CONTROVERSIES IN SURGERY PROGRAM

June 11-13, 2015

WESTIN HOTEL ANNAPOLIS, MARYLAND

TABLE OF CONTENTS 3 ...... 12 ...... 30

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With our Thanks...... 28 John C. Scott Surgical Endowment Fund...... 27 Open Forum—Free Paper Presentation Paper ...... 25 Open Forum—Free Dr. Arno A. Roscher Endowed Lecture...... 24 Arno A. Roscher Dr. Neurological ad Orthopaedic Surgery ...... 23 Colorectal Surgery Symposium ...... 22 Scientific Abstracts Bariatric and General Surgery...... 22 The Latest Update in Hepato-Pancreatic-Billary Surgery (HPB) ...... 21 Social Activities Keynote Lecture Sponsored by AANOS Lecture Keynote ...... 20 The Dr. Andre Crotti Lecture ...... 20 Andre Crotti Lecture The Dr. Neurological ad Orthopaedic Surgery ...... 20 Trauma and Acute Care SurgeryTrauma ...... 19 Cardiothoracic and Vascular SurgeryCardiothoracic and Vascular ...... 18 Global Surgery Summit ...... 17 Surgical Research Education Debate and Panel Discussion...... 17 and Panel Surgical Research Education Debate Opening Ceremony ...... 16 Annual Research Scholarship Competition ...... 16 Keynote and Endowed LecturesKeynote ...... 15 The Dr. Andre Crotti Award Recipient’s LectureThe Dr...... 14 Scientific Program Credit Designation ...... 10 In Memoriam Accreditation...... 10 -Elect United States Section President Disclosure Policy...... 10 Overall Course Objectives...... 10 Course Sponsor...... 10 US Section Planning CommitteeUS Section Planning ...... 11 Education Continuing Medical Board of Regents and Alliance Board of DirectorsBoard of Regents ...... 10 United States Section Executive Council and Past Presidents...... 8 Past Council and Section Executive United States International Board of Governors...... 8International United States Section President Section President United States ...... 7 Leadership ICS World PresidentICS World ...... 6 Mayor of Annapolis...... 5Mayor Letters of Welcome Letters of Maryland...... 4Governor

Schedule at a Glance ...... Back Cover Annapolis Westin, Floor Plans...... InsideAnnapolis Westin, Back Cover Moderator and Presenter Index...... 36Moderator and Presenter General Meeting Information ...... 45 78th Annual Surgical Update Announcement...... 44 4 GOVERNOR’SWELCOME MAYOR’S WELCOME 5            of  with to    and  forth    during boating enjoy  in    passes highly   cone, I and   walked shore    beauty and States time     on expertise where    relieving back   popping cream  clothing  relax in    some and   United come to ice Jefferson race     Ͳ  Street, techniques,   find Street   period surrounding  they  time   in effective  also Main  as    the Thomas Main    find sailboats knowledge be Surgeons  surgical  fashioned      will  day  of to and     the you  old enjoy    down dressed historic you   the    to an   of surgical   for hope  known  watch regarding College     guide hope you   top  I    your  continue and   Washington been the   enjoying  anchor    to you  sincerely   share colonial    have a as  dock   to discussions  encourage   concert Pantelides world   and George   I  as  International   techniques,   Mayor the that   any Sincerely,  the   Dock, continue the at  that Band    in   gather   fewer, nation, Michael for  visitors,  City   and  surgical  pubs.  you   options  used   around sitting the    As be and from     Academy edge sidewalks  Street  Ͳ  burdens from  up   can While Ladies”.  healthy  Annapolis across esteemed      same Naval to West  your    Me  Update.  cutting  our     to Park. from vessels  other   the  coming   as you  and options restaurants   and     States air    hotel you stress.   Surgical some  share   where   these Lords to    lighter shops,  discussing   surgeons  fresh Campbell   and  your  tips United welcome     be be  Alley a sure  “Me   of    the to  Annual  them   explore Annapolis.    th will will wing Susan unique   not    Ego  out in to  out      tension 77   of at  Enjoy  our I’m you and  hearing prominent       Friends, visit heart stay pleased     walk up  of    calling  front  am  enjoy by Dear I along. other Section, While in Just While Annapolis. nervous out recommend End your your shoes your 6 WORLD PRESIDENT’S WELCOME from our important United States Section. It is onl globalsuccessgeneralofa as surgical societyand The rich historical aspects of the city and the ver States Naval Academy is a well-chosen venue for 77t United the of home the being and (1783-84) Congress Continental the of seat the as served Maryland Annapolis, to continuediscussionsonthisthemein77thAnnualSurgicalUpdate. results with you over the months, forthcoming and am absolutely delighted that Dr. Oliphant has seen appropriate aspire as a college to take on a leadership role in global humanitarian surgery. We look forward to sharing our action and College, the of mission the fulfil better to as so collaborate increasingly to is intent WHO.Our the with lations iated with the World Health Organization (WHO) as a Organization, Non-Governmental and is hence in Official Re- other persons and organizations. In this regard, the International College of Surgeons is, as you know, strongly affil- we doing, must collaborate so where appropriate, as we In more than often not can needs. achieve much more the by working together with about talk simply not and act, to is intent dedicated My basis. global a on needs the address to actions implement to do will Surgeons of College International the what and surgery humanitarian on Taiwan,focused Kaohsiung, was in Council Executive International ICS the of meeting first WorldPresident,my As current issuesbeingcaringfortheunderprivilegedpatient,needstobeclearlyrecognizedandaddressed. goal to improve the health of his/her patients. Jus of today is challenged with balancing the needs of patients in limited often resource environments, with the overall The theme of my two year administration as World Pr to thrive to achieve our goals with meaningful impa International College ofSurgeons World President Professor Yik-Hong Ho Sincerely, inrelationtohumanitariansurgery.on ControversiesinSurgery forward to being with all of you, to the opportunit date will embrace the challenges that we face today, the including underprivileged serving around the world. I look least one step at closer to us this vision. bring It is will therefore my Update sincere hope Surgical that the Annual attendees of 77th the 77th the Annual Surgical that Up- confident am I field.” medical the of advancement the and Our ICS college vision is: “To improve the lives of patients through the development and education of our members into thefellowshipandvisionofcollegeatthismeeting. ships and strengthen surgical networking ties. It i several discussions focusing on “Controversies in S the that confident am I reference, this In College. the of philosophy core a this made and surgery humanitarian to emphasis great Dr.gave Surgeons, Thorek, of Max College International the of founder surgery.The humanitarian gent, in the past two years, worldwide opinion has come together in a more unified of support and keen interest in surgery. While the world has known long for time a that very the need is for universal humanitarian and surgery ur- meetingin such an excellent manner.This year, we w izing committee and all other Fellows of the United in this meeting. I congratulate United States Secti experts in their respective fields. Hence, it is in recincludeswellmanyandthought out well very is The theme “Controversies in Surgery” is very approp of the world, I welcome you to the 77th Annual Surg Onbehalf of all Fellows in the International Colle Dear Colleagues, y appealing social program will be an ideal situati s my hope our ICS fellows will also introduce their y through such active support and participation tha t as important, the challenge of globalization with y to become acquainted with you, and to exchanging much of this must be attributedthismustbemuchof collaborati the to urgery” will urgery” relate to humanitarian surgery. The pr ct upon the international community. esident of the International College of Surgeons is h Annual Surgical Update of the United States Secti deed my privilege and honor to be a participant on President Dr. Uretz Oliphant, his organ- geof Surgeons (ICS) in over 100 countries States Section for organizing this scientific ical Update of the United States Section. riate at this time. The Scientific Program illbe celebrating our 80th anniversary ognized and renownedognizedinternationaland younger colleagues on to renew friend- t we will continue acticing surgeon one of the main on and supportandon humanitarian on meeting. perspectives UNITED STATES SECTION PRESIDENT’S WELCOME 7 g as an tor ore ach. How The Dr. The along with along HEAVEN-GEMINI: 2015 Honorary Fel- Honorary 2015 . We have an outstand- an have We . and and and timely topics across the across topics timely and her here in Annapolis for our for Annapolis in here her h will invite several lively dis- h lively several will invite rofessional development. For development. rofessional Global Surgery Global Ho current International Col- International current Ho - United States Section I would I Section States United - . Profession of Surgery of Profession in the world of surgery; Dr. Frank Lewis, Dr. Thom Dr. Lewis, Frank Dr. surgery; of world the in Controversies in Surgery in Controversies ture will be presented on Saturday by Dr. Ara Tilki by Dr. on Saturday be will ture presented d papers presented by our very talented members. to once again craft a topical and thought-provokin and topical a craft again once to on to share their expertise with us. Continuing a m a Continuing us. with expertise their share to on surgery Dr. John Cameron as our recipient of of recipient our as Cameron John Dr. surgery ing part in our session on on session our in part ing newly appointed American College of Surgeon’s Direc Surgeon’s of College American appointed newly ur organization's core missions: Humanitarian Outre Humanitarian missions: core organization's ur . This should be really interesting! n his ground-breaking research into into research ground-breaking his n . by Timothy Pawlik, MD, Johns Hopkins Hospital. I Pawlik, by appreciate Timothy the

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Honors Luncheon broadest spectrum of surgical science and medical p medical and science surgical of spectrum broadest like to extend our warmest welcome to you as we gat we as you to welcome warmest our extend to like Update, Surgical Annual 77th important covering planned, program educational ing whic two the debates we time, first have structured Yik-Hong Professor have to honored are We cussions. Dear Colleagues; Dear Surgeons of College International the of behalf On

. We are also pleased that several major innovators major several that pleased also are We .

and encompass the topic of of topic the encompass and

On Friday we will honor a true giant and pioneer in pioneer and giant true a honor will we Friday On the to Service Distinguished for Award Crotti Andre low Scalea, Dr. Michel Gagner and Dr. Girma Tefera the the Tefera Girma Dr. and Gagner Michel Dr. Scalea,

of Operation Giving Back have accepted our invitati our accepted have Back Giving Operation of Lec Endowed the Roscher Arno 5 than tradition, year Head Transplantation-The Future Is Now Head Transplantation-The Future Also back is the always popular ethics forum which will touch on a controversial topic of the day,

Again we will have the usual excellent abstracts an MD Bongiorno, Frank Fellow ICS of efforts continued lege of Surgeons World President joining us and tak and us joining President World Surgeons of lege Medical Care Is Being Corrupted joint lecture to be given by. Dr. Sergio Canavero o Canavero Sergio Dr. by. given be to lecture joint Surgeons. Who also have an outstanding program planned. I strongly encourage everyone to attend the attend everyoneto encourage strongly I planned. program outstanding an have also Who Surgeons. award winners during the other distinguished speakers to talk about one of o of one about talk to speakers distinguished other Orthopaedicand Neurological of Academy American the of colleagues our by joined be will we usual As session. Join us Thursday as we welcome our newest members and Research Scholarship Competition

