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Managing Nutrition in the ICU-GS01 This session is designed to review current concepts related to enteral versus parenteral nutritional support in the critically ill surgical patient. Emphasis will be placed on the role of immune enhancing/modulating enteral nutrition. Gastric versus jejunal feeding, techniques for enteral access, and complications of enteral nutrition will be reviewed. The timing of enteral nutritional support and specific strategies in the trauma patient, septic patient, and patient with ARDS will be addressed. Moderator: Jeffrey M. Nicholas, MD, FACS, Atlanta, GA
Nutritional Support in Surgery: Does the Time of Delivery Make a Difference?
Enteral Support in Critically Ill Surgical Patients: Problems, Placement, and Pitfalls Enteral VS Parental Support in the Critically ILL—Choices & Indications Management of Catastrophic Injuries-GS02 This course will focus on (1) operative management of catastrophic injuries to the pancreas/duodenum and the pelvis and (2) the difficulties encountered with secondary sequelae in patients with multisystem blunt trauma. Moderator: David V. Feliciano, MD, FACS, Atlanta, GA
The Pancreas and Duodenum are the Seat of the Soul
Exsanguination from an Open Pelvic Fracture
Serious Sequelae from Multisystem Blunt Trauma ACS/SAGES/AHPBA Welcome and Assembly: Modern Management of Colon Cancer-GS03 Moderator: Frederick L. Greene, MD, FACS, Charlotte, NC Welcome and Opening Remarks
Advances In Imaging Technology
The Role of Laparoscopic Colectomy for Curative Resection Colon Cancer
Misorectal Excision in Rectal Cancer - Is It Worthwhile?
Medical Treatment of Colon Cancer, Advances in Chemotherapy
Evaluation and Management of Liver Metastasis
Genetic Profiling in Determining Therapeutics Overview of ACOSOG Clinical Trials Relative to Colon Cancer Metastasis to the Liver Clinical Abstract Presentations by Residents-GS04 The abstract authors (surgical investigators in training) will present summaries of hypothesis-testing research, completed or in progress, that has not been presented or published previously. This session will provide a forum for residents to present their research findings and discuss results of their research with experts and peers. Moderator: Steven D. Wexner, MD, FACS, Weston, FL Residents Presenting Abstracts: The Value of Radiological Imaging in the Diagnosis of Acute Appendicitis Percutaneous Tracheostomy, A Safe Procedure in the Morbidly Obese Ultrasound Non-Invasively Predicts Central Venous Pressure: A Prospective Study Low Readings of Intraoperative Cerebral Oximetry are Associated with Adverse Outcoems after Heart Surgery Marketing of Bariatric Surgery on the Internet: Do University and Community Surgeons Differ? Spectacular Cases from Residents-GS05 Unusual cases selected from those submitted by Resident Members will be presented in clinicopathologic conference style to a panel of local experts. This session will emphasize the conduct of the investigation, surgical techniques, and the postoperative management of challenging cases from the experience of surgical residents and Fellows. This session will offer residents the opportunity to present extraordinary cases to a group of expert panelists and to discuss various aspects of these cases. Moderator: A. Frederick Schild, MD, FACS, Miami, FL Noncolorectal Genetics-GS06 This course will review the current knowledge of the basic molecular genetics involved in the oncogenesis of a variety of cancers commonly treated by general surgeons. The role of genetic testing will be discussed for specific cancers in which the familial linkage has been determined. Moderator: Ronald J. Weigel, MD, PhD, FACS, Philadelphia, PA
Genetics of Breast Cancer
Genetics of Lung Cancer
Genetics of Thyroid Cancer
Genetics of Pancreatic Cancer Excelsior Surgical Society/Edward D. Churchill Lecture: Primary Hyperparathyroidism-The Changing Surgical Paradigm-GS07 This lecture is named for the Excelsior Surgical Society, a group of 80 medical officers who met for the first time in 1945 at the Excelsior Hotel, Rome, Italy. This lecture also honors Colonel Edward D. Churchill, a famous surgeon and consultant to the U.S. Army in the World War II Italian Theater, who presented the first keynote address at this meeting. Introducer: Mark A. Malangoni, MD, FACS, Cleveland, OH How to Get Out of Trouble in the OR-GS08 Several speakers will address difficult situations encountered in the operating room from the perspective of vascular catastrophes, trauma catastrophes, gastrointestinal catastrophes, and injuries of the biliary tree. The presentations will be followed by a panel discussion, in which questions from the audience will be encouraged. Moderator: Michael G. Sarr, MD, FACS, Rochester, MN
Problems in Trauma
Problems in Vascular Surgery
