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87th Annual Meeting

Final Program

Friday, September 15, 2006
1:00 PM - 2:45 PM Scientific Session I
Chairman: Robert M. Quinlan, M.D.

Marriott Ballroom Salons D, E, F
  Podium Presentations
(10 Minute Presentation/8 Minute Discussion)

1. Prediction of Patient Survival by Multiplexed Quantitative (AQUA™) Analysis of Tissue Biomarkers in Primary Cutaneous Melanoma
Aaron J Berger, Robert L. Camp, Gretchen Graff, Harriet Kluger, Stephan Ariyan, David L. Rimm
Yale University School of Medicine, New Haven, CT

2. Withdrawn

3. Withdrawn

4. Evolving Patterns in the Detection of Pancreatic Neuroendocrine Tumors (PNETs): The Massachusetts General Hospital Experience from 1977-2005
Parsia A Vagefi, Oswaldo Razo, Vikram Deshpande, Deborah McGrath, Gregory Y. Lauwers, Sarah P. Thayer, Andrew L. Warshaw, Carlos Fernandez-Del Castillo
Massachusetts General Hospital/Harvard Medical School, Boston, MA
  Brief Reports
(3 Minute Presentation/2 Minute Discussion)

B1. Biliary Complications Following Hepatic Trauma: The Importance of ERCP
Graciela Bauza, Elliot Servais, David Lichtenstein, Suresh Agarwal, Peter A. Burke, Erwin F. Hirsch
Boston University Medical Center, Boston, MA

B2. Should the Possibility of Late Failure Prevent Early Discharge After Non-Operative Management for Splenic Injuries?
Robert S Crawford, Malek Tabbara, Robert Sheridan, Konstantinos Spaniolas, George Velmahos
Massachusetts General Hospital, Boston, MA

B3. Endoscopically Assisted Laparoscopic Resections of Submucosal Gastric and GE Junction Tumors- A Novel approach to resection based on tumor location.
Laurence E McCahill1, Alicia Privette1, Rick Zubarik1, Nicole Messier2, Edward Borrazzo1
1University of Vermont, Burlington, VT, 2Fletcher Allen Health Care, Burlington, VT

B4. Gastric Electrical Stimulation As A Treatment For Gastroparesis
Stacie E Perlman, Randolph B Reinhold, Steven Yood
Hospital of Saint Raphael, New Haven, CT

B5. Development and Characterization of Parathyroid Hormone Microspheres for the Treatment of Hypoparathyroidism
Peter Fong, Osama Abdelghany, W. Mark Saltzman, Robert Udelsman, Christopher K Breuer
Yale University School of Medicine, New Haven, CT

B6. Surgery for Hyperparathyroidism in Image-Negative Patients
Rodney K Chan, Daniel T Ruan, Atul Gawande, Francis D. Moore, Jr.
Brigham and Women's Hospital, Boston, MA
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. Enhancing Compliance with Medicare Guidelines for Surgical Infection Prevention (SIP)—An Institutional experience with a cross disciplinary quality improvement team.
Laurence E McCahill1, John Ahern2, Linda Gruppi2, Jim Limanek1, Jessica Sussman2, Gail Dion2, Christina McCaffrey2, Richard Single1
1University of Vermont, Burlington, VT; 2Fletcher Allen Health Care, Burlington, VT

6. Quality Assessment In High-Acuity Surgery: Volume And Mortality Are Not Enough
Charles M Vollmer, Jr., Wande Pratt, Tsafrir Vanouou, Shishir K Maithel, Mark P Callery
Beth Israel Deaconess Medical Center, Boston, MA

7. Surgeon Profiling: A Key to Optimum OR Utilization
Suzanne M Sokal, David L Craft, Warren S Sandberg, Yuchiao Chang, Peter F Dunn, David L Berger
Massachusetts General Hospital, Boston, MA

8. Degree of Weight Loss is not Correlated With Improvement in Insulin Resistance Following Gastric Bypass in the Severely Obese
Richard Perugini, Vera Freeman, Joshua Felsher, Donald Czerniach, Demetrius EM Litwin, John Kelly
UMass Memorial Medical Center, Worcester, MA

