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Monday, October 11, 2004
CR01—9:45-11:15 am
New Diagnostic Techniques in Colon and Rectal Surgery
Moderator: Mark W. Arnold, MD, FACS, Columbus, OH
Diagnostic tools available to surgeons continue to improve as technology advances. For colon and rectal surgery, changes include the PET scan, dynamic MRI, sentinel lymph node evaluation and advances in endoscopy, among others. This panel will look at these and other diagnostic techniques to help decipher their current and future role.
Sponsored by the Advisory Council for Colon and Rectal Surgery
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UR01—9:45-11:15 am
Benign Prostatic Hyperplasia
Moderator: Gerald L. Andriole Jr., MD, FACS, St. Louis, MO
This panel will address medical and minimally invasive surgical approaches to BPH.
Sponsored by the Advisory Council for Urology
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GYN01—10:00-11:30 am
Update on Ovarian Cancer Management
Moderator: Manuel A. Penalver, MD, FACS, Miami, FL
The screening and diagnostic approaches for ovarian carcinoma will be presented. Current surgical and chemotherapeutic regimes will be emphasized. The role of chemotherapeutic testing, as well as second-look laparotomy, will be presented.
Sponsored by the Advisory Council for Gynecology and Obstetrics
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CR02—1:00-3:00 pm
Perioperative Care of the Patient Undergoing Colon/Rectal Resection: What Are the Essentials?
Moderator: Mark L. Welton, MD, FACS, Stanford, CA
The standard approaches to preparing the patient for elective colon and rectal surgery have recently been challenged. The optimal methods and timing of perioperative pain control and deep venous thrombosis (DVT) prophylaxis have been questioned in recent meta-analyses. Further, the need for "standard bowel preparation" has been questioned in many small series and the use of recombinant human erythropoietin has been suggested for patients with preoperative anemia. Finally, strategies to avoid the legal pitfalls associated with colon and rectal surgical procedures will be discussed.
Sponsored by the Advisory Council for Colon and Rectal Surgery
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PL01—1:30-3:00 pm
Ventral Hernia/Abdominal Wall Reconstruction
Moderator: Nelson H. Goldberg, MD, FACS, Baltimore, MD
This session will focus on the surgical care of large ventral hernias. Preoperative evaluation
will be discussed. Discussions on surgical procedures and their pros and cons will include
some of the newer prosthetic materials and surgical techniques, such as component separation.
Sponsored by the Advisory Council for Plastic and Maxillofacial Surgery
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VS01—3:30-5:00 pm
Vascular Laboratory: The Latest in the Diagnostic Approach to Common Vascular Problems
Moderator: R. Eugene Zierler, MD, FACS, Seattle, WA
This panel will focus on the current diagnostic algorithms for common arterial and venous problems and their clinical applications in the noninvasive laboratory. Presentations will highlight the role of noninvasive testing in the selection of patients for vascular interventions.
Sponsored by the Advisory Council for Vascular Surgery
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Tuesday, October 13, 2004
VS02—8:30-10:00 am
What's New in Venous Surgery
Moderator: Audra A. Noel, MD, FACS, Rochester, MN
This session will focus on new techniques for management of varicose veins and the expected outcomes. In addition, the panel will review the endovascular and open surgical options for management of iliofemoral venous disease.
Sponsored by the Advisory Council for Vascular Surgery
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OTO02—8:30-10:00 am
Update on the Management 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 long-term results. This multidisciplinary 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.
Sponsored by the Advisory Council for Otolaryngology
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PED01—10:30 am-12:00 noon
Necrotizing Enterocolitis: Evidence-Based Management and Outcomes
Moderator: Henri R. Ford, MD, FACS, Pittsburgh, PA
This session will update surgeons on experimental data regarding the pathogenesis and
evidence-based management of necrotizing enterocolitis, the most common gastrointestinal disorder requiring surgery in the neonate. The results of recent prospective randomized studies examining different surgical strategies will be emphasized.
Sponsored by the Advisory Council for Pediatric Surgery
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GYN02—10:30 am-12:00 noon
Vaginal Reconstruction
Moderator: John A. Rock, MD, FACS, New Orleans, LA
Congenital and acquired vaginal anomalies may be encountered in a surgical practice. The advantages of nonoperative versus surgical intervention will be presented. Vaginoplasty with skin grafts will be discussed. Anatomic and functional success will be reviewed.
