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GS02
Session Description:
Operative therapy is used less often for the treatment of peptic ulcer disease and its complications since the discovery of Helicobacter pylori and less invasive interventions for bleeding. This session will outline when operative treatment is indicated and which procedure is preferable for any given situation. (1.5 CME credits)
GS05
Session Description:
Surgical treatments may be lifesaving or improve the quality of life. Sometimes they are established by long-standing practice patterns. However, they often are not validated by evidence-based clinical trials. The effectiveness of new technology, on the other hand, must be "proven" on the basis of clinical trial evidence. What then should stand as the standard of care-long-standing established practice or evidence-based new technology? How do we choose what is best for the patient? This question will be addressed in three debates involving three common clinical problems to which new technology has been widely applied: morbid obesity, abdominal aortic aneurysms, and gastroesophageal reflux. The following topics will be debated by two speakers (one pro and one con) on each topic with the focus on what is best for the patients in the long-term outcomes: a) bariatric surgery; b) endovascular repair; and c) laparoscopic control of gastroesophageal reflux. Each speaker will present his or her point of view, and then each will rebut the opponent's comments. An audience interactive response system will allow the audience to vote on the "winner" of each debate. (2 CME credits)
GS06
Session Description:
The purpose of this session is to review potential complications in the operating room, their frequency, how they are managed, and, most importantly, how they can be prevented. This interactive session will consist of questions asked of the audience to which they will respond electronically. A case presentation will precede each of the three presentations from our panel of experts. The session will conclude with a question-and-answer period and panel discussion. The proposed topics that will be covered include unexpected intraoperative emergencies, such as sudden cardiovascular collapse, coagulopathy, transfusion reaction, anaphylaxis, and malignant hyperthermia. A second area that will be reviewed is the difficult airway with emphasis placed on recognition and management of the problem. Finally, we will review mechanical failures and hazards in the operating room with emphasis on electrical complications that may occur with laparoscopic equipment or other energy source injuries. (2 CME credits)
GS08
Session Description:
In an era of rapidly proliferating new surgical techniques, the means by which practicing surgeons may acquire and maintain competence will be addressed. (2 CME credits)
This project was supported by grant number U18 HS12021 from the Agency for Healthcare Research and Quality.
GS13
Session Description:
Students will listen to a discussion of four key aspects in the management of patients with rectal cancer. At the completion of this symposium, they will understand: 1) patient selection criteria and the expected outcomes of local excision and radiation therapy for early rectal cancer; 2) patient selection for neoadjuvant chemoradiation and the risks and benefits; 3) rationale and key aspects of total mesorectal excision; and 4) indications and benefits of colonic pouch reconstruction after low anterior resection. (3 CME credits)
GS16
Session Description:
This course will describe the technique, sensitivity, and specificity of sentinel lymph node biopsy based on the maturing data regarding this subject. We will review the current indications for the technique and evaluate the information obtained from recent and ongoing clinical studies. Finally, the controversies surrounding the procedure and management of the axilla will be discussed. (2 CME credits)
GS18
Session Description:
There are a variety of conditions that cause groin pain in the absence of an obvious inguinal hernia, and groin pain after successful inguinal herniorrhaphy is well known to surgeons. These pain syndromes have significant economic consequences for highly paid athletes, but are also seen in nonathletes and are common in general practice. The purpose of this session is to provide a comprehensive overview of the subject in both pre- and postoperative patients. Appropriate diagnostic evaluations, as well as surgical and nonsurgical treatment strategies, will be discussed. (2 CME credits)
GS21
Session Description:
This session will provide an introduction to the Patient Safety Manual and selected contributors. The panelists will address a variety of surgical issues related to patient safety as presented in the manual. (2 CME credits)
This project was supported by grant number U18 HS12021 from the Agency for Healthcare Research and Quality.
GS29
Session Description:
Pancreatic necrosis, the end result of severe pancreatitis, comprises a spectrum of issues from focal injury to extensive regions of pancreatic and peripancreatic tissue death, often complicated by bacterial and sometimes fungal injection. Appropriate treatment requires an appreciation of the evolution of injury and the indications for intervention vs. nonoperative support. (1.5 CME credits)
GS36
Session Description:
Exploration of the abdomen during a laparoscopic cholecystectomy procedure occasionally results in unexpected findings, including suspected gallbladder cancer, a mass in the liver, or other gynecologic pathology. What to do when these surprises are encountered will be discussed. (2 CME credits)
GS37
Session Description:
The Division of Education of the American College of Surgeons has appointed four special task forces to address the competencies of interpersonal and communication skills, professionalism, practice-based learning and improvement, and systems-based practice. The task forces will address these competencies for practicing surgeons, surgery residents, and medical students, and they are making excellent progress. An update will be provided from each of the four task forces. (2 CME credits)
This project was supported by grant number U18 HS12021 from the Agency for Healthcare Research and Quality.
GS47
Session Description:
All surgeons involved in the care of trauma patients find themselves in particularly difficult operative situations sooner or later. Likewise, most experienced trauma surgeons have developed a number of technical tricks for use in particularly "suboptimal" operative situations. In this session, a number of highly experienced trauma surgeons describe operative techniques they have found useful in difficult situations involving the neck, chest, and abdomen. (2.5 CME credits)
MD07
Session Description:
This session will look at the devastating complication of a postoperative enterocutaneous fistula. Areas covered will include the initial recognition and the management decision to treat the complication nonoperatively, as well as supportive measures to improve success of nonoperative therapy. Finally, the recognition of the need for operative repair and technical tips for same will be discussed. (1.5 CME credits)
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