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Scientific Program
Specialty Sessions
Monday October 13, 2008
SP01-9:45-11:15 am
Track: VAS
Endovascular Aneurysm Repair (EVAR) and Open Repair of Abdominal Aortic Aneurysms
Moderator: Ronald M. Fairman, MD, FACS, Philadelphia, PA
This panel will examine issues related to the rapid expansion of endovascular techniques for aortic aneurysm repair and examine the complementary role of open aortic surgery in the comprehensive management of patients with aortic aneurysms.
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SP02-9:45-11:15 am
Track: URO
Genitourinary Trauma-A 2008 Update on Retroperitoneal Injuries
Moderator: Steven B. Brandes, MD, FACS, St. Louis, MO
Speakers will emphasize the evaluation and management of blunt and penetrating trauma to the retroperitoneum, kidney, and ureter. The presentations will emphasize appropriate imaging studies and newer, endovascular and minimally invasive interventions, as well as practical surgical tricks and techniques. Guidelines for short- and longterm follow-up will also be discussed.
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SP03-9:45-11:15 am
Track: GEN
Management of Recurrent Inguinal Hernias
Moderator: Kamal M. F. Itani, MD, FACS, West Roxbury, MA
Speakers will present an overview of the problem of recurrent inguinal hernias and an evidence-based approach to management of this problem. The speakers will discuss the pros and cons of nonoperative management as well as a variety of open and laparoscopic repairs. The various techniques will be presented within the context of evidence, experience of the surgeon, and following different primary repairs.
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SP04- 9:45-11:15 am
Track: GEN
Renal Replacement Therapy by the Surgical Critical Care Team
Moderator: Christopher J. Dente, MD, FACS, Atlanta, GA
A review of current approaches to renal failure in the intensive care unit including ultrafiltration, continuous renal replacement therapy, intermittent renal replacement therapy, and comparative results.
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SP05-9:45-11:15 am
Track: OBG, ONC
Update on Surgical Management of Ovarian Cancer
Moderator: Jeffrey M. Fowler, MD, FACS, Columbus, OH
Risk reduction surgery for patients at risk for ovarian carcinoma will be addressed, including identifying and counseling patients at higher risk for epithelial ovarian carcinoma. Discussion will include current data on risk reduction surgery and pros/cons of including hysterectomy versus bilateral salpingooophorectomy alone. Discussion will include the rationale for comprehensive surgical staging in early ovarian cancer, including tumors of low malignant potential, invasive epithelial cancer, and germ cell tumors, the role of fertility preservation, and current data regarding the impact of comprehensive staging and postoperative therapy. Rationale for cytoreductive surgery, including the role of radical tumor debulking in the surgical management of advanced ovarian cancer, will be presented. Current postoperative treatment options, including intraperitoneal chemotherapy, will be discussed and will cover the impact of tumor debulking on these treatment options.
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SP06-11:30 am-1:00 pm
Track: CTS
Catheter-Based Interventions for the Cardiac Surgeon
Moderator: Michael J. Davidson, MD, Boston, MA
The technical skills required of contemporary cardiac surgeons are changing. This session will describe how cardiac surgeons may acquire skills that are not traditionally considered part of the field of cardiac surgery. The objective of the session is to provide an introduction to the following catheter-based techniques and how to acquire requisite skills:
- catheterization and angiography
- transcatheter valve interventions
- endovascular thoracic and aortic interventions
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SP07-11:30 am-1:00 pm
Track: GEN
Cystic Lesions of the Pancreas
Moderator: Keith D. Lillemoe, MD, FACS, Indianapolis, IN
This session will describe diagnostic testing, nonoperative management, and operative approaches in patients with cystic masses of the pancreas.
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SP08-11:30 am-1:00 pm
Track: CRS
Optimizing Perioperative Care in Colorectal Surgery
Moderator: Anthony Senagore, MD, FACS, Grand Rapids, MI
This session will deal with optimizing postoperative care of the colorectal patient, including fast tracking, management of ileus, deep venous thrombosis prophylaxis, the role of bowel preparation, etc.
