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86th Annual Meeting

Final Program

Friday, September 30, 2005
1:00 PM - 2:45 PM Scientific Session I
Chairman: David E. Clark, M.D.

Grand Ballroom
  Podium Presentations
(10 Minute Presentation/8 Minute Discussion)

1. Risk Factors for the Development of Abdominal Abscess Following Operation for Perforated Appendicitis: a Multi-Center Case Control Study
Marion C. W. Henry1, Angela Walker1, Bonnie L. Silverman1, Gerald Gollin2, Saleem Islam3, Karl Sylvester4, R. Lawrence Moss1
1Yale University School of Medicine, New Haven, CT; 2Loma Linda University School of Medicine, Loma Linda, CA; 3University of Mississippi School of Medicine, Jackson, MS; 4Stanford University School of Medicine, Stanford, CA

2. Is Right Hemicolectomy for 2.0 cm Appendiceal Carcinoids Justified?
Zubin M. Bamboat, David L. Berger
Massachusetts General Hospital, Boston, MA

3. How Urgent Is Appendectomy For Acute Appendicitis? Do We Have To Operate In The Middle Of The Night?
Fadi Abou-Nukta, Charles Bakhos, Kervin Arroyo, Young Koo, Jeremiah Martin, Randolph Reinhold, Kenneth
Ciardiello Hospital of Saint Raphael, New Haven, CT

4. Outcomes of Open Versus Laparoscopic Appendectomy in the United States, 1998-2002
Maksim Zayaruzny, Liam Haveran, Shauna Malone, Stephen P. Baker, Demetrius E. M. Litwin
UMASS, Worcester, MA
  Brief Reports
(3 Minute Presentation/2 Minute Discussion)

B1. Delays in Interfacility Transport of Trauma Patients in a Rural Environment
Paul Kispert, John Sutton, Kenneth Burchard, Horace Henriques, John Higgins, James Whedon, Peter Steinberg
Dartmouth-Hitchcock Medical Center, Lebanon, NH

B2. Injury Patterns in Elderly Drivers
Graciela Bauza, Wayne LaMorte, Peter A. Burke, Erwin F. Hirsch
Boston Medical Center, Boston, MA

B3. Comparison of Seat Belt Use and Injury Outcomes Between Vermont and New Hampshire
John E. Sutton, Jr., James Whedon, John Higgins
Dartmouth-Hitchcock Medical Center, Lebanon, NH

B4. Incidental Diagnosis of Cancer in Deceased Organ Donors
Paul E. Morrissey1, Lena Sibulesky1, Kevin O'Connor2, Jane Goguen2
1Rhode Island Hospital, Providence, RI; 2New England Organ Bank, Newton, MA

B5. Cystic Neoplasm Of Pancreas: Long-Term Outcomes With Surgical Therapy
Hiromichi Ito, Evan Matros, Stanley W. Ashley, Michael J. Zinner, Edward E. Whang
Brigham and Women's Hospital, Boston, MA

B6. Inguinal Herniorraphy in the Elderly
Eduardo A. Guzman, Frederick B. Rogers
University of Vermont, Burlington, VT
2:45 PM - 3:15 PM Coffee Break
3:15 PM - 4:45 PM Scientific Session II
Chairman: Neil S. Yeston, M.D.
  Podium Presentations
(10 Minute Presentation/8 Minute Discussion)

5. Women in Surgery: Do We Really Understand the Deterrents?
Debra A. Gargiulo, Neil H. Hyman, James C. Hebert
University of Vermont College of Medicine, Burlington, VT

6. Neoadjuvant Therapy And Local Recurrence In Pancreatic Adenocarcinoma
Sarah E. Greer, Thomas A. Colacchio, John E. Sutton, Jr., J. Marc Pipas, Bassem I. Zaki, Richard J. Barth, Jr.
Dartmouth-Hitchcock Medical Center, Lebanon, NH

7. Incidence, Patterns, and Prevention of Wrong Site Surgery
Mary R. Kwaan1, David Studdert2, Michael J. Zinner1, Atul A. Gawande1
1Brigham and Women's Hospital, Boston, MA; 2Harvard School of Public Health, Boston, MA

8. Implications and Cost of Pancreatic Leak Following Distal Pancreatic Resection
J. R. Rodriguez1, S. G. Soto1, P. Pandharipande2, G. S. Gazelle, S. P. Thayer1, A. L. Warshaw1, C. Fernandez-del Castillo1
1Center for Clinical Effectiveness in Surgery; 2Institute for Technology Assessment, Massachusetts General Hospital, Harvard Medical School, Boston, MA

9. Sirna-Mediated Gene Silencing In Colorectal Cancer: A Novel Anti-Angiogenic Targeted Therapy
Abby Mulkeen, Terry Silva, John Schmidtz, Edward Uchio, Edward Chu, Charles Cha
Yale University, Dept. of Surgery
5:00 PM - 6:00 PM State Caucus Meetings
6:30 PM - 7:30 PM Welcoming Reception
Saturday, October 1, 2005
7:00 AM Continental Breakfast
7:00 AM - 7:45 AM New Member Breakfast Meeting
7:45 AM 8:00 AM Introduction Of New Members
Grand Ballroom
8:00 AM - 8:30 AM Scientific Session III
Chairman: Thomas F. Tracy, Jr., M.D.
  Brief Reports
(3 Minute Presentation/2 Minute Discussion)

