck surgical patients, as well as the ogy, Dr. Szeremeta will focus his colon and rectal surgery, includ- and management of diseases of surgical management of injured practice at Stony Brook on the ing colonoscopy and surgery for the salivary glands, with emphasis patients, including all aspects of management of pediatric ear, nose, colorectal cancer, diverticulitis, on minimally invasive endoscopic traumatology. and throat diseases, with special infl ammatory bowel disease, and treatment. He has special interest interest in the diagnosis and treat- anorectal diseases, among numer- and training in the newest tech- Dr. Hall’s general surgery practice ment of congenital and acquired ous other conditions. niques in minimally invasive and will focus on the management of malformations of the airway and endoscopic treatment of head and diseases of the gastrointestinal respiratory obstruction, pediatric Dr. Leiboff received his MD in neck disease. and endocrine systems; treat- sleep apnea, pediatric sinus dis- 1978 from New York Medical Col- ment of soft tissue disease; repair ease, and pediatric ear disease. lege. He subsequently completed Dr. Marzouk will contribute sig- of hernias; appendectomy; and his general surgery residency here nifi cantly to expanding our clinical cholecystectomy. He has expertise A cum laude graduate of Harvard, at Stony Brook, and in 1989 he services. He is skilled at endo- in both conventional and minimally Dr. Szeremeta received his MD in completed his fellowship in colon scopic treatment of thyroid and invasive laparoscopic surgery. 1989 from Jefferson Medical Col- and rectal surgery at the University parathyroid disease; treatment of lege in Philadelphia. He subse- of Illinois College of Medicine in disorders of the nose, sinuses, and Dr. Hall’s research interests include quently completed his internship Urbana-Champaign, IL. skull base tumors via minimally in- the development of intensive care in general surgery at the Medical vasive approaches; and treatment unit protocols, acquired respiratory Center of Delaware in Christiana, Since 1989, Dr. Leiboff has been of disorders of the voice and swal- distress syndrome and respiratory DE, and his residency in otolaryn- practicing general and colon and lowing, as well as management of mechanics, and injury response to gology at the Henry Ford Health rectal surgery in Suffolk County. He obstructive sleep apnea. various forms of trauma. System in Detroit, MI. has been selected for inclusion in the present edition and past edi- A specialist in the relatively new Dr. Hall received his MD in 2004 In 1996, Dr. Szeremeta completed tions of the Castle Connolly Guide, minimally invasive procedure of from Howard University College his fellowship training in pediatric Top Doctors: New York Metro Area. salivary endoscopy, Dr. Marzouk of Medicine in Washington, DC. otolaryngology at the Children’s provides state-of-the-art treatment He then completed his residency Hospital of Pittsburgh. He then of salivary gland stones (see page training in general surgery at joined the faculty at Temple Uni- 1; lead article). the Brooklyn Hospital Center in versity. Brooklyn, NY. continued on Page 5 continued on Page 5

For consultations/appointments For consultations/appointments For consultations/appointments For consultations/appointments with Dr. Leiboff, please call with Dr. Marzouk, please call with Dr. Hall, please call with Dr. Szeremeta, please call (631) 444-4545. (631) 444-4121. (631) 444-4545. (631) 444-4121. 5 DEPARTMENT OF SURGERY I STONY BROOK UNIVERSITY MEDICAL CENTER I STONY BROOK UNIVERSITY

New Faculty Operation Babahoyo in Ecuador Dr. Marzouk continued from Page 4 Medical Mission with Our Residents

Dr. Marzouk received his medical degree with surgical training (MB- BCh) in 2001 from the prestigious Ain-Shams University School of Medicine in Cairo, Egypt. He subsequently came to the United States, and completed his internship in general surgery at North Shore University Hospital-Long Island Jewish Medical Center.

Following his internship, Dr. Mar- zouk spent a year as a research (left) Patient about to fellow at the Northport VA Medical undergo cleft palate repair. Center, where his mentor was (right) Banner in front of Ghassan J. Samara, MD, associate clinic in Babahoyo. professor of surgery and member COURTESY OF BLANCA’S HOUSE of our Division of Otolaryngology- Head and Neck Surgery. Three members of our faculty—Drs. Todd Rosengart, Alexander Dagum, and Philip Bao—and three of our general surgery residents—Drs. Soojin Ahn, Joshua Karas, and Brett Phillips—traveled last August to Babahoyo, New Faculty Ecuador, as part of a medical team to help needy patients there. Dr. Szeremeta continued from Page 4 Three thousand miles away Stony Brook third-year medi- “The sense of helping those from Stony Brook, Babahoyo cal student Christine Malino who otherwise have no access In addition to his clinical educa- is a small provincial city also went with the team, as to the resources we have tion, Dr. Szeremeta earned an fl anked by two rivers that join part of her training and learn- available left a lasting impres- MBA in healthcare management, to form the Babahoyo River, ing experience. sion on me. It will always be a plus MS in healthcare fi nance, which eventually fl ows into highlight of my career.” from Temple University’s Fox the Pacifi c. In Babahoyo, during their School of Business in 2002. weeklong visit, our sur- The gratitude expressed geons performed a total The city is surrounded by by the patients and their Dr. Szeremeta’s research inter- of nearly 50 operations, families was tremendous. ests include molecular biology of open country, where the way both general surgery and It was truly a great reward chronic sinusitis and adenoiditis; of life is very traditional, with plastic/reconstructive for our surgical care. the effect of adenotonsillectomy farmers sowing crops, work- surgery. on voice and vocal production; ing the land, and cattle herds pain control in pediatric otolar- In Babahoyo, our surgeons yngologic procedures; predictors dominating the pastures. Having traveled to Africa as a performed a total of nearly 50 of obstructive sleep apnea in the resident on a similar mission operations; namely, laparoscop- pediatric population; immune The Cascada Milagrosa— many years ago, Dr. Rosen- “Miracle Falls”—is a ic gallbladder removals, hernia modulators in otitis media; and gart felt the experience he repairs, cleft palate and cleft lip measures of otolaryngology resi- nearby waterfall believed had there was important for repairs, cleft fi stula closures, dent education and evaluation. to have healing powers, but it does not provide the up-and-coming doctors. scar revisions, and for burn As a well-respected academic modern healthcare that victims other plastic surgery physician, Dr. Szeremeta will people need. “The experience gained can- procedures. contribute signifi cantly to expand- not be replicated,” says Dr. ing our clinical services, as well Our physicians and members Rosengart, about what doc- Plans are currently underway as our research and educational of Stony Brook’s operating tors learn on these missions. for our faculty, together with programs. room staff went to Babahoyo “Their fl exibility as physi- residents and students, to go as part of the team sent by cians is reinforced, and their on another mission to Ecuador, Blanca’s House, a Long Island- ability to adapt to a variety which will take place in Octo- based organization of volun- of surgical situations is both ber 2011. teer healthcare professionals tested and made stronger.” who provide free medical treatment to people without access to good healthcare. 6 DEPARTMENT OF SURGERY I STONY BROOK UNIVERSITY MEDICAL CENTER I STONY BROOK UNIVERSITY