9. Bariatric Surgery is Safe and Effective in Patients Over 65:A Report from the Massachusetts Morbid Obesity Study Group
Joshua Felsher, Liam Haveran, Vera Freeman, Robin Mason, Don Czerniach, Rich Perugini, John Kelly
University of Massachusetts, Worcester, MA
7:00 PM - 8:30 PM Welcoming Reception at the Mystic Aquarium
Transportation will be provided from the Marriott's North Entrance at 6:45 PM.
Saturday, September 16, 2006
7:00 AM Continental Breakfast
7:00 AM - 7:45 AM New Member Breakfast Meeting
(Mystic Ballroom Salons E & F)
7:45 AM – 8:00 AM Introduction Of New Members
(Marriott Ballroom Salon D, E, F)
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. Surgical-Office-Based vs. Radiology-Based Breast Ultrasound: A Comparison of Efficiency, Cost and Patient-Satisfaction
Rakhshanda Layeequr Rahman, Tracey Hall, Diane Bavosi, Robert M Quinlan
UMass Memorial Health Center, Worcester, MA

B8. Sonographic Hematoma Guided Versus Wire Localized Lumpectomy for Breast Cancer: A comparison of Margins and Volume of Resection
Rakhshanda Layeequr Rahman, Elaine Iuanow, Sybil Crawford, Robert M Quinlan
UMass Memorial Health Center, Worcester, MA

B9. Initial Experience With Laparoscopic Inferior Epigastric Vessel Ligation for Delayed Tram Flap Breast Reconstruction
Thadeus L Trus, Dale Collins, Christopher Demas, Carolyn Kerrigan
Dartmouth-Hitchcock Medical Center, Lebanon, NH

B10. Preoperative Chemoradiation for High Stage Extremity Sarcoma Facilitates Limb Salvage
Harold J Wanebo1, Walley B Temple2, Martin B Popp3
1Roger Williams Medical Center, Providence, RI, 2Tom Baker Cancer Center, Calgary, AB, Canada, 3TriState Surgical Consultants, Cincinatti, OH

B11. Of Mice and Men: The Role of Aberrant Crypt Foci as Surrogate Endpoint Biomarkers of Colorectal Cancer.
Nancy L. Cho1, Mark Redston1, Adelaide M. Carothers1, Ann G. Zauber2, Andrew Wilton2, Monica M. Bertagnolli1
1Brigham & Women's Hospital, Boston, MA, 2Memorial Sloan-Kettering Cancer Center, New York, NY

B12. Contribution of Endoscopic Ultrasound (EUS) to Preoperative Staging in Resected Pancreatic and Periampullary Neoplasms
Paul R Sturrock1, John Hayward1, Mary Sullivan1, Jennifer Tseng1, Wahid Wassef1, Dana Andersen2, Giles Whalen1
1University of Massachusetts, Worcester, MA, 2Johns Hopkins University School of Medicine, Baltimore, MD
8:30 AM - 9:40 PM Panel Discussion
"Laparoscopic Colectomy, When, Why and Who To Learn It"
Moderator: David J. Schoetz Jr., MD, FACS
Burlington, MA
Panelists: When should laparoscopy be used in colonic resection for cancer? What are its advantages and disadvantages over open resection?
Neil H. Hyman, MD, FACS
Burlington, VT

How do you get trained and credentialed in laparoscopic colon procedures?
Peter W. Marcello, MD, FACS
Burlington, MA

What is the place of laparoscopy in the treatment of benign colonic disease?
Jeffrey L. Cohen, MD, FACS
Hartford, CT
9:40AM – 10:35 AM Break With Poster Session

P1. What Does a Negative Sestamibi Scan Reveal About Single Parathyroid Adenomas?
Antonia E Stephen*, Sanford I Roth*, David W Fardo*, Dianne M Finkelstein*, Gregory W Randolph*, Randall D Gaz, Richard A Hodin
Massachusetts General Hospital, Boston, MA

P2. Staple Line Reinforcement Reduces Postoperative Pancreatic Stump Leak After Distal Pancreatectomy
Arun Mavanur1*, Mark Takata1*, William P Macaulay1, 2, Rocco Orlando, III1, 2, Robert J Piorkowski1, 2, Ramon E Jimenez1, 2*
1University of Connecticut Medical School, Farmington, CT; 2Hartford Hospital, Hartford, CT