B7. Minimally Invasive Parathyroidectomy Using Cervical Block: Reasons for Conversion to General Anesthesia
Tobias JE Carling, Patricia Donovan, Christine Rinder, Robert Udelsman
Yale University Medical School, New Haven, CT

B8. A Prospective Study of Cognitive Intervention in the Reduction of Postoperative Pain and Narcotic Demand
Mike C. Gavin, Mark Litt, Ahmed Khan, Hilary Onyiuke, Robert A. Kozol
UConn Health Center, Farmington, CT

B9. Treatment of Hepatic Abscess
David A. Iannitti, Sr., Dionisios Vrochides, Sarah Majercik
William Mayo-Smith Brown Medical School, Providence, RI

B10. Vocal Cord Paralysis After Surgery for Acute Dissection of the Thoracic Aorta
Ioannis Hatzaras1, Jesse Bible1, Richard Shaw1, Douglas Ross2, Clarence Sasaki2, John Elefteriades1
1Yale University, Section of Cardiothoracic Surgery, New Haven, CT; 2 Yale University, Section of Head & Neck Surgery, New Haven, CT

B11. A New Paradigm for Managing Information in the ICU in Response to the 80 hour Work Week
Brian A. Janz1, Joseph Frassica2, Christopher Baker1, Gari Clifford3, Roger G. Mark1
1Beth Israel Deaconess Medical Center, Boston, MA; 2University of Massachusetts Medical Center, Worcester, MA; 3Harvard-MIT, Cambridge, MA

B12. The Induction of Robust Tolerance in an MHC-Mismatched Porcine Pulmonary Allograft Model Prevents Obliterative Bronchiolitis
Hisashi Sahara, Tsuyoshi Shoji, Ashok Muniappan, Dax A. Guenther, John C. Wain, Stuart L. Houser, Akshat Pujara, Marjory A. Bravard, David H. Sachs, Joren C. Madsen, James S. Allan
Massachusetts General Hospital, Boston, MA
8:30 AM - 9:40 PM Panel Discussion
"Approaches to Solving the Donor Shortage Crisis"
Moderator: Marc I. Lorber, M.D., New Haven, CT
Panelists: Expanding The Deceased Donor Pool
Francis L. Delmonico, M.D., Boston, MA

Living Liver Donors
Elizabeth A. Pomfret, M.D., Burlington, MA

David H. Sachs, M.D., Boston, MA
9:40AM 10:35 AM Break With Poster Session

P1. Decellularized Ovine Arterial Tissue: A Three-dimensional Tubular Scaffold For Tissue Engineering Small Diameter Vascular Conduits
Matthew P. Brennan, Amit Goyal, Jamie A. Howland, Peter M. Fong, David A. LaVan, Themis R. Kyriakides, Christopher K. Breuer
Yale University, New Haven, CT

P2. Local Administration of the Poly ADP-Ribose Polymerase (PARP) Inhibitor PJ34 During Hindlimb Ischemia Modulates Skeletal Muscle Reperfusion Injury
Mark F. Conrad, David H. Stone, Hassan Albadawi, Fateh Entabi, Michael T. Watkins
Massachusetts General Hospital, Boston, MA

P3. Salvage Therapy For Recurrent Rectal Cancer: A Single Institution Cohort Analysis
Michael R. DiSiena1, Harold J. Wanebo2
1Berkshire Medical Center, Pittsfield, MA; 2Roger Williams Medical Center, Providence, RI

P4. Directed Parathyroidectomy Using Preoperative And Intraoperative Localization Facilitates Unilateral Exploration For Cure Of Primary Hyperparathyroidism
Donald E. Dupuis
Lahey Clinic, Lexington, MA

P5. Differential Response Between Type 1 and Type 2 Diabetes to Ischemia Reperfusion Injury
Fateh Entabi, Hassan Albadawi, David H. Stone, Rameses L. Sroufe, Mark F. Conrad, Michael T. Watkins
Massachusetts General Hospital, Boston, MA

P6. Breast Cancer and Age
Tiffany T. Fancher, Jacek J. Paszkowiak, Ravi P. Kiran, Alpin D. Malkan, Niby Mathew, James J. O'Campo, Ellen G. Polokoff, Stanley J. Dudrick
St. Mary's Hospital, Waterbury, CT

P7. Failure of a Web-Based Educational Tool to Improve Residents' ABSITE Scores
Charles M. Ferguson, Andrew L. Warshaw
Massachusetts General Hospital, Boston, MA

P8. Lipiodol CT for Difficult to Image Hepatocellular Carcinoma
David A. Iannitti, Sr., Alan Thomay, Dionisios Vrochides
Brown Medical School, Providence, RI