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SP09-11:30 am-1:00 pm
Track: TRAUMA-CRIT CARE
Update on Topical Hemostatic Agents in Trauma
Moderator: Peter Rhee, MD, FACS, Tucson, AZ
Local hemostatic agents have been introduced and utilized by the U.S. military. This session will review topical hemostatic agents currently being used in Iraq as well as the products now available for pre-hospital and hospital use in the U.S. This session will also review products in development.
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SP10-11:30 am-1:00 pm
Track: VAS
Vascular Surgeons in Transition to Vascular Specialists
Moderator: George H. Meier, MD, FACS, Cincinnati, OH
This panel will open the discussion of issues related to the rapid expansion of endovascular techniques and their influence on the identity of vascular surgeons.
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SP11-11:30 am-1:00 pm
Track: PLA
Composite Tissue Transplantation: Basic Science Translated to the Operating Room
Moderator: Robert L. Walton, MD, FACS, Chicago, IL
This panel will discuss current problems in allograft transplantation and surgical advances made to overcome these hurdles. Basic science mechanisms will be discussed, as well as the current status of face and hand transplantation.
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SP12-2:30-4:00 pm
Track: OTO-HNS
Evaluation and Treatment of Pediatric Neck Masses
Moderator: Ellen M. Friedman, MD, FACS, Houston, TX
The etiology and treatment of neck masses in children are more varied than those in adults; therefore, proper evaluation and treatment planning are crucial to successful longterm results. This panel will present the etiology, radiologic and medical evaluation, and treatment of congenital and acquired neck masses found in the pediatric population. Particular emphasis will be placed on the need for a multidisciplinary approach to these patients.
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SP13-2:30-4:00 pm
Track: GEN
Update on Management of Inflammatory Bowel Disease
Moderator: Fabrizio Michelassi, MD, FACS, New York, NY
This session will review current medical therapy, nutritional support, use of anti-inflammatory agents, diagnostic approaches, and operative therapy in patients with inflammatory bowel disease.
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SP14-4:15-5:45 pm
Track: NEU
Trends in Image-Guided Surgery
Moderator: Nicholas M. Barbaro, MD, FACS, San Francisco, CA
At the completion of this course, participants will be able to describe current image-guided surgical techniques and devices, their advantages, and their limitations. They will also be able to describe trends in the design of the operating room of the future.
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Tuesday October 14, 2008
SP15-8:00-9:30 am
Track: OTO-HNS
Contemporary Management of Upper Aerodigestive Tract Carcinomas
Moderator: Cherie-Ann O. Nathan, MB, BS, FACS, Shreveport, LA
Carcinomas of the upper aerodigestive tract are relatively uncommon tumors that have a poor prognosis despite aggressive combined modality therapy. Significant advances have been made in the last decade in surgical and nonsurgical treatment of these tumors, but the various treatment options have left many oncologic surgeons uncertain as to which are the best treatment approaches. This panel will attempt to define an evidence-based treatment algorithm for the most common tumors, including treatment of regional and systemic metastases.
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SP16-8:00-9:30 am
Track: GEN
Management of Acute and Chronic Lower Extremity Venous Disease
Moderator: Joann M. Lohr, MD, FACS, Cincinnati, OH
This panel will bring together experts to present the relative merits of the latest techniques in the management of patients with lower extremity venous disease, including anticoagulation and thrombolytic therapy, as well as open and endovascular surgical treatments.
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SP17-8:00-9:30 am
Track: URO, ONC
Management of Localized Prostate Cancer
Moderator: Judd W. Moul, MD, FACS, Durham, NC
Speakers will present information on surgical techniques, radiation options, cryoablation, and high intensity focused ultrasound, with emphasis on patient-reported outcomes and longterm cancer control. With prostate cancer affecting 1 in 6 men, this is a relevant topic for all health care providers and the session will be presented at a level for all surgeons.
