THE MOUNT SINAI DEPARTMENT OF SURGERY YEAR IN REVIEW—2018 MOUNT SINAI SURGERY

Breaking Barriers Creating a New Model of Care DEPARTMENT MISSION MSHS MISSION

The Department of Surgery at the The mission of the Mount Sinai Health Mount Sinai Health System aims to provide System is to provide compassionate expert surgical care that is informed by patient care with seamless coordination groundbreaking research and inspired by and to advance medicine through unrivaled advanced education, to benefit not only education, research, and outreach in the the patients we treat today, but the many many diverse communities we serve. patients we will have the honor of treating in the future.

The Mount Sinai Department of Surgery Year in Review – 2018 is the reformatted Annual Report of the Department of Surgery. This new format Table of succinctly highlights the top achievements from the Mount Sinai Department of Surgery and provides a convenient way to learn more about the department’s work. Contents MICHAEL L. MARIN, MD THE JACOBSON PROFESSOR OF SURGERY CHAIRMAN, DEPARTMENT OF SURGERY ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI SURGEON-IN-CHIEF MOUNT SINAI HEALTH SYSTEM

WILLIAM B. INABNET, III, MD EUGENE W. FRIEDMAN, MD PROFESSOR OF SURGERY ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI CHAIRMAN, DEPARTMENT OF SURGERY MOUNT SINAI BETH ISRAEL MOUNT SINAI BROOKLYN 1...... Chairman’s Message

DANIEL M. LABOW, MD 2...... Department of Surgery Advisory Board PROFESSOR OF SURGERY ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI 4...... Departmental Metrics and Quality CHAIRMAN, DEPARTMENT OF SURGERY MOUNT SINAI ST. LUKE’S 5...... Divisional Updates MOUNT SINAI WEST 5...... Colon and Rectal Surgery WRITER AND EDITOR Bridget O’Brien 6...... General Surgery Associate Director of Marketing and Outreach Department of Surgery, Mount Sinai Health System 8...... Pediatric Surgery

DESIGN 9...... Plastic and Reconstructive Surgery Decker Design 10...... Surgical Oncology PHOTOGRAPHY Karsten Moran Photography 11...... Vascular Surgery Patrick Schnell 12...... The Derfner Ambulatory Surgery Suites Special thanks to: • Wendy Jacobson, MD, Adjunct Professor, Emory 13...... Patient Stories University School of Medicine, and Training and Supervising Analyst at Emory University 14...... Map of Locations Psychoanalytic Institute • Susan McCormick, Associate Director of Stewardship, 15...... Global Surgical Health Office of Development, Mount Sinai Health System • Barbara Niss, Mount Sinai Archivist 16...... Education and Research • Jessica Shaffer, Senior Director, Office of Development, Mount Sinai Health System 17...... Honoring our Endowed Chairs Greetings Friends and Colleagues

Over the past year, we have sustained Here are just some of the highlights from • Our Global Surgical Health Program has our legacy as leaders in the field of this year: expanded to Uganda, Africa, where we surgical care by remaining at the • Surgeons at Mount Sinai Beth Israel have broken ground on the construction forefront of surgical innovation. Faculty performed the first endoscopic transoral of a new surgical facility (page 15). and staff worked together to challenge thyroidectomy in New York (page 6). the status quo and break down barriers • The new plastic surgery suite is now It is because of these highlighted areas to communication and collaboration open and features first-of-its-kind and many more that our Department that once siloed our work and limited technology built for Mount Sinai by of Surgery remains a leader in patient our ability to provide the best possible Microsoft (page 9). care, education, and research. We are care to the many communities we • Our Hyperthermic Intraperitoneal exceedingly proud of our department’s serve. Our success in identifying and Chemoperfusion (HIPEC) program ability to challenge and break down abolishing these barriers is proven by progressed beyond adult care to treat traditional barriers in order to realize the outstanding results we have seen pediatric patients (page 8). sustained surgical excellence, continued over the past year, from each area of our • We opened one of New York State’s first growth, and an inspired vision for the department. Aortic Disease Centers, The Julius and future. We hope you enjoy learning about Joan Jacobson Aortic Disease Center our progress. (page 11).

DANIEL M. LABOW, MD MICHAEL L. MARIN, MD WILLIAM B. INABNET, III, MD Professor of Surgery The Jacobson Professor of Surgery Eugene W. Friedman, MD Professor of Surgery Icahn School of Medicine at Mount Sinai Chairman, Department of Surgery Icahn School of Medicine at Mount Sinai Chairman, Department of Surgery Icahn School of Medicine at Mount Sinai Chairman, Department of Surgery Mount Sinai St. Luke’s Surgeon-In-Chief Mount Sinai Beth Israel Mount Sinai West Mount Sinai Health System Mount Sinai Brooklyn

1 Breaking Barriers

DEPARTMENT OF SURGERY From Conventional ADVISORY BOARD to Exceptional The Department of Surgery How Donor Support Helps Transform Surgical Care is grateful to The Surgery Advisory Board, a group of The following projects were funded wholly or in part with generous gifts made by dedicated and generous individuals, for their The Department of Surgery Advisory Board members. The Department of Surgery leadership and vision. Many is ever grateful for the transformational opportunities made possible by the Board. of the department’s recent Its support has helped launch programs that will help change the way we think about developments would not have and provide surgical care, not only to the residents of the Tri-state Area, but to our been possible without the continued generosity of the neighbors across the globe. following patrons: To learn more about any of these initiatives, or other ways in which the Advisory Board makes a meaningful impact at Mount Sinai, please contact Jessica Shaffer, David and Nicole Abrams Senior Director of Development, by phone at 646-605-8761, or by email at David S. Blitzer [email protected]. Ron and Barbara Cordover James A. Jacobson Julius H. Jacobson, II and Joan L. Jacobson John and Antonietta Lauto Jay and Penny Lieberman Ira and Barbara Lipman Jeanne M. and Michael L. Marin, MD Paul Metselaar Ron and Kerry Moelis Dina Perry Richard Prince and Noel Grunwaldt David P. Shapiro and Abigail S. Pogrebin Kenneth and Claudia Silverman Mitchell S. Steir Barry Weiss Mark and Laura Yockey The Kyabirwa Surgical Facility Caryn Zucker Aiming to address the severe shortage of safe and affordable global surgical care, the Department of Surgery has begun construction on the Kyabirwa Surgical Facility (KSF) in Uganda, Africa. See page 15 for more.