Sponsored by the Advisory Council for Gynecology and Obstetrics
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NS01—10:30 am-12:00 noon
Controversies in Therapy and Management of Symptomatic and Asymptomatic Carotid Occlusive Disease
Co-Moderators:
Frederic B. Meyer, MD, FACS, Rochester, MN
John W. Hallett Jr., MD, FACS, Bangor, ME
This is a didactic session involving a multidisciplinary panel designed to cover state?of?the?art management of asymptomatic and symptomatic carotid disease. In addition to analyzing current thought regarding treatment of carotid occlusive disease, surgical controversies and the role of carotid angioplasty will be analyzed. There will be ample time for a question and answer period at the end of the session.
Sponsored by the Advisory Council for Neurological Surgery
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VS03—10:30 am-12:30 pm
Hemo-access Program
Moderator: David L. Cull, MD, FACS, Greenville, SC
This session will focus on the management of patients with complex hemodialysis access problems and will provide 'surgical pearls' for the hemo?access surgeon. The discussion will also include the development of an institutional vascular access program and the proper coding of vascular access procedures to maximize reimbursement.
Sponsored by the Advisory Council for Vascular Surgery
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UR02—1:00-2:30 pm
Minimally Invasive Surgery in Urology
Moderator: TBA
This panel will focus on new applications of minimally invasive surgery in urology.
Sponsored by the Advisory Council for Urology
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PED02—1:00-4:00 pm
Appendicitis in Children: Issues and Controversies in Diagnosis and Management
Moderator: Moritz M. Ziegler, MD, FACS, Denver, CO
This session will discuss the contemporary issues and controversies in the diagnosis and treatment of appendicitis in children. The discriminate and indiscriminate use of routine diagnostic and advanced imaging modalities will be debated. Clinical care paradigms based
on best practice and evidence will be presented, with an emphasis on complex scenarios and complicated appendicitis.
Sponsored by the Advisory Council for Pediatric Surgery
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NS02—3:00-4:30 pm
Trauma Surgery and Spinal Cord Injury: What You Need to Know
Moderator: TBA
This didactic session incorporates a panel of experts delineating the state-of-the-art management of spinal cord injury, as well as best management practices of spinal cord injury in the setting
of concomitant visceral projectile injuries or concomitant blunt thoracic abdominal injuries. The panel will be composed of neurosurgeons and general trauma surgeons and should be of interest to anyone managing trauma. Ample time will be allowed for a question-and-answer period.
Sponsored by the Advisory Council for Neurological Surgery
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Wednesday, October 13, 2004
OTO03—8:00-9:30 am
New Treatment Paradigms in Head and Neck Melanoma
Moderator: Carol R. Bradford, MD, FACS, Ann Arbor, MI
The treatment of melanoma has been altered recently with the advent of sentinel lymph node biopsy. However, the benefit of this technique is still controversial when used in the head and neck. This multidisciplinary panel will discuss the current best treatment of head and neck melanomas, including those originating in the mucosa of the upper aerodigestive tract. The use of sentinel lymph node biopsy, as well as the use of postoperative adjuvant therapy, will be debated.
Sponsored by the Advisory Council for Otolaryngology
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VS04—10:30 am-12:00 noon
Vascular Trauma: New Lessons from War and Urban Trauma
Moderator: Sean D. O'Donnell, MD, FACS, Potomac, MD
This panel will focus on lessons learned in managing vascular trauma from recent war experiences and from urban trauma.
Sponsored by the Advisory Council for Vascular Surgery
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NS03-8:30-10:00 am
Controversies in Thoracic Outlet Syndrome: Diagnosis and Management
Moderator: David G. Kline, MD, FACS, New Orleans, LA
This didactic session from a panel of neurosurgical and vascular experts will review the diagnosis criteria, pitfalls, and surgical options for this interesting and disabling syndrome. Ample time will be allowed for a question-and-answer period.
Sponsored by the Advisory Council for Neurological Surgery
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PL03—8:00-11:00 am
Management of the BRCA-Positive Patient
Moderator: S. Eva Singletary, MD, FACS, Houston, TX
This session will discuss the BRCA-positive patient, including the initial diagnosis, genetic transmission, and evaluation of family members. Surgical treatment, both in the presence and absence of confirmed malignancy, will be discussed from both a general surgical and gynecologic perspective. Reconstructive options will be examined, with special emphasis on consideration of future disease in the contralateral organ. The benefits of psychological support will be examined.
Sponsored by the Advisory Council for Plastic and Maxillofacial Surgery
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PL04—10:00-11:30 am
Multidisciplinary Management of Traumatic Upper Extremity Injuries
Moderator: Randolph Sherman, MD, FACS, Los Angeles, CA
This session will discuss complex upper extremity vascular trauma, from emergency department evaluation through diagnostic work?up, acute care, and later reconstructive requirements. Emphasis will be placed on the complete evaluation of concomitant injuries. Areas to be covered will include osseous, vascular, neurologic, musculotendinous and soft tissue injuries. Attendees will gain exposure to and learn comprehensive diagnostic, triage and therapeutic tools in caring for a wide range of upper extremity traumatic conditions.
