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88th Annual Meeting

Final Program

The NESS 2007 Annual Meeting is supported in part by an unrestricted educational grant from Olympus America, Inc.

Friday, September 29, 2007
1:00 PM - 2:45 PM Scientific Session I
Chairman: John P. Welch, MD

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

+1. The Introduction of Retrievable Filters in the Trauma Population: Will the Advent of Retrievable IVC Filters Change Indications for Trauma Patients?
Kristina Spate, Faisal Aziz, John Aruny, Bauer Sumpio
Yale University, New Haven, CT

2. Tight Glycemic Control Reduces Deep Sternal Wound Infection Rate Following Cardiac Surgery: A Multidisciplinary Approach Using a Novel Tool
Robert S Kramer1, Robert Groom1, Reed D Quinn1, Paul Lennon2, Denise Weldner1, Paulette Gallant1, Cheryll St. Onge1, Joanne Chapman1, Barb Heyl1, Ryan Knapp3, Anna Arnold3, Mirle A Kellett, Jr.4
1Division of Cardiothoracic Surgery, Maine Medical Center, Portland, ME;2Division of Cardiac Anesthesia, Maine Medical Center, Portland, ME;3Center for Evaluative Clinical Sciences at Dartmouth, Hanover, NH;4Division of Cardiology, Maine Medical Center, Portland, ME

3. Measuring the Effectiveness of Laparoscopic Nissen Fundoplication: Long Term Results
Denise W Gee, Michael T Andreoli, David W Rattner
Massachusetts General Hospital, Boston, MA

4. Intraoperative Injection of 99m-Technetium Sulfur Colloid for Breast Sentinel Lymph Node Biopsy
Dalliah Black1, Baiba Grube1, Teresa Ponn2, Donald Lannin1
1Yale School of Medicine, New Haven, CT;2Eliot Breast Center, Manchester, NH
  Brief Reports
(3 Minute Presentation/2 Minute Discussion)

B1. Sequential Kidney Transplants from Deceased Donors: Does the Increased Cold Ischemia Time Change the Final Outcome?
Evangelos Messaris, Amitabh Gautam, Reginald Gohh, Angelito Yango, Anthony Monaco, Paul Morrissey
Brown University, Providence, RI

B2. Current Status of Laparoscopic vs. Open Cholecystectomy for Acute Cholecystitis in the United States
Nicholas Csikesz1, Rocco Ricciardi2, Jennifer F Tseng1, Shimul A Shah1
1University of Massachusetts Medical School, Worcester, MA;2Lahey Clinic, Burlington, MA

B3. Analysis and Comparison of Ultrasonic-Shears-Assisted Thyroidectomy versus Conventional Clamp-And-Tie Thyroidectomy
Heather A Ford, David M Brams, John P Wei
Lahey Clinic, Burlington, MA

B4. Results of Pediatric Laparoscopic Splenic Cyst Unroofing
Monica Langer1, Jordan Gutweiler2, Tom Jaksic2
1University of British Columbia, Vancouver, BC, Canada2Children's Hospital Boston, Harvard University, Boston, MA

B5. Total Abdominal Colectomy and Ileal Pouch - Anal Anastomosis in Children
Craig W Lillehei, Alan Leichtner, Athos Bousvaros, Robert C. Shamberger
Boston Children's Hospital, Boston, MA

B6. Laparoscopic wedge resection of gastric lesions: perioperative morbidity and long-term efficacy
Yuri W Novitsky1,2, George Poultsides1, Sarah Treter1, Kent W Kercher2, B. Todd Heniford2
1University of Connecticut Health Center, Farmington, CT;2Carolinas Medical Center, Charlotte, NC
2:45 PM - 3:00 PM Coffee Break
Adirondack Pre-function
3:00 PM - 4:30 PM Scientific Session II
Chairman: Richard J. Barth, MD
  Podium Presentations
(10 Minute Presentation/8 Minute Discussion)

+5. Has the 80-Hour Work Week Improved Surgical Resident Education?
Erica Sneider, Anne C. Larkin, Jeannine St. Pierre, Shimul A Shah
University of Massachusetts Medical School, Worcester, MA