Problems During Laparoscopic Cholecystectomy
Problems During GI Surgery Surgical Jeopardy-GS09 Pit your surgical knowledge against the best and brightest from residency programs across the country. Teams of residents will test their general and specific surgical knowledge against the knowledge of their peers. This session will be a great opportunity to enhance the residents' knowledge and promote camaraderie. A variety of practice issues important to the general surgeon will be raised. Moderator: Mark W. Bowyer, MD, FACS, Burke, VA Participants: Marshall University - Joan C. Edwards School of Medicine Bronx-Lebanon Hospital Center New York Hospital Queens Baylor University Medical Center Beth Isreal Deaconess Medical Center Harbor - UCLA Medical Center Lehigh Valley Hospital Mount Sinai Medical Center New York Medical College, Brooklyn and Queens Easton Hospital Surgical Residency The University of Kansas School of Medicine-Wichita University of Michigan West Virginia University University of Cincinnati Robert Wood Johnson Medical School, Cooper University Hospital Creighton University Best Practices for the Repair of Common Hernias-GS10 Participants can expect to learn about evidence-based recommendations for the repair of inguinal hernias and ventral/incisional hernias. Moderator: Leigh A. Neumayer, MD, FACS, Salt Lake City, UT Introduction: Introductions and Summary of Results from VA Hernia Trial
Summary of VA Open vs. Lap Trial and NIH Open vs. Watchful Waiting Trial
Mesh vs. Primary Repair of Incisional Hernias
Open or Laparoscopic Repair of Incisional Hernias Cases and Controversies Treatment of Acute Pain: Every Surgeon's Responsibility-GS11 Acute pain is an expected part of most perioperative states. Because prior education of residents and current surgeons has been limited, statistics show that undertreatment of pain occurs in 60 percent of surgical patients. Yet, the principles of treatment and the dimensions of both caregiver and patient perceptions form a small and easily attainable knowledge base. The question-and-answer series of case-based scenarios, with live audience participation and feedback, can provide the basic information necessary and kindle the "tension to learn" adult learners need. Moderator: Joseph M. Civetta, MD, FACS, Farmington, CT Current Treatment of Pancreatic Necrosis-GS12 Participants can expect to learn about key treatments in the nonoperative care of patients with pancreatic necrosis; when operation is indicated for patients with pancreatic necrosis; and the main complications of the operation and the treatment of pancreatic necrosis. Moderator: Mark A. Malangoni, MD, FACS, Cleveland, OH
Principles of Non-operative Management
Principles of Operative Management
Complications and Outcomes Successful Implementation of New Paradigms for Surgical Residency Training-GS13 This session will examine new models for resident education that have recently been implemented. The panel will examine the impact of these models on the quality of resident training, patient care, and the workplace environment. Moderator: Richard H. Bell, Jr., MD, FACS, Chicago, IL
Why Do We Need New Paradigms for Resident Training?
A One-On-One Mentored Apprenticeship System in a University Hospital Residency
A One-On-One Mentored Apprenticeship System in a Community Hospital Residency
A Night Float System - What Does it Really Accomplish? Ablative Options for Breast Cancer-GS14 Ablative techniques have been used in the treatment of metastatic hepatic tumors for several years. Surgeons treating both benign and malignant breast abnormalities have taken great interest in the advantages of percutaneous ablation over open surgical excision. Several small pilot trials attempting to treat fibroadenomas or small breast cancers with cryosurgery, laser ablation, and radiofrequency have been reported. All of these ablative techniques employ indirect heat to ultimately induce cell death. This session will review these options in greater depth. Moderator: V. Suzanne Klimberg, MD, FACS, Little Rock, AR
Ablation-Assisted Lumpectomy
Ablation of Margins after Percutaneous or Open Excision
Breast Cancer Metastases: Local Ablation and other Methods of Prolonging Survival Percutaneous Tumor Ablation Ablation or Resection for Hepatic Metastases-GS15 This session will address the indications, patient selection, techniques, and role of hepatic ablation in treatment of primary liver tumors and hepatic metastases. Important factors for patient selection and outcomes will be reviewed with participants. Moderator: William C. Chapman, MD, FACS, St. Louis, MO Intra-Operative Assessment for Tumor Resection and Ablative Therapy
The Role of Ablation and Resection for Hepatic Metastases Potential Complications of Hepatic Ablation: When should it be Used? When should it Not?