Surgical Skills Center Established As this effort was embraced Accessible 24/7 (via ID card Providing Surgical Simulation Training by all residents and faculty access) to all residents and and the curriculum expanded faculty, the SSC provides with the addition of new opportunities to practice in a Our new Surgical Skills Center (SSC) was inaugurated in modules, the need for estab- stress-free environment not January with a formal ribbon-cutting ceremony. This high- lishing an effective in-house only surgical technical skills, tech resource center further enhances our ability to provide a facility to support simulation but also pre- and post-oper- leading-edge training experience for all our surgery residents. education became clearly ative patient care scenarios Kenneth Kaushansky, MD, dean of the School of Medicine evident. The new SCC meets that enhance residents’ and senior vice president of health sciences, presided over this need effectively. educational experience. the ceremony. Currently available training The SSC is an 1800-square-foot facility located at the heart of The operating room is not the best classroom for modules range from basic Stony Brook University Medical Center, in close proximity to developing some of the open skills (knot tying, clinical care areas and operating room suites, offering an ideal new surgical skills that suturing, intravenous access, environment for advanced surgical education. surgeons must now have. central line and chest tube With the new mandate insertion) and fundamental SCC director Apostolos K. Tassiopoulos, MD, associate profes- from the American Col- laparoscopic skills (camera sor of surgery and interim chief of vascular surgery, oversaw lege of Surgeons on the navigation, controlled cutting, the Department’s effort to design and equip the center. fundamentals of laparoscopic skills, there has transfer drills, laparoscopic been more emphasis on suturing) to advanced open “Simulation in surgical training provides a reduced stress surgical simulation. surgical skills (inguinal environment to learn and practice the most innovative and hernia anatomy and repair, minimally invasive techniques in surgery for both common Our simulation curriculum sutured and stapled intes- and rare medical scenarios,” explains Dr. Tassiopoulos. focuses on the development tinal anastomosis, vascular of surgical and clinical skills anastomosis, arterial endar- “This training venue is also ideal to take the time to demon- early on in the training pro- terectomy and bypass, open strate errors and complications and discuss strategies to avoid cess, while the emphasis at aortic aneurysm repair) and them, which ultimately translates to enhanced patient safety.” senior levels of training is on advanced patient care the development of leader- skills (advanced trauma and Simulation training became a part of the educational curricu- ship skills, effective com- cardiac life support, various lum for all our surgical residents in 2008. The ﬁ rst surgical munication and collabora- surgical clinical care sce- simulation training schedule included a few modules from the tion, practice building skills, narios). American College of Surgeons phase 1 curriculum and a small critical assessment of patient number of clinical scenarios with immediate debrieﬁ ng and safety issues, and thorough SIMULATING SURGERY feedback from surgical faculty. understanding of systems- Three high-end haptic virtual based problems and quality reality simulators are also assurance issues. available for training in laparoscopic advanced skills, laparoscopic cholecystectomy, laparoscopic colon resection, angiographic vascular anatomy, and a wide array of basic and advanced endovascular skills (navigation Dr. Michael Polcino, of endovascular catheters, fourth-year resident, angioplasty, stenting). at the controls of a simulated laparoscopic procedure, with (from left A dedicated space for a to right) Drs. Apostolos surgical wet-lab has also been Tassiopoulos, Todd created to allow for practice Rosengart, and Richard using animal tissue. The SSC Scriven. utilizes cutting-edge audio/ SAM LEVITAN PHOTOGRAPHY video technologies and 7 DEPARTMENT OF SURGERY I STONY BROOK UNIVERSITY MEDICAL CENTER I STONY BROOK UNIVERSITY