2 THE THRIVING DERFNER FOUNDATION AMBULATORY SURGERY SUITES Patients continue to rank the surgical suites in the 95th percentile for patient satisfaction, according to Press Ganey scores, a rating the unit has enjoyed for seven consecutive years. See page 12 for more. New Research Grants Awarded The Research and Academic Development Committee has chosen the winners of two new pilot research grants, funded by the Advisory Board. Each award totals $50,000 to be used over two years. It is hoped that this pilot program will lead to competitive extramural grant proposals that will allow the investigators to continue their research. Awardees are: Paul Thodiyil, MD, Assistant Professor, Department of Surgery, Icahn School of Medicine Mount Sinai Opens at Mount Sinai; and Windsor Ting, MD, Associate Professor, Department of Surgery, Icahn School of Medicine at Mount Aortic Disease Center Sinai. Dr. Thodiyil’s study, “Randomized Controlled Trial of Incretin Mimetics after Bariatric Surgery in Reducing Diabetes Recidivism,” hypothesizes that administration of incretin mimetics after bariatric surgery will reduce the recurrence of type II diabetes. Dr. Ting’s study, “The Mount Sinai Diabetic Limb Salvage Project — A Pilot Research Project,” aims to provide preliminary evidence that treatment of proximal venous outflow obstruction with venous stents in the iliac veins will improve the outcomes of diabetic foot ulcers.

Dr. Jacobson in a hyperbaric chamber at Mount Sinai in 1981. Pro Bono Mount Sinai continued its legacy in the treatment of aortic aneurysms, by opening of one of New York State’s first Aortic Disease Cochlear Implant Centers, which was established through the generous support of Julius H. Jacobson, II, MD, Director Emeritus of Vascular Surgery and Tatuleka “Ruth” Shelomith, a two-year-old from Uganda, was Distinguished Service Professor of Surgery at Mount Sinai, and his recently given the gift of hearing at no cost to her family wife, Joan Jacobson. The Center will be devoted to improving overall thanks to a team of physicians and staff at the Mount Sinai patient care and education, and advancing research and treatment Health System and the generous philanthropic gifts given efforts, including preventive strategies for aortic aneurysms and to the Department of Surgery. See page 13 for Ruth’s full story. other diseases of the aorta.

3 Breaking Barriers | Departmental Metrics and Quality

The Department of Surgery has remained aligned with the goals of the Mount Sinai Health System (MSHS) to grow and build in areas of volume, revenue, faculty recruitment, and quality initiatives. Our level of expertise in and commitment to the surgical arena are demonstrated by our continued recruitment of top talent, ever-growing case volume and revenue figures, and steadfast, intensive focus on quality measures.

Revenue/ $100,000,000 Philanthropy MSHS data reflected as of 2016 $50,000,000 118 full-time Total Philanthropy faculty

Total Patient (MSHS) Revenue $0 ’07 ’08 ’09 ’10 ’11 ’12 ’13 ’14 ’15 ’16 ’17

Case 15,000 Volume MSHS data reflected 10,000 as of 2016 98 voluntary 5,000 surgeons (MSHS) 0 ’07 ’08 ’09 ’10 ’11 ’12 ’13 ’14 ’15 ’16 ’17

National Surgical Quality Improvement Program The Metabolic and Bariatric Surgery Accreditation (NSQIP®) The American College of Surgeons National Surgical and Quality Improvement Program (MBSAQIP®) Quality Improvement Program (ACS NSQIP) helps hundreds of hospitals accredits bariatric surgery centers in the United States and Canada in across the country gauge the quality of their surgical programs through accordance with nationally recognized bariatric surgical standards. The the collection of data that provides fair, in-depth and insightful analysis. MBSAQIP aims to provide continuous quality improvement of bariatric This data helps surgeons and hospitals better understand their quality of patient care, including improved morbidity and mortality. The MBSAQIP care compared to similar hospitals with similar patients. The Mount Sinai has been implemented across the MSHS with three bariatric programs— Hospital was recognized for meritorious outcomes for surgical patient care of only 64 programs in New York—receiving accreditation. This accreditation for three consecutive years (2015-2017) by ACS NSQIP, being one of only allows the programs to compare their risk-adjusted surgical outcomes with five hospitals to receive the status in three consecutive years as of 2017. other participating MBSAQIP centers and make changes where needed, based on national comparison data. Enrollment in Pediatric ACS NSQIP® The Division of Pediatric Surgery recently enrolled in the pediatric version of the American The Mount Sinai Health System Bariatric College of Surgeons National Surgical Quality Improvement Program Collaborative allows three of our hospital sites—The Mount Sinai (ACS NSQIP). Participation in the pediatric ACS NSQIP will enable our Hospital, Mount Sinai Beth Israel, and Mount Sinai St. Luke’s—to share surgeons to track surgical outcomes data and measure them against a quality initiatives and best practices. The Collaborative meets biannually national baseline to identify areas of improvement, and will also allow to discuss its respective case volume and quality/process measures. our team to share process improvement ideas and best practices with The multidisciplinary team also compares its risk-adjusted surgical outcomes other institutions. to other participating MBSAQIP centers.

The Collaborative Endocrine Surgery Quality The Vascular Quality Initiative (VQI®) aims to improve Improvement Program (CESQIP) aims to improve the value the quality of vascular health care in participating centers. The VQI is of care delivered by helping endocrine surgeons make informed decisions administered by the Society for Vascular Surgery Patient Safety Organization quickly and facilitate continuous improvement. The program was recently (SVS PSO), which partners with M2S to provide a secure database for data approved by the Centers for Medicare and Medicaid Services (CMS) as collection and analysis. Participation in the VQI enables our surgeons to a Qualified Clinical Data Registry for the 2017 reporting year. The registry compare major outcomes with aggregate data from participating centers. captures and analyzes data that are clinically relevant for endocrine surgeons, The VQI also involves a network of regional quality groups that aim to reduce thus allowing physicians to understand and adjust their 2017 performance costs through participation in quality projects. The VQI is now a Health to improve patient outcomes and optimize future reimbursements under the System-wide initiative in which MSBI, MSH, and MSSL participate. CMS Quality Payment Program.