+6. Intraoperative and Percutaneous Radiofrequency Ablation of Pheochromocytomas
Yee Lee Cheah1, Jack M Monchik2, William W Mayo-Smith3, Damian E Dupuy3
1Department of Surgery, Rhode Island Hospital, Providence, RI; 2Division of Endocrine Surgery, Department of Surgery, Rhode Island Hospital, Providence, RI; 3Department of Diagnostic Imaging, Rhode Island Hospital, Providence, RI

7. Angiostatin and Endostatin Expression Are Increased in the Skeletal Musculature of Diabetics
Neel R. Sodha1, Munir Boodhwani2, Richard T. Clements1, Shu-Hua Xu1, Sirisha Emani1, Cesario Bianchi1, Frank W. Sellke1
1Beth Israel Deaconess Medical Center/Harvard Medical School, Boston, MA;2University of Ottawa Heart Institute, Ottawa, ON, Canada

+8. Potential Role of MRI In the Diagnosis of Recurrent Breast Cancer
John W Gorechlad, Elizabeth McCabe, John H Higgins, Donald Likosky, Petra Lewis, Richard J Barth
Dartmouth-Hitchcock Medical Center, Lebanon, NH

9. The Treatment of Biliary Dyskinesia Based Upon Symptoms: Results of a One-Year Prospective Study
John Alfred Carr, LaDonna Bryan, Donald Snider
Passavant Surgical Associates, Jacksonville, IL
6:00 PM - 7:30 PM WELCOMING RECEPTION on the Spirit of Ethan Allen
*Boat will remain at dock until 6:30 and then sail for a one-hour cruise. Light hors d'ouvres and cocktails provided. No transportation provided. Dinner plans should be made for that evening, after the reception.
Saturday, September 29, 2007
Green Mountain Ballroom B-C

Topic 1: On-Call Reimbursement
Topic 2: Maintenance of Certification
Topic 3: Acute Care Surgery
6:30 AM - 7:45 New Member Breakfast Meeting
Vermont Room
7:45 AM – 8:00 AM Introduction Of New Members
Adirondack Ballroom
7:45 AM – 8:00 AM Scientific Session III
Chairman: Thomas F. Tracy, MD
8:00 AM – 8:30 AM Brief Reports
(3 Minute Presentation/2 Minute Discussion)

B7. Digital Intern Recovery Score: a method of thin slicing information enhances clinical communication of each patient's recovery process.
John H Braxton, Scott A Buchanon, Desmond Donegan, Louis Russo, Seth Blank, Paul Weldner, Reed D. Quinn
Maine Medical Center, Portland, ME

B8. Bilateral Video Assisted Thoracoscopic (VAT) Approach for Pulmonary Vein Isolation (Minimally Invasive Maze procedure) in Patients with Isolated Atrial Fibrillation
Reza Khodaverdian, Thomas J. Sewyer, Vasant Khachane, Mark Marieb
Hospital of Saint Raphael, New Haven, CT

B9. National Trends in Adrenalectomy for Neoplastic Disease, 1998-2004
Elan R Witkowski, Theodore P McDade, Joshua S Hill, James T McPhee, Giles F Whalen, Mary E Sullivan, Demetrius E Litwin, Jennifer F Tseng
University of Massachusetts Medical School, Worcester, MA

B10. An Alternative Model for Third Year Surgery Clerkship: Is it Effective?
Arundhati Ghosh, Wendy Gutterson, David Hirsh, Barbara Ogur, Ronald Weintraub, Steven Schwaitzberg
Cambridge Health Alliance, Cambridge, MA

B11. Results of Esophagectomy for Achalasia After Failed Intervention
Henning A Gaissert, Ning Lin, John C Wain, Cameron D Wright, Douglas J Mathisen
Massachusetts General Hospital, Boston, MA