P9. Procedures at Bedside for Intensive Care Unit Patients - Initiating a program, May, 2004 - April 2005
Peter A. Igneri, Frederick B. Rogers, Bruce Crookes, William Charash, Susannah K. Wells, Bruce Leavitt
Flethcer Allen Health Care, Burlington, VT

P10. G1 Cell Cycle Arrest Associated With Upregulation of p16 and p21 by Procaine Hydrochloride
Laura A. Lambert, Kelly K. Hunt, Khandan Keyomarsi
University of Texas, MD Anderson Cancer Center, Houston, TX

P11. Diaphragmatic Hernias Following Left Ventricular Assist Device Explantation and Heart Transplantation: A Series of Both Laparoscopic and Open Repair
Kelly T. Migliero1, Steven D. Schwaitzberg1, David DeNofrio2
1New England Medical Center, Department Surgery, Boston, MA; 2New England Medical Center, Devision Cardiology, Boston, MA

P12. Patterns Of Injury In Geriatric Falls
Peter Ojo, Judith O'Connor, Donald Kim, Kenneth Ciardiello
John Bonadies Department of Surgery, Hospital of Saint Raphael, New Haven, CT

P13. Necrotizing Pancreatitis: An Update on Current Management
Flavio G. Rocha, Eric Benoit, Peter Banks, Koenraad Mortele, Michael J. Zinner, Edward E. Whang, Stanley W. Ashley
Brigham and Women's Hospital, Boston, MA

P14. The Treatment of Atrial Fibrillation Using a Novel Energy Source, High Intensity Focused Ultrasound
Sanjay A. Samy, Harold L. Lazar, Oz M. Shapira, Curtis T. Hunter, Richard J. Shemin
Boston Medical Center, Boston, MA
10:35 AM - 12:15 AM Scientific Session IV
Chairman: A. Benedict Cosimi, M.D.
  Podium Presentations
(10 Minute Presentation/8 Minute Discussion)

10. The Learning Curve in Pancreatic Surgery
Jennifer F. Tseng1, Jeffrey E. Lee2, Peter WT Pisters2, Charlotte C. Sun2, Henry F. Gomez2, Douglas B. Evans2
1University of Massachusetts Medical School, Worcester, MA; 2UT MD Anderson Cancer Center, Houston, TX

11. Poor Preoperative Gycemic Control is Associated With Increased Postoperative Infections
Annika Dronge, Melissa Perkal, Sue Kancir, John Concato, Michela Aslan, Ronnie Rosenthal
Yale University, West Haven, CT

12. Reassessment of PTH Monitoring during Parathyroidectomy for Primary Hyperparathyroidism after Two Preoperative Localization Studies
Atul A. Gawande1,2, Jack M. Monchik3, Thomas A. Abbruzzese1, Jason D. Iannuccilli3,Shahrul I. Ibrahim1, Francis D. Moore, Jr.1
1Brigham and Women's Hospital, Boston, MA; 2Harvard School of Public Health, Boston, MA; 3Brown Medical School,Providence, RI

13. Distal Splenorenal Shunt (DSRS) For Failed Transjugular Intrahepatic Portocaval Shunt (TIPS)
David R. Elwood, James J. Pomposelli, Elizabeth A. Pomfret, W. David Lewis, Roger L. Jenkins
Lahey Clinic, Burlington, MA

14. Maximizing OR and Recovery Room Capacity in an Era of Constrained Resources
Suzanne M. Sokal, David L. Craft, Yuchiao Chang, David L. Berger
Massachusetts General Hospital, Boston, MA
12:15PM Adjourn (Free Afternoon)
1:00 PM 5:00 PM SAGES Advanced Therapeutic Endoscopic Surgery Course
7:00 PM President's Reception & Dinner (Business Attire)
Conservatory & Main Dining Room
Sunday, October 2, 2005
7:00 AM Continental Breakfast
7:30 AM - 8:30 AM Annual Business Meeting (Members Only)
8:30 AM - 9:10 AM Scientific Session V
Chairman: Robert M. Quinlan, M.D.
  Podium Presentations
(10 Minute Presentation/8 Minute Discussion)

15. Small Bowel Tumors in Connecticut: Epidemiological and Clinical Characteristics
Ioannis Hatzaras1, Farshad Abir1, Paul Sullivan2, Robert Kozol3, Walter Longo1
1Yale University, New Haven, CT; 2CT Department of Health, CT Tumor Registry, New Haven, CT; 3University of Connecticut, Farmington, CT

16. Prestorage Leukoreduction Prevents Accumulation of Proinflammatory Matrix Metalloproteinases During Blood Storage
Walter L. Biffl, Paul C. Frake, Hadley E. Smith, Lii F. Suen
Brown Medical School, Providence, RI
9:10 AM - 9:40 AM Nathan Smith Award
Michael R. Curci, M.D., Portland, ME
9:40 AM - 10:25 AM 21st Annual Samuel Jason Mixter Lecture
Patricia K. Donahoe, M.D., Boston, MA
10:25 AM 10:30 AM Introduction Of President
10:30 AM 11:30 AM Presidential Address
"Surgeons and the Nobel Prize"
A. Benedict Cosimi, M.D., Boston, MA
11:30 AM Adjourn

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