4 Breaking Barriers | Divisional Updates Colon and Rectal Surgery

Pioneering Since Dr. Burrill B. Crohn first in Robotics described Crohn’s disease at Mount Sinai in 1932, Mount Mount Sinai is one of only five sites in the Sinai surgeons have United States involved in a clinical trial maintained their position as examining the efficacy of the Flex® Robotic leaders in the treatment of System in transanal application. Once only inflammatory bowel disease used for head and neck surgery, exploration (IBD). Today, Mount Sinai of using the robotic technology in a new Health System manages one field is an exciting prospect for both patients of the busiest IBD programs in with rectal cancer, and the surgeons who the United States, performing treat colorectal conditions. nearly 2,000 surgeries per The Flex® Robotic System employs a year to help treat these highly maneuverable scope that can navigate chronic conditions. a nearly 180-degree path around anatomy to reach a surgical target. This allows surgeons to reach lesions higher up in the rectum and rectosigmoid, as compared with Abolishing Siloed Care standard robotic platforms. The scope is Physicians from the Departments of Surgery, inserted through an existing single access Urology-Gynecology, Urology, and Obstetrics- point—often requiring no incision—and Illustration courtesy of Medrobotics Corporation. Gynecology have joined together to form a directed to the surgical site within the new, interdisciplinary Pelvic Floor Program. body. Once in position, flexible surgical visualization and maneuverability during This comprehensive initiative aims to ease the instruments measuring 3.5 millimeters exit endoluminal complex procedures has been medical journey of patients with pelvic floor through a channel in the scope, allowing the an applauded benefit by colon and rectal disorders by providing multispecialty care surgeon to robotically operate. Improved surgeons involved in the trial. from one singular team of Mount Sinai experts.

Remembering Adrian J. Greenstein, MD

It is our honor to remember fondly our beloved Dr. Greenstein’s impressive career and colleague and friend, Adrian J. Greenstein, contributions to IBD research. This database MD, Professor of Surgery at the Icahn School will build on his collection and analysis of of Medicine at Mount Sinai since 1968, who Mount Sinai IBD data that stretched from the passed away in 2017. Through most of his early stages of disease discovery through to long career, Dr. Greenstein maintained one present day. By collecting and synthesizing of the busiest inflammatory bowel disease data from the now nearly 2,000 surgical (IBD) surgical practices in New York City. His IBD cases seen annually at the Mount Sinai patients and colleagues adored him, as did Health System, our surgeons hope to answer the generations of residents and medical important questions about risk factors for students that were fortunate enough to learn reoperation and disease recurrence, quality from him. of life, efficacy of new medical therapies, and Built upon his work, the Adrian J. Greenstein much more, so that new treatment options Adrian J. Greenstein, MD, at Mount Sinai in 1976. Photo courtesy of the Mount Sinai Archives. IBD Database has been established to honor might be created for our patients.

5 Breaking Barriers | Divisional Updates General Surgery

Left: A patient is prepped for the BABA procedure. Mount Sinai Right: Patient shows no scars after TOETVA procedure. Surgeons Pioneer Mount Sinai Thyroid Center New Thyroidectomy Brings Multispecialty Care Downtown The Department of Surgery is now proud to Techniques offer its unique remote access techniques in the newly created Mount Sinai Thyroid Mount Sinai surgeons continue to challenge endoscopic thyroid surgery uses one Center at Mount Sinai Union Square. traditional methods of treating thyroid incision in the underarm to reach the thyroid Patients with any thyroid or parathyroid disease, now being the only institution in the gland from the side of the body. All three concern—from a minor hormonal imbalance United States—and one of a few in the approaches offer patients reduced scars— to invasive cancer or disease—can now world—to offer three types of remote or no scars at all—as compared with the be seen at one multidisciplinary hub for access, or “hidden-scar” approaches to traditional thyroidectomy procedure that uniquely personalized care. A team of thyroidectomy. utilized an open incision on the front of the endocrinologists partner with specialists in The robotic bilateral axillo-breast (BABA) neck. Additionally, Mount Sinai surgeons other related disciplines, including surgery, approach was performed for the first time performed the first BABA lymph node to create a personalized treatment plan for in the United States in 2015 at Mount Sinai dissection for thyroid cancer in 2017, yet every patient. Same-day appointments are Beth Israel. It involves four small incisions another novel approach to treating benign available, where biopsies are done on the to the breasts and axilla (underarms) and and malignant thyroid disorders. spot as needed, and patients get their results is an ideal option for larger thyroid glands After a series of successful symposia immediately. If surgery is recommended, and select cases of thyroid cancer patients. hosted at Mount Sinai to demonstrate the the patient is seen by an expert thyroid The transoral endoscopic thyroidectomy remote access techniques, Mount Sinai surgeon that same day. The care provided (TOETVA) approach is the latest minimally surgeons are now training their international at the Thyroid Center is not simply one- invasive methodology, which uses an incision colleagues, proctoring surgeons on the dimensional—it allows patients to easily inside the lower lip to insert endoscopic TOETVA approach in Spain, Switzerland, capitalize on the important health benefits of instruments through the mouth, resulting in Mexico City and many other cities. receiving multidisciplinary, coordinated care. no scarring for patients. Finally, transaxillary Visit our website to learn more Visit our website to learn more

6 Hernia Surgery BARIATRIC Gets an Upgrade PROGRAMS

Surgeons in the Mount Sinai Division of General Surgery are leaders in New York City for the repair of hernias

Our skill in treating all types of hernias has advanced over the years, as treatment options have progressed from traditional incisional surgery to the use of minimally invasive techniques and robotic surgery. A group of Mount Sinai voluntary surgeons were the first to perform robotic surgery in an outpatient setting; today, nearly 70 percent of robotic and The Mount Sinai Health System laparoscopic procedures can be done on an continues to run one of the largest outpatient basis. Mount Sinai’s use of robotics in and busiest bariatric programs in the hernia repair allows for more precise and accurate surgery. The robot has capabilities that country, performing approximately humans simply do not: it reports 3D images of the surgical area back to the surgeon, and 1,400 weight loss operations per can easily reach more precise locations using three arms, which rotate a full 360 degrees, year. Established in the 1990s, our allowing surgeons dexterity that was once impossible. The accuracy of robotic surgery program was changing the shape leads to reduced complications, less pain, and shortened recovery time for patients. It also of weight-loss surgery a decade provides significant benefits to the surgeon, allowing regained control of the surgical space before other programs started. and easy transversal between the four quadrants of the body. Mount Sinai surgeons were the first in the world to perform a laparoscopic duodenal switch and a laparoscopic sleeve gastrectomy, both in 1999. Our program has built on our early adaptation of weight- loss surgery and progressed to offer a more multidisciplinary approach to patients. Not surprisingly, most of NYC’s bariatric surgeons have been trained wholly or in part at Mount Sinai. Additionally, we offer expertise that goes beyond the operating room by providing more patient support groups than any other program in the NY metropolitan area.