Selected Recent Publications*

SAM LEVITAN PHOTOGRAPHY Barros MV, Penna JT, Henriques JF, Karas J, Bergamaschi R; Rectal Pro- Roquette-Reis F, Labropoulos N. lapse Recurrence Study Group. Infrapopliteal mycotic aneurysm Laparoscopic approach to rectal caused by endocarditis—case prolapsed. In: Santoro G, Wieczorek report and literature review. AP, Bartram CI, editors. Pelvic Floor Echocardiography 2010;27:77-9. Disorders: Imaging and Multidisci- Bilfi nger TV. Acute aortic dissection: plinary Approach to Management. microenvironmental regulation. Milan: Springer-Verlag, 2010: 521-8. Med Sci Monit 2010;16:RA143-6. Karas JR, Bergamaschi R. No news Bishawi M, Rosengart TK. Biologic from Norway. Int J Colorectal Dis bypass. In: Moorjani N, Viola N, 2010;25:1023. Ohri SK, editors. Key Questions Karas JR, Uranues S, Altomare DF, Sok- in Cardiac Surgery. Castle Hill men S, Krivokapic Z, Hoch J, Bartha Barns, UK: TFM Publishing, I, Bergamaschi R; Rectal Prolapse 2010. Recurrence Study Group. No rec- Czura CJ, Schultz A, Kaipel M, Khadem topexy versus rectopexy following Dr. James Jen, fi fth-year resident, at the controls of a simulated A, Huston JM, Pavlov VA, Redl rectal mobilization for full-thickness H, Tracey KJ. Vagus nerve stimu- rectal prolapse: a randomized laparoscopic procedure, with Dr. Todd Rosengart. lation regulates hemostasis in controlled trial. Dis Colon Rectum swine. Shock 2010;33:608-13. 2011;54:29-34. Desolneux G, Burtin P, Lermite E, Klein SJ, Gasparis AP, Virvilis D, Ferretti Bergamaschi R, Hamy A, JA, Labropoulos N. Prospective software in order to maximize the utility and productivity of Arnaud JP. Prognostic factors in determination of candidates for node-negative colorectal cancer: thrombolysis in patients with acute the activities it hosts, and to provide opportunities for perfor- a retrospective study from a pro- proximal deep vein thrombosis. J spective database. Int J Colorectal Vasc Surg 2010;51:908-12. mance review of, effective debriefi ng with, and meaningful Dis 2010;25:829-34. Labropoulos N. Elevated sex steroid feedback to trainees. Eisenberg DP, Wey J, Bao PQ, Saul hormones in great saphenous veins M, Watson AR, Schraut WH, Lee in men [invited commentary]. J Vasc KK, James Moser A, Hughes SJ. Surg 2010;51:646-7. Short- and long-term costs of lap- Labropoulos N, Jen J, Jen H, Gasparis Surgical attending faculty and staff with experience in surgical aroscopic colectomy are signifi - AP, Tassiopoulos AK. Recurrent simulation education are available on a daily basis for guid- cantly less than open colectomy. deep vein thrombosis: long-term Surg Endosc 2010;24:2128-34. incidence and natural history. Ann ance with training modules and skills development. Gasparis AP, Awadallah M, Meisner Surg 2010;251:749-53. Residents are provided with protected time each Thursday RJ, Lo C, Labropoulos N. Recur- Labropoulos N, Kokkosis AA, Spent- rent popliteal vein aneurysm. J zouris G, Gasparis AP, Tas- morning to participate in simulation exercises. Vasc Surg 2010;51:453-7. siopoulos AK. The distribution Gersch RP, Hadjiargyrou M. Mustn1 is and signifi cance of varicosities in expressed during chondrogenesis the saphenous trunks. J Vasc Surg Surgical simulation has emerged as a training tool with enor- and is necessary for chondrocyte 2010;51:96-103. proliferation and differentiation in Labropoulos N, Meisner RJ, Gasparis A, mous potential for teaching, learning, and research. Our SSC vitro. Bone 2009;45:330-8. Tassiopoulos AK. Management of Giardino ND, Curtis JL, Andrei AC, Fan non-giant cell arteritis disease of the provides residents and medical students the opportunity to be VS, Benditt JO, Lyubkin M, Naun- superfi cial temporal artery. J Vasc a part of this rich, dynamic process, and to work collaborative- heim K, Criner G, Make B, Wise Surg 2011;53:200-3. RA, Murray SK, Fishman AP, Sci- Labropoulos N, Nandivada P, Bekelis ly in making meaningful contributions to the fi eld of surgical urba FC, Liberzon I, Martinez FJ; K. Prevalence and impact of the simulation education. National Emphysema Treatment subclavian steal syndrome. Ann Surg Trial Research Research Group 2010;252:166-70. [Shroyer AL; member]. Anxiety Labropoulos N, Spentzouris G, Gasparis “This new facility will further enhance clinical skills is associated with diminished AP, Meissner M. Impact and clinical exercise performance and quality signifi cance of recurrent venous education and promote surgical training at the of life in severe emphysema: a thromboembolism. Br J Surg highest level,” said Dr. Kenneth Kaushansky, dean cross-sectional study. Respir Res 2010;97:989-99. of the School of Medicine. “The Surgical Skills 2010;11:29. Lanier ST, Wang ED, Chen JJ, Arora BP, Han MK, Wise R, Mumford J, Sciurba Katz SM, Gelfand MA, Khan SU, Center should make Stony Brook University School F, Criner GJ, Curtis JL, Murray Dagum AB, Bui DT. The effect of of Medicine a national leader in training students, S, Sternberg A, Weinman G, acellular dermal matrix use on com- Kazerooni E, Fishman AP, Make plication rates in tissue expander/ residents, and attending physicians in current and B, Hoffman EA, Mosenifar Z, implant breast reconstruction. Ann future surgical techniques, allowing their delivery of Martinez FJ; National Emphy- Plast Surg 2010;64:674-8. the very highest quality clinical care.” sema Treatment Trial Research Liu C, Gersch RP, Hawke TJ, Hadjiargy- Research Group [Shroyer AL; rou M. Silencing of Mustn1 inhibits member]. Prevalence and clinical myogenic fusion and differen- “Opening the Surgical Skills Center is an important correlates of bronchoreversibility tiation. Am J Physiol Cell Physiol milestone for training future surgeons at Stony in severe emphysema. Eur Respir 2010;298:C1100-8. J 2010;35:1048-56. Meisner RJ, Labropoulos N, Gasparis Brook,” added the surgery department’s chairman, Hu Y, Zaslav AL, Radhakrishnan N, AP, Tassiopoulos AK. How to di- Dr. Todd K. Rosengart. “The timing of the opening Golightly M, Pameijer C. Myelo- agnose giant cell arteritis. Int Angiol fi brosis involving lymph node: a 2011;30:58-63. is right, as high-tech simulation training will grow novel cytogenetic abnormality in Rosengart TK, Bishawi M. Regenerating as a training tool because we are in an era in a mimicker of mesenchymal neo- mechanical function in vivo with which minimally invasive surgical approaches and plasm. J Hematop 2009;2:157-61. skeletal myoblasts. In: Cohen IS, Gaudette GR, editors. Regenerat- technology are constantly advancing.” ing the Heart: Stem Cells and the Cardiovascular System. New York: Humana, 2011. Continued on Page 12 * The names of faculty authors appear in boldface. 8 DEPARTMENT OF SURGERY I STONY BROOK UNIVERSITY MEDICAL CENTER I STONY BROOK UNIVERSITY

Our goal is to ﬁ nd Co-investigators of his study outcomes by early determi- methods for the early are Stony Brook faculty, who nation of injury progression have served as his men- and be able to determine determination of tors: Adam J. Singer, MD, adequate perfusion in injury progression professor of emergency engineered skin constructs. and of adequate medicine and vice chairman Such assessments would

MEDIA SERVICES | STONY BROOK UNIVERSITY perfusion in for research; Steven San- overcome the critical issue engineered skin doval, MD, assistant profes- of vascularization in bringing constructs, in order to sor of surgery and medical therapy to limit burn injury director of the Stony Brook improve patient care. progression and providing Burn Center; Alexander B. the ability to create an unlim- Dagum, MD, professor of Dr. Brett T. Phillips ited supply of artifi cial tissue surgery and orthopaedics in a global problem of wound and chief of plastic and care.” reconstructive surgery; and Richard A. Clark, MD, Dr. Phillips received his BA professor of biomedical en- in biology from New York Resident Wins Research Award gineering, dermatology, and University and his MD from medicine, and director of the Stony Brook. In 2009, after To Study Wound Care in Burns Clinical Research Scholar completing two years of Aiming to Predict Tissue Viability Program. surgical training here, he And Develop Artifi cial Tissue became a research fellow in Concerning the clinical the Department of Surgery, Brett T. Phillips, MD, clinical assistant instructor of surgery, signifi cance of this research, participating in the Empire was awarded one of two Clinical Research Scholar Awards Dr. Phillips explains: “Robust Clinical Research Investiga- sponsored by Stony Brook’s K30 Clinical Research Training clinical trials for therapies tor Program. Program funded by the National Institutes of Health. to limit burn injury progres- A resident in our general There are over 11.8 sion and for technologies to Following the completion of surgery residency program million wounds and construct tissue-engineered his current research in June, and currently a research fel- 500,000 burn injuries fl aps must utilize the best Dr. Phillips will rejoin surgi- treated annually in low, Dr. Phillips received the method for predicting tissue cal training as a third-year emergency rooms viability. resident. He plans to pursue competitive grant award for nationwide, and wound his proposed research titled care management can a career in plastic surgery “Comparison of Clinically be improved. “As a result of our research, following completion of his Quantitative Cutaneous Vas- we can improve surgical general surgery residency. cular Perfusion Techniques Although the technol- in Tissue-Engineered Con- ogy for engineered skin BRETT T. PHILLIPS, MD | STONY BROOK UNIVERSITY structs and Burn Injuries.” replacements is advancing, providing vascularization of Dr. Phillips’ one-year basic replacement skin (establish- science study, initiated last ing the network of blood July, uses noninvasive and vessels) is still a signifi cant minimally invasive perfusion problem. Means of assessing techniques to investigate vascular perfusion (blood burn wound progression and fl ow) provide the fi rst step in lay the groundwork to devel- tackling this important prob- op artifi cial tissue constructs lem. This is the objective of for improving patient care, in Dr. Phillips’ research. particular wound care.