United States Section President Uretz J. Oliphant, MD Sincerely, Welcome all! I know we will have a great meeting! Welcome ferings of Annapolis our historic host city. ferings of Annapolis our historic host city. Finally, I hope you will take the opportunity to explore with your family and colleagues the wonderful of- wonderful the colleagues and family your with explore opportunityto the take will you hope I Finally, our program and hospitality in welcoming us to Annapolis. Learning (SAIL) Center of Anne Arundel Health System (AAHS) in Annapolis for their major contribution to contribution major their for Annapolis in (AAHS) System Health Arundel Anne of Center (SAIL) Learning the Department of Surgery and Chair of the newly created Earl Simulation to Advance Innovation and Department of Surgery, Johns Hopkins University and his faculty, as well as Dr. Adrian Park, Chairman of Adrian Park, as well as Dr. Johns Hopkins University and his faculty, Department of Surgery, I would be remiss if I did not take this opportunity to Jonathan thank Efron, Dr. Interim Director of the 8 2015-2016 INTERNATIONAL BOARD OF GOVERNORS D D D R P D D R P . J D A ROF R D R . H D R A ROFESSOR . E FRICAN R D U . L R AVIER P . J P SIAN R . H . A . S R NITED D ROF ENG ROFESSOR . V RNESTO UIS . R ORGE P R D S AN P NTONIO OI P P ROF . F AID P ICTOR . C R F D P D ROF -C AAD ROF ROF H. F G RESIDENT F . F EDERATION C ROF S R R H IDEL S S EDERATION D HIN HRISTOPHER . N D ARATE AN HIN . A G . A A. D A. M . A A INGAPORE AE OF TATES . F M ONG . H N RANCIS R D R A A ARCIA . T USTRALIA T P IGUEROA . P IGERIA ANUEL F DUBUISI . E COSTA BEL EXICO G LMEHDI R NTONIO A AIWAN C IJ LP ELA DE ELIPE C ERU AN H R ARI . J C AN LEMENT LARCO SANN -L HIAM AEE K ATRICK D DDIE UIZ ORPORATE II S , S IAN , S -T J ONG AINZ IE , S R E D ALIFE K ,P , MD . E INGAPORE S LECT AY H -L A INGAPORE H ECANGCHON K APILA , A -F S INGAPORE S ECRETARY , O HILIPPINES C MERICA C , M UAMAN E H., S B., M INGAPORE , M ECRETARY WAN ONG EALY ASAW C ABIGAS HANG ENG C C KE USTRALIA -M HEN MAN HAN HEN EXICO EXICO C S H ONTAÑO PAIN B RUZ EXICO T ECRETARY , S , A WANG G. AI , P HOMAS INGAPORE , C , P USTRALIA V HILIPPINES IGO HINA , M , T HILIPPINES AIWAN , S EXICO L ATIN PAIN D E D D UROPEAN R P R P D D P A R D . C I ROF R AYMOND AST U A A D P D R R ROF . A P MMEDIATE DDITIONAL R . N MERICAN ROFESSOR . T . D D P NITED R DDITIONAL R ROFESSOR RISPEN . E . C V . C P D ROF . J RT R . P W ELSON U IMOTHY W ROF . G AVID D ICE R RNEST HIH OSÉ P U ORLD . F NITED H . W ETER R H F ORLD -T ROF S UIDO . N . P A. D A. A IRANYAKAS P G EDERATION RANK ONG AE OF TATES P -L AI M USTRALIA B ARAGUAY S. J M. J E C F ERMANY ILSON M . M P IERRE ADEY RESIDENTS RAZIL A HINA EDERATION GYPT L USHAYA UNG Y P L L AST L K ITSUI IETER DEL IM IK IM U P RESIDENT K EN G EE P INGDOM IAO OVER S M ARQUET , A -H ONG , S , S OVERNORS CHULZE , S , S RESIDENTS P P L H F. R L EMBERS , P USTRALIA IN OLLARA RESIDENT A INGAPORE ONG , T , J Y AKIM INGAPORE , A AM INGAPORE INGAPORE , S S MERICA I , T ARAGUAY R ECRETARY HAILAND AMZY USTRALIA ., MD PAIN S AIWAN H V. ECRETARY O D D R P D D D . N R ROF R R D R . T D . P . G D . W R OPADOL R . P R . L ERESITA . Y N ETER ERMAN . G ALTER D AUL ORTH EELA P UE D R T IORGIOS D ROF D . U D P P R -M REASURER M G D T U W R D ACIFIC R . S.G.V ROF R D D P AHALELE . M P A REECE A N . S K R . A O T . N NITED ANOPPO R LISES ORA R ING ROF R ROFESSOR MERICAN RNO . S F AIR . T ERRAZAS RTIN ING . W . A . J UPAKORN IRST P NJULA D IKOLAOS ASAKAZU U URESH -U D . T AKEHITO ROF T , S S R UAN F , H NTONY ICKII R NITED J. R SOULFAS , P UN R . R EDERATION S S RAI EHEMTON I , I . E INGAPORE V OSCHER , I ISHALKUMAR INGAPORE AE OF TATES . J NDONESIA ONG M , C HILIPPINES ICE T B UDI J , B NDONESIA I F NDONESIA , T ODRIGUEZ OHN LIAS APAN EXICO HOMAS NDIA ARRON N K V EDERATION S HINA Y R K Y OLIVIA IGNESWARAN AIR P ARATZIS EN K HAILAND IM O AMAMOTO Y OJANIN INGDOM RESIDENT ONG , MD,USA TSUBO L T UWANA , H , S T AM UMLEY A U , S S AKASAKI B MERICA ECRETARY INGAPORE DWADIA ONG LANCO , M INGAPORE , T , G W., M , J S , J HAILAND APAN ECRETARY REECE K ALAYSIA APAN ONG EXICO United States Section Executive Council & Past Presidents 9 , MD ROUPS , MD G , MD , MD , , MD , MD MIRI URGERY , MD , MD ILLAI S URGERY URGERY , MD , MD -A , LA S S ITWIN , RI , LA , LA , MD , SD , MD ALIFORNIA , TN -P , MA , , KY . TN , IL URGERY PECIALTY , TX URGERY URGERY ITY , CA URGERY URGERY IBARI S , C S S S C ASAKI AHA S S OSCHER TANLEY ALLS ECTAL Z ARON IDGE ITHIANANTHAN F AMAIAH EPLINSKY R IGNESWARAN V R HAMBI URGERY V E.M. L E.M. R HOKOUH P. S P. S. S REASURER NCINO S AZI HICAGO ELAIRE G. S S A. R T ND E ASHVILLE ORCESTER C G EXINGTON AK B J. T ROVIDENCE T. V T. HREVEPORT HREVEPORT LASTIC LASTIC OSSIER IOUX ENERAL RANSPLANTATION RANSPLANTATION A ENERAL C. T N L O IBU ASCULAR P W ACOB S S S T T P P B G G J S ARRY HAND V ARGE OUNCIL OF RNO AVID OEL HATSWORTH L C OSEIN A L ARDIOTHORACIC ARDIOTHORACIC D J C ICKII , C , OLON EMETRIUS C C C HAVAM W D T IVAMAINTHAN M. H HAIR S C , MD , MD , MD , MD , MD EPRESENTATIVES AT , MD , MD , TN , MD EGENTS , PA , MD R , MI URGERY , MD , MD , MD RESIDENT , MD R URGERY URGERY , MD S URGERY , MD EXAS , MI S S ABOR P , TX , KY ALIFORNIA , NV S PSTEIN ILLS , CO , TX , TX URGERY , AZ L LLINOIS URGERY URGERY URGERY , AZ ASSAN E LIPHANT , T S ICHOLS LEIN H S S S , C ONGIORNO H ICOLO ANJAN , I AST O ATHIE K ITTAL ISSANAIKE ABBAGH EGAS RESIDENTS RESIDENTS ANTANA P N R F IRK OUNTAIN D V M S RESIDENT P P ALLDORSSON OARD OF K B. N UCSON P. B P. M DIN RESCOT OULDER P UBBOCK UBBOCK OHN AQUEL RAPEVINE T H. S AS EXINGTON URFREESBORO P NESTHESIOLOGY PHTHALMOLOGY J L L UBBOCK NGELES B RBANA OUTHFIELD RANSPLANTATION , B ENERAL ENERAL ENERAL R -U L G L IJAY ASCULAR L A AZEM S A O ICE IXON M T AST INESH NRICO NDREW U O. H O. G G G RON V EFFERSON V RTHOPAEDIC K DIB E A I V EUROLOGICAL EUROLOGICAL P D RANK D J AKI OBERT OS O ARDIOTHORACIC A F RI HAIR N N HILLIPS RETZ Z HARMILA L R MMEDIATE LARA C A C S P I U C ., DO ., MD R , MD R , MD , MD , MD , MI , MD , MD , J , MD OUNCIL URGERY URGERY , MD , J , MD URGERY ICHIGAN LECT , PA S S , MD , FL , IL URGERY , LA , KS C , MS , CA , MD , OH ILLS S , IL YNECOLOGY OLES , III, MD , MD S URGERY , IL URGERY HU -E URGERY URGERY LECK LVEAR H , NJ URGERY S ACOBS S , M ITY AEE LARK ILL S S S IETER LLYN ACHICHA OCK C ATON C ARDANO FNAN ODBIELSKI & G H E BOULAFIA ELOSI R R HAIR J. J T. A T. A D. C C. B ECRETARY C J.M. C A. D HICAGO S IG A. D A. B J. P AYONNE NION RAIG LEN C N. D AITE REENBELT ARRISBURG OCA TOLARYNGOLOGY REENWOOD B OFFEYVILLE HREVEPORT LASTIC A. P RESIDENT D. A ENERAL ENERAL B G U ALAL ASCULAR G EDIATRIC S B AID C W UYEN H O P G P J G G S V RTHOPAEDIC P ICHAEL HYLLIS Q EUROLOGICAL ARMINGTON IRMINGHAM AXIME LIE OMINGO W. C W. O ARDIOTHORACIC ARDIOTHORACIC P BSTETRICS F N OSEPH B M E ARCO RANCIS D M C C J O AYMOND UALIFICATIONS F NTHONY M R Q A 10 BOARD OF REGENTS & ALLIANCE BOARD OF DIRECTORS M. H A D NTHONY C F EMETRIUS R LARA M RANCIS A N ICARDO G OSEIN AXIME LFRED A ADER H REGORY I A T NDREW L NDEPENDENCE W C K B S B M TTA R L ASSAN H R ARIQ OS R HREVEPORT B OFFEYVILLE OCA ANSAS ALTIMORE EXINGTON H N. D ORCESTER IVERDALE AQUEL ONOLULU ASSACHUSETTS C J. P IVERSIDE OULDER M K L S C I G UDSON A ALIFORNIA F J.M. C I N. H N O. B HOKOUH OUISIANA B. A H OLORADO K MMEDIATE ENTUCKY E.M. L LLINOIS ARYLAND LORIDA NGELES EORGIA R N AWABI ANSAS Rupy Vigneswaran AWAII Kathleen Markley C R ODBIELSKI ARDANO K ATON IAZI C APUTY EDA LEIN E Darla Emmons ONATI KSTEIN ITY ANNA P Ratna Ranjan , FL , CO Alissa Jacobs PSTEIN , MD OLES , KY RESIDENT , GA , HI , MA , IL , MD , MD , KS , KS , LA , FL , MD ITWIN , CA -A , MD , KS P T S , MD , MD , J , MD MIRI ECRETARY REASURER RESIDENT , MD , MD , MD R , MD P , MD ., DO AST , MD U -E NITED P LECT RESIDENT B H S 2015 B ARRY ADOF OARD K TATES C UCHIPUDI HARLES M M J B M L B W. C OHN S O ARTIN G RYAN AHMUD UCIA L L ILAL C ARC OUZAN B L KLAHOMA G N ENE INNE ESLY A S REVE G L N F ITTLE S IRMINGHAM F REENWOOD MITHFIELD ORTH NN B N OLDSBORO AIR AS RAIG N D. W ANTA ORTH ADOF OARD M AIRLAWN M O N M S. S UFFALO M EW C Z N. B S. Z EW L. M R N KLAHOMA EW ISSISSIPPI INOT S HAUDHRY V A AMORANO A ICHIGAN S ISSOURI C B L B E AINVIL OTHBERG EVADA RBOR EGAS NDERSON F M OEUR C TEVENS AWN C J L APINEEDU F ANGASH ASSNER ECTION WERLING ERRY D Y UTLER ERSEY -E AROLINA LARK , ND E USE EXICO C ORK AKOTA , NM , NY R ITY , NJ , NV ID , NJ , NC , MI , NC , MS D , MO , MD , MI , NJ , MD , MD EGENTS , OK , MD , MD , MD IRECTORS , MD , MD , MD , MD , MD , III,MD , MD , MD A Presidential Advisor(s) LLIANCE Mercedita Oliphant Nahomi Jumelle Jennifer Sasaki Birgitta Fathie Ratna Ranjan Vivi Sabbagh James Fane Becky Saha D S IVAMAINTHAN T IRECTORS M HAVAM ARK M D T R B J OHAMMAD OMINGO HOMAS D M AMES D HASKAR ANDE P J P W H IXON S S ACOB ECHANICSBURG P IANE H HILADELPHIA W ERLMUTTER C. T S R IOUX OUTH M M L P L ARRISBURG ROVIDENCE ILLIAMSON B OUTH ARTSVILLE HODE EBANON UBBOCK EST T ENNSYLVANIA EMPHIS EMPHIS ELAIRE D. B O H. L ENNESSEE S M V HAMBI S T V T. A REGON ANTANA HAFER F ITHIANANTHAN N. R EXAS V ARON INCHEFF C F. K ALLS D IRGINIA AROLINA I AUER AZAR SLAND LVEAR AKOTA , TX , OR , TX , TN , TN -P AO , WV , SC , MD , MD,FICS , SD HAN , RI , PA , MD , MD , PA , MD ILLAI , MD , MD , PA , MD , MD , MD , MD , MD ICS-US PLANNING COMMITTEE 11 f unapproved nce is available is nce gory 1 Credits. tegory 1 Credit™ 1 tegory Section designates Section ans. Education (ACCME) Education ould one arise. Our Section is accredited is Section Pathology Belaire, TX Lubbock, TX Lubbock, Nashville, TN Providence, RI Providence, Providence, RI Providence, Plastic Surgery Shreveport, LA General Surgery Los Angeles, CA Los Vascular Surgery Vascular Thoracic Surgery Jacob Varon, MD Reza F. Saidi, MD + Reza F. Saidi, MD Dixon Santana, MD Dixon Santana, MD Transplantation Surgery Transplantation Transplantation Surgery Transplantation +CME Committee Member Committee +CME Arno A. Roscher, MD Arno A. Roscher, Worcester, MA Worcester, Chand Ramaiah, MD * Chand Ramaiah, * Executive Committee Member Committee Executive * General Surgery Accreditation M. Hosein Shokouh-Amiri, MD Disclosure Policy Disclosure Credit Designation Credit Sivamainthan Vithiananthan, MD+ Demetrius E.M. Litwin, MD *+ MD Litwin, E.M. Demetrius Chair Council of Specialty Groups of Specialty Chair Council must disclose all relevant financial relationships with a commercial in- terest prior to being included in the final program. This information is disclosed to the audience prior to The the ICS-US activity. has proce- dures in place to address a conflict of interest Independe sh and Support Commercial on Policy complete on FICS Online or by request faculty from Headquarters. Additionally, members are asked to disclose when any discussion o use of a pharmaceutical or medical device occurs. States Surgeons-United of College International The Medical Continuing for Council Accreditation the by physici for Education Medical Continuing sponsor to States Surgeons-United of College International The this live activity for a maximum of 24 AMA PRA Cateextent the with commensurate credit the only claim should Physicians of their participation in the activity. It is the policy of the International College of Surgeons-US Section that Section Surgeons-US of College International the of policy the is It any individual who is involved in planning or presenting in a program Ca Award Recognition Physician's AMA for designated Urbana, IL Urbana, IL Riverside, IL Boulder, CO Boulder, Lubbock, TX Lubbock, Bayonne, NJ Lexington, KY Lexington, Memphis, TN Grapevine, TX Anesthesiology Trauma Surgery Trauma Ophthalmology Los Angeles, CA Los President Thoracic Surgery Thoracic Surgery Vichin Puri, MD + Neurological Surgery Transplantation Surgery Transplantation Transplantation Surgery Transplantation Obstetrics & Gynecology Andrew Klein, MD *+ Zaki-Udin Hassan, MD Zaki-Udin Hassan, Phillips Kirk Labor, MD Marco A. Pelosi III, MD + Ari O. Halldorsson, MD * Ari O. Halldorsson, ection Francis J. Podbielski, MD*+ Clara Raquel Epstein, MD + Clara Raquel Epstein, have been de- -centered care, Uretz John Oliphant, MD *+ Oliphant, John Uretz It is the expressed the is It re. utting edge treatment edge utting ess gaps in knowledge in gaps ess s to incorporate the lat- the incorporate to s ormation regarding the regarding ormation upon completion of the of completion upon discern when these pro- these when discern red outcome of this pro- this of outcome red cal specialties, residents in residents specialties, cal BJECTIVES O OURSE C Birmingham, MI Birmingham, Course Sponsor Course Surgical Oncology VERALL O An ACCME Accredited Provider Accredited ACCME An CME Committee Chair CME Committee Radiology Michael J. Jacobs, MD *+ Michael Lubbock, TX Lubbock, Amherst, NY Coffeyville, KS Neurosurgery Plastic Surgery Harrisburg, PA Harrisburg, PA Shreveport, LA Boca Raton, FL Boca Raton, Trauma Surgery Trauma Trauma Surgery Trauma Pediatric SurgeryPediatric Greenwood, MS Murfreesboro, TN Orthopaedic Surgery Colon & Rectal Surgery Bryan N. Butler, MD Bryan N. Butler, MD W. Craig Clark, MD + Domingo T. Alvear, MD Domingo T. Alvear, Sharmila Dissanaike, MD Maxime J.M. Coles, MD + International College of Surgeons - United States S States United - Surgeons of College International Frank P. Bongiorno, MD + Frank P. Bongiorno, Horacio R. D'Agostino, MD Anthony N. Dardano, Jr., DO The Annual Surgical Update is designed to offer inf offer to designed is Update Surgical Annual The the following competencies: patient care or patient improvement and professionalism. latest surgical advancements and technology to addr to technology and advancements surgical latest surgi all in surgeons practicing for exist may that desi The c professionals. in health allied and competency training, better knowledge, increased is gram making. decision treatment enhanced that and modalities, material enough provide to course the of decision goal educated make can as participant well the as activity technologies and techniques surgical ca est patient optimum provide to warranted are cedures presentedTopics during the Annual Surgical Update signed to address and improve the attendees knowledge and skills in medical knowledge, practice-based learning & improvement, quality 12 UNITED STATES SECTION PRESIDENT-ELECT the International CollegeofSurgeons. dissemin be can that strategies surgical innovative His goals are to enhance the well-being of the comp sites. new exploring and family his with abroad traveling enjoys particularly He life. his of highlight absolute the are who children, two their and Alissa wife his with time spending enjoys Dr.Jacobs safe patient exceptional for strives he and Surgery Hi Association. Surgical Detroit the and Detroit of Program at He St was the John Providence Hospital. and created has and Program, Pancreas and tobiliary A the as serves currently He research. clinical and publishe has and work, missionary surgical in pated ha He pancreaticoduodenectomy. laparoscopic totally hepa laparoscopic totally as such procedures scopic t surgical improved and developed has He Caribbean. Profes Clinical and Detroit University, State Wayne Cl of rank the to rose and Hospital Providence John me a as 2002 in practice private entered Jacobs Dr. andpancreassurgery.he learnedfromthemastersofcomplexhepatobiliary The traveling fellowship included rotations at the enabled him to further develop his passion and skills for complex hepatobiliary and pancreas surgery. completed a Complex Surgical Oncology Traveling Fellowship in 2002 from Providence Hospital that He 2001. in Resident Chief Administrative the as Residency Surgery General his completed he and Dr. Michael Jacobs entered the field of Surgery in U NITED S TATES T ERM S M ECTION C ICHAEL OMMENCING 1996 at Providence Hospital in Southfield, Michigan Mayo Clinic and St James’ in Leeds, England where I s primary passion is to enhance the field of HPB of field the enhance to is passion primary s ssociate Chair of Surgery, Director of the Hepa- the of Director Surgery, of Chair ssociate ated through worldwide organizations, such as such organizations, worldwide through ated NTRODUCING ty and outcomes. outcomes. and ty - I sor of Surgery with American University of the of University American with Surgery of sor lex surgical patient through communication and P youngest President of of the youngest Surgery Academy currently directs the HPB Surgery Fellowship Surgery HPB the directs currently mber of the Surgical Teaching Faculty at St. at Faculty Teaching Surgical the of mber tectomy, laparoscopic pancreatectomy, and pancreatectomy, laparoscopic tectomy, d extensively in the realms of basic science basic of realms the in extensively d NTERNATIONAL RESIDENT inical Associate Professor of Surgery with Surgery of Professor Associate inical s lectured on surgery worldwide, partici- worldwide, surgery on lectured s J. J O THE FOR echniques, particularly advanced laparo- advanced particularly echniques, J ACOBS ANUARY , MD C 1, 2016 LEEOFOLLEGE S URGEONS IN MEMORIAM 13 Miami, FL Chicago, IL Dayton, OH Dayton, Roanoke, VA Roanoke, VA Spokane, WA Spokane, WA Las Vegas, NV Las Vegas, Chino Hills, CAChino Hills, Ottawa Hills, OH Ottawa The Woodland, TX Woodland, The Corpus Christi, TX Corpus Carlos Max, MD Carlos Max, David Sandler, MD David Sandler, Robert P. Turk, MD Robert P. Turk, Sabry F. Gohara, MD Sabry F. Gohara, Douglass D Fear, MD Douglass D Fear, Theodore N Zekman, MD Theodore N Zekman, Pedro A. Rubio, MD, PhD MD, Rubio, A. Pedro Juan D. Asuncion, Jr., MD Jr., Juan D. Asuncion, Corazon A. Manayan, MD Corazon A. Manayan, Raul Lopez-Guerra, Jr, MD Jr, Raul Lopez-Guerra, rever honored for their noble role on earth as of us whose lives these physicians touched are left are touched physicians these lives whose us of D H healers of their fellow man. , MD, P MD, , UBIO greatly saddened, for they are with us no longer. no us with are they for saddened, greatly A. R A. EDRO P ICS World President, 1995 World President, ICS 1989 President, Section US knowledge and doing good to good doing and knowledge our fellow benevolent act of a a kind man, is God.

Yet, in the scheme of the Almighty, they will be fo

In his time, a physician touches many lives. Those Those lives. many touches physician a time, his In Debbie and the entire Rubio family. 1995. Condolences are extended to his wife and then served as the ICS World President in Rubio was the ICS US Section President in 1989 both the national and international level. Dr. ber. ber. He held numerous leadership positions at Pedro Pedro Rubio was an extremely active ICS mem- nobility throughout the world. the throughout nobility countless honors from heads of state, leaders and leaders state, of heads from honors countless United States and three in Mexico. He has received has He Mexico. in three and States United Surgery and six other prestigious boards in the Dr. Rubio was certified by The American Board of Board American The by certified was Rubio Dr. Technology as well as several Honorary Degrees. Honorary as several as well Technology in Surgical Technology, and a PhD in Biomedical in Technology, Surgical versitat in Kiel, Germany. He holds a BS and an MS an and BS a holds He Germany. Kiel, in versitat and Prof. Dr. Kurt Semm at Christian Albrechts Uni- Albrechts Christian at Semm Kurt Dr. Prof. and B. Taussig, MD at University; The Hopkins Johns B. Taussig, University of Cincinnati College of Medicine; Helen Medicine; of College Cincinnati of University his mentors he included Albert Sabin, MD Albert Sabin, at he his the included mentors Bakey, MD, and Denton A. Cooley, MD. Among MD, A. and Denton Cooley, Bakey, of Medicine under the direction of Michael E. De- E. Michael of direction the under Medicine of diovascular and thoracic surgery at Baylor College Baylor at surgery thoracic and diovascular Texas. He his in completed training car- general, Texas. surgery in Mexico City, he relocated to he Houston, relocated surgery in City, Mexico Mexico. After Mexico. two years of in training orthopedic from the Universidad Nacional Autonorna de Doctor Doctor of Medicine and Surgery degree in 1968 raised in Mexico City, Dr. Rubio was awarded the awarded was Rubio Dr. City, Mexico in raised in late March 2015 at the age of 70. Born and Professor Pedro A. Rubio, MD, PhDA. Rubio, Pedro Professor away passed That these bodies should be lent to be should these bodies That can afford as they as long us assist us pleasure, in acquiring us JOHN L. CAMERON, MD RECIPIENT OF THE DR. ANDRE CROTTI AWARD FOR DISTINGUISHED SERVICE TO THE PROFESSION OF SURGERY

AND INTERNATIONAL COLLEGE OF SURGEONS HONORARY FELLOWSHIP

The US Section has selected Dr. John L. Cameron to receive the Dr. Andre Crotti Award for Distinguished ECIPIENT Service to the Profession of Surgery. Cameron, the second recipient of this prestigious award, embodies the

R professional excellence and achievements of Dr. Crotti, who served as the first President of the US Section.

Cameron is the Alfred Blalock Distinguished Service Professor of Surgery at The Johns Hopkins University School of Medicine. For nineteen years he served as the Chief of Surgery at The Johns Hopkins Hospital. Dr. Cameron obtained his undergraduate degree from Harvard University in 1958 and his medical de- gree from The Johns Hopkins University School of Medicine in 1962. All of his training in General and WARD Thoracic Surgery was obtained at The Johns Hopkins Hospital. Dr. Cameron has had a long-standing

A interest in alimentary tract diseases, and specifically in pancreatic cancer. He has operated upon more patients with pancreatic cancer, and done more Whipple resections than any other surgeon in the world. He has been a leader in Alimentary Tract Surgery for many years. National leadership positions held include being President of the Society for Surgery of the Alimentary Tract, President of the Southern Surgical Association, President of the Society of Clinical Surgery, President of the Society of Surgical

ROTTI Chairman, President of the Halsted Society, and President of the American Surgical Association. Most recently he served as President of the American College of Surgeons. C

THE DR. ANDRE CROTTI AWARD FOR DISTINGUISHED SERVICE TO THE PROFESSION OF SURGERY NDRE Dr. Andre J. Crotti was the first President of the US Section (1937) and the second ICS World President (1938). Dr Crotti was Medical Director of the Free Cancer Clinic in Columbus, Ohio, an institution he had founded in 1921. . A . The Clinic was chiefly devoted to early detection and diagnosis of cancer. Recognizing the need for large sophisticated R cancer centers where first-rate scientists would work together, Dr. Crotti, in later years, directed his energy to pro-

D moting a merger of the Clinic with the Health Center at Ohio State University. His vision became a reality in 1953 when the Clinic merged with the new Cancer Research Laboratories of the Health Center at Ohio State University.

HE Dr. Crotti, a founding member of the College is credited with the development of the College motto: Pro omni

T humanitate [for all humankind] and aphorism: La science n'a pas de patrie, parce que le savoir est le patrimoine de l'humanite, le flambeau qui eclaire le monde… [Science has no country, because knowledge is the patrimony of mankind, the torch that illuminates the world.] which is of course, a quote of Dr. Louis Pasteur. Finally, Dr. Crotti was also responsible for the conception and execution of the “French Certificate” Fellowship Diploma of ICS.

Dr. Crotti’s abundant contributions to the profession of surgery and the growth, success and prosperity of our United States Section are without question. He will serve as an admirable example for years to come to all those 14 who are selected to receive The Dr. Andre Crotti Award for Distinguished Service to the Profession of Surgery. KEYNOTE AND ENDOWED LECTURES 15 er er ling ture the er in er s dis- s ion of sicians key to o text- is is goal: ascular in stim- in ension. n 2011. n tion will tion . Robert . case of sis (CSA) sis s field at field s acts and acts ardiomy- yndrome. hs in place in hs Dr. Tilkian’s Dr. , CA NGELES A OS ECTURE L AANOS NDOWED E ternational levels. When he contributed $100,000 to the US Section in 2009 the ArnoDr. A. Roscher Endowed Lec was established. This year marks the seventh anniversary of this special lecture that has featured renowned phy presenting on varied topics ranging from the Reductto Testing Genetic Molecular to Disparities Health Cardiomyopathy. presentation this year on Takotsubo many lines of research, some from the past, to recast the fusion in new terms. of spinal cord problem that prove forwardand science push will he 2015, June In a severed spinal cord can behopeles of reconnectedcure the only with Not anoth consequences? The one. in monkeys, but could not rejoin the spinal cord. H cord. the spinal not but rejoin could in monkeys, disorders. medical intractable curing Now, in an unprecedented turn of events, and fulfil Robert White’s prophecy, Dr. Canavero brings togeth orders, but the opening of a new frontier: life ext will You hear from him directly why he will be the first to achieve a full head transplant which will hold the the future of mankind. And more… Recently, he made the news for pushing cortical bra cortical pushing for news the made he Recently, psychopat criminal of rehabilitation the in ulation penalty. of the death In the century that transplanta will head-body before, see never like medical life human technology Dr impact neurosurgeon US 1970, In edge. cutting the at be anastomo cephalosomatic first the out carried White ology Program at Providence Holy Cross Medical CentMedical Cross Holy Providence at Program ology Mission Hills, California since 1989. UCLAof Medical faculty clinical the on been has Tilkian Dr. car- of teaching the participatein to continues and Center abstr 20 over published has He fellows. diovascular articles in peer review journals and has written tw books in cardiology. C Stress in interest an developed has he 2001 Since s this with cases 250 over collected has and opathy thi in experience and observations his presented He i Armenia in Congress Medical International 3rd the Heis board certified in internal medicine, cardiov diseaseand interventional cardiology. He continues activepractice ofcardiology, looking for the next Takotsubo cardiomyopathy! PONSORED BY s in ut g- rst S OSCHER the ardi- eived is car- is en an en on for A. R . Penfield, . ECTURE L RNO he ArnoDr. A. t . A R , MD, FICS (HON.) FCAP, FASCP, L , MD, FICS FASCP, (HON.) FCAP, D EYNOTE K HE T OSCHER A. R RNO A

Dr. Sergio Canavero is Director of the Turin Ad- Turin the of Director is Canavero Sergio Dr. tank think a Group, Neuromodulation vanced devoted to the advancement of brain stimu- lation. He entered neurosurgery with the goal of Dr. Arno A. Roscher, a trained surgeon who im- who surgeon trained a ArnoA. Roscher, Dr. migrated to the United States from Germany and pursued a successful career in Pathology, has been a Fellow of the International College of Surgeons since 1968. Dr. Roscher mained has active re- in ICS activities throughout his Dr. AraDr. G. Tilkian will present Roscher Endowed Lecture. Tilkian was born in formative a spent He Syria. Kesab, of village the Field American an as Montana Missoula, in year from graduated and ServiceStudent Exchange membership with School High County Missoula