Visit our website to learn more

7 Breaking Barriers | Divisional Updates Pediatric Surgery

A New Treatment for Creation of Chest Wall Anomaly Program Pediatric Cancer A unique team of surgeons have joined forces to create a first-of-its-kind Chest Wall Program at Mount Sinai. The program will Surgeons at Mount Sinai full-time faculty member specially trained in address both pediatric and adult chest wall have completed the first pediatric surgical oncology. anomalies (CWAs), using surgery and The advantages of HIPEC are immense. nonsurgical means, as appropriate. hyperthermic intraperitoneal The procedure allows for high doses of Developmental anomalies of the chemotherapy (HIPEC) case chemotherapy; enhances and concentrates sternum and ribs may occur in children and for a pediatric cancer patient the efficacy of chemotherapy within the adolescents and lead to either a protruding in the Northeast. abdomen; decreases chemotherapy chest (pectus carinatum) or sunken chest The process, which combines surgery with exposure to the rest of the body; improves (pectus excavatum), which in turn may affect heated chemotherapy to better locate, treat, the rate of chemotherapy absorption, heart and lung function. The conditions may and abolish cancerous tumors, had only resulting in increased susceptibility of also cause weighty psychosocial effects, been available at a handful of locations in cancer cells (including those that are yet especially in adolescents and young adults. the United States—and only to adults—until undetected); and reduces the typical side The Program’s specialists work closely recently. The first patient is an 11-year-old effects of chemotherapy for patients. with the patient’s primary care physician and with a desmoplastic small round cell tumor Responding to the lack of hospitals any appropriate specialists needed to devise (DSRCT), a cancer seen in children and providing such a revolutionary treatment option, a comprehensive care plan, drawing on a adolescents. Mount Sinai is one of only Mount Sinai established what is today one of network of in-house, world-class colleagues two centers in the entire United States to the busiest HIPEC programs in the country. from the Mount Sinai Health System and routinely offer HIPEC as part of the treatment Faculty have performed more than 500 Kravis Children’s Hospital. for various forms of intra-abdominal cancer. adult HIPEC procedures since the program’s Along with the clinical treatment of CWA, Additionally, Mount Sinai is one of only two creation in 2007, a number that will surely a research program to delineate the genetic hospitals in Manhattan with a dedicated grow as pediatric cases are included. underpinning of these disorders is under way.

8 Breaking Barriers | Divisional Updates Plastic and Reconstructive Surgery

Mount Sinai First to Offer Complete Care to Transgender Patients In 2016, Mount Sinai became the first Opening of New Suite institution in New York City to offer genital reassignment surgery. To further provide The newly designed plastic surgery suite, designed by Kliment Halsband comprehensive care for the transgender Architects, offers comfort, style, and the latest technology to reinvent the office community, Mount Sinai established the visit experience. The suite offers advanced technology, built solely for Mount Sinai Center for Transgender Medicine and by Microsoft, which will modernize the way surgeons and patients communicate Surgery (CTMS)—one of the first programs in-office. Additionally, select patients will also be able to videoconference in the United States to offer broad, with their doctor from the comfort of their home, using the new telemedicine multispecialty care to this patient population. capabilities built into the space. CTMS provides transition-related surgeries, plus primary care, endocrine, psychiatry, gynecology, urology, social work, and nursing services, as well as behavioral health care Mount Sinai Offers New Robotic Surgery services. CTMS staff support patients for Breast Cancer Survivors through each stage of their journey, from initial assessment and screening, to hormonal Mount Sinai is the first institution in the muscle naturally has so much blood supply, therapy, surgery, and post-transition care. New York metropolitan area to offer robotic it can even reverse some radiation damage, The Center’s first surgical procedure, a assisted breast reconstruction. The da Vinci® such as softening of the tight skin on the male-to-female genital reconstruction called robot, used widely in other surgical fields, chest, thus allowing for tissue expansion or vaginoplasty, was completed in 2016 with is new to breast reconstruction but is a permanent implant placement. Perhaps the other procedures quickly following, including wonderful option for patients. The best most appreciated benefit to patients is the metoidioplasty for female-to-male genital candidates are patients who need to recruit drastically smaller scars the robot leaves— transitions, and chest reconstruction surgery tissue from their own body after they’ve had only 5-8 centimeters per scar, as compared for transgender men and breast augmentation radiation treatment. With the da Vinci robot, with the traditional incision length of 15-45 for transgender women, known as “top small incisions are made in the underarm, centimeters. Patients also benefit from surgery.” To date, the team has performed allowing surgeons to separate the latissimus fewer potential complications, less pain, and more than 400 operations, roughly seven muscle from the back and rotate it forward quicker functional recovery. Turn to page 13 surgeries per week, making them not only one to create a new breast mound on the chest to read Maria’s story. of the first institutions in the country to offer wall. Interestingly, because the latissimus Visit our website to learn more these surgeries, but now one of the busiest.

9 Breaking Barriers | Divisional Updates Surgical Oncology

Personalized Care Every week, our team of surgical oncology experts meets to discuss every patient we treat, to plan the best course of action for each case. Up to 25 surgical oncologists from the Mount Sinai Health System, plus affiliates in New Jersey and Florida, converge with medical oncologists, interventional radiologists, radiation oncologists, gastroenterologists, pathologists, and others, to discuss each oncology case that will involve surgical intervention. Team members pool their individual expertise to understand each patient’s unique medical history and current condition, and map out the best course of action, resulting in personalized cancer treatment for each patient. Learn more about our personalized care on page 13. Robotic Surgery Program Launch Four surgical oncologists have launched A Mount Sinai the first robotic surgery program at Mount Sinai St. Luke’s. These surgeons are now routinely performing complex robotic Health System First procedures to treat cancers of the pancreas, liver, colon, and stomach, having performed Surgeons in the Division of Surgical Oncology case. With the da Vinci Xi robot, patients no the first robotic colon resection for colon at Mount Sinai St. Luke’s performed the longer have to manage the effects of such cancer at that location, along with the first first completely robotic anatomic liver procedures. Four minuscule incisions are completely robotic anatomic liver resection, resection—a first-of-its-kind procedure for made with the Xi, leaving the patient with as described in the feature to the left. the Mount Sinai Health System. Using the Xi® almost no post-op pain (which limits the The robotics program was established robot, the latest model of the da Vinci® robot, amount of pain medication required), and a to not only offer patients the most built by Intuitive Surgical®, two surgeons remarkably rapid recovery time of less than technologically advanced surgical care maneuvered a camera and three robotic 24 hours. A normal length of stay after a liver possible, but also to ensure the best overall arms from a dual-console feature, allowing resection is usually four to five days. outcomes for patients. Traditional “open” for simultaneous and seamless collaboration Surgeons have since expanded their use surgery often requires lengthy inpatient between the surgeons. of the Xi robot, performing robotic surgery stays, large scars, and lengthy recovery Prior robotic liver procedures had been for stomach, pancreas, and gall bladder times for patients. Robotic surgery minimizes limited to minor biopsies or hybrid procedures oncology cases. Patient outcomes remain each of these concerns, allowing for shorter that combined robotic, laparoscopic, and impressive with the robot, as compared with hospital stays, extremely minimized scarring, open surgery techniques to fully complete a traditional laparoscopic or open surgery. and a much quicker recovery time.