Image of blood ﬂ ow in study animal. 9 DEPARTMENT OF SURGERY I STONY BROOK UNIVERSITY MEDICAL CENTER I STONY BROOK UNIVERSITY

Participation in our clinical trials is always completely voluntary, and never interferes Testing New Drug Therapy with the normal standards for patient care. For Leg Varicose Veins Aiming to Find an Effective Performing Clinical Trials Non-Surgical Treatment To Advance Patient Care

Varicose veins affect approximately 20% of the adult Our faculty is committed to Our clinical trials enable us to population. They are superfi cial vessels that are excellence in research, in use, in addition to established abnormally lengthened, twisted, or dilated, and are seen order to fi nd new and better therapies, the newest and most often on the legs and thighs. treatments for our patients, most advanced technologies as part of our commitment to and treatments—long before Varicose veins bulge and rise above the skin’s surface. excellence in patient care. they are available to other They may be uncomfortable and result in swelling of the physicians. legs. If left untreated, varicose veins may lead to more We currently are performing serious medical problems, such as phlebitis, infl ammation, a variety of clinical trials to Patients participate in our or leg ulcers. evaluate the effectiveness clinical trials only after of potentially new treatment they receive a complete Our vascular team is currently participating in a options related to the surgical explanation of their options multicenter clinical trial of an investigational drug and specialties represented by our from their surgeon and non-surgical procedure for the treatment of varicose veins. physicians. surgical team. Antonios P. Gasparis, MD, associate professor of surgery Our goal is to give patients For information about current and director of the Stony Brook Vein Center, is the clinical trials in the Department principal investigator of the study here. the opportunity to participate of Surgery, please call our clinical in approved and exploratory research coordinator Eileen Finnin, Varicose veins can be a real medical condition, therapies without long- RN, at (631) 444-5454. not just a cosmetic problem, and they call for distance travel. the best ideas in medicine. Selected Clinical Trials Now Being Conducted The purpose of this research study is to evaluate the safety By Our Faculty Involve These Conditions: and effectiveness of polidocanol endovenous microfoam (PEM) compared to placebo (inactive solution) when used Skin necrosis in breast Varicose veins following an FDA-approved heat treatment (standard of reconstruction Studying new non-surgical Studying new minimally invasive treatment involving endovenous care) in subjects with varicose veins. imaging technology to measure ablation with sclerosant called blood fl ow and assess tissue viability polidocanol endovenous microfoam PEM is a sclerosant, that is, a chemical that causes veins in skin before reconstructive breast (PEM). surgery following mastectomy, for to close. This sclerosant has been made into foam of very best surgical outcome for women. Lower extremity lymphedema small bubbles to create microfoam. Approximately 700 Studying “at home” therapy using subjects have received PEM in the United States and Coronary artery disease pneumatic compression devices. Studying new short-acting platelet Europe over the past six years, and its therapeutic promise inhibitor to maintain patency of Wound healing motivates the current trial. coronary arteries prior to undergoing Studying new gel used topically in bypass surgery / Studying drug the treatment of venous leg ulcers. Men and women between the ages of 18 and 75 with therapy’s ability to help maintain the patency of vein grafts following Pediatric ear infection varicose veins may be eligible to enroll in this study. bypass surgery. Studying new antibiotic ear solution Participants will get the study drug and study-related (drops) used in treating middle ear medical care at no cost, and will also receive compensation Melanoma infections in children with ear tubes. Studying whether removal of all for participating in the trial. lymph nodes is necessary in patients Crohn’s disease who have a positive sentinel node. Studying new stem cell therapy for patients with late-stage disease. Deep venous thrombosis (DVT) Studying new clot-busting treatments Hemorrhoids to see if they prevent post- Studying new minimally invasive thrombotic syndrome and improve procedure that treats the source of quality of life in patients with a blood hemorrhoids in order to eliminate clot in the leg. them. 10 DEPARTMENT OF SURGERY I STONY BROOK UNIVERSITY MEDICAL CENTER I STONY BROOK UNIVERSITY

Surgical Educator Joins Announcing The Guy A. Cassara Education Division Memorial Supporting Our Teaching Scholarship And Training Programs We are very pleased to Long-time Stony Brook announce that Shubha employee Guy A. Dathatri, PhD, has joined Cassara, R-PAC, MSN, our Education Division as an exceptional physician surgical educator. Coming to assistant and member of Stony Brook from the Menlo the Department of Surgery,

MEDIA SERVICES | STONY BROOK UNIVERSITY Park, California-based Cen- lost his battle with lung ter for Technology in Learn- cancer in June. He was ing at SRI International, 49 years old. Guy A. Cassara Dr. Dathatri brings a range of expertise in curriculum To honor Guy, his colleagues at Guy was actively involved Stony Brook University Medical in education and served as development, evaluation, and Center have established a a clinical mentor for many assessment to support our memorial scholarship to help students from both the School programs in both under- physician assistant students of Nursing and the School graduate and postgraduate who share his commitment to of Health Technology and Dr. Shubha Dathatri medical education. distinguished service. Management. Guy began his career at Stony Given Guy’s commitment to Dr. Dathatri’s recent professional experience includes a three- Brook in 1988. He was one of education, volunteerism, and year position at Stanford University School of Medicine as a the fi rst physician assistants clinical care, his colleagues at research consultant with the Medical Simulation Education hired in the Department of Stony Brook feel that a memorial Project, where she played a role in evaluating the ways that the Emergency Medicine. Guy then scholarship is the best way to transferred to the Department honor his memory. use of a human patient simulator impacted the experience of of Surgery where he spent 10 teaching and learning for both medical educators and students. years. The Guy Cassara Memorial Scholarship will be awarded Here at Stony Brook, Dr. Dathatri works with our faculty and Guy’s background as a volunteer annually to a physician assistant residents, as well as medical students doing their surgical ro- fi refi ghter provided him with a student who is enrolled in the tations, to assess educational opportunities and experiences. special interest in working with School of Health Technology and the patients who had suffered Management at Stony Brook, burn injury. and who demonstrates through Dr. Dathatri currently is developing and evaluating curri- his or her own volunteerism the cula in surgical education and surgical skills to support our Throughout his career, Guy same passion for clinical care efforts to establish a core curriculum sequence for surgical was actively involved in clinical that Guy had. residents and medical students on surgical rotations. To that research. He was co-investigator on numerous studies focusing Donations to the scholarship end, she also collaborates with our faculty to develop compe- on trauma triage, wound healing, fund—which are tax-deductible— tency-based rotation-specifi c goals and objectives in medical and burn injury. are welcome. Checks should and surgical residency education. be made payable to the Stony Brook Foundation with “Guy Dr. Dathatri is particularly interested in the design of forma- Dr. Dathatri received her Cassara” written in the memo tive and summative measures of assessment and evaluation portion of the check, and PhD in educational psychol- mailed to: Dr. Kevin Watkins, that enable both learners and educators to examine learning ogy in 2008 from Stanford Department of Surgery, Stony outcomes in the context of specifi c instructional activities. University. Previously, she Brook University Medical Center, Her work considers the roles that refl ective practice and earned an MA in comparative Stony Brook, NY 11794-8191. adaptiveness play in being an effective clinician and educator. and international education, with emphasis on develop- For more information, please call trauma nurse coordinator In addition to other functions related to advancing our mental psychology, from Jane McCormack, RN, at (631) education programs, Dr. Dathatri works collaboratively with Columbia University, and an 444-3116. the Offi ce of the Dean and with other departments in the MEd in human development medical school to help improve resident and medical student and psychology from Harvard educational experiences and opportunities. University. 11 DEPARTMENT OF SURGERY I STONY BROOK UNIVERSITY MEDICAL CENTER I STONY BROOK UNIVERSITY