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SP18-8:00-9:30 am
Track: PLA
Practicing Evidence-Based Cost-Effective Plastic Surgery
Moderator: Achilleas Thoma, MD, FACS, Hamilton, ON
The focus of this panel is to introduce plastic surgeons to the subject of economic evaluation in plastic surgery and specifically, the principles of cost-effectiveness analysis. It will also explain the differences between the four types of economic evaluations:
- cost-analysis,
- cost-effectiveness analysis,
- cost-utility analysis, and
- cost-benefit analysis.
This panel will explain the appraisal of articles that appear in the plastic surgery literature and purport to be cost-effectiveness (utility) analysis by asking three questions:
- Are the results of the study valid?
- What are the results? and
- Will the results help me care for my patients? Examples of cost-effectiveness analyses in the plastic surgery literature will be chosen to explain how one can use the evidence to improve clinical care.
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SP19-9:45-11:15 am
Track: NEU
Can I Play Again? Assessing Athletes with Neuro Trauma
Moderator: Allen K. Sills, MD, FACS, Memphis, TN
At the completion of this course, participants will be able to describe the current understanding of concussion of the brain and spinal cord and current legal and medical guidelines for restoring athletes to active amateur and professional sports.
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SP20-9:45-11:15 am
Track: GEN, ONC
Cancer as a Chronic Disease
Moderator: David A. Kooby, MD, Atlanta, GA
With recent development of improved cancer therapies, patients with advanced malignancy are living longer. This session will provide a look at how “living with” cancer has affected surgical care, multidisciplinary management, finances, and patient reactions. Complex cases will be presented and discussed by a panel consisting of surgeons, a medical oncologist, an MBA, and a patient.
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SP21-9:45-11:15 am
Track: VAS
Difficult Problems in Angioaccess
Moderator: Elliot L. Chaikof, MD, FACS, Atlanta, GA
This panel will address troublesome issues involved in achieving and maintaining vascular access for a variety of clinical problems, including hemodialysis, chemotherapy, and nutrition, with emphasis on management of complications and failed access attempts.
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SP22-9:45-11:15 am
Track: CTS
Interventional Pulmonology for the Thoracic Surgeon
Moderator: Malcolm M. DeCamp, MD, FACS, Boston, MA
New interventional therapies may soon supplant some procedures traditionally done by thoracic surgeons. This program will elucidate these procedures and describe how thoracic surgeons may learn them. The session will specifically address
- interventional bronchoscopy,
- radiofrequency ablation of lung lesions,
- image-guided bronchoscopic procedures, and
- transcutaneous pulmonary biopsy techniques.
The objective of the session is to provide the surgeon with tools necessary to implement these techniques in his/her practice.
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SP23-9:45-11:15 am
Track: OBG, ONC
Management of Placental Malformation and Subsequent Surgical Intervention
Moderator: Elvis S. Donaldson, MD, FACS, Lexington, KY
This panel will review normal placental development, abnormal placental development, and maternal and fetal consequences. Predictable risk factors and radiographic tests for diagnosis will also be covered. Surgical and nonsurgical management techniques will be addressed.
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SP24-9:45-11:15 am
Track: OTO-HNS
Management of the Patient with a Parotid Mass
Moderator: Mark K. Wax, MD, FACS, Lake Oswego, OR
This panel will discuss the current best options in the radiologic and histologic evaluation of a patient with a parotid mass. Treatment of both benign and malignant etiologies will be discussed, as will reconstruction of secondary defects, including the intricacies of facial nerve grafting.
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SP25-11:30 am-1:00 pm
Track: GEN
American Surgical History: The Civil War
Moderator: Theodore J. Saclarides, MD, FACS, Chicago, IL
This session will review public health issues, field care, operative care, and hospital care during the Civil War.