B12. Cystic Pancreatic Endocrine Neoplasms: A Distinct Tumor Type?
Liliana G Bordeianou, Parsia A Vagefi, Dushyant Sahani, Vikram Deshpande, Elena Rakhlin, Andrew L Warshaw, Carlos Fernαndez -del Castillo
Massachusetts General Hospital, Boston, MA
8:30 AM – 9:40 AM Panel Discussion
Attending Work Hours

Moderator: David Berger, MD
Panelists: Experiences With Restrictions
Orlando Kirton, MD

Pro: Point of View
Neil Hyman, MD

Con: Point of View
Robert Kozol, MD

9:40AM – 10:35 AM Break With Poster Session

P1. Early Involvement of Trauma Service Associated With Reduced Mortality
Horace F Henriques, James M Whedon, Friedrich M von Recklinghausen, John E Sutton, Jr.
Dartmouth Hitchcock Medical Center, Lebanon, NH

P2. CT Scan Improves Certainty of Diagnosis in the Pregnant Patient
Stephen J Ferzoco, Matt Pappas, Ali Tavakkolizadeh, Stephen Ledbetter, David I Soybel
Brigham and Women's Hospital, Boston, MA

P3 Vascular Assessment in Chronic Wound Care:Affect of HBO2T on Forecasting Patient Outcome
George A Perdrizet, Justin Mohr, Patrick Worth, Caesar Anderson, Brian Solomon, Christine Shapter
University of Connecticut/Hartford Hospital, Hartford, CT

P4. Clinical Outcomes in Patients With Severe Diabetic Foot Ulcers Treated With and Without Hyperbaric Oxygen
George A Perdrizet1, Patrick Worth2, Justin Moher2, Brian Solomon2, Caesar Anderson2, Christine Shapter2
1University of Connecticut/Hartford Hospital, Hartofrd, CT;2University of Connecticut/Hartford Hospital, Hartford, CT

P5. Withdrawn

P6. Fulminant Clostridium difficile Colitis: What can be done to control the Epidemics?
Yee Lee Cheah1, Sanda Tan2, Staci Fischer3, Victor E Pricolo4
1Department of Surgery, Rhode Island Hospital, Providence, RI; 2Division of Colon & Rectal Surgery, Department of Surgery, Rhode Island Hospital, Providence, RI; 3Division of Infectious Control, Department of Medicine, Rhode Island Hospital, Providence, RI; 4Rhode Island Hospital, Providence, RI

P7. Identification of Factors That Will Predict Invasion on Excision Specimens in Patients With Stereotactic Core-Needle-Biopsy-Diagnosed DCIS
Laura S Dominici, K. Greg Chang, Jyotsna Kakullavarapu, Rebecca Yang
Lahey Clinic Medical Center, Burlington, MA

P8. A Novel Virtual Reality-Based Curriculum Improves Laparoscopic Skills in Novices
Michael Martinez, Kurt E Roberts, Robert L Bell, James Dziura, Dan Eisenberg, Walter E Longo, Andrew J Duffy
Yale University School of Medicine, New Haven, CT

P9. Ventilatory Requirements Following Esophagectomy: A Comparison Between Open And Minimally Invasive Esophagectomy.
Charles T Bakhos, Jeremiah T. Martin, Alicia A. McKelvey, John A. Federico, Thomas Fabian
Hospital of Saint Raphael, New Haven, CT

P10. AMP-activated Protein Kinase: A Physiological Off Switch for Gastric Acid Secretion
Shafik M Sidani, Thenral Socrates, Michael Foller, Walter E Longo, John P Geibel
Yale University, New Haven, CT

P11. Can OR Schedule Optimizing Software Improve OR Efficiency?
Mark Meyer, David Craft, Suzanne Sokal, Keri McCrensky, Wilton Levine, Warren Sandberg, David Berger
Massachusetts General Hospital, Boston, MA

P12. Identification of a Putative Cardiac Progenitor Cells in the Miniature Swine
Andrew J Meltzer, Stuart Houser, Meghan Cochrane, Jessica Sayre, James Allan, David Sachs, Joren C. Madsen, Bruce R Rosengard
Massachusetts General Hospital, Boston, MA