10 Breaking Barriers | Divisional Updates Vascular Surgery

Breaking Barriers for Generations: A Conversation with Dr. Wendy Jacobson on Her Father, Dr. Julius H. Jacobson II

W.J.: Oh yes, that meant the world to him. I think he considered it his crowning achievement, though it happened early in his career. I remember when he was in full academic mode around 1959 at the University of Vermont “I have been fortunate to have a and published his seminal paper on the rewarding career in surgery. For that anastomosis of a vessel using a microscope. I am indebted to the institutions that I was probably only five or six years old, but Surgeons gave me an excellent education. I am I still remember the excitement surrounding Pioneer Lifesaving grateful that I am able in some measure that. I think that was his period of greatest to repay these debts, and I strongly Aortic Stent achievement as far as conducting research in believe that each one of us is obliged to ‘give back.’” —Julius H. Jacobson, II, MD microsurgery, and led to his being dubbed the A team of vascular surgeons at “father” of that specialty. Mount Sinai has implanted a new Known as the father of vascular microsurgery, B.O.: Our theme of this year’s report is “Breaking device to help treat aortic aneurysms. Julius H. Jacobson, II, MD, spent 54 years of Barriers.” What do you think he’d say if he knew The multiside branched endograph his illustrious career at Mount Sinai — 35 of we were labeling him a “barrier breaker?” is a stent graft made of fabric and them serving as Chief of Vascular Surgery. W.J.: I think he’d agree with that. I’ve said metal mesh that allows surgeons to avoid traditional open surgery to He broke down barriers to clinical innovation before that his focus has always been on manage complex aortic aneurysms. by developing the “diploscope,” the first innovation, collaboration, and invention. You Currently in clinical trials, Mount microscope that allowed the surgeon and can’t champion those ideals without breaking Sinai surgeons were the first in the first assistant to view the operative field down a few barriers. region to implant the device, which simultaneously—an invention that now resides B.O.: What kind of unique barriers do you works by strengthening the inner in a collection of the Smithsonian Institution think your father faced as a young surgeon lining of the aorta in patients where in Washington, D.C. and also later, as a mature surgeon? What do the aortic walls have weakened Bridget O’Brien, Marketing Director you think his main challenges were, at those and caused a balloon-type bulge for the Department of Surgery, spoke with two very different times in medicine? (an aneurysm) to grow. Once Dr. Jacobson’s daughter, Wendy Jacobson, W.J.: A main challenge for him as a young implanted, the device directs blood MD, Adjunct Professor of Psychiatry and surgeon would have been literally having the flow away from the aneurysm, Behavioral Sciences at Emory University tools. He was trying to operate in smaller and causing it to shrink in size. In conjunction, the team has School of Medicine, and Training and smaller spaces—down to the microscopic launched one of the largest studies Supervising Analyst at Emory University level—but had to invent his own surgical of the genetics behind aortic Psychoanalytic Institute, to hear how she tools in order to advance the field. aneurysms. The study aims to believes her father was able to break down so B.O.: That likely explains how he was able identify the causes and physiology many barriers to collaboration and innovation. to challenge those mechanical barriers so of the disease, which they hope confidently. will inform the development of B.O.: Dr. Jacobson has been called the W.J.: Exactly. Many of his most innovative pharmacological treatments to help “father of vascular microsurgery.” Was he ideas came out of pure necessity—to create prevent it altogether. proud of that moniker? continued on page 12

11 Breaking Barriers | Divisional Updates Vascular Surgery

Breaking Barriers for Generations continued

the tools he needed in order to do the best use of video games and how those games W.J.: Basically, I think they feel as though job for his patients. Later in his career, his shaped the way their minds and brains they had a great deal of good fortune and challenge was to decide how to spend his worked. He saw that it was reshaping their wanted to give back. They are very much time—full-time academic research versus physicality as well—their hands could citizens of the world, so their goal has been to clinical practice. Plus, given all his interests perform those intricate, technical procedures give to all parts of the world in whatever ways and wanting fully to utilize his creativity, which because of how much they had played these they could. Jewish causes also meant a great spans many fields, he had to decide where games in their youth. He would have loved to deal to them. I think my father experienced to focus his time, energy and attention. explore that territory further. I see that as his his share of anti-Semitic attitudes, given the B.O.: Dr. William Shaw described way of combining “old art and new science.” era of his training. He became the first Jewish microsurgery as a unique marriage of the “old He would have been happy to be put out Chief Resident at Columbia-Presbyterian, art” and the “new science.” How do you of the “old business” and focus on the way which certainly was a way of breaking see that “marriage” present itself in today’s surgery was evolving. barriers at the time. So I think when he got world of medicine? B.O.: Your father and his wife Joan are to Mount Sinai, it felt simpatico and truly W.J.: My father was fascinated to see the known as staunch philanthropists. Why do became his professional home. He felt like he progression of interventional procedures. He you think they have been inspired to give so got so much from Mount Sinai, and now he used to remark on the younger generation’s generously to Mount Sinai? has the opportunity to give back.

THE DERFNER FOUNDATION AMBULATORY SURGERY SUITES Overlooking beautiful Central Park, the Derfner Foundation Ambulatory Surgery Suites offer supreme comfort and convenience to both patients and physicians. The private, concierge-style suites are equipped with the latest technology and staffed by a full suite of Registered Nurses and operating room technicians. The unique, independent location of the suites means our patients never have to step foot in the traditional hospital setting, allowing for quicker turnaround time from admittance to recovery, lower risk of infection, and overall better quality outcomes. Meanwhile, patients can rest easy knowing they have unabridged access to the full breadth of medical expertise available at The Mount Sinai Hospital, should it ever be needed.

The Department of Surgery thanks board member JAY LIEBERMAN OF THE DERFNER FOUNDATION, for his generous support, which allowed for the development of the Ambulatory Surgery Suites.