ALUMNI NEWS

Since the class of 1975 entered the profession of surgery, 196 physicians have completed their residency training in general surgery at Stony Brook. The alumni of this residency program and our other residency (fellowship) programs now practice surgery throughout the United States, as well as in numerous other countries around the world—and we’re proud of their diverse achievements and contributions to healthcare. 2010 Graduating Residents Name Career Direction

GENERAL SURGERY Marco Gonzalez, MD ...... Plastic surgery fellowship, Long Island Plastic Surgical Group, Garden City, NY Albert Kwon, MD ...... Colorectal surgery fellowship at Stony Brook U Mark Melendez, MD ...... Plastic surgery fellowship, Long Island Plastic Surgical Group, Garden City, NY Daniel Rutigliano, DO . . . . .Pediatric surgery critical care fellowship, Children’s Hospital of Pittsburgh of UPMC, Pittsburgh, PA, followed next year by pediatric surgery fellowship, Montreal Children’s Hospital (CHU Sainte-Justine), Montreal, PQ, Canada Cynthia Salinas, MD ...... Cardiothoracic surgery fellowship, Stony Brook U Alla Zemlyak, MD ...... Research fellowship (NYS Empire Clinical Research Investigator Program), Stony Brook U COLORECTAL SURGERY Salim Amrani, MD ...... Pecos Valley Medical Group, Carlsbad Medical Center, Carlsbad, NM VASCULAR SURGERY Celso Dias, MD ...... Private practice in vascular surgery, Eastern Maine Healthcare Systems, Bangor, ME CRITICAL CARE Brian Hall, MD ...... Assistant professorship, Stony Brook U Department of Surgery, in general surgery, critical care, and burns

Dr. Biago Ravo (’84) Johnson Medical School, in continues to practice at the New Brunswick, NJ. Board Rome American Hospital in certiﬁ ed in surgery in 2009, Italy. This past March he at- she practices at the Cancer tended the American Hernia Institute of New Jersey, and Society’s annual educational specializes in breast surgery. meeting in Orlando, FL, Her current research inter- where he gave a presentation ests are in the disparities titled “Pure Tissue Inguinal in breast cancer outcomes, Hernia Repair with Rein- nutrition and cancer epidemi- forcement of the Transver- ology, and cancer prevention. salis Fascia with a Biological Material: A Five-Year Follow- Dr. Joshua Rosenthal (’08) up.” As a resident at Stony has opened his own otolaryn- Brook, he distinguished gology practice in Hunting- himself with publications on ton, NY. his surgical innovations in GERALD BUSHART | DEPARTMENT OF SURGERY peer-reviewed journals. Our 2010 graduating general surgery residents (from left to right), Drs. Albert Kwon, Mark Melendez, Alla Zemlyak, Cynthia Salinas, Daniel Rutigliano, and Marco Gonzalez, at the graduation banquet Dr. Michelle Azu (’08) held in June at The Watermill in Smithtown, NY. completed her fellowship in breast surgery at Memorial To submit alumni news online and to Sloan-Kettering Cancer Cen- ﬁ nd current mailing addresses of our alumni, please visit the Department’s ter, and is now an assistant website at www.StonyBrookSurgery.org professor of surgery in the GENERAL SURGERY ALUMNI: Please Division of Surgical Oncol- send your e-mail address—for inclusion ogy at UMDNJ-Robert Wood in the Alumni Directory—to Jonathan. [email protected] 12 DEPARTMENT OF SURGERY I STONY BROOK UNIVERSITY MEDICAL CENTER I STONY BROOK UNIVERSITY

Saturday Surgical Grand Trauma Vascular Surgery Seminars Rounds Conference Conference Our Saturday Seminars, Our Surgical Grand Rounds The Trauma Conference of the The Vascular Surgery Confer- co-sponsored with the De- program offers CME credit Division of General Surgery, ence of the Division of Vascu- partment of Medicine, offer through the School of Medi- Trauma, Surgical Critical Care, lar Surgery offers CME credit continuing medical educa- cine of Stony Brook Universi- and Burns offers CME credit through the School of Medi- tion (CME) credit through ty. This activity is designated through the School of Medi- cine of Stony Brook University. the School of Medicine of for a maximum of 1 AMA cine of Stony Brook University. This activity is designated for Stony Brook University. This PRA Category 1 Credit™. This activity is designated for a maximum of 2 AMA PRA activity is designated for a a maximum of 1 AMA PRA Category 1 Credits™. maximum of 2 AMA PRA The weekly Surgical Grand Category 1 Credit™. Category 1 Credits™. Rounds lectures are general- The weekly conferences are ly held on Wednesday morn- The weekly conferences are generally held on Wednesday The seminars—held on the ing, from 7:00 to 8:00 am, in generally held on Friday morn- morning, from 8:00 to 10:00 second Saturday of each the Health Sciences Center ing, from 7:00 to 8:00 am, in am, in the Health Sciences month, from 8:00 to 10:00 (level 2, lecture hall 1). the Health Sciences Center in Center in the surgery depart- am, at Stony Brook Univer- the trauma conference room ment classroom (level 19, sity Medical Center—provide Topics cover the full range (level 18, room 040). room 025). lectures and discussion on of current surgical concerns, topics covering the full range focusing on clinical issues of Topics cover the full range of Topics cover the full range of current surgical concerns. interest to practicing physi- concerns related to the trau- of concerns related to the cians and surgeons. Featured ma/critical care environment, diagnosis and management The focus of each seminar speakers include distin- including thoracic injuries, ICU of vascular disease, with case is on what referring physi- guished visiting professors administration/billing, and presentations. Presentations cians need to know about the from the nation’s top univer- case histories. Presentations are made by attending physi- latest advances in surgery, sities and medical centers. are made by attending physicians and surgical residents, in terms of the new options cians, as well as other medical as well as the director of the available for patients. For more information, professionals. non-invasive vascular lab. please call (631) 444-7875. For more information, For more information, For more information, please call (631) 444-2037. please call (631) 444-8330. please call (631) 444-2037