P13. Calcimimetic inhibits the effect of Cholera Toxin in Rat Small Bowel
Syed M Alam1, Stanley J Dudrick1, John Geibel2
1Department of Surgery, Saint Mary's Health System, Waterbury, CT;2Department of Surgery, Yale University School of Medicine, New Haven, CT

P14. Routine feeding jejunostomy tube placement may not be beneficial in pancreaticoduodenectomy.
James T McPhee1, Deep Adhikari1, Theodore P McDade1, Joshua S. Hill1, Giles F Whalen1, Dana K Andersen2, Hiroomi Tada3, Mary E Sullivan1, Jennifer F Tseng1
1University of Massachusetts Medical School, Worcester, MA;2Johns Hopkins Bayview Medical Center, Baltimore, MD;3Temple University Hospital, Philadelphia, PA

P15. Carcinoid Tumors of the Gastrointestinal Tract in Minority Patients
Susana C Wishnia1, David B McAneny1, Antonio de las Morenas2, Jennifer E Rosen1
1Boston University School of Medicine, Department of Surgery, Boston, MA;2Boston University School of Medicine, Department of Pathology, Boston, MA

P16. Surgical Outcomes of Open Cholecystectomies in the Laparoscopic Era
Bram A Nijsse1, Suzanne M Sokal2, Yuchiao Chang2, David L Berger2
1University of Amsterdam, Amsterdam, The Netherlands2Massachusetts General Hospital, Boston, MA

P17. Hand-assisted laparoscopic colectomy: is there an advantage over open resections?
Louis Reines1, Heidi Fitzgerald1, Kent W Kercher2, B. Todd Heniford2, Yuri W Novitsky2
1University of Connecticut Health Center, Farmington, CT;2Carolinas Medical Center, Charlotte, NC

P18. Incidence of Return Visits to the Emergency Department Following Appendectomies within the Global Period: An Analysis of Incidence and Cost-Effectiveness of Post-Appendectomy Emergency Department Visits
Erica Gross1, Francesco A Aiello2, Robert Kozol2, Rajiv Chandawarkar2, Anthony Morgan3, Andrew Duffy4, Walter Longo4
1University of Connecticut, West Hartford, CT;2University of Connecticut, Farmington, CT;3Saint Francis Hospital, Hartford, CT;4Yale-New Haven Medical Center, New Haven, CT

P19. Stapled Hemorrhoidopexy - Initial Experience at a Community Hospital
Lucian Panait, Viraj Bhalani, Thomas Alosco, Stanley J. Dudrick
Saint Mary's Hospital, Waterbury, CT

P20. Preoperative Identification of Multiglandular Disease in Patients with Primary Hyperparathyroidism
Michele L. Lombardo, Jack M. Monchik
Brown University Department of Surgery, Providence, RI

P21. Early Postoperative Hemorrhage After Roux-En-Y Gastric Bypass: A Case-Control Study.
Charles T Bakhos, Fuad Alkhoury, Tassos Kyriakides, Randolph Reinhold, Geoffrey Nadzam
Hospital of Saint Raphael, New Haven, CT

P22. Outcomes in Patients With End Stage Renal Disease and Colonic Diverticular Disease
Heather L Yeo, Louis Salamone, Marc Lorber, Walter Longo
Yale University School of Medicine, New Haven, CT

P23. An Alternative Measure of Proficiency in Sentinel Node Biopsy for Breast Cancer
Ted A James, Lawrence E McCahill
University of Vermont, Burlington, VT

P24. Mesh Plug Appearing As Cecal Mass On Colonoscopy
Stacie E Perlman, Steven Yood, Stephen Stein, Phillip Jaffe, Jamie Rand
Hospital of Saint Raphael, New Haven, CT
10:35 AM – 12:05 PM Scientific Session IV
Chairman: Rocco Orlando, MD
  Podium Presentations
(10 Minute Presentation/8 Minute Discussion)

10. Use of Goal Sheets Reduces the Incidence of Ventilator Associated Pneumonia
Melissa F Perkal1, MaryJane Rubino2, Bobbie Welch2, Karen Rosenbeck2, Maureen Levey2, Kelly Swan2, Hilary Cain1, Richard A Martinello1
1Yale University School of Medicine, West Haven, CT;2VA CT Healthcare System, West Haven, CT

