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Scientific Sessions: Sunday, April 23

The Operating Room of the Future—GS01
Clinical Abstract Presentations by Residents—GS02
Current Evaluation of the Acute Abdomen—GS03
Spectacular Cases from Residents—GS04
Everything You Wanted to Know About the Spleen—GS05
Endoscopic Approaches to Upper Gastrointestinal Bleeding—GS06
Palliative Care—GS07
Surgical Jeopardy—GS08
Management of the Geriatric Surgical Patient—GS09
Outcomes for Bariatric Surgery—GS10

The Operating Room of the Future—GS01
8:00–9:00 am
Moderator: Richard M. Satava, Jr., MD, FACS, Seattle, WA

The operating room of the future takes advantage of advances in robotic technologies. The new robotic scrub nurse (Penelope) from Columbia demonstrates the efficiency of such robots. Current research is underway in developing an operating room with no people (only the patient), in which the surgeon controls not only the Intuitive Surgical Robot, but has automatic tool changers and automatic supply dispensers which are voice controlled. This frees the scrub and circulating nurses for more intellectually challenging duties than simply passing instruments or supplies. Implications for prehospital and military applications are conceptualized. 

Operating Room of the Future: Current Status
Warren Sandberg, MD, PhD, Boston, MA 

Operating Room of the Future: Robotics and Beyond
Mika N. Sinanan, MD, FACS, Seattle, WA

Operating Room of the Future: Perioperative Concept
Tim Ganous, Baltimore, MD 

Panel Discussion

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Clinical Abstract Presentations by Residents—GS02
9:00–10:30 am
Co-Moderators:
Eric G. Weiss, MD, FACS, Weston, FL
Barry J. Jenkins, MD, Augusta, GA

The abstract authors (surgical investigators intraining) will present summaries of hypothesis-testing research, completed or in progress, not previously presented or published. 

Histone Deacetylase Inhibition Contributes to Cytoprotective Effects of Valproic Acid During Hemorrhagic Shock
Earl R. Gonzales, MD, Bethesda, MD

Early vs. Late Onset Ventilator Associated Pneumonia in a Surgical/Trauma Intensive Care Unit
Traci L. Hedrick, MD, Charlottesville, VA

Role of Diagnostic Laparoscopy in Penetrating Abdominal Stab Wounds
Albeir Mousa, MD, Brooklyn, NY

Vacuum-Assisted Closure Device Improves Lower Extremity Fasciotomy Wound Outcomes and Healing Times
John Zannis, MD, Winston-Salem, NC

Surgical Oncology
Christy Chai, MD, Houston, TX

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Current Evaluation of the Acute Abdomen—GS03
9:00–10:30 am
Moderator:
David V. Feliciano, MD, FACS, Atlanta, GA

This session will provide an overview of three common causes of the acute abdomen and the influence of newer diagnostic modalities on the timing of diagnosis and initiation of therapy.

Predicting the Need for Operation in Small Bowel Obstruction
Joseph P. Minei, MD, FACS, Dallas, TX

CT in the Diagnosis of Acute Appendicitis or Acute Diverticulitis — What Ever Happened to Physical Examination?
Jeffrey M. Nicholas, MD, FACS, Atlanta, GA 

Can We Diagnose Ischemia of the Midgut Any Faster?
J. Gregory Modrall, MD, FACS, Dallas, TX 

Panel Discussion

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Spectacular Cases from Residents—GS04
10:45 am–12:15 pm
Co-Moderators:
A. Frederick Schild, MD, FACS, Miami, FL
Juan C. Paramo, MD, FACS, Miami Beach, FL

Extraordinary cases will be presented by residents to a group of expert panelists for an interactive discussion.