Selected Recent ENSURING SAFETY Publications IN THE OPERATING ROOMS continued from Page 7 Stony Brook University Medical Center is the fi rst on Long Island to Shapiro MJ. Belly pressure: fl at is all we Xenos M, Rambhia SH, Alemu Y, Einav S, implement new technology in its operating rooms (ORs). The new know. Crit Care Med 2009;37:2310-1. Labropoulos N, Tassiopoulos A, technology system will help to improve patient safety, effi ciency, Singer AJ, Taira BR, Thode HC Jr, Mc- Ricotta JJ, Bluestein D. Patient- teamwork, and communication in the ORs. Cormack JE, Shapiro M, Aydin based abdominal aortic aneurysm A, Lee C. The association between rupture risk prediction with fl uid hypothermia, prehospital cooling, structure interaction modeling. Ann The system provides real-time information about patients to staff and and mortality in burn victims. Acad Biomed Eng 2010;38:3323-37. physicians in the OR during surgeries. Information is displayed on 42-inch Emerg Med 2010;17:456-9. Washko GR, Martinez FJ, Hoffman fl at-panel displays mounted on the walls in 10 new ORs at the hospital. Stefano GB, Esch T, Bilfi nger TV, Kream EA, Loring SH, Estépar RS, Diaz RM. Proinfl ammation and precondi- AA, Sciurba FC, Silverman EK, tioning protection are part of a com- Han MK, Decamp M, Reilly JJ; This information includes patient allergies, lab results and information mon nitric oxide mediated process. National Emphysema Treatment about blood and tissue collected for analysis, as well as a checklist of Med Sci Monit 2010;16:RA125-30. Trial Research Group [Shroyer steps to be taken before, during, and after surgery. Stergiopoulos K, Seifert F, Brown DL. AL; member]. Physiological and Thrombus formation after suc- computed tomographic predic- cessful stapler exclusion of the left tors of outcome from lung volume The system verifi es that the correct procedure is being performed on the atrial appendage. J Am Coll Cardiol reduction surgery. Am J Respir Crit correct patient at the correct surgical site. During operations, the system 2010;55:379. Care Med 2010;181:494-500. also prompts staff when it is time to provide antibiotics and reposition Xenos M, Alemu Y, Zamfi r D, Einav S, Zemlyak A, Moore WH, Bilfi nger Ricotta JJ, Labropoulos N, Tas- TV. Comparison of survival after patients to maintain proper circulation. siopoulos A, Bluestein D. The sublobar resections and ablative effect of angulation in abdominal therapies for stage I non-small The OR staff and physicians named it SAFE: Situational Awareness aortic aneurysms: fl uid-structure cell lung cancer. J Am Coll Surg For Everyone. Other hospitals from around the state and nation will be interaction simulations of idealized 2010;211:68-72. geometries. Med Biol Eng Comput visiting Stony Brook over the next several months to learn more about the 2010;48:1175-90. system’s capabilities. 13 DEPARTMENT OF SURGERY I STONY BROOK UNIVERSITY MEDICAL CENTER I STONY BROOK UNIVERSITY

The Stony Brook Ambulatory Surgery Center continues to rank as #1 in the nation for patient satisfaction, based on the 2009 data DIVISION BRIEFS of the University HealthSystem Consortium.

Breast Surgery Dr. Sandeep Gupta, as- cally implanted pump which with Dr. Ronald G. Crystal, Dr. Brian J. O’Hea, assistant professor of surgery, takes over the work of the chairman of genetic medicine sociate professor of surgery, has been trained to per- heart’s left chamber that’s at Weill Cornell Medical Col- chief of breast surgery, and form percutaneous heart become severely weakened lege. The two physician-sci- director of the Carol M. valve replacement for as a result of congestive entists have a long history of Baldwin Breast Care Center, aortic stenosis (replacing a heart failure. research collaboration related was again selected for inclu- heart valve without surgi- to gene therapy. sion in the 2010 “Best Doc- cally opening the chest). Dr. tors” list of New York Maga- Gupta spent June and July at Dr. Rosengart was reappoint- zine, and in the new Castle the world-renowned Leipzig ed chair of the American Connolly Guide, America’s Heart Center in Leipzig, Ger- Heart Association National Top Doctors for Cancer, pub- many, to gain this required Surgery and Imaging Study lished in October. special training. Section. He will be respon- sible for guiding and directing Cardiothoracic Surgery Although not yet approved the peer-review committee in Dr. Thomas V. Bilfi nger, by the Food and Drug Ad- the review of affi liate career professor of surgery and ministration, the necessary development and project sup- director of thoracic surgery, approval is anticipated by port applications. in October was granted a 2012, and Dr. Gupta will then tenured full professor- start performing the new HeartMate II: The state-of-the-art Dr. Rosengart was again se- LVAD used in our new “destination lected for inclusion in the 2010 ship in recognition of his procedure at Stony Brook. therapy” program for severe heart 21 years of distinguished failure. “Best Doctors” list of New York service at Stony Brook and Dr. Allison J. McLarty, Magazine, as well as the latest his continued professional associate professor of sur- Unlike earlier LVADs that listing of Newsday’s “Top Doc- achievements as a physician- gery and director of thoracic were designed for temporary tors Long Island.” scientist. aortic surgery and integra- use, the HeartMate II is for tive medicine, continues to permanent use. This LVAD This coming June, Dr. Rosen- Recent presentations at na- develop our leading-edge engineering represents a gart will be honored as distin- tional meetings include: program in destination new generation of “artifi cial guished guest of honor at • Severity of emphysema the American Heart Associa- predicts location of lung cancer therapy, an alternative to heart” technology. [authors: Bishawi MM, Moore heart transplant. She is now tion’s “Heart of the Hamp- WH, Baram D, Bilfi nger]. treating a growing number of tons” Gala, to take place in American Thoracic Society Dr. Todd K. Rosengart, Conference. New Orleans, LA; patients who have congestive professor and chairman of Bridgehampton, NY. May 2010. heart failure with implanta- surgery and chief of cardio- • Management of patient with Hughes-Stovin syndrome by tion of the newly developed thoracic surgery, recently Colon and Rectal Surgery lobectomy and bronchial artery left ventricular assist device received a shared $1 mil- Dr. Roberto Bergamaschi, embolization [authors: Abota professor of surgery and chief R, Curci N, Bilfi nger TV, Gal- (LVAD) called HeartMate II. lion grant from the Lisa and lagher C]. American Society of James Cohen Family for fi ve of colon and rectal surgery, Anesthesiologists. San Diego, reports that patients with very CA; October 2010. Last April, Dr. McLarty ac- years’ support to help him complished the fi rst perma- further his research aimed low rectal cancer have been referred from outside institu- Recent honors include nent LVAD implantation at developing a new treat- tions to our colon and rectal selection for the latest listing on Long Island, making ment for coronary disease surgery service for second of Newsday’s “Top Doctors headlines for her success called biologic bypass. opinion because they were Long Island,” and recogni- with this important new told that their anus would have tion as “Attending of the advance in patient care. For this genetic research to be removed. As a result, Year, Department of Sur- program, titled “Studies we learned that we are the gery” by 2010 graduates. The HeartMate II, just Using Gene Therapy for the approved by the FDA in Feb- Treatment of Coronary Ar- only center on Long Island ruary 2010 as a permanent tery Disease,” Dr. Rosengart performing sphincter- implant, consists of a surgi- is co-principal investigator saving procedures such as 14 DEPARTMENT OF SURGERY I STONY BROOK UNIVERSITY MEDICAL CENTER I STONY BROOK UNIVERSITY