Sponsored by the Advisory Council for Plastic and Maxillofacial Surgery
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CR03—10:30 am-12:00 noon
Early Stage Rectal Cancer: Why the Controversy Continues
Moderator: W. Douglas Wong, MD, FACS, New York, NY
The management of early stage rectal cancer has evolved over the past three decades. The techniques of local excision have become firmly entrenched in the surgical armamentarium, but the efficacy of this approach has been recently challenged. In addition, staging modalities, including endorectal ultrasound have become widely available, but have certain limitations. Finally, adjuvant therapy is variably recommended for the patient with early stage rectal cancer when treated with local excision, without good prospective data to support it. This panel will address these areas of concern and controversy.
Sponsored by the Advisory Council for Colon and Rectal Surgery
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CT01—10:30 am-12:00 noon
Minimal Resections for Treatment of Pulmonary Malignancies
Moderator: Mark S. Allen, MD, FACS, Rochester, MN
Is less more? Currently, the debate continues as to the proper treatment of pulmonary malignancies. Is a reduced resection more effective for the cure and long-term quality of life for patients? Newer techniques, such as radiofrequency ablation are also moving in this direction.
Is this the best way to treat pulmonary malignancy?
Sponsored by the Advisory Council for Cardiothoracic Surgery
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CT02—1:30-3:00 pm
Lung Volume Reduction Surgery: Update and Current State of Affairs
Moderator: Malcolm M. DeCamp, MD, FACS, Cleveland, OH
After seven years, the National Emphysema Treatment Trial has been completed. Provocative intermediate-term results have been published establishing a clear role for surgery in the treatment of emphysema. This session will provide an evidence-based update regarding patient selection, operative approach, cost?effectiveness and technical innovation.
Sponsored by the Advisory Council for Cardiothoracic Surgery
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CR04—1:30-3:00 pm
Locally Advanced Rectal Cancer: Strategies for Success
Moderator: Robert D. Fry, MD, FACS, Philadelphia, PA
Despite improvement in screening and prevention of colon and rectal cancer, a sizable number of patients continue to present with locally advanced rectal tumors. The value of preoperative chemoradiation seems evident, but the need for diversion, stenting, and/or laser recanalization is often controversial. Additionally, the therapeutic decision making for a patient with locally advanced disease and evidence of distant metastases is challenging. This panel will look at these and other issues surrounding a clinically challenging problem.
Sponsored by the Advisory Council for Colon and Rectal Surgery
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Thursday, October 14, 2004
PL05—9:30-11:00 am
Post-Weight Reduction Reconstructive (Cosmetic) Surgery
Moderator: Austin I. Mehrhof, Jr., MD, FACS, Richmond, VA
Operative procedures will be discussed, as well as their risks and complications. The need for postoperative psychiatric evaluations and support is emphasized. Skin reduction procedures, including panniculus, breast augmentation/mastopexy, brachioplasties, and thigh plasties will be discussed.
Sponsored by the Advisory Council for Plastic and Maxillofacial Surgery
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CT03—9:30-11:00 am
Role of PET and Combined Imaging Modalities to Evaluate Thoracic Malignancies
Moderator: Bryan F. Meyers, MD, FACS, St. Louis, MO
The ability to systemically stage thoracic malignancies is critical to design the proper treatment plan. Currently, PET and combinations of other imaging modalities such as computerized tomography are state of the art. It is important to critically understand how these newer scanning modalities fit into the treatment of thoracic malignancies.
Sponsored by the Advisory Council for Cardiothoracic Surgery
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OTO04—11:00 am-12:30 pm
Laryngopharyngeal Reflux: Complications and Medical/Surgical Treatment
Moderator: TBA
The importance of laryngopharyngeal reflux in a myriad of diseases of the upper aerodigestive tract has been increasingly recognized in recent years. This entity is associated with disease in the lower esophagus and with disease in both the upper and lower respiratory tracts. This multi-disciplinary panel will focus on the presentation, evaluation, and medical and surgical treatment of significant laryngopharyngeal reflux. Included will be the evaluation and treatment provided by the general surgeon, with his or her expertise in gastroesophageal disease.
Sponsored by the Advisory Council for Otolaryngology
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The American College of Surgeons sponsors the Clinical Congress to promote advances in surgery and other areas of science. The information presented through the programs and exhibits is not verified or endorsed by the American College of Surgeons. Presenters and exhibitors are solely responsible for content.
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