And The Quest For ImmortalityAnd The Quest For (Dec 2014). Over the past 30 years, he focused on making the fi Transplantation Head including credit, his to books several transcending human limits. In the tradition of Prof of tradition the In limits. human transcending the Brain. sciousness is Not in and publications peer-reviewed 100 over has He recovery. which he discusses in his book IMMORTAL. Why Con- stroke and 2008) December in outlets internationalmedia he believes the brain only acts as a filter to consciousness head transplant possible. Along the way he worked o 2007), introduced surgical cortical brain several in (featured state stimulativegetative the disease, Parkinson

cation of his Cambridge University Press monograph genius” by the US website following painonline.org publi- has been hailed as a “benefactor of mankind” and “Italian and mankind” of “benefactor a as hailed been has the genesis of at Central the Pain age of 27 (for which he ford University Medical Center where he completed h completed he where Center Medical University ford Bachelor of Science degree with Distinction. He rec Chicago. Post graduate training included 5 years at Stan- be has and1975 Angeles in Los toTilkianmoved Dr. Group since then. He has been the director of the C American University of Beirut, Lebanon and was reco nized as an outstanding freshman and graduated with a his MD degree with Honors at the University of Illinois in diology training. active member of Cardiovascular Consultants Medical in the Alpha Omega Alpha Honor Society. He attended He Society. Honor Alpha Omega Alpha the in

over 40 years as a member. He has also held numerou elected leadership positions at both the US Section and In- 16 SCIENTIFIC PROGRAM Southfield, MI William Mathews, MD, FICS, CollegeofMedicine,Urbana, IL bana-Champaign, Uretz J. Oliphant, MD of Surgery, James CookUniversity, Townsville, Australia Professor Yik-Hong Ho, MD, MBBS (Hons), FICS, Inter as well as the US Section President and Chair, of t The formal opening of the meeting will include intr 10:00-10:15 AM Alireza Hamidian Jahromi, MD Evaluation ofUrineFibrinogenLevelinaMurineModelContrastInducedNephropathy FICS(J) MD, Bhullar, S. Jasneet Invasive OrthotopicMurineModelofPancreaticCancer Novel Concept of Electrocoagulation and Pancreatic Anand Tarpara, MD Approach t Tear Artery Gluteal Superior of Embolization Coil Mark Weismiller,MD Treatment on Groin Postoperative for Identification Factor Risk addi An Update. Surgical Annual the to prior mittee Com- Scholarship Section ICSUS the of members the by scored and judged are papers All competition. annual this for application clinical pertinent with paper research clinical original an submitted Participantshave fellows. surgical The Scholarship Committee of the ICS-US Section accepts submissions from medical students, surgical residents and 8:00-9:45 AM icine, Lubbock, TX Center-Shreveport, Shreveport, LA Center-Shreveport, Shreveport, Walnut Creek,CA Moderators: ChandRamaiah,MD&JianzhongHuang, the brightestyoungmindsinmedicineandsurgery. of some by conducted being research latest the with presented be will session this in Participants prizes. awarded be will score combined highest the with those and tallied be will Scores Annapolis. in meeting the during research , PGY-1 Resident, General Surgery, Texas Tech Unive , Surgery Resident,Providence HospitalandMedicalCenters,Southfield,MI , Surgery , FICS , United States Section President, Head, Department of Surgery, University of Illinois Ur- Chair, American Academy of Neurological and Orthopa R , , Chief Resident, Department of Surgery. ProvidenceSurgery. of Department Resident, Chief , FICS ESEARCH T , General Surgery Resident (PGY-III), Louisiana Sta HURSDAY Coffee Break - 9:45-10:00 AM Coffee Break-9:45-10:00AM O S PENING he American Academy of Neurological and Orthopaedic CHOLARSHIP oductions and welcoming remarks made by the ICS Wor , J tional panel of judges will score the oral presenta oral the score will judges of panel tional UNE national College of Surgeons, World-President C EREMONY Incision Complications and Recommendations and Complications Incision hrough Ipsilateral Popliteal Artery: A Unique A Artery: Popliteal Ipsilateral hrough Tumor Cell Implantation: Creation of Minimally 11, 2015 C OMPETITION rsity Health Sciences Center School of Med- edic Surgeons, Neurosurgeon, te University health Shreveport Hospital & Medical Centers, Medical & Hospital C C APITOL APITOL Surgeons. ld President tion of the of tion , Professor A&B A&B SCIENTIFIC PROGRAM 17 D A&B A&B , Professor , APITOL linical) Alpert re. In addition, In re. C ed a resolution a ed e it is not readily not is it e week rule estab- rule week APITOL APITOL annually because annually patient care. patient illion people in low people illion C C experts will discuss will experts ption that high cost high that ption ISCUSSION D Service Delivery and Safety Department, Safety and Delivery Service ANEL P ogram UMMIT S 11, 2015 11, natives EBATE AND UNCHEON D L national College of Surgeons, World-President Surgeons, of College national UNE URGERY S ted to provide surgical care to those in areas wher areas in those to care surgical provide to ted , J rgical care around the world. world. the around care rgical d underfunded. Millions suffer and lose their lives their lose and suffer Millions d underfunded. , MPH, MBA, FICS, Associate Professor of Surgery (C receiving adequate training under the 80 hour work work hour 80 the under training adequate receiving presentatives from the WHO, the ACS, the ICS and mo and ICS the ACS, the WHO, the from presentatives ater importance on cost savings rather than quality than rather savings cost on importance ater the population. Surgical care for approximately 2 b approximately for care Surgical population. the possible solutions will be presented and a panel of panel a and presented be will solutions possible ed as a health priority due to the inaccurate perce inaccurate the to due priority a health as ed he WHO’s World Health Assembly Executive Board pass Board Executive Assembly Health World WHO’s he ONORS FICS H DUCATION , LOBAL E G HURSDAY T , MPH, MBA, Assistant Professor, University of Maryland, University Baltimore, MD MBA, Assistant Professor, , MPH, ESIDENT R , Emergency & Essential Surgical Care Program Lead, Program Care Surgical Essential & Emergency , , Executive Director, American Board of Surgery, Philadelphia, PA Philadelphia, American Board of Surgery, , Executive Director, , Professor of Surgery, Vice Chair, Division of Vascular Surgery, Medical Director, Operation Giving Medical Division Surgery, Director, of , of Vice Vascular Professor Surgery, Chair, OON URGICAL S -1:30 PM Mayur Narayan, MD, FICS Mayur Narayan, Sivamainthan Vithiananthan, MD

OON vs

the future implications of a system that places gre places that system a of implications future the of Surgery, James Cook University, Townsville, Australia Townsville, James Cook University, of Surgery, Switzerland Geneva, HQ, Organization- Health World

continued on next page Operation Giving Back: Advocating for the Global Surgical Patient Girma Tefera, MD

Meena Nathan Cherian, MD Cherian, Nathan Meena Madison WI Back, American College of Surgeons, University of Wisconsin-Madison, The WHO Emergency and Essential Surgical Care (EESC) Pr

Professor Yik-Hong Ho, MD, MBBS (Hons), FICS, Inter FICS, (Hons), MBBS MD, Ho, Yik-Hong Professor ICS and Humanitarian Surgery - it is More Blessed to Give Than to Receive ICS and Humanitarian Surgery - it is More Blessed to Give Than As a world-wide organization, ICS has always attemp always has ICS organization, world-wide a As Moderator: Uretz Oliphant, MD 1:30-3:45 PM

N Panel Discussion Frank R. Lewis, Jr., MD global health crisis. Improving Surgical Residency Training: Future Alter overlook been has surgery Traditionally, available. of proportion a limited only benefit interventions an is under-prioritized countries income middle and t 2014 of May In care. surgical to access lack they su essential and emergency strengthen to seeks that re key from presentations include will session This an interactive panel will be assembled that will discuss where we are and where we should be going to address this PRO: CON: Debate - The New Surgical Training Model - Are New Graduates Ready for Practice? New Graduates Ready for Practice? Surgical Training Model - Are Debate - The New A debate addressing whether surgical residents are are residents surgical whether addressing debate A Moderator: Demetrius Litwin, MD Demetrius Moderator: 10:15 AM-N 10:15 lished in 2003. After the debate, alternatives and and alternatives debate, the After 2003. in lished

pitals Providence, RI pitals Providence, Medical School of Brown University Chief, Minimally Invasive and Bariatric Surgery The Miriam and Rhode Island Hos- Island Rhode and SurgeryMiriam Bariatric The and Invasive Minimally Chief, University Brown of School Medical 18 SCIENTIFIC PROGRAM cases discussed and be better prepared to provide o provide to prepared better be and discussed cases improve will participants course this of completion Surgical Missions:HowDoWeMeasureSuccess? to exploredining&funinourhostcityofAnnapolis. out head you before & colleagues friends your with reconnect and relax to chance a with ends CME of day first Our 6:00-7:00 PM TX Center, Lubbock, Sciences FICS MD, Santana, Dixon Why theFilter:WhatIsAllThisNoise? Francis J. Podbielski, MD, MS, FICS Update onLungCancerScreeningPrograms Back, AmericanCollegeofSurgeons,UniversityWisconsin-Madison,MadisonWI MD Tefera, Girma Endovascular RepairforRupturedAAAisSuperiortoOpen Daniela Molena,MD f Option Good a Esophagectomy Invasive Minimally Is t and identification the on focus will session This Dixon Santana,MD&BakirAltai, Moderators: 4:00-6:00 PM Julie Varughese,MD In in Practice Best Essential Partnership: of Power Innovation andLearning (SAIL)CenterofAnneArundelHealthSystem(AAHS)in Annapolis,Maryland Adrian Park, MD The GlobalizationofSurgicalCare:StateEducation Domingo T.Alvear,MD,FICS 1:30-3:45 PM , Chairman of the Department of Surgery and Chair o , Professor of Surgery, Vice Chair,Surgery,ProfessorVascularVice of , of Director,Surgery,Division Medical Giving Operation , AssistantProfessor ofSurgery, JohnsHopkinsUniversity, Baltimore,MD , AmeriCaresMedicalOfficer, Greenwich,CT , Associate Professor in Surgery Vascular and Endov and Vascular Surgery in Professor Associate , C , Chief, Pinnacle DivisionofPediatric HealthSystem,Harrisburg,PA Surgery RITOAI AND ARDIOTHORACIC G , Visiting Clinical Associate Professor of Surgery, T LOBAL HURSDAY Coffee Break - 3:45-4:00 PM Coffee Break-3:45-4:00PM O S PENING URGERY reatment options for challenging cases in vascular vascular in cases challenging for options reatment their understanding of the various options to trea to options various the of understanding their , J ptimum patient care. patient ptimum UNE S R UMMIT ternational Medical Outreach Medical ternational ECEPTION V ASCULAR 11, 2015 or Treatment of Esophageal Cancer? Esophageal of Treatment or ( CONTINUED f the newly created Earl Simulation to Advance S URGERY ) ascular Surgery, Texas Tech Health TechTexas Surgery, ascular University of Illinois, Riverside, IL C C S surgery. Upon surgery. APITOL APITOL t the types of types the t ENATE A&B A&B A&B SCIENTIFIC PROGRAM 19 A&B A&B es including: APITOL APITOL ted to provide C C trolSurgery, and I II da Atlantic Charles University, E ART ART P P Colorado Medical Center and Denver Health Denver and Center Medical Colorado f the newly created Earl Simulation to Advance to Simulation Earl created newly the f d Critical Care Medicine, Emergency Medicine Morbidity After Ventral Hernia Repair: URGERY URGERY S S 12, 2015 12, ARE ARE C C del for acute care surgery. UNE of various aspects of trauma-related surgical issu CUTE CUTE , J will increase their knowledge of the topics presen SurgicalSite Morbidity,Diverticulitis, Damage Con A A Coffee Break - 9:45-10:00 AM RIDAY F , Associate Professor of Biomedical Sciences, Flori

RAUMA AND , Chief, Division of Pediatric Surgery Health System, Harrisburg, PA Division of Pediatric Pinnacle , Chief, RAUMA AND , Associate of Interim Professor Surgery, Director of the Department of Johns Surgery, T T Associate Professor of Neurosurgery, University of of University Neurosurgery, of Professor Associate

, , , Professor of Surgery, University of Maryland University MD School of Medicine, Baltimore, of Surgery, , Professor , Professor of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD Johns Hopkins University School of Medicine, Surgery, of , Professor , Associate Professor of Surgery, Anesthesiology an , Chairman of the Department of Surgery and Chair o Chair and Surgery of Department the of Chairman , OON

improved patient care and also learn about a new mo

Traumatic Brain Injury. Participants in this course Innovation and Learning (SAIL) Center of Anne Arundel Health System (AAHS) in Annapolis, MarylandInnovation and Learning Thomas M. Scalea, MD Innovative Management for Traumatic Brain Injury: Compartments Communicate Innovative Management for Traumatic Brain Injury: Compartments Damage Control Surgery FICS MD, Bolles, E. Gene Adrian Park, MD Park, Adrian Acute Care Surgery Model in the World of Specialty Surgery David Efron, MD The Multidisciplinary Management of Complex Hepatic Trauma The Multidisciplinary Management Moderators: Domingo Alvear, MD & Mayur Narayan, MD 10:00 AM-N

Fred Eckhauser, MD Novel Wound Management System Reduces Surgical Site Jonathan E. Efron, MD, FICS Schmidt School of Medicine Diverticulitis Baltimore MD Hopkins University, A Critical Analysis Sternal and Rib Plating for Trauma and Sternal Dehiscence Plating for Trauma and Sternal Sternal and Rib Anthony N. Dardano, DO, FICS

Controversies in the Management of Perforated Appendicitis in Children - 2015 the Management of Perforated Controversies in MD, FICS Domingo T. Alvear, This two-part session offers a comprehensive review Moderators: Moderators: MD MD & Livio Romani, Andrew Klein, 8:00-9:45 AM 8:00-9:45 AppendicitisinChildren, Sternal and Rib Plating,

Chief, Division of Acute Care Surgery, Baltimore, MD Division of Acute Care Surgery, Chief, Medical Center, Denver, CO Denver, Center, Medical 20 SCIENTIFIC PROGRAM and Sports Medicine Center Annapolis, Maryland, Annapolis,MD MedicineCenterAnnapolis,Maryland, and Sports (See page15 for moreinformation.) Sergio Canavero,MD HEAVEN-GEMINI: Head Transplantation—The Future Is N we why is That limits. the Pushing surgery? is What Uretz Oliphant,MD&WilliamMathews, Moderators: 1:30- 3:00PM John Cameron, MD William StewartHalsted:OurSurgicalHeritage Halsted, generally regarded as the most innovative There is perhaps no story in medical science over t Uretz Oliphant,MD Moderator: N Charles Xeller,MD,FICS Current StateofOpioidGuidelines Gary Dix,MD Minimally InvasiveInstrumentedSurgeryforSacroiliacJointDysfunction Chad Patton, MD, MS Surgical ManagementofBackPain like-minded to organizations advance the art and sc the of Section States United the of goal primary A Moderator: W. MD Craig Clark, 9:00-11:00 AM linkage (GEMINI). for discussion of HEAVEN: the head anastomosis venture project for the first human head transplantation with spinal the power tap of to the on central move nervous systemnow andcan physiology,makewe sensory it wor and motor of view correct the was believe to used we what The past has given us the key to achieve spinal cor kinds. all of monkey,criticisms a in on drowned transplantation was head he first his out carried White Robert When nature. isoutsmarting routine. Samegoesforthebrain.Nottomentiontransplantation. Surgery is it now grasp, our beyond be to believed was heart the on surgery ago, decades few a than more No achievable. is in his own right considered a pioneer in surgery and magnitude of Dr. Halsted's contributions to sur Hopkins University School of Medicine, Baltimore, M been developed with the support and assistance of t of assistance and support the with developed been Orthopaedic and Neurosurgery of specialties the in with the American Academy of Neurological and Ortho by renowned surgeons in these major surgical specia surgical major these in surgeons renowned by Committee. Presentations include abstract submissio OON -1:30 PM , Neurosurgeon, Maryland BrainandSpine,Annapolis,MD , Neurosurgeon,Maryland , 2015 Andre Crotti Award Recipient, The Alfred Bla , Spine Surgery Medical Director, Anne Arundel Medi , Director, Turin Advanced NeuromodulationGroup,Turin, Italy , Orthopaedic Surgeon,League, Orthopaedic City, TX L N K NHAND UNCH UOOIA AND EUROLOGICAL EYNOTE F RIDAY L Coffee Break - 3:00-3:15 PM Coffee Break-3:00-3:15 PM ECTURE T HE , will remind us all about this important individua d fusion and conduct the first human head transplan he past 100 years more fascinating than the life of gery are staggering. This year’s Dr. Andre Crotti A , J and influential surgeon the United States has produ D D ience ience of surgery. For more than 10 years, the Colle International College of Surgeons is to foster rela foster to is Surgeons of College International ns ns from members of both groups as well as invited p k. This lecture will include details about and prov became surgeons. Testing our limits and the limits the and limits our Testing surgeons. became R lties. Surgery. The sessions presented on Friday and Satur and Friday on presented sessions The Surgery. UNE he Academy, its Board of Directors and Scientific O Scientific and Directors of Board its Academy, he S . A paedic Surgeons (Academy) to develop scientific pro OSRDBY PONSORED O NDRE RTHOPAEDIC 12, 2015 ow C ROTTI lock Distinguished Service Professor, The Johns cal Center Spine Program, The Orthopaedic AANOS S L URGERY ECTURE l from our past. ward recipient, who Dr. William Stewart ced. The number ide opportunities t. By questioning C S ge ge has worked tionships with tionships APITOL ENATE C resentations of what is what of gramming APITOL day have day rganizing A&B A&B D SCIENTIFIC PROGRAM 21 pital, A&B ENATE S S. Using evidence- Using S. al management of management al ancreas. URGERY University School of Medicine, (HPB) S (HPB) ILIARY Organ Transplantation Department of Surgery of Department Transplantation Organ -B 12, 2015 12, After Liver Transplant Liver After , Assistant Professor of Surgery, Johns Hopkins Hos ANCREATO -P UNE , Attending Surgeon Providence Hospital, Southfield, MI Hospital, , Attending Surgeon Providence involving the liver, gallbladder, bile ducts and p and ducts bile gallbladder, liver, the involving nce, RI nce, , J erts from Johns Hopkins as well as by members of IC of members by as well as Hopkins Johns from erts a comprehensive overview of the surgical and medic and surgical the of overview comprehensive a EPATO H RIDAY F Matthew Weiss, MD , Cedars-Sinai Medical Center, Los Angeles, CA Los , Cedars-Sinai Medical Center, , Associate Professor of Surgery, Pathology and Oncology, Baltimore, MD and Oncology, Pathology of Surgery, , Associate Professor , Professor of Surgery and Oncology, Johns Hopkins Hospital, Baltimore, MD Surgery of , Professor and Oncology, , Associate Professor of Surgery, The Johns Hopkins PDATES IN U , Professor of Surgery of , Professor Johns Hopkins Hospital, Baltimore, MD , FACS, Assistant Professor of Surgery Division of of Division Surgery of Professor Assistant , FACS, ATEST Michael J. Jacobs, MD, FICS Michael J. Jacobs, L HE T

vs

Baltimore, MD University of Massachusetts Medical School, Provide School, Medical Massachusetts of University Reza F. Saidi, MD, FICS MD, Saidi, F. Reza Liver Transplantation for Malignant Neoplasms Liver Transplantation for Malignant Alagappan Annamalai, MD, FICS Incidence and Risk Factors of Deep Vein Thrombosis Thrombosis Vein Deep of Factors Risk and Incidence Timothy Pawlik, MD, MPH, PhD Controversies and Updates in Management of Patients with Intrahepatic Cholangiocarcinoma Controversies and Updates in Martin Makary, MD, MPH Laparoscopic Pancreas Surgery Christopher Wolfgang, MD, PhD Cystic Neoplasms of the Pancreas based medicine, this session is designed to provide to designed is session this medicine, based diseases and neoplasms, malignancies, with patients Recent Advances in Liver Transplantation: HCC, Hepatitis C, and Sharing Recent Advances in Liver Transplantation: Andrew Cameron, MD, PhD Open Approach: Open Approach: Minimally Invasive Approach: Debate - Controversies of Pancreatectomy Debate - Controversies

Various HPB related topics will be addressed by exp by addressed be will topics related HPB Various Moderators: Moderators: Reza Saidi, MD MD Michael Jacobs, &

3:15-5:45 PM 3:15-5:45 Baltimore, MD 22 SCIENTIFIC PROGRAM of complex abdominal wall hernias; whether to use a Schmidt SchoolofMedicine continued onnext page FICS(J) MD, Taggarshe, Deepa Controversi and Options Current Incontinence: Fecal Aura Delgado-Cifuentes, MD Controversies intheCurrent ManagementofClostridiumDifficileColitis at Buffalo,NY FICS MD, Butler, N. Bryan TAMIS (TransanalMinimallyInvasiveSurgery) (TAMIS) Bashar Safar,MD Controversies inColorectalRoboticSurgery Jonathan E.Efron,MD,FICS Management ofRecurrentRectalCancer rounding roboticsurgery, rectalcancer, andTAMIS diverticulitis willbeaddressedduringthissession. sur-Controversies field. this in advances recent most the about learn to opportunity an surgery colorectal of aspects various in interest an have who specialists other as well as surgeons colorectal and general provide will session This Bryan Butler,MD&JonathanEfron, Moderators: 10:00-N M.D Gagner, Michel Sleeve Gastrectomy: The Most Popular Bariatric Surg FICS, DO, Dardano, N. Anthony Taming theHostileAbdomen:ManagementofOpenAbdomenandComplexHernias David Euhus,MD Cancer Breast of Management Surgical the on Update Mark D.Duncan,MD Gastric Cancer:ShouldItBeTreatedOnlyatHighVolumeCenters? Sivamainthan Vithiananthan, MD, FICS Change inParadigmBariatricandGISurgery:EndoluminalnotRoboticApproach facilities can handle gastric cancer the best. Participants in this session will learn: how to ide Vithiananthan,MD&AnthonyDardano,DO Sivamainthan Moderators: 8:00-9:45 AM University Chief, Minimally Invasive and Bariatric Miami, FLHopitalduSacreCoeur, Montreal,Canada Richmond, VA Richmond, OON , AssistantProfessor ofSurgery, JohnsHopkinsUniversity, Baltimore, MD , Professor ofSurgery, JohnsHopkinsHospital,Baltimore,MD , Professor of Surgery, Herbert Wertheim College of College Wertheim Herbert Surgery, of Professor , , Chief, SurgicalOncology,Johns HopkinsBayviewMedicalCenter, Baltimore,MD , Clinical Assistant Professor,Assistant Clinical , Surgery,Rectal Colon of YorkSection New of University State , AssociateProfessor ofSurgery, JohnsHopkinsUniversity, Baltimore,MD , Colon and Rectal Surgery Fellow,, ColonandRectalSurgery UniversityatBuffalo, Amherst,NY , Assistant Professor, Department of Surgery, Virgi Surgery, of Professor,Department Assistant , B C Associate Professor of Biomedical Sciences, Florida Sciences, Biomedical of Professor Associate RARCAND ARIATRIC OLORECTAL S , FACS, Associate Professor of Surgery (Clinical) A ATURDAY Coffee Break - 9:45-10:00 AM Coffee Break-9:45-10:00AM ntify appropriate indications and operative techniq Surgery, The Miriam and Rhode Island Hospitals Prov n endoluminal or a robotic approach for gastric sur , J S URGERY UNE ery in the USA Results of the 5th Consensus Confere G ENERAL 13, 2015 es S YMPOSIUM S URGERY Medicine, Florida International University, International Florida Medicine, nia Commonwealth University, Commonwealth nia Atlantic University, Charles E University, Charles Atlantic lpert Medical School of Brown ues for the management idence, RI C C gery and which APITOL APITOL A&B A&B nce SATURDAY, JUNE 13, 2015