Panelists:
George A. Sarosi, MD, Dallas, TX
Fiemu E. Nwariaku, MBBS, FACS, Dallas, TX
Heidi L. Frankel, MD, FACS, FCCM, Dallas, TX
J. Gregory Modrall, MD, FACS, Dallas, TX

Management of Bilateral Meshodynia and Right Common Femoral Vein Thrombosis After Mesh and Plug Inguinal Herniorrhaphy
Piero M. Fisichella, MD

Aortoduodenal Fistula Five Years After Successful Endovascular AAA Repair
Blaine J. Ruby, MD

Hyperparathyroidism — Locating the Gland: A Surgical Enigma!
Raja Gopaldas, MD

Necrotizing Fasciitis of the Trunk and Lower Extremity Secondary to Perforated Diverticulitis
Farid Mozaffari, MD

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Everything You Wanted to Know About the Spleen—GS05
10:45 am–12:15 pm
Moderator:
H. Leon Pachter, MD, FACS, New York, NY

For decades the spleen has captured the imagination of poets, physicians, and surgeons. Among its many functions, the spleen filters out aged blood cells and is considered an integral organ closely associated with the ability to fight infection. Alternatively, the spleen may become involved by a variety of hematologic conditions. Many of these conditions are either completely or partially relieved by removal of the spleen (autoimmune thrombocytopenic purpura or ATP). In other pathologic conditions such as myelofibrosis and in some of the leukemia, splenectomy, while not curative, allows for patient comfort, reduces the need for transfusion requirements, and facilitates the administration of chemotherapeutic agents.

The objectives of the course are to: 1) Review current indications for splenectomy; 2) Delineate advances in laparoscopic splenectomy and its pitfalls; 3) Detail methods of splenic preservation in the traumatic and nontraumatic setting; and 4) Explore various methods in the management of splenic cysts that include: cystectomy without splenectomy, decapsulation, and guidelines for laparoscopic approaches.

Hematologic Indications for Splenectomy and Overwhelming Post Splenectomy Sepsis
Peter Shamamian, MD, FACS, New York, NY

Laparoscopic Splenectomy: Advances, Results, and Pitfalls
Didier Mutter, MD, PhD, Strasbourg Cedex, France

Splenic Salvage Techniques
H. Leon Pachter, MD, FACS, New York, NY

Panel Discussion

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Endoscopic Approaches to Upper Gastrointestinal Bleeding—GS06
1:30–3:00 pm
Moderator:
Gregory V. Steigmann, MD, FACS, Denver, CO

The objective of this session is to understand current endoscopic methods and techniques for diagnosis and treatment of upper gastrointestinal bleeding, as well as management of recurrent bleeding after initial endoscopic treatment.

Optimizing Endoscopic Diagnosis
Brian J. Dunkin, MD, FACS, Miami, FL

Endoscopic Treatment for Nonvariceal Bleeding
Jeffrey M. Marks, MD, FACS, Lyndhurst, OH

Endoscopic Treatment for Variceal Bleeding
Greg V. Stiegmann, MD, FACS, Denver, CO 

Recurrent Bleeding After Endoscopic Therapy
Gary C. Vitale, MD, FACS, Louisville, KY 

Panel Discussion

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Palliative Care—GS07
1:30–3:00 pm
Moderator:
Anne C. Mosenthal, MD, FACS, Newark, NJ

This session will focus on the common and essential skills in end-of-life care for the practicing surgeon. Attendees will learn effective communication skills and basic steps necessary to conduct the do-not-resuscitate discussion, how and when to withhold and withdraw life support, and how to care for the imminently dying patient in the last days of life.

The Do-Not-Resuscitate Discussion
Patricia Murphy, PhD, APN, FAAN, Newark, NJ

Withdrawal and Withholding of Life Support
Melissa F. Perkal, MD, FACS, West Haven, CT 

Imminent Demise: How Do I Know the Patient Is Dying?
A. Reed Thompson, MD, FACS, Little Rock, AR

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Surgical Jeopardy—GS08
1:30–4:00 pm
Moderator:
Mark W. Bowyer, MD, FACS, Burke, VA

Session attendees will pit their surgical knowledge against the best and brightest resident teams from around the country who will be competing with each other in a Jeopardy-style format. A large number of questions will be drawn from SESAP, so attendance at this session will be of value to surgeons who are preparing for their board examinations.