RANKED IN THE 95TH PERCENTILE FOR PATIENT SATISFACTION FOR THE SEVENTH CONSECUTIVE YEAR. (PRESS GANEY)

12 Breaking Barriers | Patient Stories

Maria was just 27 years old when she learned she had breast cancer—and even worse, the cancer had spread to her lymph nodes and lungs. She bravely underwent a mastectomy, after which she chose to have her right breast reconstructed. Earlier radiation treatments, however, made her skin very tight and difficult to expand for the breast reconstruction. Her doctors considered taking tissue from her abdomen or thighs, but her thin frame did not offer much tissue to spare. The final option was Luz and Charlie celebrate a cancer-free holiday. to take the latissimus muscle from her back It took Luz six weeks to reach Mount Sinai, but and rotate it under the it was the trip that saved her life. skin to form a softer Luz, 75, had recently been diagnosed with stomach cancer just breast mound on her before the devastating Hurricane Maria hit her home, Puerto Rico, on chest wall, but that September 20, 2017. With power and phone lines down, and hospitals surgery leaves a very struggling to handle the influx of emergent patients, she was unable large scar. That’s when to have surgery as planned. she met with surgeons Meanwhile, her son Charlie, a Rehabilitation Admissions at Mount Sinai where Coordinator at The Mount Sinai Hospital, was frantic after waiting five they agreed to use a long days to finally reach his mother by phone. He would wait six long new robotic approach to her breast reconstruction. Using weeks before being able to fly his mother to New York. Luckily, help the da Vinci® robot, surgeons made small incisions in Maria’s was waiting for her at Mount Sinai, where Luz was seen by a team of armpit to separate the latissimus muscle from the back and surgical oncologists. move it to the chest, thereby performing the first robotic The doctors had to essentially create a health care plan for Luz breast reconstruction in New York State (see page 9). from scratch, since they didn’t have her charts or medical records. Since starting to use the robot for this type of procedure, But two repeat endoscopies revealed good news: the stomach surgeons have found that patients (including Maria) are cancer was in stage one, the earliest and most treatable stage of typically left with much smaller scars, fewer potential cancer. Finally, on December 11, Luz had surgery, where roughly two- complications, less pain, quicker functional recovery, and thirds of her stomach was removed along with all the lymph nodes higher overall satisfaction. in the region, which tested negative for cancer. Luz, having a stellar recovery, was able to spend the holidays with her son Charlie— Visit our website to learn more something they plan to do for many more years to come.

Tatuleka “Ruth” Shelomith, a raise the necessary funds for the surgery. 2-year-old from Uganda, was Luckily, Ruth’s family met Michael Marin, recently given the gift of hearing MD, Surgeon-In-Chief at the Mount Sinai thanks to a team of physicians Health System, who was able to arrange for and staff at the Mount Sinai Ruth’s surgery to be done pro bono at Health System. Mount Sinai. Ruth is from a small Ugandan village of With the help of his colleagues in 1,000 people, and has been deaf since Otolaryngology, Audiology, and Speech/ birth. Experts told her family that installing a Language Pathology, Ruth was given cochlear device was the only way Ruth the gift of sound. It is because of the might ever be able to hear. generous philanthropic gifts received by the While commonplace in the United States, Department of Surgery that physicians like cochlear implant surgery is rarely done in the Dr. Marin are able to bestow such priceless developing world, and her family could not gifts to children from all walks of life.

13 Breaking Barriers

THE MOUNT SINAI DEPARTMENT OF SURGERY NETWORK

Icahn School of Medicine at Mount Sinai 1 Mount Sinai Beth Israel 2 Mount Sinai Brooklyn 3 The Mount Sinai Hospital 4 Mount Sinai Queens 5 New York Eye and Ear Infirmary of Mount Sinai 6 Mount Sinai St. Luke’s 7 Mount Sinai West

In addition to the seven main hospitals and one academic center of the Mount Sinai Health System, we also see patients at nearly 40 offsite locations across the Tri-state Area. The blue circles represent our growing network of off- site locations. Our goal is to provide expert Mount Sinai surgical services to as many communities as possible.

14 Breaking Barriers | Global Surgical Health

include: hernia repair, appendectomy, Breaking Geographical Barriers: breast disorder surgery, thyroid surgery, cataract removal, colonoscopy, wound The Kyabirwa Surgical management, burn treatment, oral surgery, circumcision, hemorrhoid removal, abscess drainage, and biopsy of cancers. All of these Facility in Uganda operations can safely and effectively alter and preserve life. Over time, as experience, support, and funding opportunities grow, surgical offerings may be expanded to include more complex procedures. The KSF is a scalable prototype that has the potential to shift the paradigm for providing international surgical care. The self-sustaining structure has its own water and power sources, and will act as a major employer in the community it serves, being staffed by Ugandan surgeons Renderings show how native banana trees were incorporated into the facility’s design. supported by on-site teams from Mount Sinai. More than five billion people worldwide (KSF), a first-of-its-kind ambulatory surgical Digital interface between KSF and the do not have access to safe or affordable facility in Kyabirwa, Uganda. The surgical campuses of the Mount Sinai Health System surgical care. That lack of care is responsible care provided at the KSF will completely re- will be an integral feature of the partnership. for upwards of 17 million deaths per year, shape how Kyabirwa residents, and those in This technology will allow virtual, international meaning nearly 30 percent of the world’s neighboring villages, receive health care. interaction between surgeons and staff population will die from diseases that are Research shows that 60 percent of all for presurgical evaluations, intraoperative surgically correctible. surgery done in the United States is ambulatory, consultations, real-time evaluation of ongoing Often, the most commonly cited reasons but more than 80 percent of surgical costs surgical therapy, and assistance in the for not providing surgical care to underserved are spent on inpatient procedures; the management of complications. areas are cost and ease of operations; the more complicated surgeries that require practice of surgery and organization of more refined surgical skills, equipment, and providing surgical services are seen as too facilities. Considering this data, the primary expensive and complicated to undertake. focus of the KSF will be to provide outpatient The Mount Sinai Global Surgery Team, part surgeries to the deeply underserved of the Department of Surgery at Mount Sinai, Kyabirwa community, where even the is directly challenging those misconceptions simplest of operations are not available. Initial by building the Kyabirwa Surgical Facility surgical procedures available at KSF will

Continuing Care for Our Overseas Rotation for General Global Communities Surgery Residents and Fellows The Department of Surgery at Mount Sinai has had a special interest in helping Third-year general surgery residents spend one to solve the global surgical shortage since 2010, when the department sent 27 month on a clinical rotation at a rural hospital in surgical and medical personnel to Haiti after a devastating earthquake debilitated the Dominican Republic. These senior surgical the country. The team created a fully functional surgical unit to treat the many residents operate in an environment that is citizens who needed help in the wake of that natural disaster. This was thanks to culturally and socioeconomically different from the help of our generous donors, as well as leadership in New York State and at their own. They learn to observe, appreciate Mount Sinai. Known today as the Mount Sinai Emergency Surgical Intervention and, ultimately, incorporate valuable skills and Program, faculty and residents continue this legacy of global care by providing lessons into patient care. This opportunity also surgical expertise and education to communities on five continents. allows senior residents to contribute to the global Visit our website to learn more community as humanitarians.