P3. Open Lysis of Adhesions (LOA) is More Effective in Decreasing Adhesion Reformation Than Laparoscopic LOA in a Rat Model
Scott G Prushik*, Cary B Aarons*, Ronald Matteotti*, Karen L Reed*, Adam C Gower*, Arthur F Stucchi*, James M Becker*
Boston University Medical Center, Boston, MA

P4. Local Excision of Rectal Cancer: A Meta-Analysis
Jacob A Greenberg*, Caprice C Greenberg*, Stuart Lipsitz*, Ronald Bleday
Brigham and Women's Hospital, Boston, MA

P5. Withdrawn

P6. Gastrointestinal Graft-Versus-Host Disease: An Emerging Surgical Dilemma in Contemporary Cancer Care
Jennifer L Irani1*, Corey S Cutler1,2*, Stanley W Ashley1, Michael J Zinner1, Edward E Whang1, Chandrajit P Raut1*
1Brigham and Women's Hospital, Boston, MA, 2Dana-Farber Cancer Institute, Boston, MA

P7. National Trends in the Treatment of Upper GI Bleed
Joshua S Hill*, James T McPhee*, Frederick A Anderson*, Waheed Y Wassef*, Sridhar Shankar*, Demetrius E Litwin, Jennifer F Tseng*
University of Massachusetts, Worcester, MA

P8. Contemporary Analysis of Invasive Breast Cancer in Rhode Island, 1991-2005
Natalie G Coburn1*, Emily M Clarke-Pearson2*, Maureen A Chung2, Calvin H Law1*, John Fulton3*, Blake Cady2
1Division of Surgical Oncology, Sunnybrook Health Sciences Center, University of Toronto, Toronto, ON, Canada, 2Rhode Island Hospital, Brown University, Providence, RI, 3Rhode Island Department of Health, Providence, RI

P9. Filling a Void: Thyroid Cancer Surgery Information on the Internet
Mamie Air*, Sanziana A Roman*, Heather Yeo*, Christina Maser*, Tara Trapasso*, Barbara Kinder, Julie Ann Sosa*
Yale University School of Medicine, New Haven, CT

P10. Cancer Of Unknown Primary Origin: A Decade Of Experience In A Community Based Hospital
Jose M Pimiento*, Desarom Teso*, Alpin Malakan*, John A Palesty*, Stanley J Dudrick
Saint Mary's Hospital, Waterbury, CT

P11. National Outcomes after gastric resection for neoplasm
Jillian K Smith*, MPH, James T McPhee*, MD, Giles F Whalen, MD, Mary E Sullivan*, MS, Jason T Wong*, MD, Robert E Quinlan, MD, Demetrius E Litwin, MD, MBA, Frederick A Anderson*, PhD, Jennifer F Tseng*, MD
University of Massachusetts Medical School, Worcester, MA

P12. Minimally Invasive Treatment of Pilonidal Disease with a Flowable Soft-Tissue Scaffold
James R Piorkowski1*, James Matino2*
1University of Connecticut, Farmington, CT, 2Saint Francis Hospital and Medical Center, Hartford, CT

P13. Rectal Mucosa Advancement Flaps: Do they work?
Matthew Sherman1*, Steven Schechter2, Jorge Lagares2*, Adam Klipfel2*, Matthew Vrees1*
1Rhode Island Colorectal Clinic/Roger Williams Medical Center, Pawtucket, RI, 2Rhode Island Colorectal Clinic/Brown University, Pawtucket, RI

P14. Indices of Inflammatory and Oxidative Stress Following Antifibrinolytic Therapy in Cardiac Surgical Patients
Basel Ramlawi*, Hasan Otu*, Shigetoshi Mieno*, Neel R Sodha*, Munir Boodhwani*, Shu-Hua Xu*, Frank W Sellke
Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA

P15. Contemporary Surgical Treatment Of Neuroendocrine Tumors Of The Pancreas
Vitaliy Y Poylin*, Charles M Vollmer, Jr.*, Wande Pratt*, Per-Olof Hasselgren, Mark P Callery
Beth Israel Deaconess Medical Center, Boston, MA

P16. Toll-like Receptor 4 deficiency ameliorates the Local Injury following Limb Ischemia and Reperfusion
Hassan Albadawi*, Robert S Crawford*, Marvin D Atkins*, John E Jones*, Michael T Watkins
Massachusetts General Hospital, Division of Vascular and Endovascular Surgery, Boston, MA