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SP26-11:30 am-1:00 pm
Track: CRS
Colorectal Techniques: Tricks of the Trade
Moderator: David J. Schoetz, MD, FACS, Burlington, MA
This session will discuss specific technical aspects of colon and rectal surgery such as pelvic dissection and rectal mobilization, anastomotic techniques, including hand sewn and stapled anastomoses, and the construction of J-pouch and coloplasty. Specific technical challenges with pelvic surgery will be presented and discussed by an experienced panel.
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SP27-2:30-4:00 pm
Track: PED
Endocrine Surgery in Children
Moderator: Daniel J. Ledbetter, MD, FACS, Seattle, WA
Endocrine surgery is less common in children than adults and children have unique issues that require special consideration. This session will review (1) the evaluation and management of thyroid nodules and thyroid cancer in children, (2) the rare but pathologically revealing syndrome of multiple endocrine neoplasia, and (3) the operative and perioperative management of nonneuroblastoma adrenal tumors in children. The similarities and differences between the surgical care of children and adults will be emphasized.
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SP28-2:30-4:00 pm
Track: CRS, GEN
Update on Laparoscopic Colectomy
Co-Moderators: Eugene F. Foley, MD, FACS, Madison, WI
Harry T. Papaconstantinou, MD, FACS, Temple, TX
This session will review current indications for, techniques of, and results with laparoscopic colectomies.
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SP29-4:15-5:45 pm
Track: PED
Advanced Minimally Invasive Surgery in Children
Moderator: Hanmin Lee, MD, FACS, San Francisco, CA
This panel will focus on advanced laparoscopic and thoracoscopic techniques in children. Emphasis will be on technical details, pitfalls, and outcomes. Topics will include advanced hepatobiliary procedures, pulmonary resections, and mediastinal procedures such as thymectomy.
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SP30-4:15-5:45 pm
Track: VAS
Cerebrovascular Disease in the Endovascular Era
Moderator: William C. Mackey, MD, FACS, Boston, MA
This panel will bring together experts to examine indications for and results of open and endovascular treatment of cerebrovascular disease, and to address the question of whether the techniques are complementary or are mutually exclusive forms of optimal therapy.
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Wednesday October 15, 2008
SP31-8:00-9:30 am
Track: GEN
Diagnosis and Treatment of Hypercoagulable Disorders
Moderator: Thomas H. Cogbill, MD, FACS, La Crosse, WI
This session will review the hypercoagulable states, including heparin-induced thrombocytopenia, protein C deficiency, protein S deficiency, etc., and their presentations, diagnosis, and treatment.
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SP32-8:00-9:30 am
Track: NEU
Management of Brain and Spinal Cord Injuries: Golden Hour Considerations
Moderator: Domenic P. Esposito, MD, FACS, Jackson, MS
At the completion of this course, participants will be able to describe the pathophysiology that results in secondary brain and spinal cord injury and list the actions required in priority order during the initial emergency management of neurosurgical patients.
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SP33-8:00-11:15 am
Track: GEN, OTO-HNS
Current Management of Cutaneous Melanomas, Including Those of the Head and Neck
Moderator: Jeffrey N. Myers, MD, FACS, Houston, TX
Marc K. Wallack, MD, FACS, New York, NY
Cutaneous melanomas are relatively uncommon malignancies that may be managed by surgeons and nonsurgeons of differing backgrounds, often with conflicting philosophies. This panel will attempt to define an algorithm for the local, regional, and systemic treatment of melanoma encountered over the entire body, including on the head and neck. Modalities including simple resection, Moh’s excision, sentinel lymph node biopsy, lymph node dissection, radiation, and adjuvant chemotherapy and/or bioadjuvant therapy will be discussed, and recommendations made concerning their appropriate application.