15 Breaking Barriers | Education and Research

GENERAL SURGERY RESIDENCY • Daniel Han therapeutic options, perform Europe and the United States PROGRAM PGY 1-5 Resident, The Mount Sinai operative procedures, and provide Infectious Disease and Critical Care Our general surgery residency Hospital all other aspects of care, including NEWLY CREATED: program aims to prepare residents to • Mohsen Bannazadeh preoperative, perioperative, and late TRANSGENDER SURGERY enter any field of general surgery, be PGY 6-7 Fellow, Stonybrook School postoperative care. FELLOWSHIP PROGRAM it a subspecialty fellowship, research, of Medicine 2016-17 Graduated fellows and Bella Avanessian, MD, is the first private practice, or academia. Notably, • Daniel Fremed their employment placements: fellow to be accepted into the new all of our graduates have passed their PGY 1-5 Resident, Cardiovascular • Saurabh Sharma, MD transgender surgery fellowship medical boards on the first attempt. Care Group Mather Hospital, Port Jefferson, NY training program at Mount Sinai – • Reid Ravin 2016-17 Graduated residents and • Napoleon Cieza Rubio, MD the first and only program to train PGY 1-5 Resident, Mount Sinai West their fellowship placements: Public access care in Wyoming surgeons specifically in gender • Alexandra Argiroff SURGICAL ONCOLOGY reassignment surgeries. The one-year COLON AND RECTAL SURGERY Minimally Invasive and Bariatric RESIDENCY AND FELLOWSHIP program will receive a new fellow in FELLOWSHIP PROGRAM Surgery, Montefiore Medical Center PROGRAMS July 2018, allowing the transgender This competitive one-year fellowship • Dustin Cummings Our highly competitive program offers surgical program to multiply its covers all aspects of colon and Minimally Invasive Surgery, residents and fellows the chance expertise in this increasingly popular rectal surgery at the busy Mount University of Washington–Seattle to develop both the technical skills field of surgery. Sinai Hospital location. Fellows • Simon Fitzgerald necessary for complex surgical spend the entire year working with Mount Sinai Beth Israel graduating Trauma and Critical Care, Johns procedures and the nuances of full-time colon and rectal surgeons, residents and their fellowship Hopkins Medical Center the unique, multidisciplinary care performing a variety of procedures, placements: • Denise Lee necessary for treating cancer patients. from traditional open surgery, to • Colon and Rectal Surgery: Carmen Endocrine Surgery, Columbia 2016-17 Graduated residents and more modern techniques, such as Fong, MD, Stony Brook Medicine/ University laparoscopic and robotic surgery. Winthrop University Hospital • Anya Romanoff their employment placements: The large case volume provided at Program Breast Surgical Oncology, Memorial • Matthew Dong, MD, MPH Mount Sinai guarantees the fellow • Breast Oncology: Anjuli Gupta, MD, Sloan-Kettering Cancer Center Assistant Professor, Surgery, Icahn is exposed to the full spectrum of Duke University Medical Center • Maria Widmar School of Medicine at Mount Sinai colon and rectal disorders. • Plastic Surgery: Bianca Molina, MD, Colorectal Surgery, Weill Cornell • Timo Hakkarainen, MD, MS General and Endocrine Surgeon Evergreen The Ohio State University Wexner Medical College 2016-17 Graduated fellow and Hospital, Seattle Medical Center • Matthew Wilkinson employment placement: • Shanel Bhagwandin, DO, MPH • Minimally Invasive and Bariatric Transplant Surgery, University of • Ahmed Al-Khamis, MD Surgery: David Pechman, MD, Pennsylvania Surgical Oncology Attending Jupiter Second fellowship at Lutheran University Hospital for Albert Medical Center, FL General Hospital, Chicago, IL Einstein College of Medicine/ PLASTIC AND RECONSTRUCTIVE LAPAROSCOPIC AND ADVANCED SURGERY RESIDENCY PROGRAM GASTROINTESTINAL SURGERY CRITICAL CARE MEDICINE Montefiore Health System Our residency program was created • Colon and Rectal Surgery: Paul FELLOWSHIP PROGRAM Founded FELLOWSHIP in 1952 by world-renowned surgeon The Critical Care Medicine Fellowship Strombom, MD, Cleveland Clinic in 1992, Mount Sinai formed one of the and educator Arthur Barsky, MD. at The Mount Sinai Hospital is Florida first formal clinical training programs Today, we are proud to have one of recognized as one of the oldest for minimally invasive surgery in the Mount Sinai Beth Israel graduating the most prestigious plastic surgery critical care fellowships in the nation. United States. Today, we offer the fellow and her employment residency training programs in the Roughly 20 percent of new entrants placement: country, where our residents are one-year position to only one highly into the fellowship, all of whom are • Breast Surgery Fellow: consistently accepted into the most qualified physician. We boast one of board certified, have already completed Vanessa Prowler, MD, Lakeland competitive fellowship programs. the nation’s most clinically active fellowships in other disciplines. programs in which our laparoscopic Regional Health 2016-17 Graduated residents and fellows are exposed to a diverse 2016-17 Graduated fellows and their fellowship placements: spectrum of minimally invasive their areas of employment: RESEARCH: • Eric Jablonka • Catherine Allen, MD In 2017, the Department of Surgery procedures and techniques. 2016-17 University of Pennsylvania New York, Intensivist Research Program finalized Graduated fellow and employment • Andreas Lamelas • Daisi Choi, MD centralization efforts across all Mount placement: Beth Israel/Deaconess Virginia, Intensivist Sinai Health System sites, resulting in • Matthew L. Dong, MD • Darshan Dhingani, MD more effective and efficient access to VASCULAR SURGERY RESIDENCY Mount Sinai Health System California, Pulmonary and Critical research resources and opportunities. AND FELLOWSHIP PROGRAM Care Medicine The number of industry-sponsored The Mount Sinai Vascular Surgery BARIATRIC FELLOWSHIP • Meenakshi Ghosh, MD trials, investigator-initiated grant Residency and Fellowship Program PROGRAM Nebraska, Pulmonologist/Intensivist applications, and associated funding ranked in the top 15 out of more than One fellow is accepted into this • Yordanos Habtegebriel, MD opportunities significantly increased. 5,000 hospitals according to the prestigious program per year. The Texas, Pulmonologist/Intensivist Additionally, a new pilot research grant latest U.S. News & World Report. fellow must participate in at least 100 • Jehanzeb Khan, MD program was created, which aims 2016-17 Graduated residents and weight-loss operations of varying New York, Critical Care, Pulmonary to provide faculty with the support their employment placements: procedure types. At the conclusion of and Sleep Medicine necessary to elevate promising • Christine Chung the program, the fellow will • Kristina Rathmell, MD research initiatives in preparation for PGY 1-5 Resident, Winthrop have the ability to investigate and Texas, Intensivist next-step extramural funding University Hospital diagnose conditions, recommend • Francisco Salgueiro, MD opportunities. See page 3 for more