P17. Compressive Orthotics; A New Paradigm in The Non-Operative Correction of Pectus Carinatum in Children
Arun A Mavanur1*, Donald Hight2, Alisa Edwards3*, Brian Tallman3*, James Fazio3*
1University of Connecticut, Farmington, CT, 2Connecticut Childrens Hospital/UCONN, Hartford, CT, 3Hanger Orthotics, Hartford, CT

P18. Adrenocortical Insufficiency Secondary to Traumatic Bilateral Adrenal Hemorrhage in a Child.
Jill K Johnstone*, Daniel S Kim*, John Cassese*, Mimi Kim*, Francois I Luks*
Brown Medical School, Providence, RI

P19. Minimally Invasive Management of the Abdominal Compartment Syndrome: Initial Experience at a Level I Trauma Center
Forrest Fernandez*, Vicente Cortes*, Robert Brautigam*, George Perdrizet
University of Connecticut/Hartford Hospital, Hartofrd, CT

P20. Atorvastatin Increases Myocardial Indices of Oxidative Stress in a Porcine Model of Hypercholesterolemia and Chronic Ischemia
Neel R. Sodha*, Munir Boodhwani*, Shu-Hua Xu*, Basel Ramlawi*, Shigetoshi Mieno*, Richard T. Clements*, Frank W. Sellke
Beth Israel Deaconess Medical Center/Harvard Medical School, Boston, MA

P21. Intragraft Immunological Response Characterized by GeneChip Analysis From the First Living-Related Small Bowel Transplant in New England
Sean P Bradley1*, Mohan P Pahari1*, Cristiana Rastellini1*, Marc E Uknis2*, Luca Cicalese1*
1University of Massachusetts Medical School, Worcester, MA, 2St Barnabas Medical Center, Livingston, NJ

P22. Improved Safety Of Cardiopulmonary Bypass With The Use Of Thrombo-Resistant Surfaces In Closed Perfusion Systems
Bader E Hussaini*, Hemant S Thatte*, Patrick R Treanor*, Xui-Gui Lu*, Shukri F Khuri
Boston VA Healthcare system, West Roxbury, MA

P23. Negative Predictors of Survival after Colectomy in Patients with Fulminant Clostridium difficile (C. Diff) colitis
Fuad Alkhoury*, John Aversa, Jr.*, Kenneth A Ciardiello, John Bonadies, John M. Boyce*
Department of Surgery and Department of Medicine, Hospital of Saint Raphael, New Haven, CT

P24. A Simplified Technique for Single Stage Breast Reconstruction
William G Austen, Jr.*, Tristan L Hartzell*, Mary Catherine Hertl*
Massachusetts General Hospital, Boston, MA

P25. Relative Adrenal Insufficiency in the Adult Burn Intensive Care Unit
Jeremy Goverman1*, Manuel Garcia-Toca1*, Colleen M Ryan2,
1Massachusetts General Hospital, Boston, MA, 2Massachusetts General Hospital, Harvard Medical School, Boston, MA

P26. Does High Volume Bariatric Surgery Fellowship Training Affect Laparoscopic Roux-en-Y Gastric Bypass Outcomes?
Liam A Haveran*, Joshua Felsher*, Josh Hill*, Vera Freeman*, Donald Czerniach*, Richard Perugini*, Stephen Baker*, John Kelly
UMass Memorial Medical Center, Worcester, MA

P27. Palliative Procedures in Patients With Stage IV GI Tract Cancer
Nathan Aranson1*, Giles F Whalen2
1UMass Medical School, Worcester, MA, 2UMass-Memorial Health System, Worcester, MA

P28. Neoadjuvant Therapy Use as an Indicator of Quality in Breast Cancer Surgery
Ted A James*, Laurence E McCahill
University of Vermont, Burlington, VT
10:35 AM - 12:05 PM Scientific Session IV
Chairman: Desmond H. Birkett, M.D.
  Podium Presentations
(10 Minute Presentation/8 Minute Discussion)

10. Increased Organ Donation and Organ Donor Conversion Rate at a Tertiary Care Urban Hospital With a Free-Standing Transplant Program by Implementing a Multifaceted Program of Known Best Practices
Judith L Pepe, Jami Tyska, Orlando C Kirton, Michael E Ivy
Hartford Hospital, Connecticut, CT