COLORECTAL SURGERY SYMPOSIUM (CONTINUED) 10:00-NOON CAPITOL A&B

Squamous Anal Cancer Outcomes in HIV-Positive Men Tracy Sambo, MD, FICS(J), Resident Physician, Presence St. Joseph Hospital, Chicago, IL

Colorectal Anastomotic Reinforcement with Extracellular Matrix Scaffold (ECM) Larry S. Sasaki, MD, FICS, Assistant Clinical Professor of Surgery, Louisiana State University Medical Center, Shreveport, LA

LUNCHEON NOON-1:30 PM CAPITOL D

NEUROLOGICAL AND ORTHOPAEDIC SURGERY 8:00-10:00 AM SENATE A&B S Moderators: Sudhir B. Rao, MD & William Mathews, MD CIENTIFIC See Page 20 for description

Constrained Fixed-Fulcrum Reverse Shoulder Arthroplasty for the Treatment of Epilepsy-Related Recurrent Shoulder Instability Tanujan Thangarajah, MB ChB (hons), MRCS, MSc, Research Fellow, The John Scales Centre for Biomedical Engineering, Institute of Orthopaedics and Musculoskeletal Science, Division of Surgery and Interventional Science, University College London, London, UK

Shoulder Arthroplasty in Epileptic Patients Tanujan Thangarajah, MB ChB (hons), MRCS, MSc, Research Fellow, The John Scales Centre for Biomedical

Engineering, Institute of Orthopaedics and Musculoskeletal Science, Division of Surgery and Interventional Science, P University College London, London, UK ROGRAM Early Decompressive Craniectomy in Traumatic Brain Injuries: A Case Series from the Kingdom of Cambodia Paul Park, MD, PhD, Global Outreach Fellow, Korean American Medical Association, Preah Kossamak Hospital, Phnom Penh, Kingdom of Cambodia, Reno, NV

Commodifying Human Traits: The Neuroethical Aspect Patricia Scripko, MD, Neurologist, Salinas Valley Memorial Hospital, Salinas, CA

Surgical Treatment of Humerus Fractures Sudhir B. Rao, MD, Big Rapids Orthopaedic PC Premier Hand Center Big Rapids, Michigan, Big Rapids, MI

Endoscopic Transphenoidal Surgery: A Transition To Neurosurgery-Ent Collaboration Producing Better Outcomes Bharat Guthikonda, MD, FICS, Associate Professor Director of Skull Base Research Department of Neurosurgery LSU HSC Shreveport

Coffee Break - 9:45-10:00 AM

Moderators: Maxime Coles, MD & Bharat Guthikonda, MD

Long-Term Effectiveness of a Non-surgical Treatment for Carpal Tunnel Syndrome Michael Politis, PhD, Carpal Pain Solutions, Inc., Palm City, FL

Claudication- Neurogenic or Vascular Gerald Q. Greenfield, Jr., MD, MS. FICS, Clinical Assistant Professor, Orthopaedic Surgery University of Texas Health Sciences Center- San Antonio, San Antonio, TX continued on next page 23 24 SCIENTIFIC PROGRAM Controversies inNeurosurgery:VertebroplastyvsKyphoplasty Philadelphia, PA Philadelphia, GeneBolles,E. MD,FICS Management and Treatment of Sports Concussions W. Craig Clark, MD, PhD, FICS Fossa Micr vs Posterior Radiosurgery Neurosurgery: in Controversies W. Craig Clark, MD, PhD, FICS 10:00 AM-N Ara Tilkian, MD Takotsubo-Stress Cardiomyopathy practice. Participants willalsoimprovetheirknowledge ofdiagnosisandtreatmentoptions.(Seepage15 formore.) Participants in this special lecture will increase their awareness of issues related to Stress Cardiomyopathy in a surgical Uretz Oliphant,MD&ArnoRoscher, Moderators: 1:30-2:15 PM BA, Wu, Hao-Hua Study Cohort Inciden Prospective Reconstruction: ACL and Depression Clinical PhD MD, Mathews, S. Robert The Latest Clinical Surgical Total Hip Replacement Medical Center Los Angeles, CA, Los Angeles, CA Debraj Mukherjee, MD, MPH, MPH Achondroplasia with Children and Alter Compression Cord Cervicomedullary Dynamic AncaBereneau,MD Moderator: 1:30-2:15 PM N MD, Ren, Xiaoping Preclinical StudiesofAllogeneicHeadandBodyReconstruction FICS MD, Zamorano, Lucia Surgical ManagementofEpilepsy Maxime J.M.Coles,MD,FICS Pitfalls in the Treatment of Distal Humerus Fractur Medical University, Harbin, China Harbin, University, Medical Health Medical Center, Denver, CO Medicine, Birmingham, MI Birmingham, Medicine, OON -1:30 PM , Director of Cardiology, Providence Holy Cross Med OON Third Year Medical Student, Perelman School of Medi of School Perelman Student, Medical Year Third Professor of Surgery Hand and Microsurgical Center, Microsurgical and Hand Surgery of Professor , AssociateProfessor Neurosurgery,of University of N N , Professor of Neurological Surgery, William Beaumo William Surgery, Neurological of Professor , , Greenwood Leflore Neurosurgery, Greenwood, MS , Greenwood Leflore Neurosurgery, Greenwood, MS , Orthopaedic Surgeon, Coffeyville Orthopedics ,Coffeyville,KS Surgeon,CoffeyvilleOrthopedics , Orthopaedic UOOIA AND EUROLOGICAL AND EUROLOGICAL , Director of First Team Institute LLC, Millersvill LLC, TeamInstitute First of Director , A RNO , Maxine Dunitz Neurosurgical Institute Department S ATURDAY R OSCHER L , J UNCHEON UNE E O O es NDOWED Advancements in Painful Osteoarthritis of the Hip RTHOPAEDIC RTHOPAEDIC 13, 2015 ce and Impact on Functional Outcome, a Outcome, Functional on Impact and ce ical Center, Mission Hills, California, Van Nuys, C osurgery for Benign Tumors in the Adult the in Tumors Benign for osurgery ations in Cerebrospinal Fluid Dynamics in Dynamics Fluid in Cerebrospinal ations L ECTURE The Second Affiliated Hospital, Harbin Hospital, Affiliated Second The S S cine at the University of Pennsylvania, of University the at cine URGERY URGERY ColoradoMedical Center andDenver e, PA e, nt Oakland University School of School University Oakland nt of Neurosurgery Cedars-Sinai C S S APITOL ENATE ENATE C APITOL A&B A&B A&B A D SCIENTIFIC PROGRAM 25 A&B A&B or’s decisions or’s APITOL APITOL C C idence, RI idence, tegrative Physiology, tegrative lpert Medical School of Brown of School Medical lpert RESENTATIONS P ORUM F 13, 2015 13, APER ection, Operative Planning and Technique P rticulosis: Angiographic Localization and Resection and Localization Angiographic rticulosis: THICS UNE E REE , J e relationship between doctors and patients. A doct A patients. and doctors between relationship e Surgery The Miriam and Rhode Island Hospitals, Prov Hospitals, Island Rhode and Miriam The Surgery , Associate Professor of Surgery and Molecular & In & Molecular and Surgery of Professor Associate , — F — NNUAL A ATURDAY , FACS, Associate Professor of Surgery (Clinical) A (Clinical) Surgery of Professor Associate FACS, , S ORUM F , Professor of Surgery and Oncology, Johns Hopkins Hospital, Baltimore, MD Johns of Surgery, Professor and Oncology, , Cardiothoracic Surgeon, Glen Ellyn, IL , Cardiothoracic Surgeon, Glen Ellyn, PEN , Founder, Eye Consultants of Texas, Grapevine, TX Eye Consultants of Texas, , Founder, , Director, Pelosi Medical Center, Bayonne, NJ Center, Medical Pelosi , Director, O , Resident, Texas Tech University Health Sciences Center, Lubbock, TX Lubbock, Center, University Health Sciences Tech , Resident, Texas , General Surgery Hospitals, Harrisburg, PA Resident, PinnacleHealth

, Resident, Texas Tech University Health Sciences Center, Lubbock, TX Lubbock, Center, University Health Sciences Tech , Resident, Texas

University Chief, Minimally Invasive and Bariatric Bariatric and Invasive Minimally Chief, University Jonathan Cook, MD Non-Surgical Management of Pilonidal Disease - is it Feasible? Milad Mohammadi, MD Rib Plating of Traumatic Rib Fractures: Patient Sel Jesse Flores, MD University of Kansas, Kansas City, KS City, Kansas Kansas, of University Dive Jejunal From Bleeding Gastrointestinal Massive Successful Incorporation of Midlevel Providers in an Academic Surgical Division Successful Incorporation of Midlevel Providers in an Academic FICS MBA, PhD, MD, Mammen, M.V. Joshua

Update on Light Adjustable Lenses Phillips Kirk Labor, MD, FICS Vaginal Surgery Under Local Anesthesia: An Emerging Paradigm Vaginal Surgery Under Local Anesthesia: Marco A. Pelosi III, MD, FICS

Raymond A. Dieter, MD, FICS Profound Hemorrhagic Anemia with No Transfusions Profound Hemorrhagic Anemia

Teaching Hospital FICS MD, Vithiananthan, Sivamainthan A Team Based Intervention Can Improve Surgical Patient Satisfaction and Readmission Rates in a comprehension of the topics and cases discussed allowing for optimal patient care in a multi-disciplinarycomprehension of the topics and cases setting. sented with ample time for interaction between the audience and panelists. time for interaction between the audience sented with ample their increase will Participants College. the within represented specialties surgical varied the address will that students are threatening patient care and the relationship between a doctor and their scenarios patient. will Various be pre- This session will include submitted abstract presentations from ICS Non-members, Fellows, Residents and medical may be influenced by these forces to the detriment of their patients. This session will debate how outside influences outside how debate will session This patients. their of detriment the to forces these by influenced be may Moderators: Marco Pelosi, III, MD & Joshua Mammen, MD 3:30-5:30 PM How Medical Care Is Being Corrupted How Medical Care MD, MPH, PhD Timothy Pawlik, Many outside forces seem to corrupt and threaten th threaten and corrupt to seem forces outside Many Moderator: Moderator: MD Frank Bongiorno, 2:15-3:30 PM 2:15-3:30 EXPLORE ANNAPOLIS

Thursday, June 11 10:20-11:20 AM Senate A&B This event; geared towards Alliance members, spouses, and family members who are visiting Annapolis during the Annual Meeting will provide attendees with an overview of the history of the city, how Annapolis came to be what it is today and an understanding of the not-to-be-missed highlights of the city during your visit. A local historian will be your guide to the historical importance and highlights of our host city. Free to all attendees but check with Registration for On-Site Availability.

ALLIANCE BOARD OF DIRECTORS & GENERAL MEMBERSHIP MEETING Thursday, June 11 11:20-Noon Senate A&B Please join us to discuss Alliance plans for the Annual Meeting and beyond. Topics will include future leaders, and cur- rent & future social activities for the Alliance. If you have ever wondered what the Alliance is or does, then this meeting shouldn’t be missed.

HONORS LUNCHEON Thursday, June 11 Noon-1:30 PM Capitol D Please join us as we induct our Section’s new Fellows into the College and honor those who have contributed to the success of our meeting and our Section. The winners of the Scholarship competition will also be announced here.

VENTS WELCOME RECEPTION Thursday, June 11 6:00-7:00 PM Senate A&B E Our first day’s scientific session in Annapolis ends with a cocktail reception. Join us as we kick off the 77th Annual Surgical Update; reconnect with old friends welcome New Fellows and meet members you may not have encountered before.

NAVAL ACADEMY TOUR Friday June 12 8:45 AM-Noon Gather at Registration OCIAL Friday morning you may choose to depart for a historical tour of the famed United States Naval Academy. Your tour

S highlights include life at the U.S. Naval Academy past and present. Tour includes Lejeune Hall, Bancroft Hall, Tecumseh Court, Herndon Monument, Main Chapel (when open) and the Crypt of John Paul Jones, Revolutionary War hero. Everyone 18 and older must have a government-issued photo ID. Photo copies of ID (passports, ID Cards, etc.) cannot be accepted. If you are not a US citizen, please bring your passport.

The tour will last roughly an hour & a half including transportation to and from the Naval Academy. There will be at least one mile of walking over varied surfaces and steps. Price: $12 per person. Check with Registration for On-Site Availability.

CLOSING DINNER HOSTED BY THE AMERICAN ACADEMY OF NEUROLOGICAL AND ORTHOPAEDIC SURGEONS AND THE INTERNATIONAL COLLEGE OF SURGEONS - UNITED STATES SECTION Saturday, June 13 7:00-10:00 PM Capitol D Join us as we come together for one last event before we bid farewell until next year. Uretz J. Oliphant, MD and William Mathews, MD invite you to attend the combined closing dinner of AANOS and the ICS-US. The buffet style meal will feature complimentary wine at your table, a cash bar, award presentations and live entertainment. 26 Price: $100 per person. Check with Registration for On-Site Availability. THE DR. JOHN C. SCOTT SURGICAL ENDOWMENT FUND 27 g involving medicine, including l representation from within the within from representation l anent financial resources for the for resources financial anent ed States Section (ICS-US). The Sur- The (ICS-US). Section States ed ______Amount of Donation: $______Donation: of Amount ______tate ______Zip ______States has supported scholarships and the continuin the and scholarships supported has States

future of surgery by supporting Surgeons-Unit charitable of College programsInternational the of those gical Endowment is a separate entity and has its own tax exemption under Internal Revenue Service Section 501(c)(3). A direct link exists to ICS-US through substantia has the which Surgical Trustees, of Board Endowment’s ICS-US membership. of asset permanent a become can Endowment Surgical the to contributions Principal the Endowment if so designated. Revenue generated from investments will be allo- In- the of programs the to Endowment Surgical the of Trustees of Board the by cated the is It causes. worthy other or Section States Surgeons-United of College ternational The Surgical Endowment is organized to provide perm provide to organized is Endowment Surgical The

Cardholder Name ______Name Cardholder Credit Card # ___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/ Credit Card # ___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/ Exp. Date ___/_____ Phone ______Fax ______E-mail ___ E-mail ______Fax ______Phone Information Payment ______Signature City ______S

Name ______Name Billing Address ______Address Billing

nition will be provided. See the ICS-US staff at the registration desk for more details. nition will be provided. See the ICS-US national US Surgeon. In addition, depending on the size of your contribution, various other forms of recog- of forms other various contribution, your of size the on depending addition, In Surgeon. US national Recently the Surgical Endowment Fund of the United United the of Fund Endowment Surgical the Recently Endowment of Fund the United States, and their names will be published in the ICS-US newsletter Inter- organized to support. Surgical MD, Scott, C. John the of President the from thanks of letter personal a receive will contributors All goal of this fund to one day have an adequate financial base to satisfy all the needs of the programs it was it programs the of needs the satisfyall to base financial adequate an have day one to fund this of goal program of the ICS-US. medical education 28 WITH OUR THANKS Manjit S.Bains Joseph A.Bachicha Nabil F.Athanassious Danilo K.Asase Harry LinneAnderson,III Domingo T.Alvear Louis M.Alpern Ludwig A.Allegra Jihad Alammar Ahmad W.Ahad Gregorio Aglipay Jalal Afnan Marcel Admoni Azeez P.Adeduntan Joseph G.Abdo months to support the United States Section of the Inter the of Section States United the support to months The following twelve past the during individualsmadefinancialcontributions Surgeons and its many worthy programs. programs. worthy many its and Surgeons W Nissage Cadet Bryan N.Butler Walter E.Bundy,III Bikash Bose James A.Bonheur Frank P.Bongiorno Ekkehard Bonatz Alfred O.Bonati Philmore A.Blake Byron W.Biscoe,Jr. Gunjan L.Bhatnagar Alan H.Beyer Michael E.Bearb Alfonso L.Barragan Willie J.Banks,Jr. ITH O UR T HANKS Mitchell L.Kaphan Antoine J.M. Jumelle Marc A.Jerome Michael J.Jacobs Elliot W.Jacobs John H.Iljas Norman Holzberg Nabil Hilwa William R.Henwood Earl T.Hecker Abdelkaker AlHawasli Mohammad Ali Hajianpour Mahmood Hai Mehdi Habibi Steven A.Gunderson Neil A.Green James H.Gray Roberto E.Granato Roger L.Gonda,Jr. Peter T.Go Richard Patrick Giovanelli Jim E.Gilmore Mitchell J.Gianogbbe Cletus R.Georges Alexander Gellman Robert M.Gasior Rodolfo Garza-Morales Mathias A.L.Fobi Bruce EliotFishman Roman O.Filipowicz Donald C.Fiander Paz A.Fernandez-Cruz Amir H.Fatemi Nancy E.Epstein Anthony J.Durante Thomas K.Duncan Michael L.Drerup E. JeffreyDonner Zarija Djurovic James JohnDehenJr. Edward M.Decter Alberto L.deHoyos Charles Cornell Osvaldo Contarini Stephen D.Conrad Brian M.Cohen L. MasonCobb James M.Clayton Debi P.Chaudhuri Steve T.Charles Allan G.Charles John B.Chang P.R. Chandrasekaran Pradip Chakrabarti Luis Cervantes Daniel G.Cavanaugh national College of College national Nabil Y. Khawand Joseph E. Scogna Pedro J. Valdes Andrew Klein Magdy S. Shady Jacob Varon John S. Kung Diane Shafer Juan-Carlos Verdeja George Kuzycz Navin C. Shah Mohan Verghese Win Maw Kyi Bhanukumar Shah Walter B. Vernon Phillips Kirk Labor Byers W. Shaw Phuc Vo Mohamed Lameer Scott A. Siegel L. Dieter Voegele Alexander Latteri Anthony R. Silva Ronald W. Wadle Edmund P. Lawrence, Jr. Jose E. Silva-Ayala Christopher A.R. Walker Isabelo R. Lim John W. Snead Robert Walsky James J. Lynch Peter Somers John E. Walz Lester Machado Richard Marc Spiro Tarik Wasfie Isaac Madeb Samir J. Srouji Julio E. Williams Jasbir S. Mann Juan R. Stern Irvin H. Willis Gene W. Manzetti Geoffrey Stewart Gregory Windham M. Mohamed Meeran David Paul Sufian David Wren, Jr. Emmanuel Melissinos Joel J. Teplinsky Charles Xeller W. Scott Melvin Kishore S. Tonsekar Jose F. Yeguez Constantino G. Mendieta Richard Toon Ihor A. Zakaluzny Geoffrey Miller Tomas M. Torres Lucia Zamorano Thomas Mincheff Gerald N. Unger Alan Zeitlin W W. Stephen Minore

Jerry E. Mitchell ITH Maseih M. Moghaddassi Victor C. Moneke Pedro Montano-Martinez David V. Nasrallah V. Rama Nathan O Sammy I. Nawas

Fombe Ndiforchu UR Nosratollah Nezakatgoo Enrico Nicolo Keith A. Norvill Patrick F. O'Leary T