Panelists:
Eric M. Ritter, MD, Bethesda, MD
Jon Perlstein, MD, FACS, Vacaville, CA
James W. Cook, MD, Charlotte, NC

Round 1

Baylor College of Medicine, Houston, TX
Christy Chai, MD
Eric Silberfein, MD

Brookdale University Hospital and Medical Center, Brooklyn, NY
Albeir Mousa, MD
Ahmed Khalil, MD

Easton Hospital and Surgical Residency Program, Easton, PA
Ratna Kunasani, MD
Raja Gopaldas, MD

San Joaquin General Hospital, Stockton, CA
Robert Keenan, MD
Hien Pham, MD

Round 2

Kansas University School of Medicine, Wichita, KS
Matthew Byrnes, MD
Teresa LaMasters, MD

Mount Sinai Medical School, New York, NY
Sergey Khaitov, MD
Scott Nguyen, MD

University of South Alabama, Mobile, AL
Patricia Burch, MD
Sharla Wartes, MD

University Hospital of Cincinnati, Cincinnati, OH
Andrew W. Knott, MD
Kelly M. McLean, MD

Round 3

Providence Hospital General Surgery Residency, Southfield, MI
Rajesh Kuruba, MD
Kongkrit Chaiyasate, MD

University of Medicine and Dentistry of New Jersey - Robert Wood Johnson Medical School, New Brunswick, NJ
Tomer Davidov, MD
Jacob Moalem, MD

Medical Center of Central Georgia, Macon, GA
Albert Richardson, MD
Christopher Stout, MD

University of Miami, Miller School of Medicine/Jacksonville Memorial Hospital, Miami Beach, FL
Steven A. Earle, MD
Ramiro Perez, MD

Round 4

The Cleveland Clinic, Cleveland, OH
Matthew Kroh, MD
Mohammed Alghoul, MD

Maimomides Medical Center, Brooklyn, NY
Parth S. Shah, MD
Sartaj S. Sanghera, MD

Morristown Memorial Hospital, Morristown, NJ
Samir Gadepalli, MD
Steven Ugras, MD

Synergy Medical Education Alliance, Saginaw, MI
Angelo Incorvaia, MD
Chad Franks, MD

Round 5

Baystate Medical Center, Springfield, MA
Sabha Ganai, MD
Julian Meyer, MD

Harbor–UCLA Medical Center, Los Angeles, CA
Saad Shebrain, MD
David Rosing, MD

Lehigh Valley Hospital, Allentown, PA
T. Daniel Harrison, DO
Sunil Patel, MD

University of Illinois College of Medicine, Peoria, IL
L. Matthew Deppe, MD
Jay Woodland, MD

Round 6

Creighton University School of Medicine, Omaha, NE
Kiran Turaga, MD
Varun Puri, MD

Lankenau Hospital, Wynnewood, PA
Peter F. Lalor, MD
Veeriah Siripurapu, MD

Marshall University, Huntington, WV
Fraid Mozaffari, MD
Mehdi Akhavan-Heidari, MD

University of Texas Health Science Center, San Antonio, TX
Jonathan Bowman, MD
Claudio Nunes, MD

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Management of the Geriatric Surgical Patient—GS09
3:30–5:00 pm
Moderator:
Ronnie A. Rosenthal, MD, FACS, New Haven, CT

Attendees will learn what special factors must be considered in preoperative decision-making, intraoperative management, and postoperative care of elderly surgical patients.

Making the Decision to Operate
Michael E. Zenilman, MD, FACS, Brooklyn, NY

Optimizing Intraoperative Management
Terri G. Monk, MD, Durham, NC

Pitfalls of Postoperative Care
Walter E. Pofahl II, MD, FACS, Greenville, NC

Panel Discussion

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Outcomes for Bariatric Surgery—GS10
3:30–5:00 pm
Moderator:
Edward H. Livingston, MD, FACS, Dallas, TX

The American College of Surgeons and the American Society for Bariatric Surgery have developed bariatric surgery center certification programs. Representatives from both organizations will discuss the differences and common ground between the two programs.

Recent studies have been published demonstrating relatively high mortality rates for high-risk bariatric surgery patients. Lacking from these studies has been guidance regarding risk stratification for prospective bariatric surgery patients. Proposed risk indices for these patients allowing for prospective risk assessment of patients undergoing these operations will be discussed.

Bariatric Surgery Program Certification: The ACS Perspective
Bruce D. Schirmer, MD, FACS, Charlottesville, VA

Bariatric Surgery Program Certification: The ASBS Perspective
Walter J. Pories, MD, FACS, Greenville, NC

Bariatric Surgery Preoperative Risk Stratification: Scoring Systems
Eric J. DeMaria, MD, FACS, Durham, NC

Bariatric Surgery Risk Assessment
Bruce M. Wolfe, MD, FACS, Portland, OR 

Panel Discussion

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