11. Improved Outcome Following Colectomy for Fulminant Pseudomembranous Colitis (PMC)
Syed O. Ali, John P. Welch, Robert J. Dring
Hartford Hospital, Hartford, CT

12. Withdrawn

13. Minimally Invasive Esophagectomy: Experience At A Community Hospital
Jeremiah T Martin, John A Federico, Alicia A McKelvey, Kristina Spate, Thomas Fabian
Hospital of St. Raphael, New Haven, CT

14. Survival of Octogenarians Undergoing Concomitant Mitral Valve Surgery and Coronary Artery Bypass in Northern New England.
Bruce J Leavitt1, Cathy S Ross2, Elaine M Olmstead2, Robert A Clough3, Felix Hernandez3, John H Braxton4, David C Charlesworth5, Mitchell C Norotsky1, Gerald T O'Connor2
1University of Vermont, Burlington, VT, 2Dartmouth Medical School, Hanover, NH, 3Eastern Maine Medical Center, Bangor, ME, 4Maine Medical Center, Portland, ME, 5Catholic Medical Center, Manchester, NH
12:05 PM Adjourn (Free Afternoon)
7:00 PM President's Reception & Dinner (Business Attire)
Includes conferment of Nathan Smith Award-
Erwin F. Hirsch, M.D., F.A.C.S., Boston, MA.

North Lawn & Marriott Ballroom Salons D, E, F
*Rain location for reception is Pre-Function Hallway
Sunday, September 17, 2006
7:00 AM Continental Breakfast
7:30 AM - 8:15 AM Annual Business Meeting (Members Only)
8:15 AM - 8:45 AM 1st Place Research Day Presentations
Chairman: John P. Welch, M.D.
  Podium Presentations
(10 Minute Presentation/5 Minute Discussion)

R1. Vascular Endothelial Growth Factor (VEGF) Accelerates Compensatory Lung Growth
Sang Lee MD1,2, Maromi K. Sakurai MD1,2, Danielle A. Arsenault BS1,2, Vania Nose MD3, Jay M. Wilson MD1, John V. Heymach MD PhD1,2, Mark Puder MD PhD1,2
1Department of Surgery, Children's Hospital Boston, Harvard Medical School; 2Vasculary Biology Program, Children's Hospital Boston, Harvard Medical School; 3Department of Pathology, Brigham and Women's Hospital, Harvard Medical School

R2. A Novel Cost-Benefit Analysis of Prophylactic Octreotide for Pancreatic Resections
Tsafrir Vanounou, Wande Pratt, Mark P Callery, Charles M Vollmer, Jr.
Beth Israel Deaconess Medical Center, Harvard Medical School
8:45 AM - 9:40 AM Scientific Session V
Chairman: John P. Welch, M.D.
  Podium Presentations
(10 Minute Presentation/8 Minute Discussion)

15. Predicting Future Staffing Needs at Teaching Hospitals: Use of an Analytical Program With Multiple Variables
Christine Mitchell, Stanley Ashley, Michael Zinner, Francis D Moore, Jr.
Brigham and Women's Hospital, Boston, MA

16. Mid Level Practitioner (MLP) Work Force Analysis in a Multi Specialty Department of Surgery at a University-Affiliated, Tertiary Care Teaching Hospital with a General Surgery Residency Program and Sub-Specialty Fellowships Under the Constraints of the ACG
Orlando C Kirton, Michael E. Ivy, Marilyn A Folcik, Rebecca Calabrese, Eric D Dobkin, Judith L Pepe, John W Mah, Kevin P Keating, Marc D Palter
Hartford Hospital, Connecticut, CT

17. Time to Definitive Care is Prolonged in Elderly Trauma Patients
Bernard J Benedetto, Walter L Biffl, David T Harrington, Hieu Ton-That, Charles A Adams, William G Cioffi
Rhode Island Hospital, Providence, RI
9:40 AM - 10:25 AM 22nd Annual Samuel Jason Mixter Lecture
Murray F. Brennan, M.D., FACS
New York, NY
10:25 AM – 10:30 AM Introduction Of President
10:30 AM – 11:30 AM Presidential Address
"Gender and the Surgical Workforce"

Robert M. Quinlan, MD
11:30 AM Adjourn

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