+11. Do All Patients Undergoing Parathyroidectomy Require Additional Neck Exploration When Intraoperative PTH Levels Do Not Decrease Appropriately?
Patrick B. O'Neal, Vitaliy Poylin, Peter Mowschenson, Sareh Parangi, Gary Horowitz, Pravin Pant, Per-Olof Hasselgren
Beth Israel Deaconess Medical Center, Boston, MA

+12. Angiographic Embolization for Gastroduodenal Hemorrhage: Safety, Efficacy, and Predictors of Outcome
George A Poultsides1, Christine Kim1, Rocco Orlando, III1, Michael J Hallisey2, Paul V Vignati1
1Department of Surgery, Hartford Hospital, University of Connecticut School of Medicine, Hartford, CT;2Department of Radiology, Hartford Hospital, University of Connecticut School of Medicine, Hartford, CT

13. Rectal carcinoid tumors: review of results after endoscopic and surgical therapy
Mary R Kwaan, Joel E. Goldberg, Ronald Bleday
Brigham and Women's Hospital, Boston, MA

+14. Improving Communication in the Surgical Intensive Care Unit. A Prospective Trial
Mallory Williams1, Rodrigo F Alban1, James P Hardy1, David A Oxman1, Edward Garcia1, Cristina M Thorsen2, Gyorgy Frendl1, Selwyn O Rogers, Jr.1
1Brigham and Women's Hospital, Boston, MA;2Harvard School of Public Health, Boston, MA
12:05 PM Adjourn (Free Afternoon)
1:00 PM – 3:00 PM Non-CME Ultrasound Hands-On Workshop
Adirondack A – Poster Room

Topic 1: Overview of Ultrasound Guided Breast Biopsy
Topic 2: Ultrasound Imaging of Liver/Abdominal
Supported by B-K Medical Systems
7:00 PM President's Reception & Dinner (Business Attire)
Reception in Mezzanine/ Dinner in Green Mountain Ballroom

Includes conferment of Nathan Smith Award
Charles J. McCabe, MD
Boston, MA
Sunday, September 30, 2007
Adirondack Pre-function
Members only
8:15 AM – 8:45 AM 1st Place Research Day Presentations
Chairman: Thomas A. Colacchio, MD
  Podium Presentations
(10 Minute Presentation/5 Minute Discussion)

R1. CLINICAL - "Staging And Treatment Of Cancer: How Does Maine Compare?"
Paige Teller, MD
Maine Medical Center, Cape Elizabeth, ME

R2. BASIC SCIENCE - "MR Surveillance Of Human Tissue-Engineered Arterial Conduits In SCID Mice Via Superparamagnetic Iron Oxide Nanoparticle Labeling."
Gregory Nelson, MD
Yale University School Of Medicine, New Haven, CT
8:45 AM - 9:20 AM Scientific Session V
Chairman: Thomas A. Colacchio, MD
  Podium Presentations
(10 Minute Presentation/8 Minute Discussion)

15. Implications and Management of Pancreatic Fistula Following Pancreaticoduodenectomy: The MGH Experience
Gregory Veillette, Ismael Dominguez, Cristina Ferrone, Sarah P Thayer, Deborah McGrath, Andrew L Warshaw, Carlos Fernandez-del Castillo
MGH, Boston, MA

16. Attrition of Categorical General Surgery Residents: Results of a 20 Year Audit
Walter E. Longo, John H. Seashore, Andrew J. Duffy, Robert Udelsman
Department of Surgery, Yale School of Medicine, New Haven, CT
9:20 AM - 10:05AM 23rd Annual Samuel Jason Mixter Lecture
Andrew L. Warshaw, MD
Boston, MA
10:05 AM – 10:10 AM Introduction Of President
10:10 AM – 11:10 AM Presidential Address
John P. Welch, MD
11:15 AM Adjourn

+ = Resident Essay
^ = New Member Prize

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