intersphincteric resection General Surgery, Center, and other members Otolaryngology-Head and with coloanal anastomosis or Trauma, Surgical of the Burn Center team Neck Surgery pull-through reconstruction. Critical Care, and Burns took part in the program Dr. Elliot Regenbogen, as- Dr. Jared M. Huston, as- to celebrate Burn Center sistant professor of surgery, Dr. Bergamaschi presented sistant professor of surgery, Recognition Day. Suffolk in June was honored by his a lecture titled “Laparoscopic in September was awarded County volunteer fi refi ghters selection to receive a Coch- Surgery for Diverticulitis” the “Outstanding Recent and elected offi cials came rane Colloquium Grant. to an audience of well over Graduate” Honor of the together here once again to 1,000 surgeons and other School of Medicine. He express their gratitude to The American Academy of attendees at a plenary ses- was selected for this annual the physicians, nurses, and Otolaryngology-Head and sion of the Clinical Congress award for demonstrating staff of the Burn Center for Neck Surgery annually pro- of the American College of through professional devel- their dedication and skills vides three competitive travel Surgeons, held in October in opment, research, and com- in caring for burn victims in grants to facilitate attendance Washington, DC. This lecture munity involvement a desire Suffolk County. at the annual Cochrane Col- demonstrated the stature of Dr. to make a contribution to and loquium for training in the Bergamaschi, who is world a difference in our society. He The special event was high- conduct and publication of renowned for his expertise received the award during the lighted by the testimonies systematic literature reviews, in laparoscopic surgery for Distinguished Alumni Awards of burn victims who shared with focus on state-of-the-art colorectal disease. Ceremony held in conjunction stories of trauma, survival, techniques for producing with the White Coat Ceremo- and the care they received at systematic reviews and meta- Dr. Marvin L. Corman, ny in September. the Burn Center. analyses. professor of surgery, was a guest lecturer at the Brazil- Dr. Huston this past summer Dr. Marc J. Shapiro, Dr. David A. Schessel, asso- ian Congress of Coloproctol- was appointed site director professor of surgery and ciate professor surgery, in No- ogy held in September in Rio of our third-year medical anesthesiology, and interim vember was appointed chief de Janeiro, where he spoke student clerkship program chief of general surgery, of otolaryngology-head and on the following subjects in at Stony Brook University trauma, surgical critical care, surgery. Dr. Schessel had areas of his expertise: Hospital. and burns, in November was served as acting chief since • Avoiding intraoperative compli- honored by the American cations in colon surgery 2008. • Management of rectal prolapse This winter at national meet- College of Surgeons for • Management of recurrent ings, Dr. Huston presented serving as an instructor in Pediatric Surgery colorectal cancer the following two studies • Treatment options for anal more than 100 Advanced Dr. Thomas K. Lee, associ- incontinence conducted with departmen- Trauma Life Support (ATLS) ate professor of surgery and tal colleagues: courses. The course is de- chief of pediatric surgery, In November, Dr. Corman • 11-Year longitudinal study of 19,169 trauma patients: implica- signed to improve the care of in June gave surgical grand was a grand rounds speaker tions for an aging United States trauma patients. Dr. Shapiro rounds at Huntington Hospi- in New York at Cornell Uni- population [authors: Huston JM, Hydo LJ, McCormack LE, received the offi cial certifi - tal. The title of his presenta- versity and at NY Methodist Huang E, Wolbrom D, Heleem cate of the ATLS 100 Club, tion was “Pediatric Thoracic Hospital, giving lectures A, Merriam LT, Shapiro MJ]. which the ATLS Committee Annual Academic Surgical Surgery Issues.” titled “Avoiding the Pitfalls Congress, Society of University initiated this year. of Anal Fistula Surgery” Surgeons and the Association Dr. Lee in June was elected to for Academic Surgery. Hun- and “Complications of tington Beach, CA, February Dr. Shapiro credits the col- serve as the vice president Stomas and Their Man- 2011. laborative efforts of the en- of the Medical Board of agement.” • 11-Year longitudinal study of 19,169 trauma patients: tire trauma team for the re- Stony Brook University Medi- patterns of utilization within cent fi nding by the New York cal Center. The board is the Dr. Paula I. Denoya, as- a suburban trauma system [authors: Hall K, Huang E, Mc- State Department of Health governing body of the hospi- sistant professor of surgery, Cormack JE, Hydo LJ, Shapiro (DOH) that Stony Brook tal’s entire medical staff. recently gained board MJ, Huston JM]. Critical Care University Medical Center is Congress, Society of Critical certifi cation in colon and Care Medicine. San Diego, CA, one of three trauma centers Dr. Lee in September attended rectal surgery. She now January 2011 statewide with the lowest the annual fall meeting of the performs anorectal physi- mortality rate for victims Children’s Oncology Group ology/manometry studies Dr. Steven Sandoval, assis- of injury. (COG) in Dallas, TX, as a and anorectal ultrasound. tant professor of surgery and COG member and “Respon- medical director of the Burn sible Investigator for Sur- 15 DEPARTMENT OF SURGERY I STONY BROOK UNIVERSITY MEDICAL CENTER I STONY BROOK UNIVERSITY