Kitti Outlaw HANKS Theodore S. Parins Ravindra R. Patel Richard E. Pearl Marco A. Pelosi II Thomas Percy Mark Perlmutter Douglas R. Phillips Francis J. Podbielski Andrew F. Precht Basil A. Pruitt, Jr. William A. Purtill Chand Ramaiah Bhaskar N. Rao Niranjan V. Rao Michael Reich Robert R. Richardson Steven G. Robbins Newell Bruce Robinson Dennis J. Robison Charles B. Rodning Orlando L. Rodriguez-Cabrera Livio Romani Arno A. Roscher Martin Rothberg Adib H. Sabbagh Pon Satitpunwaycha Frank J. Scaccia Matthew J. Schuchert Gunter Schwarzbart 29 30 ABSTRACTS submitted with limited editing. They have been reproduced as listed in alphabetical order by order alphabetical in listed The following Abstracts are Abstracts following The presenting author. presenting ABSTRACTS 31 there was no significant no was there T, associated symptoms, associated T, e surgery vs. non-surgical vs. surgery e well helping them improve them helping well monary embolism. monary in children which include ap- include which children in , and prior surgery. There was There surgery. prior and , < 0.05). The estimated risk for risk estimated The 0.05). < 17%; with mobility difficulty the difficulty mobility with 17%; o 3 weeks with excellent results excellent with weeks 3 o international normalized ratio (INR) at time of DV of time at (INR) ratio normalized international nt of perforated appendicitis include ; 1. Immediat 1. ; include appendicitis perforated of nt to propagate the mission concept in the future as as future the in concept mission the propagate to 8.6% (27/314). Between those with and without DVT DVT without and with those Between (27/314). 8.6% n our entire population, there were no cases of pul of cases no were there population, entire our n tocol in the management of perforated appendicitis appendicitis perforated of management the in tocol e factors was 4%; with factor VII the risk rose to to rose risk the VII factor with 4%; was factors e spital stay for 5 days or less,home therapy for 2 t 2 for therapy less,home or days 5 for stay spital Domingo Alvear, MD, FICS Domingo Alvear, MD, FICS MD, Alvear, Domingo Anand Annamalai, MD, FICS < 0.0001) and the use of factor VII, 11% vs 2% (p (p 2% vs 11% VII, factor of use the and 0.0001) < ection, hepatocellular cancer, use of venous bypass venous of use cancer, hepatocellular ection, Cedars-Sinai Medical Center, Los Angeles, CA Los Cedars-Sinai Medical Center, Surgical Missions : How Do We Measure Success? Measure Do We : How Missions Surgical

Chief, Division of Pediatric Surgery, Pinnacle Health System, Harrisburg, PA Health System, Harrisburg, Pinnacle Surgery, Division of Pediatric Chief,

Chief, Division of Pediatric Surgery, Pinnacle Health System, Harrisburg, PA Health System, Harrisburg, Surgery, Pinnacle of Pediatric Chief, Division Incidence And Risk Factors Of Deep Vein Thrombosis After Liver Transplant Incidence And Risk Factors Of Deep Controversies in the Management of Perforated Appendicitis in Children - 2015 Controversies in the Management

pendectomy,drainage,PICC line for IV antibiotics,ho IV for line pendectomy,drainage,PICC

Conclusions: In the last 20,we have developed a pro a developed have 20,we last the In Conclusions: fection rate and no intra-abdominal abscess. is placed for IV antibiotics which is continued at home for a total of 10 days or longer. No readmission,less than 0.1% wound in- wound 0.1% than readmission,less No longer. or days 10 of total a for home at continued is which antibiotics IV for placed is and given appropriate antibiotic therapy. and The given appendix appropriate is antibiotic removed therapy. in all cases. Drains are placed in majority of cases. PICC line Results: 305 patients with perforated appendicitis were treated. Surgery is performed few hours after admission after hydration Methods: Experience in treating children with perforated appendicitis in the last 20 years Methods: Experience in treating children in preschool age. The controversies in the manageme the in controversies The age. preschool in 5. Duration of antibiotic therapy Purpose: Purpose: In spite of the availability of imaging studies,perforated appendicitis in children remains high at 50% and even higher open it pack vs. wound the Close 4. Intervalfurtherdrainage 2. no surgeryno management. vs. vs appendectomy Drainage 3.

other NGO's,having surgeons in training participate training in surgeons NGO's,having other Conclusions: Success of surgical missions can be achieved by having collaboration with the local surgeons,collaboration with Results: WSF now has excellent relationship with Honduras and the Philippines to achieve long term and sustainable goals and the Philippines to achieve long term excellent relationship with Honduras Results: WSF now has Methods: Experience of WSF since 1997 in 7 countries Methods: Experience how others can emulate. can increase the capacity to serve many more patients. This presentation will describe how the WSF has achieve success and Short term surgical missions ( 5 to 7 days) can be successful if there is local surgical participation. Collaboration with other NGO's other with Collaboration participation. surgical local is there if successful be can days) 7 to 5 ( missions surgical term Short over 50 missions since 1997 and learned from each mission. Each of the 7 countries we visited have their own unique problems. unique own their have visited we countries 7 the of Each mission. each from learned and 1997 since missions 50 over visit,and foremost is the active participation of the local medical personnel. The World Surgical Foundation has participated in include funding,shortage of volunteer surgeons and anesthesiologists, shortage of equipment and supplies at the facilities we Purpose: Purpose: 11% of the Global Burden of Disease is attributable to surgical conditions. There are many barriers for success which

Results: Of 314 patients, the incidence of DVT was was DVT of incidence the patients, 314 Of Results: the development of a DVT using logistic regression modeling. the development of a DVT factor, the difference in platelet count and INR between those with and without a DVT, and the weighted risk of each factor the in difference in platelet count and INR between those with and without a DVT, factor, DVT DVT prophylaxis, and perioperative risk factors. the determined We odds the ratio incidence of of each DVT, preoperative risk aminations showing DVT post-OLT, platelet count and count platelet post-OLT, DVT showing aminations Methods: We retrospectively reviewed OLT performed at our center from 2005 to 2012. We identified patients with Doppler ex- Doppler with patients identified We 2012. to 2005 from center our at performed OLT reviewed retrospectively We Methods: not well understood. The purpose of our study was to determine the incidence of DVT and its’ risk factors after of DVT not well understood. The purpose of our study was to determine the incidence OLT. risks of bleeding and coagulopathy. Cirrhosis and the association with the coagulation cascade, pre and post-transplant, are without prophylaxis. Thromboembolic prophylaxis is not commonly used after orthotopic liver transplantation (OLT) due to the to due after(OLT) used orthotopictransplantation commonly liver not is prophylaxis Thromboembolic prophylaxis. without Purpose: Purpose: Deep venous thrombosis (DVT) occurs in 0.1% of persons per year affecting 15-40% of general surgical procedures their skills, and most importantlytheir skills, and most year round. local surgeons continue the work all help the be given to using both mechanical and chemical prophylaxis after OLT. difference in age, gender, platelet count, INR, inf INR, count, platelet gender, age, in difference (p 20% vs 67% mobility, in difference significant a should Consideration prophylaxis. DVT mechanical with even 9% least at is OLT after DVT a developing of risk The Conclusions: of developing DVT for patients with neither of thes of neither with patients for DVT developing of I 62%. was risk the both with and 23%; to rose risk 32 ABSTRACTS or microsurgery. There are finite limits on ideal tumor size to be treated with radiosurgery due to the risks for tumor necrosis, swelling andmasseffectintheposteriorfossa. tumor for risks the to due radiosurgery with treated be to size tumor ideal on limits finite are There microsurgery. or Conclusions: The ability to preserve hearing is mos attimeofpresentation facial weakness.Thedataareyettotestedforstatisticalsignificance,withthatinformationreported or loss hearing any of presence the and size tumor were variables predictive most the suggest results preliminary The Results: duringfollow-up. inthearea,preoperativehearingstatusandfacialfunction,progressionfreeintervals surgery prior any size, tumor demographics, patient were Variablesincluded report. current the for mix case the provide to combined tumor the of series clinical large Several Methods: management scheme? in surgery providing growth control of these usually slowly progressive masses? How important is “Gross Total Resection” in the neurosurgeon recommend open and microsurgery when should stereotactic be radiosurgery employed? How effective is radio- facial function. Several large clinical series have now been published and provide the case When data should for the this report. and hearing of preservation to resection complete from shifted treatment of goal the developed experience As tumors. sheath continued on next page * Evaluate laser hair removal as an adjunct to surg in the treatmentofpilonidaldisease. * Determinetheefficacyoflaser therapyasanalternativetosurgery andrecurrentpilonidaldisease.Ourstudygoals: has beenshowntobeeffective inremovinghairbothprimary safe and effective outpatient of method a of strategy hair to removal. treat When pilonidal utilized disease, as laser part therapy a is epilation surgery.Laser after disease recurrent of development the in as well as disease pilonidal primary of etiology the in difficulties in achieving optimal wound healing. Numerous studies have recognized that hair in the natal cleft plays a central role variety of surgical approaches and closures, excision of skin in the intergluteal region is associated with high recurrence rates and It is a debilitating condition and conventional surgical management can result gluteal in cleft. considerable morbidity. Despite a the in follicles hair of infection chronic and abscesses recurrent as manifests commonly Pilonidaldisease 1833. in Mayo Herbert by described first was condition The region. sacrococcygeal the affecting condition dermatologic a is Purpose:Pilonidaldisease Purpose: The most common benign posterior fossa tum the mostefficacious,leastcostlyandsafestcementoplastytreatmentofVCFs. recommend to attempt will stratification and analysis subgroup above, noted analysis statistical the upon Based Conclusions: tebroplasty versuskyphoplasty. Parameters ofeach groupwillbepresentedwithnonparametricstatisticaltestsofsignificance. Results: There were in excess of 300 cases available for review and followup. The treatment groups were stratified based on ver- of thebonecement,intra-andperioperativecomplications,patientsatisfaction the treatment of VCF. Parameters examined include patient demographics, LOS, OR time, rates of extravasation or embolization for administered cementoplasty with experience year 15 author’s the of review retrospective the involves study This Methods: avoidance andmaximizingpatientsafety. plasty. The relative advantages and disadvantages o internal fixation of these fractures with bone cement have been developed. Initially this was the vertebroplasty, and later kypho- due to the associated pain and lack secondary of mobility. Within the last decade minimally invasive procedures that involve the events these with associated complications are significance more even of Maybe VCFs. of incidence increasing ever an expect can we population, aging the in increase overall the to Due falls. of number increased an and bone osteoporotic or osteopenic Purpose: Vertebral Compression Fractures (VCFs) are quite common in the elderly due to a combination of more fragile or brittle * Develop an algorithm for the treatment of pilonid Controversies in Neurosurgery: Radiosurgery versus Controversies inNeurosurgery:VertebroplastyvsKyphoplasty Non-Surgical ManagementofPilonidalDisease–is itFeasible? General Surgery Resident,PinnacleHealth Hospitals, Harrisburg,PAGeneral Surgery Greenwood Leflore Neurosurgery, GreenwoodMS Greenwood Leflore Neurosurgery, GreenwoodMS W CraigClark,MD,PhD,FICS W CraigClark,MD,PhD,FICS ical management of pilonidal disease, especially in t often related to tumor size, regardless if the su al disease that minimizes time to wound healing, di s in question have been reported in the literature. the in reported been have question in s f each procedure or technique is explored, with an Jonathan Cook,MD ors in adulthood are generally recognized to be men Microsurgery for Benign Tumors in the Adult Posteri rgeon elects to use radiosurgery the prevention of recurrence. scomfort, and recurrences. emphasis on complication These studies have been have studies These ingiomas and nerve or Fossa ABSTRACTS 33 Analysis -assisted closure a novel approach to teral side. Post operative Post side. teral sfusion has been utilized been has sfusion train, bled down to a he- a to down bled train, is with shock and success. and shock with is performed. * Laser therapy Laser * performed. fluids and walked out of the of out walked and fluids atient examples demonstrate examples atient long term patient satisfaction patient term long llowed as outpatients. as llowed w as 7.0 gram hemoglobin in hemoglobin w gram as 7.0 onto a Chicago curb into the into curb a Chicago onto in mild and moderate disease. moderate and mild in esults for this type of operation of type this for esults idelines of 9 to 10 gram hemo- gram 10 to 9 of idelines repair (VHR) and has potentially has and (VHR) repair erapy in the prevention of recurrences. of prevention the in erapy Morbidity After Ventral Hernia Repair: A Critical Critical A Repair: Hernia Ventral After Morbidity Gary Dix, MD or and inject the recipient. Since then, blood tran blood then, Since recipient. the inject and or a large laceration. The second patient, struck by a by struck patient, second The laceration. large a but surgical excision of intergluteal skin was not not was skin intergluteal of excision surgical but tly symptomatic SIJ pain and dysfunction represents Negative pressure wound therapy (NPWT) using vacuum electing to have a second operation on the contrala the on operation second a have to electing the early 1930’s by Dr. C. A. Gutzmer for meningit for Gutzmer A. C. Dr. by 1930’s early the s transfused with blood. Both patients received IV IV received patients Both blood. with transfused s Frederic Eckhauser, MD eated with fluids and blood infusion. Initially, gu Initially, infusion. blood and fluids with eated year follow up results confirm excellent short and and short excellent confirm results up follow year ase, laser therapy alone achieves excellent results excellent achieves alone therapy laser ase, transfusion. Later this level was dropped to as lo dropped was level this Later transfusion. ode ill. A 90 year-old female was flipped off a off bus flipped was female A 90 year-old ill. ode red. Both patients hemoglobin rose rapidly while fo while rapidly rose hemoglobin patients Both red. n. Most non-surgeons transfusing before then. Two p Two then. before transfusing non-surgeons Most n. situ arthrodeses with or without instrumentation. R instrumentation. without or with arthrodeses situ ccurs in up to 40% of patients after ventral hernia ventral after patients of 40% to up in ccurs laser hair removal as an alternative to surgical th surgical to alternative an as removal hair laser Raymond A. Dieter, Jr., MD, FICS Raymond A. Dieter, Cardiothoracic Surgeon, Glen Ellyn, IL Cardiothoracic Surgeon,

Neurosurgeon, Maryland Annapolis, MD Brain and Spine, Profound Hemorrhagic Anemia with No Transfusions Profound Hemorrhagic

Minimally Invasive Instrumented Fusion for Sacroiliac Joint Dysfunction Minimally Invasive Instrumented Professor of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, Baltimore MD of Surgery, Professor

Novel Wound Management System Reduces Surgical Site Surgical Reduces System Management Wound Novel

snow. She bled down to 1.8 gram hemoglobin, due to to due hemoglobin, gram 1.8 to down bled She snow. wa patient Neither 20. age at grams 2.0 of moglobin ti feeling except consequences ill no with hospital that such an arbitrary level does not necessarily b necessarily not does level an arbitrary such that

severe clinical and health care cost consequences. of comparing its efficacy to standard VAC (SVAC) technology in reducing SSM after VHR. (SVAC) of comparing its efficacy to standard VAC VHR remains controversial. Our group developed a modified wound management system (hybrid-VAC or HVAC) with the goal the with HVAC) or (hybrid-VAC system management wound modified a developed group Our controversial. remains VHR (VAC) has been utilized to reduce morbidity in patients with complex open wounds, but its effectiveness for decreasing SSI afterSSI decreasing for effectiveness its but wounds, open complex with patients in morbidity reduce to utilized been has (VAC) the postoperative period before red cell transfusio cell red before period postoperative the ditional surgical intervention consists of open in- open of consists intervention surgical ditional joints (SIJ). In those patients with intractable SIJ pain and dysfunction that have failed to respond to conservative treatment, tra- conservative treatment, to respond to failed have that dysfunction and pain SIJ intractable with patients those In (SIJ). joints Purpose: Purpose: Studies indicate that for up to 25% of patients diagnosed with low back pain, their symptoms arise in their sacroiliac continued on next page

cision and drainage was undertaken when necessary, necessary, when undertaken was drainage and cision Methods: * Twenty-three patients, ages 11 – 23 were treated over a five year period, according to our treatment algorithm. In- algorithm. treatment our to according period, year five a over treated were 23 – 11 ages patients, Twenty-three * Methods:

Purpose: Surgical site infection (SSI) reportedly o reportedly (SSI) infection site Surgical Purpose: The first blood transfusion in DuPage County was in was County DuPage in transfusion blood first The In general, hemorrhagic shock has been routinely tr routinely been has shock hemorrhagic general, In has been questioned due to potential risks. No crossmatch was done - only withdraw from the don the from withdraw only - done was crossmatch No frequently for treatment of shock, hemorrhage, anemia, and other diseases. More the recently, wisdom of when to transfuse for indication to be an acceptable felt were globin clinical and radiographic work up. Six month and 2 2 and month Six up. work radiographic and clinical placement of plasma-coated, multiple titanium triangular, dowels across the symptomatic sacroiliac joint, following thorough We We present a single-surgeon series of more than 70 patients that have undergone minimally invasive, fluoroscopically-guided the sacroiliac joint appears to significantly improve patients' functional outcomes and quality of life indices. the sacroiliac joint appears to significantly have consistently been associated with low success rates and high A morbidity. novel minimally invasive technique for fusing subsequently patients of 20% than more with rates, * Although not proven to be curative in severe dise severe in curative be to proven not Although * Conclusions: * Laser hair removal provides a safe and effective adjunct to surgical management of pilonidal disease. adjunct to surgical management of hair removal provides a safe and effective Conclusions: * Laser * Data collection is ongoing * Data collection twenty-one of twenty-three patients (91%). patients twenty-one of twenty-three * Clinical response (significant reduction in symptoms) was achieved in 100% of those treated. Complete resolution occurred in occurred resolution Complete treated. those of 100% in achieved was symptoms) in reduction (significant response Clinical * Results: * Nine of twenty-three patients (40%) required surgery throughout the course of the study. required surgery patients (40%) Nine of twenty-three Results: * course of the study. throughout the consisted of alexandrite (755nm) or NdYag (1064nm), depending on hair type and Fitzpatrick skin type. skin and Fitzpatrick hair type on depending (1064nm), NdYag or (755nm) of alexandrite consisted

Minimally invasive instrumented fusion of persisten complication rates have been low. outcomes. managing this problem, with low complication rates and good long term patient * Further study is needed to determine the role of of role the determine to needed is study Further * * Outcomes are improved when laser therapy is used in conjunction with surgerywounds. with healing conjunction into in growth used hair is prevent therapy to laser when improved are Outcomes * * Laser treatment is less morbid than conventional surgery* Laser treatment is operative pain. with less post 34 ABSTRACTS nosis of anolderpatient withmassive GIB. high rate mortality due to delayed diagnosis and complications. Jejunal should diverticulosis be included in the differential diag- Conclusions: Jejunal diverticulosis is a rare condi Postoperatively, heprogressivelyrecovered andwasdischargedhome. of methylene blue localized the bleeding to this ar the physician to rapidly diagnose etiology and loca challenge Diverticula Jejunal Bleeding scan. cell blood red technetium-99m and angiogram study,mesenteric contrast bowel erosion diverticular through a perforating artery. Diagnosis can be made by computerized tomography (CT) angiography, small and Likeacute, requiring emergent surgical that hemorrhage intervention. of Jejunal results colonic diverticular from diverticula, massive be may Hemorrhage described. been has hematemesis although GIB, lower as occurs usually JD from Hemorrhage older males. Major complications include diverticu are warrantedtovalidatethesefindings. risk factors. We can help the majority of believe patients this undergoing intervention VHR. Propsective and cost utility analyses appears to be maintained in patients with grade 2 a Conclusions: HVAC is associated with reducing the rates of SSO and SSI in our VHR population. The benefit of this intervention ineithergroupand recurrence ratesweresimilar(HVACation rates.Therewerenomortalities 2%versusSVC6%,pNS). HVAC patients had a significantly longer LOS (11 versus 7 days, respectively), but lower wound-related readmission and reoper- rates seroma risk-adjusted in differences nificant HVACsification, likelihoodlower a with associated SSO,was of use sig- no were There (P=or<.001). SSI severe and SSI, overall clas- ALOS,wound time, and operative grade, hernia BMI, age, for accounting analysis multivariate On SVAC(p<.001). group Results: Mean was follow-up 8.7 +/-9.9 months. The overall unadjusted SSI rate in the HVAC group was 9% versus 32% in the and enterocutaneousfistulas(surgicalsiteoccurrencesorSSOs). Intraoperatively, several large Jejunal diverticula sation ofcontrastintheproximal jejunum.MicrocatheterremainedintheJejunalarcade forintraoperativelocalization. colostomy.extrava- end revealed the angiography from later,mesenteric blood days Repeat red Seven bright having began he hemicolectomy. Hewastaken tothe ORemergentlyforleft observed. peated, withbleedingsigmoidcolondiverticuli re- was Colonoscopy identified. was source no and performed was angiogram mesenteric bleeding, acute of episode an After subsequently had several episodes of bright red bloandcolonoscopy that showed diverticulosis, but no Results: The patient is a 62 year-old male who pres anastomosis. includessegmentalintestinalresectionwithprimary tojejunaldiverticulosis GIB secondary Methods: Retrospective case review: Jejunal Divert localized withangiography, andsubsequentlyresected. and diagnosed Diverticulosis Jejunal to secondary bleeding gastrointestinal lower massive describes herein case The Purpose: at autopsy.at Thesefalse diverticula aremucosal eva erative time, surgical repair technique were compar therapy and 115 (58%) who underwent HVAC therapy. B SVC underwent who (42%) 84 including performed, were VHRs consecutive 199 of total a 2013, and 2008 Between Methods: groups. The primary outcome of the study was 90-day possible; synthetic mesh onlay reinforcement was used in all cases. Peri-operative VAC management was standardized for both we will glimpse into the future of breast cancer surgery basedonthetrialsthatarecurrentlybeingproposed. we willglimpseintothefutureofbreastcancersurgery tation will explore recent trends in the management of primary breast tumors, the contralateral breast, and the axilla. In addition women opting for less and less invasive treatments while a growing number are requesting bilateral mastectomy. This presen- For data. of independent surgeons and patients by The field of breast cancer is surgery changing rapidly. Some of this change is driven by recent clinical trial data and some is driven Massive GastrointestinalBleedingFromJejunalDiverticulosis:AngiographicLocalizationandResection Resident, Texas Tech UniversityHealthSciencesCenter, Lubbock TX Update ontheSurgicalManagementofBreastCancer Professor ofSurgery, JohnsHopkinsHospital,BaltimoreMD containing blood clots were identified in the mese tion that may present with massive gastrointestinal od per rectum and repeat colonoscopy was inconclusi ented with abdominal pain, diarrhea, and hematochez ea. Segmental small bowel resection with primary an litis, gastrointestinal bleeding (GIB), intestinal ginationsthemesentericon bordertheJejunum, of or wound dehiscence between the groups. Compared to Compared groups. the between dehiscence wound or ed. The goal of surgery was to achieve primary fasc tion in the hemorrhaging and potentially unstable p iculosis (JD) is a rare clinical condition, with a evidenceof bleeding. A tagged RBC scan was also do nd 3 hernias who are at higher risk because of pote David Euhus,MD example, surgery for primary breast cancer is polar is cancer breast primary for surgery example, SSI. Secondary outcomes included seroma formation, Jesse Flores,MD aseline patient characteristics, ventral hernia gra obstruction, and perforation. reported incidence of 0.3%-4.5% nteric fat. Intraoperative injection bleeding. JD may demonstrate ve due to blood in the colon. ial approximation whenever astomosis was performed. ntial or concurrent wound atient. Treatment of lower foundmorecommonly in ia. He underwent an EGD neand was negative. He de, co-morbidities, op- ized now with many with now ized wound dehiscence the SVAC group, SVAC the ABSTRACTS 35 ence. comes c claudiation s, craniopharyn- rative management es that were performed were that es nsphenoidal procedures nsphenoidal that this bariatric/meta- this that ric bypass. ric ng drains and feeding je- feeding and drains ng roved in 80% of patients, of 80% in roved e new Roux-en-Y fistula-je- Roux-en-Y new e rence on Sleeve Gastrectomy Sleeve on rence a single service management service single a gical versus a vascular factors. vascular a versus gical t loss failures of sleeve to other to sleeve of failures loss t ral days later near the GE junc- GE the near later days ral n place for several weeks, and drainage and weeks, several for place n ery In The USA; Results of the 5th Consensus Confer Consensus 5th the of Results USA; The In ery Neurosurgery-ENT Collaboration Producing Better Out Better Producing Collaboration Neurosurgery-ENT two clinical situations and treatment for neurogeni me a mainstay in the treatment of pituitary adenoma ull base pathologies. Many centers employ a collabo Michel Gagner, MD Gagner, Michel for refractory GERD to be 2.9%. GERD reflux is imp is reflux GERD 2.9%. be to GERD refractory for abase was performed. We included all endoscopic tra endoscopic all included We performed. was abase ged medical therapy or conversion to Roux-en-Y gast Roux-en-Y to conversion or therapy medical ged We evaluated all endoscopic transphenoidal procedur transphenoidal endoscopic all evaluated We astric bypass but more experts (41.5%) are using th using are (41.5%) experts more but bypass astric xperts recommended a laparoscopic exploration, addi exploration, laparoscopic a recommended xperts orted a leak rate of 2.5%, typically occurring seve occurring typically 2.5%, of rate leak a orted onal Conference on Sleeve Gastrectomy are convinced are Gastrectomy Sleeve on Conference onal he results of the 5th International Consensus confe Consensus International 5th the of results he esser traumatic intervention. Conversions for weigh for Conversions intervention. traumatic esser difference between claudication based on a neurolo a on based claudication between difference for management of these lesions. After performing performing After lesions. these of management for Bharat Guthikonda, MD, FICS pically placed fully covered nitinol stents, left i left stents, nitinol covered fully placed pically Gerald Greenfield, Jr, MD, MS, FICS Claudication- Neurogenic or Vascular Clinical Assistant Professor of Orthopaedic SurgeryClinical Assistant Professor Hopital du Sacre Coeur, Montreal, Canada, Montreal Quebec Montreal, Canada, Sacre Coeur, Hopital du University of Texas Health Sciences Center- San Antonio, San Antonio TX Health Sciences Center- University of Texas Professor of Surgery, Herbert Wertheim College of Medicine, Florida International University, Miami, FL Miami, Herbert University, International Florida of Medicine, College Wertheim of Surgery, Professor