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SP34-8:00-11:15 am
Track: GEN
Staying Out of Trouble in the Operating Room
Moderator: Mark A. Malangoni, MD, FACS, Cleveland, OH
This session is designed to address common but difficult decision-making in the operating room. Topics to be discussed include bile pooling near the junction of the common bile duct-common hepatic duct at completion of routine laparoscopic cholecystectomy; near an obstructing mass in the sigmoid colon during routine incisional herniorrhaphy likely to require a synthetic prosthesis; a 3-cm carcinoid metastasis in Segment II of the left liver during open lysis of adhesions; a 4-cm unilateral ovarian mass in a woman undergoing elective sigmoid colon resection for adenocarcinoma; lower gastrointestinal bleeding without an identifiable source; and an anastomotic leak with multiple fistulas.
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SP35-9:45-11:15 am
Track: PED
Vascular Malformations in Children
Moderator: Steven J. Fishman, MD, FACS, Boston, MA
This panel will discuss contemporary diagnosis and management of vascular malformations in children. Emphasis will be on correct diagnosis and multidisciplinary approaches to treatment.
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SP36-9:45-11:15 am
Track: PLA
What’s New in Wound Healing?
Moderator: W. Thomas Lawrence, MD, FACS, Kansas City, KS
This panel will discuss new products available to maximize wound healing and minimize scarring. Tissue engineering, topical treatments, and other interventions will be discussed.
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SP37-11:30 am-1:00 pm
Track: GEN, TRAUMA-CRIT CARE
Is Acute Care Surgery Good or Bad: A Debate
Moderator: Russell J. Nauta, MD, FACS, Cambridge, MA
A review of the scope of the proposed curriculum for the suggestion that a new specialty of “acute care surgery” be recognized, how it differs from the specialty of general surgery, and the presentation of its impact on general surgical training programs and the practice of general surgery in the United States.
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SP38-11:30 am-1:00 pm
Track: GEN
Current Principles of Damage Control Laparotomy
Moderator: Thomas M. Scalea, MD, FACS, Baltimore, MD
A review of the current “damage control” operative approaches in patients with abdominal trauma to the liver, spleen, pancreas, mid-gut, or retroperitoneal/mesenteric vascular structures.
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SP39-11:30 am-1:00 pm
Track: OTO-HNS
Management of Foreign Bodies in the Pediatric Aerodigestive Tract
Moderator: TBD
The pediatric upper aerodigestive tract is easily compromised by foreign bodies, and children may present acutely with life-threatening symptoms. Prompt and effective therapy is therefore critical to restoring patients’ health. This panel will discuss the proper physical and radiographic evaluation of children with a potential foreign body of the upper aerodigestlive tract, as well as an algorithm of management once the diagnosis is made. Controversies in management among specialties will be highlighted and guidelines for treatment developed.
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SP40-11:30 am-1:00 pm
Track: GEN
Prevention, Diagnosis, and Management of Ventilator-Associated Pneumonia
Moderator: Philip S. Barie, MD, FACS, New York, NY
A review of techniques for prevention, optimal diagnostic techniques, and current therapeutic approaches in patients on ventilators who are at risk or have acquired, ventilator-associated pneumonia.
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SP41-11:30 am-1:00 pm
Track: GEN
Surgery to Cure Type II Diabetes Mellitus
Moderator: Philip R. Schauer, MD, FACS, Cleveland, OH
A review of the longterm results of bariatric surgery in curing type II diabetes mellitus and its sequelae.
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SP42-11:30 am-1:00 pm
Track: VAS
Creative Innovations and What the Future Holds for Vascular Access Surgery
Moderator: A. Frederick Schild, MD, FACS, Miami, FL
This session will focus on new technologies and procedures regarding angio-access for patients with end-stage renal disease. Also, it will address the future of vascular access surgery. Discussions of new technology, new techniques, and new attitudes will be presented. As one of the fastest growing specialties, the data shows that the number of surgeries will double in the next four to six years, therefore, the demand for fistulas and grafts will grow and the future will need guidelines to solve the problems.
