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Multidisciplinary Sessions

Monday, October 9 | Tuesday, October 10 | Wednesday, October 11

Monday, October 9, 2006

MD01 | 9:45–11:15 am Open Versus Endovascular Approaches for Vascular Disease: What Are the Outcomes?

Moderator: Bruce Alan Perler, MD, FACS, Baltimore, MD

The rapid increase of new catheter-based and minimally invasive methods to address common vascular problems often creates confusion regarding which therapeutic tools are best suited for which clinical situations. The panel will address the question “Is new and less invasive always better?” from several perspectives, including efficacy, durability, safety, cost, and patient preference.

Sponsored by the Advisory Councils for the Surgical Specialties

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MD02 | 10:30 am–12:00 noon Open Versus Percutaneous Tracheostomy: Reestablishing the Standard of Care

Co-Moderators:
Edward E. Cornwell III, MD, FACS, Baltimore, MD
David James Terris, MD, FACS, Augusta, GA

The use of tracheostomy is still common in the medical and surgical intensive care units and after major head and neck surgery. The controversy of the preferred approach continues, with new results of each technique being used to promote one or the other approach. Each approach has its unique advantages and disadvantages and its proper application and technique. This panel will attempt to define the appropriate application of the two approaches with an evidence-based discussion and thoughtful experiential considerations.

Sponsored by the Advisory Council for Otolaryngology–Head and Neck Surgery

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Tuesday, October 10, 2006

MD03 | 9:30 am–12:00 noon Complications in Surgery: Getting Out of Trouble in the Operating Room

Moderator: Mark Alan Malangoni, MD, FACS, Cleveland, OH

This panel will focus on unexpected problems encountered during general surgery operative procedures. Each operation has its own individual set of consequences, some of which may be startling. An elite panel of accomplished surgeons has been assembled to express their opinions, and it is anticipated that a spirited dialogue will ensue. Certain circumstances will be presented by the moderator, but participants are encouraged to share their own experiences to test the panelists as to how they would react to real-life intraoperative emergencies.

Sponsored by the Advisory Councils for the Surgical Specialties

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MD04 | 10:00–11:30 am Biosensors in Surgery

Moderator: Daniel G. Clair, MD, FACS, Cleveland, OH

Miniaturized, implantable biosensors based on microelectronic mechanical systems are now being developed, which can allow the measurement of intravascular, intracardiac, and potentially other parameters on a potentially long-term basis. One application is the measurement of intrasac pressure to determine the effectiveness of aneurysm exclusion after the endovascular repair of an abdominal aortic aneurysm. The panel will explore the availability, potential applications, and the limitations of this technology in several clinical situations.

Sponsored by the Advisory Councils for the Surgical Specialties

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Wednesday, October 11, 2006

MD05 | 8:00–9:30 am Management of the Diabetic Foot

Moderator: John E. McDermott, MD, FACS, Seattle, WA

This session will focus on operative management of the diabetic foot ulcer: (1) two-stage ulcer closure, (2) microvascular flap transfer, and (3) adjuncts surgical reconstruction. A brief introduction with review of general management and ACS educational efforts will precede the lectures. A video case presentation and surgical technique demonstration will facilitate discussion.

Sponsored by the Advisory Councils for the Surgical Specialties

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MD06 | 10:00–11:30 am Management of Complex Perineal Wounds

Moderator: Thomas E. Read, MD, FACS, Pittsburgh, PA

Persistent perineal wounds resulting from proctectomy for inflammatory bowel disease or rectal cancer pose challenging management problems and are a source of significant potential morbidity. This panel will discuss current management options from simple closure, primary prevention of such wounds, flap coverage, and the use of vacuum-assisted closure.

Sponsored by the Advisory Councils for the Surgical Specialties

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MD07 | 12:00 noon–1:30 pm Carotid Trials on Stenting: Where Do We Go from Here?

Moderator: Robert Wayne Hobson II, MD, FACS, Newark, NJ

This panel will provide an update on the latest results of the carotid stenting trials and will highlight the practical application of these results to the current treatment of carotid occlusive disease. This session will also emphasize the controversies concerning the latest treatment methods in the minimally invasive management of cerebrovascular occlusive disease, such as the role of cerebral protection devices.

Sponsored by the Advisory Council for Vascular Surgery

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MD08 | 2:00–3:30 pm Pelvic Organ Prolapse and Incontinence

Moderator: Tracy Lynn Hull, MD, FACS, Cleveland, OH

Pelvic organ prolapse and incontinence may occur in up to 50 percent of women and manifests with a variety of urinary, bowel, and sexual symptoms. The management and treatment of such pelvic floor disorders often require a multidisciplinary approach with colon and rectal surgeons, urologists, and gynecologists. This panel will examine the evaluation, diagnostic techniques, and management of pelvic organ prolapse and incontinence.

Sponsored by the Advisory Councils for the Surgical Specialties

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