gery” here at Stony Brook. of Surgeons for leading performed at Stony Brook. In After receiving a diagnosis of He was selected to join the our residency program to one, the hand of a 29-year-old stage 4 pancreatic cancer, the surgical section of the COG’s ranking among the top fi ve man was reattached during patient and his family sought Renal Tumors Committee. users in the nation of the a 14-hour operation, after it out Dr. Watkins. ACS web-based curriculum had been severed in a log- Dr. Lee continues to serve as known as SCORE. Since the splitting accident. Called cellular surgery, IRE co-chair of the Practice Com- start of the 2009-10 academic disrupts the cell membrane and mittee for CPMP (faculty year, we have been using The other case involved a kills cancer cells by using con- practice plan), the aim of SCORE as the cornerstone 25-year-old mother of two trolled electrical pulses to open which is to improve patient of the didactic component of whose thumb and parts of microscopic pores in the cells of access and experience of our general surgery resi- two fi ngers on her left hand the targeted area. patients navigating through dency program. were severed in a fi reworks CPMP’s multiple practices. incident around Halloween Vascular Surgery For his in-depth experience last year. Dr. Ganz and the Dr. Antonios P. Gasparis, Dr. Lee proudly reports: with SCORE, Dr. Scriven surgical team performed associate professor of surgery “The Practice Commit- was invited to serve as an a very rare “toe-to-thumb” and director of the Stony Brook tee of CPMP rates all the clinical practices “ambassador” for SCORE, transplant (also known as Vein Center, in June became a for patient satisfaction, and to speak with program thumb reconstruction using collaborating principal in- in terms of telephone directors, coordinators, and microvascular toe transfer). vestigator in an NIH-sponsored service, cancellation chairs of surgical residency trial titled “Pharmacomechani- rate, and so forth. The programs considering the Ours is the only medical cen- cal Catheter-Directed Throm- Department of Surgery is ter in the entire region with bolysis for Acute DVT.” perennially the best! use of SCORE. The top fi ve SCORE users were invited the necessary technology “In a recent third-party serve in this way to advance and the surgeons who can This study—also known as the survey, we had three the use of this leading-edge perform these intricate and ATTRACT (Acute Venous surgeons ranked as top didactic technology in surgi- challenging surgeries. Thrombosis: Thrombus Re- 10 in the hospital-wide cal education. moval with Adjunctive Cathe- faculty practice, plus three of our front desk Dr. Sami U. Khan, assistant ter-Directed Thrombolysis) staff received awards for Plastic and professor of surgery and trial—aims to determine if new their outstanding service Reconstructive Surgery director of cosmetic surgery, clot-busting treatments can during the past year.” Dr. Alexander B. Dagum, has been promoted to asso- safely prevent post-thrombotic professor of surgery and ciate professor of surgery. syndrome and improve quality Dr. Richard J. Scriven, as- orthopaedics and chief of of life in patients with a blood sociate professor of surgery plastic and reconstructive Upper Gastrointestinal clot in the leg. It is a phase 3, and director of residency surgery, traveled to China and General Oncologic open-label, assessor-blinded, training in general surgery, this past spring for another Surgery multicenter, randomized clinical in September attended the mission to perform pro Dr. Kevin T. Watkins, chief trial sponsored primarily by the American College of Sur- bono surgery. It was his of upper gastrointestinal and National Heart Lung and Blood geons’ six-day course titled sixth mission there. He general oncologic surgery, Institute. “Surgeons as Educators,” repaired cleft lips and palates in October was promoted held in Landsdowne, VA. and also burn injuries. He to associate professor of Dr. Gasparis in October was was accompanied by surgical surgery. course director of the Vein This intensive course aimed resident Dr. Brett T. Phillips. Forum: A Comprehensive to enhance surgeons’ abili- Dr. Watkins in September Hands-On Course for Prac- ties as teachers and adminis- Dr. Dagum was again made headlines in Newsday ticing Physicians, sponsored trators of surgical education selected for inclusion in the for treating a patient who by the American Venous Forum programs. With his years of 2010 “Best Doctors” list of traveled from California. and held in Englewood, NJ. experience as an educator, New York Magazine. As the fi rst surgeon in the This three-day course follows Dr. Scriven enriched the pro- world to use irreversible the resounding success of the gram, as well as himself. Dr. Jason C. Ganz, assis- electroporation (IRE) to treat Fellows’ Courses in Venous tant professor of surgery, cancer of the pancreas, he Disease over the last few years Also in September, Dr. and his team recently gained performed the new minimally and the many requests from Scriven was recognized media attention for two invasive procedure on a patient practicing clinicians for a simi- by the American College pioneering hand surgeries from San José, CA. lar course. DEPARTMENT OF SURGERY STONY BROOK UNIVERSITY Nonprofi t Organization MEDICAL CENTER U.S. Postage Stony Brook, NY 11794-8191 PAID Stony Brook University Permit #65

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Stony Brook Surgical Associates

BREAST SURGERY GENERAL SURGERY PODIATRIC SURGERY OFFICE LOCATIONS (631) 638-1000 (tel) (631) 444-4545 (tel) (631) 444-4545 (tel) Surgical Care Center (631) 638-0720 (fax) (631) 444-6176 (fax) (631) 444-4539 (fax) 37 Research Way Martyn W. Burk, MD, PhD Brian M. Hall, MD Valerie A. Brunetti, DPM East Setauket, NY 11733 Patricia A. Farrelly, MD Jared M. Huston, MD Bernard F. Martin, DPM (631) 444-4545 (tel) Brian J. O’Hea, MD Louis T. Merriam, MD (631) 444-4539 (fax) Christine R. Rizk, MD Michael F. Paccione, MD TRAUMA/SURGICAL Steven Sandoval, MD CRITICAL CARE Cancer Center / BURN CARE Marc J. Shapiro, MD (631) 444-4545 (tel) Carol M. Baldwin (631) 444-4545 (tel) James A. Vosswinkel, MD (631) 444-6176 (fax) Breast Care Center (631) 444-6176 (fax) Evan R. Geller, MD 3 Edmund D. Pellegrino Road Brian M. Hall, MD OTOLARYNGOLOGY-HEAD Brian M. Hall, MD Stony Brook, NY 11794 Steven Sandoval, MD AND NECK SURGERY (ENT) Jared M. Huston, MD (631) 638-1000 (tel) Marc J. Shapiro, MD (631) 444-4121 (tel) Louis T. Merriam, MD (631) 444-6348 (fax) (631) 444-4189 (fax) Michael F. Paccione, MD CARDIOTHORACIC SURGERY Mark F. Marzouk, MD Steven Sandoval, MD Plastic & Cosmetic (631) 444-1820 (tel) Elliot Regenbogen, MD Marc J. Shapiro, MD Surgery Center / Vein Center (631) 444-8963 (fax) Ghassan J. Samara, MD James A. Vosswinkel, MD 24 Research Way, Suite 100 Thomas V. Bilﬁ nger, MD, ScD David A. Schessel, MD, PhD East Setauket, NY 11733 Sandeep Gupta, MD Wasyl Szeremeta, MD UPPER GASTROINTESTINAL (631) 444-4666 (tel) Allison J. McLarty, MD AND GENERAL ONCOLOGIC (631) 444-4610 (fax) Todd K. Rosengart, MD PEDIATRIC SURGERY SURGERY Frank C. Seifert, MD (631) 444-4545 (tel) (631) 638-8086 (tel) Smithtown Ofﬁ ce (631) 444-8824 (fax) (631) 444-6348 (fax) 222 Middle Country Road COLON AND RECTAL SURGERY Thomas K. Lee, MD Philip Q. Bao, MD Suite 209 (631) 638-1000 (tel) Richard J. Scriven, MD Colette R.J. Pameijer, MD Smithtown, NY 11787 (631) 444-4545 (tel) Kevin T. Watkins, MD (631) 444-4545 (tel) (631) 444-6348 (fax) PLASTIC AND (631) 444-4539 (fax) Roberto Bergamaschi, MD, PhD RECONSTRUCTIVE SURGERY VASCULAR SURGERY Marvin L. Corman, MD (631) 444-4666 (tel) (631) 444-4545 (tel) Outpatient Services Center Paula I. Denoya, MD (631) 444-4610 (fax) (631) 444-8824 (fax) 225 West Montauk Highway Arnold R. Leiboff, MD Duc T. Bui, MD Antonios P. Gasparis, MD Hampton Bays, NY 11946 William B. Smithy, MD Alexander B. Dagum, MD Mazen M. Hashisho, MD (631) 723-5000 (tel) Jason C. Ganz, MD David S. Landau, MD (631) 723-5010 (fax) Mark A. Gelfand, MD Apostolos K. Tassiopoulos, MD Steven M. Katz, MD Sami U. Khan, MD