Associate Professor, Director of Skull Base Research, Department of Neurosurgery, LSU HSC Shreveport, Shreveport Director of Skull Base Research, Department LA of Neurosurgery, Associate Professor,

Endoscopic Transphenoidal Surgery: A Transition to to Transition A Surgery: Transphenoidal Endoscopic Sleeve Gastrectomy: The Most Popular Bariatric Surg Bariatric Popular Most The Gastrectomy: Sleeve Other centers may utilize a single service strategy service single a utilize may centers Other team consisting of a skull base neurosurgeon working together with an ENT surgeon with expertise in advanced endoscopy. Results: Results will define the difference in the two. noninvasive methods to differentiate the noses.Testing option for differentiation between the two disorders. option for differentiation between the noses.Testing Conclusions: Attendees will have a concrete understanding of the basis for both neurogenic and vascular claudication. Several Methods: Historical perspective for claudication and its definition will be reviewed along with the anatomical bases for the diag- the for bases anatomical the with along reviewed be will definition its and claudication for perspective Historical Methods: (ESI),distraction,decompression. plications were also assessed and compared between the two subsets of cases. of the neoplastic lesions, CSF leak recurrences (in the cases performed for CSF rhinorrhea), and intraoperative blood loss. Com- primary endpoint was the rate of conversion to an open microscopic procedure. Secondary endpoints were extent of resection by the neurosurgical service alone and separately evaluated those performed by a collaborative neurosurgery / ENT team. Our

Methods: A review of a prospectively maintained dat maintained prospectively a of review A Methods: Purpose: Endoscopic transphenoidal surgery has beco croscopic) approach and extent of resection of tumors. We have appreciated significant improvements in our outcomes, especially as they relate to the rate of conversion to open (mi-open to conversion of rate the to relate they as especially outcomes, our in improvements significant appreciated have We giomas, CSF leaks, and other anterior and middle sk of these lesions for the past few years, we have recently converted to a collaborative team approach for skull base endoscopy. time. present the until 2007 August from performed Purpose: The aim of the presentation is to review t review to is presentation the of aim The Purpose:

continued on next page Purpose: The purpose of the report is to define the define to is report the of purpose The Purpose: Strictures were reported around 2.2%. They also rep also They 2.2%. around reported were Strictures 60% EWL sustained weight loss (or BMI of 29.8 kg/m2). As we can imagine, lost to follow-up weight loss (or BMI of 29.8 kg/m2). As 60% EWL sustained rate is about 32. 6 %. than 50), and followed with weight regain and gastric pouch dilatation. At 5 years, the experts surveyed, reported results of Results: Best gastric results bypass on (>70% weight EWL loss for are BMI achieved less in the first 2 in years the like Roux-en-Y perience. Statistical analysis was performed when compared to the 2011 expertanalysis was performed when compared perience. Statistical consensus. Methods: A Survey Monkey questionnaire was distributed to 106 surgical experts with more than 1000 sleeve gastrectomies ex- gastrectomies sleeve 1000 than more with experts surgical 106 to distributed was questionnaire SurveyMonkey A Methods: g a with treated are leaks Chronic (47%). junostomy l a place, in sleeve the leaving (21.7%), junostomy

types of operations were reported to be 4.8%, while 4.8%, be to reported were operations of types but in some it may remain and require wither prolon wither require and remain may it some in but

tions. Increasingly, leaks are treated with endosco with treated are leaks Increasingly, tions. e some But approach). this favored experts of (34% Conclusions: Most participants of the 5th Internati 5th the of participants Most Conclusions:

including late conversions (7.7%) 5-10 years following this modus operandi. including late conversions (7.7%) 5-10 bolic operation remains a procedure of choice for weight loss, and achieve the best balance in the equation risks-benefits, even risks-benefits, equation the in balance best the achieve and loss, weight for choice of procedure a remains operation bolic 36 ABSTRACTS Conclusions: In all,weachieved95percent hip painreliefinthesepatients risers, Cementtechnique,Titanium porous,Length control, CeramicsandAntibioticsincement stress decrease which prosthetics femoral Collarless improved, Polyethylene included: us of all by progress other Furthermore, these patients. in relief pain hip percent 95 achieved we all, In pain. of relief significant had post-operatively seen patient Each surgery. after and before pain evaluated clinically the with correlated was patients replacement hip total our in data anatomic The Results: (PlateI). found nearthevascularelements.Onoccasion,afewfibers extendedtotheendostealwalloffemoralcortex were bone of fibers unmyelinated and myelinated The trabeculae. the along follow and epiphysis the toward travel and artery nutrient the with foramen nutrient the through bone the enter fibers myelinated and unmyelinated intramedullary,endosteal supply the capsule, the periosteum These tissue and nerves appear of the throughout the soft the hip bone. joint. The Nerves andcancellousredmarrowofhumanjoints. inthebonecortex aswellnerves cartilage scarified tissueneararticular the and bone, periosteum capsule, synovium, tendons, joint, hip the in fibers peripheral afferent identified have We Methods: process toself-perpetuatethepainfulinflammatory somal enzymicreleaseandcelldeathinbonewhichserved attack mast cells and histiocytes. The inability o microfr repetitive via lost debris head femoral The other academicornon-academicdivisions. aware of the thought process involved in decisions. The successful incorporation of as midlevel a providers model can for serve be present in the operating room often. Finally, they were included in the all patient decisions via email Additionally,to would ensure they patients. that post-surgical they and were pre-surgical of treatment and evaluation the of elements critical the learn midlevel providers spent extensive time evaluating patients in the clinics of their collaborating attending physician in order to the midlevel providers (both of whom had no surgical experience but extensive care primary experience) had several elements. Both room. Residents on the value service the role of the midlevel provider and appreciate their role on the team. The training of the cancer diagnoses. In addition to responsibilities emergently,and elective patients complex with post-operative patients examine of results), evaluations municating initiate and division for the previous one year. The midlevel providers function as liaisons with patients (returning complex phone calls, sur com- three and physicians attending five of composed poration of midlevel providers within an academic surgical division. The surgical oncology division at the University of Kansas is incor- effective the describe to is presentation this of purpose The providers. midlevel with efficacy greatest with and efficiently most work to opportunities identifying in challenges had have settings, academic in practice who those particularly Surgeons, Midlevel Providers important serve roles in the of delivery healthcare in many care primary settings and emergency departments. Purpose: In the severely painful osteoarthritic hip cally-induced aphakia and presbyopia. These lenses For almost20yearsIntraocularlenseshavebeenmadeavailabletocataract surgeonsasawaytosimultaneouslycorrectsurgi- loss, andimprovedextentoftumorresection. / using ENT a team. combined Weneurosurgery have noted a lower rate of conversion to open microscopic surgery, less blood Conclusions: Our experience has supported the concept of achieving better outcomes in endoscopic transphenoidal by surgery /ENTteam. blood losswaslowerinthecasesperformedbycombinedneurosurgery requiring a subsequent transcranial repair in both the alone cases and done 0% / by in ENT neurosurgery the cases. combined There neurosurgery was one failed CSF leak repair in 18% of rate approach microscopic open to conversion a was There team. ENT / neurosurgery combined the by performed Results: A total of 75 endoscopic transphenoidal cases were alone evaluated. and 50 25 were were performed by neurosurgery through theuseofuniquelydesignedmonofocallens. wi presentation This modalities. multifocal or tive The LatestClinicalSurgicalTotalHipReplacementAdvancementsinPainfulOsteoarthritisofthe Associate Professor of Surgery and Molecular &IntegrativePhysiology,Associate Professor ofSurgery UniversityofKansas,KansasCity, KS Successful IncorporationofMidlevelProvidersinanAcademicSurgicalDivision Director ofFirst Team InstituteLLC,Millersville,PA Joshua Mammen,MDPhDMBA,FICS Update onLightAdjustableLenses Robert Mathews,MD,PhD,FICS f the scavenger cells to cope with this degenerativ joint, the synovium appeared to react to the rigor in the outpatient setting one of the midlevel provi subsets. Extent of resection of pituitary macroaden ll show how this same corrective and functional end functional and corrective same this how show ll acture on motion tended to self-perpetuate the infl the self-perpetuate to tended motion on acture Phillips Labor,MD,FICS have been constructed so that they function primari gical residents. In addition, two midlevel provide midlevel two addition, In residents. gical Grapevine, TX s of joint motion on ambulation. ders also assists in the operating e process brought cellular lyso- omas was better and overall ly through accommoda- ammatory process and process ammatory point may be achieved be may point rs are members of this of members are rs ABSTRACTS 37 hage (n=1). Av- (n=1). hage ma associated with ions for DC included I Trauma Center for patients for Center Trauma I on. In developing countries, developing In on. anics of respiration. of anics ractures with displaced ribs, chest ribs, displaced with ractures =3), brain contusion (n=5), and subarachnoid hemorr subarachnoid and (n=5), contusion brain =3), versial treatment option for malignant cerebral ede age of 26 years (SD=7; range 19-43 years). Indicat Paul Park, MD, PhD with TBI related refractory intracranial hypertensi intracranial refractory related TBI with Milad Mohammadi, MD Mohammadi, Milad didates had radiographic or clinical flail chest, f chest, flail clinical or radiographic had didates erative management conducted at a University Level Level University a at conducted management erative Kingdom of Cambodia, Reno, NV ate from mechanical ventilation due to altered mech altered to due ventilation mechanical from ate Resident, Texas Tech University Health Sciences Center, Lubbock, TX Lubbock, Center, Sciences Health University Tech Texas Resident,

Global Outreach Fellow, Korean American Medical Association, Preah Kossamak Hospital, Phnom Penh Kossamak Preah American Medical Association, Korean Global Outreach Fellow,

Rib Plating Of Traumatic Rib Fractures: Patient Selection, Operative Planning and Technique and Planning Operative Selection, Patient Fractures: Rib Traumatic Of Rib Plating

Early Decompressive Craniectomy in Traumatic Brain Injuries: A Case Series from the Kingdom of Cambodia Early Decompressive Craniectomy acute subdural hematoma (n=9), epidural hematoma (n hematoma epidural (n=9), hematoma subdural acute Results: All DC patients were male with an average cations, midline shift, for a series of 12 patients. outcomes, and complications were analyzed Cambodia. A retrospective analysis was performed on patients who underwent DC for TBI during a 5-month period. The indi- The period. 5-month a during TBI for underwentDC who patients on performed was analysis retrospective A Cambodia. Methods: A customized database was created for collection of patient information at a government hospital in Phnom Penh, rates when compared to medical therapy in patients patients in therapy medical to compared when rates early DC may be preferable to maximize chances for survival. traumatic brain injury (TBI). A recent multi-center study in the U.S. showed that early DC did not significantly improve mortalityimprove significantly not did DC early that showed U.S. the in study multi-center recent injuryA brain traumatic (TBI). where intensive care unit (ICU) support may be however, minimal and intracranial monitoring technology may be nonexistent,

Purpose: Decompressive craniectomy (DC) is a contro Methods: This retrospective case review includes op includes review case retrospective This Methods: literature that describes plating of the 2nd rib. describes plating literature that flail chest. also describe We operative technique with a titanium plate and screw system. This is the first report in the Western Purpose: Purpose: Herein we present cases of rib fixation for trauma patients with disrupted respiratory mechanics secondary to clinical

who suffered traumatic rib fractures. Operative can Operative fractures. rib traumatic suffered who the procedure, and also to describe the benefits and reduction in morbidities. the procedure, and also to describe the eration has not yet become trials the are standard sorely of needed care. to define Prospective which patients will benefit from Conclusions: Despite numerous studies detailing improved outcomes in rib fracture patients with surgical stabilization, this op- ventilator within 24hrs postoperatively. The patients were discharged within 4 days of surgery. ventilator within 24hrs postoperatively. Two patients had 6 and They 7 had fixation successful levels Two plating respectively. of their 2nd ribs, and both liberated from the bilization using titanium plating and screws is also detailed. bilization using titanium plating and screws rupted chest wall mechanics secondary to clinical flail chest, including plating of the second rib. Our preferred technique of sta- of technique preferred Our rib. second the of plating secondaryincluding mechanics chest, wall flail chest clinical rupted to literature which describe 2nd rib fixation. The cases herein demonstrate successful titanium plate and screw stabilization of dis- thopedic surgeons. Publications describing operative techniques are rare, and there are no known publications in the Western Rib fixation is predominantly described in specialty trauma centers and practiced by a minority of trauma, cardiothoracic or or- deteriorating pulmonary function in the setting of flail chest. respiration), persistent instability of the chest wall with inability and to non-intubated liberate patients from with the ventilator, Open reduction internal fixation of ribs is most beneficial in patients who have clinical flail chest (paradoxical chest motion with improved clinical outcomes following operative stabilization of flail segments. following operative stabilization improved clinical outcomes ciated with traumatic rib fractures includes respiratory failure, pneumonia and prolonged hospitalization. Studies have shown wall deformity, severe pain, and inability to liber to inability and pain, severe deformity, wall Results: In 2009, over 300,000 patients with rib fractures were seen in U.S. emergency departments. Significant morbidity asso-

settings, such as the Kingdom of Cambodia, can be performed safely and effectively with minimal risk and favorable outcomes. favorable and risk minimal with effectively and safely performed be can Cambodia, of Kingdom the as such settings, be minimal or nonexistent. Early DC may not increase survival in TBI patients with MLS > 16 mm. DC in developing medical Conclusions: Early DC may be preferable over medical therapy when ICU support and intracranial monitoring capabilities may (n=2) and hygroma (n=2). range 10-32 days). Complications were primarily postoperative and included bone flap infection at site of abdominal storage recovery without any significant disability [Glasgow outcome scale (GOS) score of 5]. Average hospital stay was 15 days (SD=7; days 15 was stay hospital Average 5]. of score (GOS) scale outcome [Glasgow disability significant any recoverywithout mm), and MLS of 16.5 mm resulted in death even with DC. The mortality rate was 8% (n=1). Five patients (42%) made a good a made (42%) patients Five (n=1). 8% was rate mortality The DC. with even death in resulted mm 16.5 of MLS and mm), erage GCS prior to DC was 9 (SD=3, range=5-15). The average midline shift (MLS) was 9.4 mm (SD=2.8; range=8.0-16.5 38 ABSTRACTS areeligible to participate in this program. Curre Conclusions: Using the current inclusion/exclusion cancer deathpreventedishighestinthelowerriskgroup. of mortality reduction depends largely on stratification by risk for development of the disease. Number of false positives per lung Results: Reduction of lung cancer mortality across andevidence-basedguidelinesformulated. ments weredevelopedfromamulti-societycollaborativeeffort head, signed informed consent form. Data from institutions with lung cancer screen programs was analyzed. Consensus state- the over raised arms with back the on lie to ability years, 15 previous the within smoking quit smokers: former smoking, arette Methods: Study inclusion criteria: Age 55-74 years (pack-years = packs per day * years smoked), > 30 pack-years of history cig- hasthepotentialtosavethousandsoflivesannually.mortality Methods: A total of 66 patients who used the Carpal surgical treatmentofcarpaltunnelsyndrome. non-lasting, for means effective an is device this if determine help to results satisfaction patient long-term obtained study This Patientsyears. several for published. use been in not been have has data which long-term Rx, but results effective highly report and difficult to ascertain. One alternative therapy is soft tissue manipulation as performed by an automated device called Carpal sparse are therapies nonsurgical alternative on data non-surgically.efficacy However,syndrome long-term tunnel carpal their Purpose: Abundant data indicate that most patients who undergo carpal tunnel release could surgery have effectively managed was used to assess patient satisfaction based prima continued on next page the program and management of false positive findin derway derway to identify a group of patients at risk for deaths in both men and women in the United States and accounts for 27% of all cancer related mortality. Efforts have been un- Purpose: It is estimated that 159,260 Americans died of lung cancer in the year 2014. Lung cancer is the leading cause of cancer criteria, anesthetic protocols, surgical protocols, selection procedure Patientcriteria, 2013. selection 1, January through 1998, 1, January from interval the spanning performed was Center Medical Pelosi the at anesthesia local strict under done procedures gynecologic of review fifteen-year A Methods: strict localanesthesiaisdemonstrated. under procedures gynecologic performed commonly of variety a performing Purpose:efficiently and effectively of feasibility The ldd ypos eeiy c-obdte, g, edr Cra R ue itr/ceue ad hte srey was/is surgery whether and history/schedule, use Rx Carpal gender, age, considered/scheduled/performed. co-morbidities, Both severity, questionnaires symptoms cluded and a standardized Product Satisfaction Questionnai plemental sedationwithproperpatientandprocedureselectionadequateprotocols. Conclusions: Gynecologic procedures can be performed effectively under strict local anesthesia with an infrequent need for sup- tractinfections(0.076%). were nointraoperativecomplications.Postoperative complicationswerelimitedto21urinary compl anesthetic no were There completed. cessfully suc- were procedures All identified. were anesthesia local strict under initiated procedures gynecologic 2,761 of total A Results: were evaluated. least to most symptoms resolution or product satisf product; 3 declined for reasons related to the product. No other information was gathered from non-participants. The mean The non-participants. from gathered was information other No product. the to related reasons for declined 3 product; for reasons not related to the 11 declined participation Results: Of the patients contacted, 52 completed the telephonic survey; Long-Term EffectivenessofaNon-surgicalTreatmentforCarpalTunnelSyndrome Visiting ClinicalAssociateProfessor ofSurgery, UniversityofIllinois,Chicago,Riverside,IL Vaginal SurgeryunderLocalAnesthesia:AnEmergingParadigm Update onLungCancerScreeningPrograms Director, Pelosi MedicalCenter, Bayonne,NJ Carpal Pain Solutions,Inc.,Palm City, FL Francis J.Podbielski,MD,MS,FICS ntdata suggests a potential reduction of 12,000 lu criteria for low-dose CT scan lung cancer screening perioperative protocols, patient report visual pai lung cancer who would benefit from screening. A sm the studies is estimated at 20%. Re-analysis of th Marco PelosiIII,MD,FICS rily on the Michigan Hand Outcomes Questionnaire (M action). Rank-sum nonparametric analyses were used gs remains a challenge in developing optimal screen re (PSQ) for overall product/patient satisfaction. Rx more than 24 months were contacted by telephone required a response based on a subjective opinion Michael Politis,PhD ications. Sixty six patients (2.4%) required supple required (2.4%) patients six Sixty ications. , approximately 8.6 million Americans ngcancer deaths per year. Costs of n scores and treatment outcomes Other information obtained in- e data shows that the degree ing recommendations. all reduction in lung cancer scale of 0-10 (representing to analyze results. mental sedation. There sedation. mental HQ) for symptoms relief . A 17 question survey ABSTRACTS 39 head with the re- versity, Harbin, China Harbin, versity, sly, because the donor sly, y was maintained at an y maintained was wakened and displayed and wakened /Hg. Although ECG and ECG Although /Hg. n, 18 mice survived for 3 for survived mice 18 n, ebrate rigidity. rigidity. ebrate intra- and post-operative and intra- for relieving carpal tunnel carpal relieving for a is an excellent indication excellent an is a bradycardia, and no lethal no and bradycardia, of carpal tunnel syndrome. tunnel carpal of AHBR will become another become will AHBR lasty . This paper will discuss will paper This . lasty to saving the lives of patients of lives the saving to effective alternative to carpal to alternative effective mice awoke, electroencephalogram awoke, mice Sudhir Rao, MD retaining the donor brainstem and transplanting the -term survival. Successful clinical translation of of translation clinical Successful survival. -term ely, there was neither significant tachycardia nor nor tachycardia significant neither was there ely, The Second Affiliated Hospital, Harbin Medical Uni Medical Harbin Hospital, Affiliated Second The onor and recipient carotid and jugular vessels, the vessels, jugular and carotid recipient and onor Xiaoping Ren, MD estingly, the mice did not show postoperative decer postoperative show not did mice the estingly, of the transplanted cephalons. Because blood suppl blood Because cephalons. transplanted of the Reza F. Saidi, MD, FICS icipated, they icipated, were capable of spontaneou breathing However, there is still no effective way in which which in way effective no still is there However, underwent the AHBR procedure. After transplantatio After procedure. AHBR the underwent systolic blood pressure was maintained above 50 mm 50 above maintained was pressure blood systolic patient satisfaction suggest that this device is an is device this that suggest satisfaction patient blished short-term data on the use of the Carpal Rx Carpal the of use the on data short-term blished percutaneous pinning, internal fixation to arthrop to fixation internal pinning, percutaneous are for hepatocellular cancer (HCC). Hepatoblastom (HCC). cancer hepatocellular for are of the Carpal Rx for effective long-term management long-term effective for Rx Carpal the of was 140±15/minute. During these 3 hours, the mice a mice the 3 hours, these During 140±15/minute. was eness (blinking, whiskers moving, etc.). After the the After etc.). moving, whiskers (blinking, eness