The Role of Ablation and Chemoembolization for HCC Update on Approaches to Anal Diseases-GS16 At the completion of this session, participants can expect to understand new approaches to the treatment of hemorrhoidal disease, to recognize the significance of anal intraepithelial dysplasia and appropriate methods of treatment, and to be aware of new surgical approaches to the treatment of anal incontinence. Moderator: Robert D. Fry, MD, FACS, Philadelphia, PA
New Approaches to Hemorrhoidal Disease Anal Intraepithelial Dysplasia (Bowen's Disease)
Anal Incontinence Vascular Access-GS17 This session will emphasize practical issues associated with vascular procedures. It will address preoperative and postoperative care, as well as surgical techniques and new technologies in vascular access surgery. Moderator: A. Frederick Schild, MD, FACS, Miami, FL
Techniques to Increase Native Vein Fistula Placement Maturation and Patency
Graft Failure and Treatment Options to Limit Thrombosis and Outflow Vein Stenosis
Access Grafts - What's the Story? The Answer to Why, When, Where, Which and How
The Ross Access Point System (R.A.P.S.)
What is the Role of Surveillance in Diagnosis of Failing Hemodialysis Grafts and Fistulas
Improving Outcomes with AVS Making the Operating Room As Safe As the Cockpit-GS18 Participants will learn how training in teamwork and communication, using a successful aviation-based Crew Resource Management model, is used to improve patient safety and efficiency in operating rooms in a variety of hospitals. Moderator: C. Wright Pinson, MD, FACS, Nashville, TN Crew Resource Management in the Cockpit and in Healthcare - Linking Aviation to Medicine
CRM Approaches - Implementation Experience and Measurement of Results
CRM Approaches - Implementation Experience and Measurement of Results
CRM Approaches - Implementation Experience and Measurement of Results
Applying Theory to Practice - CRM in My OR
Lessons Learned - What Works Outcomes Research: Implications for Your Practice-GS19 "Outcomes" has emerged as a "buzz" word in modern medicine. The difference between this new concept and the more pedestrian "results" implies a national benchmark for comparison. This panel bridges the gulf from the management of a national database in cardiac surgery, to hospital administration evaluating the results of the most demanding of technical procedures, to the private practitioner of surgery in a midsized community that lurks in the shadow of a major metroplex. A spirited discussion is anticipated as each of these experts makes a case in an erudite and interactive forum. Moderator: J. Patrick O'Leary, MD, FACS, New Orleans, LA
Regionalization for Tertiary Care? Future Directions in Volume Outcomes Research
Wait a Minute - What about Us, the Little Guy?
The STS National Database: Quality Improvement or Provider Profiling? VIDEO-BASED EDUCATION SESSION - VE01 Videotaped surgical procedures performed and narrated by general surgeons will be presented during this evening session. An interactive panel discussion will encourage participants to present questions or challenges to the coordinator and guest panelists. These videos were previously shown during video sessions at the 2004 Clinical Congress. Coordinator and Presiding Officer: Michel Gagner, MD, FACS, New York, NY
Videos and Authors:
Robotic Transduodenal Sphincterplasty Radical Antegrade Modular Pancreato-Splenectomy
Left Liver Resection of Adenoma or Hemangioma Localized in Segment I
Laparoscopic Heller Myotomy with Dor Fundoplication
251 Consecutive Laparoscopic Gastric Bypass Operations Using a 2 Layer Gastrojejunostomy Technique with a Zero Leak Rate
Conversion of Laparoscopic Adjustable Gastric Banding to Roux en Y Gastric Bypass
Laparoscopic Adrenalectomy for Large Ganglioneuroma
Transabdominal Laparoscopic Partial Nephrectomy: Points of Technique
Laparoscopic Adrenalectomy for Malignancies
Thoracoscopic Esophageal Leiomyoma Enucleation Laparoscopic Mucosal Esophagectomy for End Stage Motor Disorder in the Hostile Thorax
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