16 Breaking Barriers | Honoring Our Endowed Chairs

Building a Legacy through Endowment An endowed chair is a revered honor in the world of academic medicine. These prestigious chairs are used at Mount Sinai to reward our finest faculty members and to recruit and retain top professors. Generous and thoughtful gifts donated by visionary supporters of the principles of healthcare, research, education, and patient care, help ensure that not only the Department of Surgery, but the Mount Sinai Health System and Icahn School of Medicine at Mount Sinai are able to succeed and compete on a national level. The true weight of endowed professorships lies in the motivation of the individual donor who understands that providing expert medical care to our communities is a critical component to building a strong society. With our gratitude, we honor those supporters who have attached their family legacy to an endowed chair in the Department of Surgery.

Stanley Edelman, MD Professor of Surgery Henry Kaufmann Professor of Surgery 2008 — Henry Nias Foundation 2008 — Henry Kaufmann Foundation Chairholder: Celia Divino, MD Chairholder: Myron Schwartz, MD The Nias Foundation established this professorship The late Henry Kaufmann was one of the founders of in Dr. Stanley Edelman’s name. Dr. Edelman was the iconic Pittsburgh department store, Kaufmann’s, a student, resident, fellow, and faculty member at that is today a part of Macy’s, Inc. In 1929, he created Mount Sinai who enjoyed a surgical career that the Henry Kaufmann Foundation, which established spanned close to four decades. With the endowment the Henry Kaufmann Hyperbaric Unit at Mount of this chair, Dr. Edelman was able to fuse his passion for teaching with Sinai in 1964 and two years later endowed a Chair that today is known as the philanthropy to advance the cause of medical education at Mount Sinai. Henry Kaufmann Professor of Surgery. His generous endowment continues to support Mount Sinai’s efforts in developing a high standard of excellence in Eugene W. Friedman, MD Professor of medical education, service and research. Surgical Oncology 2010 — Leon Hess Charles Miller, MD Professor of Surgery Chairholder: William Inabnet, MD 2012 — Multiple Donors Through the Hess Family Foundation, the late Leon Chairholder: Sander Florman, MD Hess endowed the Eugene W. Friedman, MD, Charles Miller, MD, completed medical school, Professor of Surgical Oncology in honor of Dr. residency, and a fellowship at Mount Sinai, ultimately Eugene Friedman. An innovator in the use of lasers becoming the Founder and Director of the Recanati/ in cancer surgery, Dr. Friedman was the former Chief of the Division of Head Miller Transplantation Institute. To celebrate and and Neck Surgery at Mount Sinai, the institution he was affiliated with for honor Dr. Miller’s accomplishments in the field of more than 50 years. transplant surgery, this endowed professorship was established through the generous support of Joanna Adler, James J. Chin, Mount Sinai Trustee Robert Alfred and Florence Gross Professor of Surgery E. Rubin and family, and other members of the Mount Sinai community. 2014 — Alfred and Florence Gross Chairholder: George Todd, MD Salky Professor of Surgery The Alfred and Florence Gross Professor of Surgery, established in 1977, 2015 — Grateful patients of Dr. Barry Salky was named for real estate developer and investor Alfred Gross and his wife Chairholder: Daniel M. Herron, MD Florence. Longtime members of the Mount Sinai community, the late Mr. and The Salky Professor of Surgery was established in Mrs. Gross’ commitment to the advancement of clinical research and medical 2015 through the generosity of Dr. Barry A. Salky’s education is manifest not only in this Chair, but also in their support of various grateful patients in recognition of his illustrious institutional initiatives, including the work done in the Department of Surgery. tenure at Mount Sinai. Dr. Salky transformed many highly invasive surgical procedures into minimally Dr. Julius H. Jacobson II Chair invasive operations. Dr. Salky joined Mount Sinai as a resident and became in Vascular Surgery the first Chief of the newly established Division of Laparoscopic Surgery. 2007 — Dr. Julius H. Jacobson II Dr. Salky held two endowed chairs at Mount Sinai: the Robert and Evelyn and Joan L. Jacobson Turrell Professor of Endoscopic Surgery from 1992 to 1996, and the Franz Chairholder: Michael L. Marin, MD Sichel Professor of Surgery from 2004 to 2009, before retiring from surgical Dr. Julius Jacobson began working at Mount Sinai practice in 2018. in the 1960s and was Chair of Vascular Surgery for almost 35 years. Among his many accomplishments Franz W. Sichel Professor of Surgery was the development of Mount Sinai’s hyperbaric chamber. He and his wife 2010 — The Franz W. Sichel Foundation Joan are sincere philanthropists, and have supported various areas of Mount Chairholder: Peter Faries, MD Sinai’s research and clinical programs for many years. Franz W. Sichel was born in Mainz, Germany, in the late 1890s, and was seventh generation in a line of Mount Sinai Professor in Vascular Surgery professional European vintners. Throughout his 2017 — Institutionally established career he was constantly engaged in philanthropic Chairholder: James F. McKinsey, MD enterprises, which led to the establishment of the The Mount Sinai Professorships were established in 2007 by the Mount Sinai Franz W. Sichel Foundation in 1962. The Foundation’s longtime relationship Boards of Trustees to honor the achievements and contributions of some of with Mount Sinai yielded grants for fellowships, research and, ultimately, the the Icahn School of Medicine at Mount Sinai’s most outstanding faculty. A total Franz W. Sichel Professor of Surgery, underscoring his exceptional generosity of nine Mount Sinai Professorships have been awarded to date. and interest in health care.

17 For further details and updates on any of the features in this report, please visit our new website: mountsinai.org/surgery

Department of Surgery Icahn School of Medicine at Mount Sinai 5 East 98th Street To learn more about any of the programs or initiatives in this publication, New York, NY 10029 or other ways in which you can help support the Department of Surgery, T: 212-241-6500 please contact Jessica Shaffer, Senior Director of Development, by mountsinai.org/surgery phone at 646-605-8761, or by email at [email protected].