Surgical Treatment of Humerus Fractures Surgical Treatment Liver Transplantation for Malignant Neoplasms Alpert Medical School of Brown University, Providence, RI Providence, Alpert of Brown University, Medical School

Big Rapids Orthopaedic PC, Premier Hand Center, Big Rapids, Michigan Big Rapids, Hand Center, OrthopaedicBig Rapids PC, Premier Preclinical Studies of Allogeneic Head and Body Reconstruction of Allogeneic Head and Body Preclinical Studies Assistant Professor of Surgery, Division of Organ Transplantation, Department of Surgery Division of Organ Transplantation, of Surgery, Assistant Professor

Professor of Surgery Hand and Microsurgical Center, Microsurgical and Hand Surgery of Professor continued on next page

than 10 years, and now are internationally adopted. internationally are now and years, 10 than type wild C57 forty and mice Kunming Forty Results: rejection taxonomy and other important scientific indicators adopted from these studies have been clinically validated for more Methods: Our approach, pioneered in mice, involves term survival and mental function. and face conversion, achieved a successful clinical representative of the Joint CTA. immunosuppressive regimen and immune thus hinder the clinical translational of the AHBR. an effective biological animal model and long- including translation, to relevant outcomes evaluate to order in monkeys in model the establish and mice in model AHBR tation (CTA), in preclinical swine models, and initiation of the US first clinical hand allograft procedure and according to the hand the to according and procedure allograft hand clinical first US the of initiation and models, swine preclinical in (CTA), tation head and body reconstruction (AHBR) has been subject unable to complete necessary preclinical experiments did not establish in mice. This is the first successful use of this model to build date. the To AHBR research platform, we plan to further develop syndrome. The high level of symptomatic relief and and relief symptomatic of level high The syndrome. allotransplan- tissue composite successful first world’s the of completion and design the to led has work our Previously, Purpose: allogeneic frontier, next CTA strategies, treatment surgical only The body. the in failure organ other of dying mind healthy a with mainder of the brain. This allows for retention of breathing and circulatory functions, and this is supported by preliminary data Conclusions: The current research supports prior pu prior supports research current The Conclusions: satisfaction. There was a slight inverse correlation between symptoms severity and patient satisfaction. severity and patient between symptoms inverse correlation There was a slight satisfaction. overall categories surveyed. In general, both MHQ and PSQ results coincided with respect to symptoms resolution and product and resolution symptoms to respect with coincided results PSQ and MHQ surveyed.both categories general, overall In a periodic basis within the past 12 months to maintain or restore symptomatic relief. Mean product satisfaction was 92.2% in was 92.2% product satisfaction Mean relief. symptomatic or restore maintain months to past 12 within the basis a periodic 91.4% 91.4% and 85.9% reported symptoms resolution, respectively; needing and to 62% use and the 88%, product respectively, on time from initial use of the Carpal Rx was 27.4 months. In 88% and 12% of patients, overall MHQ results indicated at least a

is a wide spectrum of surgical options ranging from ranging options surgical of spectrum wide a is the fracture pattern and treatment methods vary based on the age of the patient, type of fracture and other parameters. There parameters. other and fracture of type patient, the of age the varyon methods based treatment and pattern fracture the epiphysis or metaphysis and oftenOne must be aware require of surgery. vascular injury and growth impairment. In the adult Fractures of the Humerus can be challenging to treat in any age group. In the pediatric age group fractures usually involve the involve usually fractures group age pediatric the In group. age any in treat to challenging be can Humerus the of Fractures and treatment options various clinical situations around 30% of all liver transplants performed in US in performed transplants liver all of 30% around Results: Liver transplantation for malignancies has emerged as proven treatment modality for selected group patients. Currently, patients. group selected for modality treatment proven as emerged has malignancies for transplantation Liver Results: Methods: Literature Search/Review Purpose: To review the correct data on liver transplantation for hepatic tumors. To Purpose: results good yields population adult the in HCC for transplantation liver Similarly, tumors. unresectable with patients pediatric in

tunnel release surgery. These data support the use use the support data These surgery. release tunnel hours hours after As the was ventilator ant disconnected.

brainstem remained intact. The rate of respiration respiration of rate The intact. remained brainstem cranial nerve function and characteristic responsiv characteristic and function nerve cranial cortex the from directly made were recordings (EEG) of immune-suppressive treatments to reach AHBR long AHBR reach to treatments immune-suppressive of retention of donor brainstem, preliminary data for PEG study to promoting CNS function recovery function optimization CNS developing promoting and to preliminarystudy brainstem, PEG donor for of data retention adequate level during surgery by anastomosing the d the anastomosing by surgery during level adequate The activity. electrophysiological show ECG and EEG postoperativ curve unstable an shows monitoring EEG Inter 300±20/minute. was rate heart The arrhythmia. ischemia, brain avoid to cross-circulation the for allow which procedures, surgical critical developed has study This Conclusions: milestone of human medical history and potentially could save millions of people. 40 ABSTRACTS 30 months); all recurrences required surgical inter surgical required recurrences all months); 30 respectively.74.1%, and 83.3% were rates colostomy-freesurvival 5- (range months 12.1 was recurrence local to time Average 2-year and respectively.One- 80%, and 100% was years five and three at survival overall demonstrated curves survival Meier time from completion years of at therapy time was of 21 diagnosis. months Median (range follow-up 6 to 89 months). Kaplan- Results: Twenty-two patients that met our inclusion criteria were identified. All patients were male with age range from 36 to 62 andrelapserateswasperformed. colostomy-free survival, patient demographics,overall-survival, such combined modality therapy when applied to HIV- of outcomes investigate we Here subset. population this in survival colostomy-free and control local-regional for results mixed anus (SCCA) with the same combined-modality regimen as their HIV-negative counterparts; however available literature shows of treatment recommend guidelines Accepted ulation. in this population subset. INTRODUCTION: There free is survival an increased incidence of anal cancer in the HIV-positive pop- colostomy- and control local-regional for results mixed shows literature available however HIV-negative counterparts; their as of HIV-positive patients diagnosed with squamous ce Purpose: There is an increased incidence of anal ca dothelioma is also an appropriate indication for li for indication appropriate an also is dothelioma hemangioen- Epitheloid lists. waiting on patients for progression tumor limit to indicated be might cryotherapy or bolization, chemoem- ablation, radiofrequency like procedures Adjunctive procedure. the from benefit to selected reliably be can tumors extensive more with patients whether determined be to remains It criteria. Milan the exceed not do tumor whose patients for Conclusions: Livertransplantationisanvaluableoptioninselectedpatientswithlivertumors. lected patientscanapproachthatforotherwithend-stageliverdisease. se- these in Survival through. carried are transplantation, liver by followed radiotherapy and chemotherapy including therapies, result in and long-term even survival cure in a number of patients. Cholangiocarcinoma if might aggressive qualify neoadjuvant transplantation, with the exception of cases in is which a the neuroendocrine primary tumor, for which liver transplantation can decompression to treat intracranial hypertension. hypertension. intracranial treat to decompression wall abdominal of use the described have we manuscripts, length full two then and reports case of series a Through Methods: have describedanovelalternativetreatmentstrategy. reduce ICP head by of directly the affecting bed, the hyperosmolar brain. therapy and Recently,even mild hyperventilation, we the elevating as such Therapies brain. the treating at directed all is hypertension Traditionalintracranial Purpose: for treatment guidelines fortheHIV-positive patient. pre-HAARTa ing day,modern in Thus, population. treatment SCCA present the support to evidence further provides study our outcomes when combined-modality therapy is used to loca and survival overall similar with counterparts Conclusions: HIV-positive patients on HAART with SC times. tumor size,nodalstatus,andhistologicpathologydidnotrevealanystatisticallysignificantassociationswithsurvival single a in identified were 2013 December and 2002 Methods: HIV-positive patients on highly active ant for highvolumeHIV-positive patients. decompression is an effective waywall toabdominal that decrease demonstrated intrahave We deleterious. very be can injury brain with patients in pressure intracranial in rises domen can be transmitted to the cranium likely via the large veins. In patients without brain injury, this is likely unimportant, but Results: The cranium, thorax, mediastinum and abdomen sit immediately adjacent to one another. Pressures in the chest or ab- return. Pressure exceedsperfusionpressure,resultinginischemia. continuestoriseuntilthepressurewithincompartment syndrome compartment of principles The pressures. limiting intracranial hypertension andguiding theneedfordecompression. limiting intracranial hypertension represents the first therapy for brain not injury directed at the brain itself. Targeted resuscitation strategies may be helpful very in Conclusions: Decompression in compartments remote f the abdomenorchest. then feed back to increase pressure in the original abnormalities that we have termed Multiple Compartment Syndrome, where pressures in one compartment affect another and Innovative ManagementforTraumaticBrainInjury:CompartmentsCommunicate Professor ofSurgery, SchoolofMedicine,BaltimoreMD UniversityofMaryland Squamous AnalCancerOutcomesinHIV-PositiveMen Resident Physician,Presence St.JosephHospital,Chicago,IL Tracy Sambo,MD,FICS(Jr) compartment. This downward spiral can be reversed ncer in the HIV-positive population. Accepted guide l-regional recurrence rates. While there are studie are there While rates. recurrence l-regional vention with creation of end colostomy.Multivariat end of creation with vention cranial pressure. Moreover, patients can develop a i-retroviral therapy (HAART) diagnosed and treated This therapy was successful, even with modestly ele modestly with even successful, was therapy This ver transplantation. Metastatic liver disease is no is disease liver Metastatic transplantation. ver ll carcinoma of the anus (SCCA) with the same combi Thomas Scalea,MD CA may be treated with the same treatment regimen a positive patients diagnosed with SCCA at a communit community hospital for retrospective chart review. chart retrospective for hospital community are well understood. Pressure rises in a compartme a in rises Pressure understood. well are treat SCCA in HIV-positive patients; this data is l HIV-positive patients diagnosed with squamous cell squamous with diagnosed HIV-positive patients rom the head can be effective in reducing intracran lines recommend treatment constellation of physiologic s that demonstrate inferior demonstrate that s for SCCA between January argely the result of study- by decompressing either e analysis of age, stage, age, of analysis e t an indication for liver for indication an t ned-modality regimen vated intraabdominal vated ial hypertension. This Statistical analysis of analysis Statistical y institution notable s their HIV-negative nt, limiting venous limiting nt, carcinoma of the of carcinoma ABSTRACTS 41 ons are drawn using epsy-related recurrent epsy-related e represent a suitable ely ely (range, 15-34). An tion improved from 710 from improved tion London Middlesex, UK Middlesex, London potential dangers current dangers potential 30-70) postoperatively. 30-70) e anatomy (FF-RSA) pros- (FF-RSA) anatomy e al. Preoperative and post- and Preoperative al. tal, Stanmore, London UK London Stanmore, tal, range, 1-15) to 27 postop- 27 to 1-15) range, uloskeletal Science, Division Science, uloskeletal ce, Division of Surgery and Surgery of Division ce, ipated. No cases of scapular of cases No ipated. improved from 150 preoper- 150 from improved instability or persistence of ap- of persistence or instability asty For The Treatment Of Epilepsy-Related houlders in five patients underwent FF-RSA for epil for FF-RSA underwent patients five in houlders ines what is human life lies in the brain. Conclusi struction is challenging. Arthroplasty may therefor ent (cosmetic, physiological, and cognitive). The The cognitive). and physiological, (cosmetic, ent m m 7 preoperatively (range, 4-13) to 26 postoperativ wide Ltd, UK) is a constrained fixed-fulcrum revers fixed-fulcrum constrained a is UK) Ltd, wide from 17 (range, 0-50) preoperatively to 54 (range, (range, 54 to preoperatively 0-50) (range, 17 from Patricia Scripko, MD Scripko, Patricia The Royal National Orthopaedic Hospital, Stanmore, Stanmore, Hospital, Orthopaedic National Royal The Institute of Orthopaedics and Musculoskeletal Scien Musculoskeletal and Orthopaedics of Institute the four-part grading system devised by Sirveaux et Sirveaux by devised system grading four-part the .4 - 6.4 years). There were no further episodes of of episodes further no were There years). 6.4 - .4 cal Engineering, Institute of Orthopaedics and Musc and Orthopaedics of Institute Engineering, cal ely (range, 80-900). Mean active external rotation rotation external active Mean 80-900). (range, ely oid component were noted. Mean active forward eleva forward active Mean noted. were component oid and no revision procedures were performed or antic or performed were procedures revision no and ely. The mean OSIS improved from 7 preoperatively ( preoperatively 7 from improved OSIS mean The ely. ollege London, The Royal National Orthopaedic Hospi Orthopaedic National Royal The London, ollege Recurrent Shoulder Instability Shoulder Arthroplasty In Epileptic Patients Tanujan Thangarajah, MB ChB (hons), MRCS, MSc Tanujan Thangarajah, MB ChB (hons), MRCS, MSc Tanujan Thangarajah, Neurologist, Salinas Valley Memorial Hospital, Salinas CA Salinas Hospital, Memorial Valley Salinas Neurologist, Commodifying Human Traits: the Neuroethical Aspect the Neuroethical Traits: Human Commodifying

Interventional Science, University College London, London, College University Science, Interventional

Constrained Fixed-Fulcrum Reverse Shoulder Arthropl The John Scales Centre for Biomedical Engineering, Engineering, Biomedical for Centre Scales John The

of Surgery and Interventional Science, University C University Science, Interventional and Surgery of Research Fellow, The John Scales Centre for Biomedi for Centre Scales John The Fellow, Research