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SP43-2:30-4:00 pm
Track: GEN
Fast-Track Surgery: A Model to Improve the Efficiency of Your Operating Room
Moderator: Gerald M. Fried, MD, FACS, Montreal, QC
Description of a multidisciplinary approach based on best-available evidence to “fast-track” surgical patients through the pre-, intra-, and postoperative processes. Colorectal surgery will be used as an example for description of the fast-track process of care.
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SP44-2:30-4:00 pm
Track: GEN
Surgery for Chronic Pancreatitis
Moderator: E. Christopher Ellison, MD, FACS, Columbus, OH
This session will review indications for operation in patients with chronic pancreatitis as well as operative approaches such as Puestow, Beger, Frey, and Whipple.
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SP45-2:30-4:00 pm
Track: VAS
Thoracic Endovascular Vascular Aortic Repair (TEVAR)
Moderator: Ronald M. Fairman, MD, FACS, Philadelphia, PA
This panel will examine issues related to the rapid expansion of thoracic endovascular techniques for aortic aneurysm repair and examine the complementary role of open thoracic aortic surgery in the comprehensive management of patients with thoracic aortic aneurysms.
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Thursday October 16, 2008
SP46-9:45-11:15 am
Track: PLA
Abdominal Wall Replacements: The Good, the Bad, and the Ugly
Moderator: Nelson H. Goldberg, MD, FACS, Baltimore, MD
These experts will discuss the reconstructive options for a variety of abdominal wall defects requiring facial replacement. The indications and contraindications for the currently available synthetic meshes, human dermal matrices, and nonhuman (porcine and dermal matrices will be reviewed with emphasis on the most recently available outcome data. These data run the gamut from the good to the bad and the non-existent ugly. Clinical recommendations will be exploded.
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SP47-9:45-11:15 am
Track: GEN
Antimicrobial Therapy for the General Surgeon
Moderator: Anthony A. Meyer, MD, FACS, Chapel Hill, NC
A review of the biologic basis of antimicrobial therapy, pharmacologic considerations in antimicrobial therapy, and treatment of soft tissue, intraabdominal, and nosocomial infections.
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SP48-9:45-11:15 am
Track: CRS
Stoma Construction and Complications
Moderator: Peter A. Cataldo, MD, FACS, Burlington, VT
This panel will discuss the principles of proper stoma construction and the management of complications including parastomal hernia, stomal prolapse, and other stoma-related complications.
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SP49-9:45-11:15 am
Track: GEN
Vascular Trauma for the General Surgeon
Co-Moderators: Kenneth J. Cherry, MD, FACS, Charlottesville, VA
Eric R. Frykberg, MD, FACS, Jacksonville, FL
A review of diagnostic approaches, the roles of endovascular stents and other nonoperative approaches, exposures, and techniques for arterial and venous repair for the general surgeon.
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SP50-11:30 am-1:00 pm
Track: GEN
Diagnosis and Management of Adrenal Masses
Moderator: Geoffrey B. Thompson, MD, FACS, Rochester, MN
This 90 minute session will review diagnostic testing, nonoperative management, and operative approaches in patients with adrenal masses.
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SP51-11:30 am-1:00 pm
Track: CRS, ONC
Rectal Cancer: Optimizing Multimodality Treatment
Moderator: Robert D. Madoff, MD, FACS, Minneapolis, MN
This session will deal with the optimal preoperative evaluation and sequencing of surgery and neoadjuvant treatment for locally advanced rectal cancer.
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SP52-11:30 am-1:00 pm
Track: GEN
Update on Ultrasound in a General Surgeon’s Practice
Moderator: Grace S. Rozycki, MD, FACS, Atlanta, GA
A review of the current uses of surgeon-performed ultrasound including breast, soft tissue abscesses, angioaccess, femoral deep venous thrombosis, biliary tract disease, and abdominal trauma in a general surgery practice.
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