physicians practicing in an era of these advancing technologies is suggested. in an era of these advancing technologies physicians practicing and theoretical technologies concerning the brain are posed, and a general set of guidelines for the role and responsibilities of continued on next page Methods: Between November 1996 and June 2013 five s five 2013 June and 1996 November Between Methods: and establish its role in the management of this challenging condition. and establish its role in the management The Bayley-Walker shoulder (Stanmore Implants World Implants (Stanmore shoulder Bayley-Walker The The aim of this study was to report the functional outcome following for FF-RSA epilepsy-related recurrent shoulder instability and increasing arthritis symptoms. glenoid component. There are no reports strategy in the current published literature. of this management using radiograph anteroposterior the on defect the term complication. Despite technically satisfactory reconstruction procedures some patients still experience persistent instability the of primaryfixation secure for stock bone glenoid sufficient and instability shoulder recurrent epilepsy-related with patients for of size the by classified was notching Scapular cases. all in performed was imaging radiographic postoperative and Preoperative focus on restoration and/or augmentation of the bony glenohumeral joint while also addressing arthritis, which can be a long- lesser degree than most existing non-linked reversed anatomy prostheses. These features make it a potential treatment option procedures (range, 0-5). an average of two previous stabilisation imately 0.6% but this is probably an underestimation since go undetected. The majority of non-arthroplasty surgical strategies rotation is placed medially and distally which to increases the the axis lever of arm the of normal the shoulder, deltoid, but to a after performed was FF-RSA instability. multidirectional had one and instability anterior had patients Four female. one and males Purpose: Epileptic seizures can cause shoulder dislocation and instability. The incidence of dislocation during a seizure is approx- is seizure a during dislocation of incidence The instability. and dislocation shoulder cause can seizures Epileptic Purpose: of center The problems. reconstruction shoulder difficult with patients of treatment the for conceived specifically was that thesis four of cohortconsisted The surgery. before 2-38) (range, years 13 of mean a occurred dislocation index The instability. shoulder hancement. It explores the argument: that which def entation addresses those controversies specific to manipulating or altering the brain for the purpose of medical restoration or en- or restoration medical of purpose the for brain the altering or manipulating to specific controversies those addresses entation enhancem human and death, brain research, cell stem We are in an We With age these of advances, rapidly come advancing ethical neuroscience questions. and technology. This pres- abortion, concerning realms in made arguments on based stages different at life human define we how between comparisons treatment option but there have been no reports of this in the published literature. condition. Owing to a poor bone stock further recon noid and humeral head is thought to be responsible for the high recurrence rate and is recognized as being pathognomic of the of pathognomic being as recognized is and rate recurrence high the for responsible be to thought is head humeral and noid Purpose: Epileptic seizures can cause dislocation of the shoulder joint and recurrent instability. Significant bone loss from the gle- the from loss bone Significant instability. recurrent and joint shoulder the of dislocation cause can seizures Epileptic Purpose: lected patient population as an alternative to arthrodesis or non-surgical treatment. pain and range of movement (external rotation) was also noted. The procedure should therefore be considered in this highly se- highly this in considered be therefore should procedure The noted. also was rotation) (external movement of range and pain increase was noted in the mean SSV, which improved improved which SSV, mean the in noted was increase in improvement An outcome. functional overall improved and instability recurrent eliminated FF-RSA series, our In Conclusions: Results: The mean follow-up was 3.6 years (range, 2 (range, years 3.6 was follow-up mean The Results: and the Oxford Shoulder Instability score (OSIS). and the Oxford Shoulder Instability score operative clinical outcome measures included active forward elevation, active external rotation, the Oxford Shoulder Score (OSS) Score Shoulder Oxford the rotation, external active elevation, forward active included measures outcome clinical operative procedures stabilisation further no and prehension, glen or humeral the either of loosening or notching postoperativ 850 to 45-1300) (range, preoperatively postoperativ (20-700) 400 to 0-800) (range, atively eratively (range, 16-37). The mean OSS improved fro 42 ABSTRACTS by anincreaseinthemeanSSV. Theprocedureshouldthereforebeconsideredinthisselectedpatientpopulation. ever, shoulder arthroplasty did eliminate recurrent Conclusions: In our series, hemiarthroplasty was associated with a high rate of revision even with a short-term follow-up. How- operatively (range,10-600)to390(20-700)postoperatively. postoperatively (range, 70-1700). A similar gain was also noted in mean active external rotation, which improved from 310 pre- to 52 (range, 15-90) postoperatively. Mean active f interventions in the last decade. This presentation has made tremendous strides however acceptance of s Purpose:As the obesity epidemic grows surgical int such aspreparation,assessments,education,evaluation,and reporting. activities practice best other incorporate may partnerships Teamslonger and success. trips of frequent keyindicator more with a as partnership recognizes that Outreach Medical for framework practice best AmeriCares inform results These Conclusions: medical seminarsorlectures(48%). and (89%) transfer knowledge on hands through building capacity in result also partnerships strong teams’ Surgical a=0.01). over five years. Further analysis shows that the lo nered with an host in-country organization (usually a local clinic or hospital) with almost half (47%) maintaining a relationship of performed surgeries. Most (82%), make trips at least once a year and 36% more than once a year. Nearly all teams (98%) part- 39% and care primary on focused half which of providers care health licensed were (80%) respondents of majority The Results: years, yieldeda36%responserate. 1.5 past the within traveling donation product AmeriCares an of recipients 1,561 to survey,emailed anonymous An Methods: influencesbestpracticeapplication gaps, andtheextenttowhichpartnership web- a administered and guidelines practice best of year. Recognizing the diversity of these teams and the lack of standards to ensure their effectiveness, AmeriCares proposed a set Purpose: AmeriCares more supports than 1,200 volunteer medical teams traveling on trips short-term to over 80 countries each plete a pre-trip assessment (r=0.103, p<0.05, a=0.0 continued on next page All radiographs were reviewed for the presence of g anaverageoftwopreviousstabilisationprocedures(range,0-3). after performed instability.was posterior had Arthroplasty two and instability anterior had patients Six female. one and males seven procedure hemiarthroplasty resurfacing humeral five ders in eight patients underwent arthroplasty for recurrent instability. These included three total shoulder replacements (TSR) and Methods: Between November 1996 and July 2013 179 pa assess theresultsandrateofrevision. arth shoulder with experience 17-year our report We 0-3) postoperatively. This was accompanied by an in (range, 1.9 of mean a to preoperatively 0-1) (range, 0.8 of mean a from points, 1.1 of score pain in increase mean a was There in theTSRgroup. undertaken were revisions other,No the performed. in was and replacement undertaken glenoid was isolated replacement an shoulder total a to revision one, In erosion. glenoid painful to due surgery further required Two hemiarthroplasty with patients changes atthetimeofsurgery. performed were procedures stabilisation further No Following surgery six patients continued to have gr Results: Mean age of the was cohort 33 years (range, 17-44) and was follow-up for a mean of 3.2 years (range, 1.5 - 5.8 years). were assessedusingthesubjectiveshouldervalue(SSV). patients all addition, In pain. unbearable 0, and pain; severe 1, pain; moderate 2, pain; mild 3, pain; no indicated which 4 as outcome measurements included active forward elevation, active external rotation, active abduction and pain. Pain was graded of the components. Radiographs for patients who were hemiarthroplasty underwent also examined for glenoid erosion. Clinical Associate Professor Of Surgery (Clinical), Alpert MedicalSchoolofBrownUniversity,Site (Clinical),Alpert Associate Professor OfSurgery Director, Surgical ResidencyandMedical Change InParadigmBariatric AndGISurgery:EndoluminalNotRobotic Approach Power ofPartnership:EssentialBestPracticeinInternationalMedicalOutreach Student Programs,The MiriamHospital,Providence, RI AmeriCares MedicalOfficer, Greenwich,CT Siva Vithiananthan,MD,FICS, FACS s looks at robotic and endoscopic technology's effe instability, reduce pain and improve range of move nger a team works with a partner organization, the orward orward elevation improved from 1110 preoperatively and mal seizures but did not have any further episo erventionsonly treat about 1% of the eligible pati lenohumeral subluxation, periprosthetic lucency and crease in the mean SSV, which improved from 33 (ran 5) and thus agree upon health outcomes with the par Julie Varughese,MD based survey to understand current practices, ident practices, current understand to survey based s. All patients suffered from grand mal seizures. T seizures. mal grand from suffered patients All s. in the cohort. Six patients were found to have deve have to found were patients Six cohort. the in roplasty in patients with epilepsy-related recurren epilepsy-related with patients in roplasty urgery remains static. Robotic surgery was a tremen tients with epilepsy underwent shoulder surgery. Of ct on future of bariatric surgery ment. This was accompanied ents.Safety profile of surgery more likely they are to com- des of instability/dislocation. (range, 70-1500) to 1160 alteration in the position ge, 10-80) preoperatively t shoulder instability to instability shoulder t he cohort consisted of consisted cohort he tner (r=0.258, p<0.01, dous boost for urologic ify common resource common ify loped degenerative loped these, eight shoul- ABSTRACTS 43 anted to determine re of the MDD group MDD the of re is of MDD. MDD and nt reconstruction (ACLR) reconstruction nt ostoperative management ostoperative functional outcome following outcome functional ective Cohort Study t sport performance. Thus, further studies are warr Hao-Hua Wu, BA d postoperative complications. The average QIDS sco QIDS average The complications. postoperative d greater served as a validated threshold for diagnos pression on the outcome of anterior cruciate ligame cruciate anterior of outcome the on pression hat depression is a potential risk factor for poor poor for factor risk potential a is depression hat m multidisciplinary preoperative intervention and p and intervention preoperative multidisciplinary m Clinical Depression and ACL Reconstruction:

Incidence and Impact on Functional Outcome, a Prosp Third Year Medical Student, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA University of Pennsylvania, School of Medicine at the Medical Student, Perelman Third Year

obesity treatment in a surgical practice in a surgical obesity treatment Conclusions: Conclusions: Assess existing and new technology of robotic and endoscopic treatment modalities and their impact in future of surgical failures and complications surgical failures Results: compare results on the impact of robotic and endoscopic technology in treating the obese patient and dealing with doscopic interventionsdoscopic the horizon options in treatment and new the obesity epidemic. Evaluate the effect of robotic surgery on growth of bariatric surgery and safety profile in comparison to en- to comparison in profile safety surgery and bariatric of growth surgeryon robotic of effect the Evaluate epidemic. obesity the Methods: Review volume trends and safety profile of bariatric surgery and acceptance of surgery as a valuable tool in addressing in tool valuable a surgeryas of acceptance surgeryand bariatric of profile safety and trends volume Review Methods:

to improve ACLR outcomes. whether this subset of MDD patients can benefit fro benefit can patients MDD of subset this whether needed to return to competition and adversely impac perception of knee function postoperatively for MDD patients may manifest in lengthen greater time limitation in daily activity, preoperatively, and that preoperatively, these patients have significantly worse clinical self-reported one Continued year poor postoperatively. Conclusions: This study suggests the incidence of self-reported MDD among patients undergoing ACLR may be as high as 44% as high as be may ACLR undergoing patients among MDD self-reported of incidence the suggests study This Conclusions: tween QIDS and Lysholm (r = -0.51) and between QIDS and IKDC (r = -.053) were also found at each time point. (r = -0.51) and between QIDS and IKDC (r = -.053) were also found tween QIDS and Lysholm on their IKDC at one year (71.8 vs. 89.3; p = 0.001) in comparison to the non-MDD group. A moderate inverse correlation be- (75.2 vs. 88.4; p = 0.04), as well as 13.3 points lower on their IKDC at baseline (43.7 vs. 57.0; p < 0.001) and 17.5 points lower points 17.5 and 0.001) < p 57.0; vs. (43.7 baseline at IKDC their on lower points 13.3 as well as 0.04), = p 88.4; vs. (75.2 14.1 points lower on their Lysholm at baseline (50.8 vs. 64.9; p < 0.001) and 13.2 points lower on their Lysholm at one year was significantly higher than that of the non-MDD group at all five time points (p < 0.05). In addition, MDD patients scored

vision surgery were excluded. A QIDS score of 6 or jective Form and Lysholm scores were also obtained at similar time points. Patients with concomitant ligamentous injuries or re- or injuries ligamentous concomitant with Patients points. time similar at obtained also were scores Lysholm and Form jective 24 weeks, and one year postoperatively to assess MDD symptoms. International Knee Documentation Committee (IKDC) Sub- (IKDC) Committee Documentation Knee International symptoms. MDD assess to postoperatively year one and weeks, 24 were given a Quick Inventory of Depressive Symptomatology Self-Report (QIDS-SR16) preoperatively and at 6 weeks, 12 weeks, 12 weeks, 6 at and preoperatively (QIDS-SR16) Self-Report Symptomatology Depressive Inventoryof Quick a given were an pathology knee concomitant history, smoking BMI, Methods: In this IRB approved, multi-center 82 prospective consecutive cohortadult patients study, undergoing primary ACLR demographics, to respect with groups two the between found differences significant no were There group. MDD the in gorized relate depression symptoms with patient-rated knee function in patients undergoing ACL reconstruction (ACLR). in patients undergoing ACL reconstruction with patient-rated knee function relate depression symptoms Results: Among the 82 patients enrolled 37 in (44%) the scored study, 6 or greater on the QIDS preoperatively and were cate- orthopaedic procedures, the recognized impact of de of impact recognized the procedures, orthopaedic cor- and (MDD) disorder depressive major of incidence quantifythe to was investigation this of purpose The controversial. still is on preoperative QIDS scores. non-MDD groups were assigned based Purpose: Although recent literature has suggested t suggested has literature recent Although Purpose: 78TH ANNUAL SURGICAL UPDATE W MARK YOUR CALENDARS June 16-18, 2016 Troy, Michigan GENERAL MEETING INFORMATION 45 e ive ion ble. ble. files ns in ns le le for ation o use o Part- Check ts and ts e con- e or the orms to: orms DUCATION UESTIONS E Q Department of CME REA ICS-US Headquarters ICKETS UPPLEMENT Chicago, IL 60610-1694 EDICAL T A S 1516 North Shore Drive Lake M REP EEDS AND EGISTRATION VENT P UEST N R NFORMATION E /G ONTINUING RANSCRIPTS PEAKER PECIAL OCIAL EETING available to attendees 30 days after the conclusion of this meeting following completion of a post-meeting survey which will be emailed to you individually. events that are sold-out/unavailable or cancelled. cancelled. or sold-out/unavailable are that events possi as soon as Desk Registration Meeting the with CME credit for this meeting. Transcripts will be mad Tickets Tickets for social events MAY be available onsite on a is staff not responsib However, basis. limited VERY T rece to booklet evaluation CME your return must You The deadline for submission of all 2015. July 13, Evaluation forms is Monday, CME Program S registrat the near setup been has computer laptop A S If you have any special needs that must be addressed inform require you if and/or comfort your ensure to not listed in this brochure, please see the ICS-US Staff above. listed hours the during Desk Registration the at Every effort will be made to facilitate your request. S C CME Program Evaluation Forms are included in each registrant’s packet. receiveTo CME Credit, you must complete a Program Evaluation for Form each educa- intact, the in- tional packets session you attend. Leave cluding any blank sessions. must and be Forms re- completed Evaluation Program th to prior Desk f your Registration mail Meeting the to also turned may You conference. the of clusion presentatio their submit not did who Speakers area. PowerPoint their load should meeting the of advance the day before their presentation. Speakers may als may Speakers presentation. their before day the files. their preview/review to laptop this (CME) I (CME) POUSE M Everyone attending or participating in educational ses- sions, including faculty, is expected to register meeting. f S Anyone attending the meeting who is not a registered attendee should be registered breakfas as lunches, a as spouse/guest. such costs The the covers fee $150 Domestic Spouses, includes: This etc. breaks coffee ners and Relatives. This category is not appropriate for Sessions. CME attend will who physicians register for To the meeting, please visit the Meeting Registration Desk. l r - r. es 1- , and hout rport ilable nique 0 pm. 0 rough Sat- rough or visit: individuals 1800-BLUE-VAN RDDZU RDDZU : (arrivals at Reagan National Airport) National Reagan at (arrivals (arrivals at BWI Airport) BWI at (arrivals For reservations and informa- (arrivals at both BWI & Reagan National Airports)(arrivals at both BWI & For reservations and information: and reservations For RANSPORTATION T IRCULATOR www.theairportshuttle.com or 800-776-0323 www.theairportshuttle.com All

C

TTIRE IRPORT ARKING HE ANGUAGE propriate for most off-site social events. sessions and on-site social activities. Casual attire is ap- is attire Casual activities. social on-site and sessions A Business casual attire is recommended in educationa arrangements. the Hotel concierge for assistance with rental car P See day. per USD $10-20 Facilities Parking Valet and Self It is a trolley that quickly and efficiently moves moves efficiently and quickly that trolley a is It throug stops Trolley at board also can You minutes. T $1.00 per ride. The trolley runs approximately every 20 Board the Circulator Trolley outside the Westin hotel for hotel Westin the outside Trolley Circulator the Board Memorial Circle, allowing the public to enjoy the u the enjoy to public the allowing Circle, Memorial and maritime attractions. th Monday operate? trolley Circulator the does When around the Central Business District, Westgate Circle to Circle Westgate District, Business Central the around shops, the food and entertainment, the historic charm the route to return to the Westin. 8:0 to am 8:00 - Sunday pm 11:00 to am 7:30 - urday Vans Vans carry 7 to 10 passengers. Corporate and charte Go - The Airport Shuttle Shuttle Airport The - Go flights are tracked and passengers are met at curbside. http://www.supershuttle.com/default.aspx?GC=RDDZU passengers’ Maryland.Arriving of State the covering ice midnight - 3AM. within this brochure are in US dollars. within this brochure SuperShuttle is the nation’s leading shared ride ai shuttle service providing door to door ground trans information: and reservations For reservationserv-door to door offers Shuttle Airport The programs are also available. Service not available from

SuperShuttle A The official language of this conference is English L acceptable forms of payment. Unless noted, all pric as well as Visa, Master Card, and American Express are shall be conducted in English. all sessions and events portation to more than 8 million passengers per yea four to six weeks afterfour to six for your refund. the meeting Fees Meeting-related fees must be paid in US funds. Checks cellations after May 24 will not be honored. Please allow Please honored. be not will 24 May after cellations written notification via fax or mail. Verbal or written can- written or Verbal mail. or fax via notification written be issued, minus a $75 processing fee, upon receipt of Cancellation Policy Cancellation The cancellation deadline is May 24, 2015. Refunds will

mand basis. mand at the airport. Shuttles operate on a shared ride, on de- on ride, shared a on operate airport.Shuttles the at Supreme Airport Shuttle Shuttle Airport Supreme ava is service door-to-door Shuttle Airport Supreme major credit cards accepted. tion:

800-590-0000 or www.supremeairportshuttle.com. 800-590-0000 or www.supremeairportshuttle.com. (1800-258-3826) (1800-258-3826) and mention 46 MODERATOR AND PRESENTER INDEX Mukherjee, Debraj...... 24 ...... 18 Molena, Daniela Mohammadi, Milad...... 25,37 Mathews, William...... 16,20,23 ...... 24,36 S. Mathews, Robert ...... 25,36 Mammen, JoshuaM.V...... 21 Makary, Martin M ...... 17 Litwin, Demetrius Lewis, Jr., Frank R...... 17 Labor, PhillipsKirk...... 25,36 L ...... 19 Klein, Andrew K ...... 12,21 Jacobs, MichaelJ. J Huang, Jianzhong...... 16 Ho, Prof. Yik-Hong...... 16,17 ...... 16 Hamidian Jahromi,Alireza H Guthikonda, Bharat...... 23,24,35 ...... 24,35 Greenfield, Jr., GeraldQ...... 22,35 Gagner, Michel G Flores, Jesse...... 25,34 F ...... 22,34 Euhus, David Efron, JonathanE...... 19,22 Efron, David...... 19 Eckhauser, Fred...... 19,33 E Duncan, MarkD...... 22 Dix, Gary...... 20,33 Dieter, ...... 25,33 Jr., Raymond A...... 22 Aura Delgado-Cifuentes, ...... 19,22 Dardano, Jr., AnthonyN. D Cook, Jonathan...... 25,32 ...... 24 Coles, MaximeJ.M...... 20,24,32 Clark, W. Craig ...... 17 Cherian, MeenaN...... 15,20 Canavero, Sergio Cameron, Andrew...... 21 Cameron, John...... 14,20 C Butler, N...... 22 Bryan Bongiorno, Frank...... 25 ...... 19,24 Bolles, GeneE...... 16 Bhullar, JasneetS...... 24 Bereneau, Anca B Annamalai, Alagappan...... 21,31 Alvear, ...... 18,19,31 DomingoT. Altai, Bakir...... 18 A cik,Ptii ...... 23,41 Scripko, Patricia ...... 19,40 Scalea, ThomasM...... 23 S. Sasaki, Larry Santana, Dixon...... 18 ...... 23,40 Sambo, Tracy ...... 21,39 Saidi, RezaF...... 22 Safar, Bashar S Roscher, Arno...... 15,24 ...... 19 Romani, Livio ...... 24,39 Ren, Xiaoping ...... 23,37 Rao, SudhirB. Ramaiah, Chand...... 16 R ...... 24,38 Politis, Michael ...... 18,38 Podbielski, Francis J. Pelosi III,MarcoA...... 25,38 ...... 21,25 Pawlik, Timothy ...... 20 Patton, Chad ...... 23,37 Park, Paul Park, Adrian...... 18,19 P Oliphant, Uretz...... 16,17,20,24 O Narayan, Mayur...... 17,19 N Zamorano, Lucia...... 24 Z ...... 20 Xeller, Charles X Wu, Hao-Hua...... 24,43 ...... 21 Wolfgang, Christopher Weiss, Matthew...... 21 Weismiller, Mark...... 16 W Vithiananthan, Sivamainthan...... 17,22,25,42 Varughese, Julie...... 18,42 V ...... 15,24 Tilkian, Ara Thangarajah, Tanujan...... 23,41 ...... 17,18 Tefera, Girma Tarpara, Anand...... 16 ...... 22 Taggarshe, Deepa T W ESTIN A NNAPOLIS

47 WEDNESDAY THURSDAY FRIDAY SATURDAY JUNE 10 JUNE 11 JUNE 12 JUNE 13

REGISTRATION REGISTRATION REGISTRATION REGISTRATION 7:00-4:00 PM 7:00-4:00 PM 7:30-4:00 PM 7:00-4:00 PM PREFUNCTION PREFUNCTION Prefunction PREFUNCTION REAKFAST BREAKFAST B 7:30-9:00 AM OFFICER BREAKFAST 7:30-9:00 AM BREAKFAST CAPITOL D 7:30-9:00 AM CAPITOL D 7:30-9:00 AM CAPITOL D Prefunction TRAUMA AND ACUTE RESEARCH SCHOLAR- CARE SURGERY PART I SHIP COMPETITION ENDOWMENT FUND, 8:00-9:45 AM BARIATRIC AND 8:00-9:45 AM BOARD OF TRUSTEES CAPITOL A&B GENERAL SURGERY CAPITOL A&B MEETING 8:00-9:45 AM NAVAL ACADEMY CAPITOL A&B 8:30-9:00 AM OPENING CEREMONY TOUR Capitol A&B 10:00-10:15 AM 8:45 AM-NOON CAPITOL A&B GATHER AT NEUROLOGICAL AND ORTHOPAEDIC US SECTION STANDING REGISTRATION LANCE SURGICAL RESIDENT SURGERY - PART 2 COMMITTEE MEETINGS EDUCATION DEBATE & NEUROLOGICAL AND 8:00-2:15 PM (AMA, BYLAWS, ORTHOPAEDIC PANEL DISCUSSION SENATE A&B OARD OF RUSTEES B T , 10:15 AM-NOON SURGERY - PART 1 9:00-11:00 AM A G A ETHICS, PAST PRESI- CAPITOL A&B SENATE A&B LUNCHEON DENTS, HONORS &

T NOON-1:30 PM SCHOLARSHIP) EXPLORE ANNAPOLIS TRAUMA & ACUTE CAPITOL D A 9:00-10:30 AM 10:20-11:20 AM CARE SURGERY PART II SENATE A&B 10:00 AM-NOON Capitol A&B COLORECTAL SURGERY CAPITOL A&B SYMPOSIUM ALLIANCE BOARD OF CME COMMITTEE AND 10:00-NOON DIRECTORS & MEM- LUNCH & COUNCIL OF SPECIALTY BERSHIP MEETING THE DR. ANDRE CAPITOL A&B GROUP CHAIRS 11:20-NOON CROTTI LECTURE 10:30 AM-Noon SENATE A&B NOON-1:30 PM ARNO ROSCHER CAPITOL D Capitol A&B ENDOWED LECTURE

CHEDULE HONORS LUNCHEON 1:30-2:15 PM KEYNOTE LECTURE CAPITOL A&B

S OON OFFICER LUNCHEON N -1:30 PM SPONSORED BY CAPITOL D Noon-1:00 PM AANOS 1:30- 3:00 PM ANNUAL ETHICS Caucus I&II FORUM GLOBAL SURGERY CAPITOL A&B 2:15-3:30 PM SUMMIT CAPITOL A&B BOARD OF REGENTS 1:30-3:45 PM THE LATEST UPDATES MEETING CAPITOL A&B IN HEPATO-PANCRE- OPEN FORUM - FREE 1:00-2:00 PM ATO-BILIARY (HPB) PAPER PRESENTATIONS CARDIOTHORACIC & Senate A&B SURGERY 3:30-5:30 PM VASCULAR SURGERY 3:15-5:45 PM CAPITOL A&B 4:00-6:00 PM ENATE EXECUTIVE COUNCIL & S A&B CAPITOL A&B HOUSE OF DELEGATES AANOS BOARD CLOSING DINNER JOINT MEETING OPENING RECEPTION MEETING 7:00-10:00 PM 2:00-4:00 PM 6:00-7:00 PM 4:00-5:30 PM CAPITOL D Senate A&B SENATE A&B Caucus I&II