International College of Surgeons

United States Section

84^th Annual Surgical Update

Scientific Program (Final)

Hilton Palacio Del Rio

San Antonio, Texas

May 4-6, 2023

Includes sessions of the American Academy of Neurological and Orthopaedic Surgeons

Opening Session: Global Surgery 2023

Thursday, 5/4/2023 3pm-5pm

The first session of the conference will feature a number of lectures from various speakers on topics related to Global Surgery and humanitarian activities. Included will be informative lectures about endeavors of not only ICS members, but others in various parts of the world. Participants will gain a better understanding of the topics presented and be able to determine whether additional investigation is needed.

Moderators:

Dixon Santana, MD and Thav Thambi-Pillai, MD

Aging Population in the World and Singapore - New Direction in Surgery?

Clement Chan, MD, MBA, Singapore

Honorary Associate Clinical Professor, Hong Kong University; Honorary Associate Clinical Professor, Chinese University of Hong Kong; Adjunct Associate Professor, School of BioMedical Sciences, Chinese University of Hong Kong; Visiting Professor, Cebu Institute

The Ethical Concern between Surgeon-Burnout and Patient-Safety

Peter Johannes Manoppo, MD, Surabaya, Indonesia

Ciputra University, Surabaya; Indonesian Bioethics Forum

Preventing Physician Burnout: Identification and Prevention

Izi Obokhare, MD, Amarillo, TX

Associate Professor and Associate Dean for Faculty Development; General Surgery, Colon and Rectal Surgery, Advanced Laparoscopic / Robotic Surgery, Department of Surgery, Texas Tech University Health Science Center

Cardiac Care in Belize: Building a Local, Sustainable Cardiac Surgery Program from Square One

Eric Skipper, MD, Charlotte, NC

Professor, Cardiothoracic Surgery; Surgical Director, Cardiac Transplantation and Advanced MCS; Surgical Director Structural Heart, Sanger Heart and Vascular Institute, Atrium Health

The Value of Surgical Missions in Low and Middle Income Countries to a Surgical Training Program

Domingo T. Alvear, MD, Mechanicsburg, PA

Chairman and Founder, World Surgical Foundation

Giving Back: How to Get Involved in Global Surgery as a Surgical Trainee

Osaid Alser, MD, MSc (Oxon), Lubbock, TX

General Surgery Resident, Texas Tech University Health Sciences Center

Annual Ethics Forum: Featuring the Dr. Andre Crotti Lecture

Thursday, 5/4/2023 5pm-6pm

This extension of the first session will be an ethics based presentation by the 2023 recipient of the Dr. Andre Crotti Award for Distinguished Service to the Profession of Surgery. This timely topic will focus on current programs and strategic direction of the Firearm Injury Programs of the American College of Surgeons (ACS) and the ACS Committee on Trauma (COT). The three principles developed by the ACS COT to reduce firearm injury in the US will be discussed. There will be ample time for audience participation. Participants in this session will be able to articulate areas for possible consensus around firearm injury prevention from surveys of surgeons.

Moderator

Dixon Santana, MD and Thav Thambi-Pillai, MD

Firearm Injury and Violence Prevention

Ronald Stewart, MD, San Antonio, TX

Professor and Chair of Surgery, UT Health San Antonio

AANOS Annual Scientific Meeting: Neurological and Orthopaedic Surgery Part 1

Friday, 5/5/2023 8am-12pm

The United States Section of ICS (ICSUS) is proud to continue its long standing relationship with the American Academy of Neurological and Orthopaedic Surgeons (the Academy). As such, the Academy has designated the ICSUS Annual Surgical Update as its Annual Scientific Meeting. Working closely with the members of the Academy to determine professional practice gaps and educational need, ICSUS planners representing these two major surgical specialties are developing two days of programming specifically for those interested in these fields. Participants in this first session will receive valuable updates on the diagnosis and most advanced treatment options for a variety of Neurosurgical and Orthopaedic conditions.

Learners will have a better understanding about the latest treatment options for Pediatric Wrist Fractures, Hand Surgery, Anterior Lumbar Spine, Non-Fusion Stabilization Devices, Robotics in Neurosurgery and, Creating Ancillary Income. Learners in this session will also obtain information to appropriately determine whether further more advanced educational initiatives are required in order to effectively implement the provided information into practice.

Moderators

Lucia Zamorano, MD and William Welch, MD

Use of Robotics in Neurosurgery: An Update

Lucia Zamorano, MD, Birmingham, MI

Clinical Professor of Neurosurgery, Oakland University William Beaumont School of Medicine

Anterior Lumbar Spine Exposures

Jon-Cecil Walkes, MD, Houston, TX

Chief CV Surgery, St Joseph Medical Center

Posterior Instrumented Non-Fusion Stabilization Devices: Follow-up from FDA Trials

William C. Welch, MD, Philadelphia, PA

Frederick A. Simeone Professor in Neurosurgery, Penn Medicine

Surgical Mission Trip to Honduras - Hand Surgery Cases

Sudhir Rao, MD, Big Rapids, MI

Orthopaedic Surgeon

Pediatric Wrist Fractures: Are we under treating them?

Mark N. Perlmutter, MD, Rocky Mount, NC

Orthopaedic Hand Surgeon, CR Ortho

Creating Ancillary Income in a Private Surgical Practice - OrthoSculpt

Steven Cyr, MD, San Antonio, TX

Orthopaedic Surgeon, CYRxMD Cosmetic Surgery

Posterior CV Junction Fusion in Elderly Patients: Techniques and Analysis of Single Surgeon Outcomes at a Level 1 Trauma Center

Gazanfar Rahmathulla, MD, Eau Claire, WI

Neurosurgeon, Mayo Clinic Health System

Colorectal Emergencies

Friday, 5/5/2023 8am-10:15am

This session will feature presentations focused on the treatment of both routine and unique colorectal emergencies. Topics addressed will include: Stoma Complications, Obstructed Colorectal Cancer, Complicated Sigmoid Colon Diverticulitis, Lower GI Hemorrhage and, Rectal Prolapse. Participants in this session will have a better understanding of these issues related to colorectal surgery.

Moderators

Robert Amajoyi, MD and Harry Anderson, MD

Obstructed Colorectal Cancer Nightmares from the ER

Philip Kondylis, MD, Kissimmee, FL

Assistant Professor, University of Central Florida

Stoma and Stoma Complications: How to create the perfect stoma

John Kidwell, MD, Lubbock, TX

Assistant Professor of Surgery, Texas Tech Health Sciences Center, Colon and Rectal Surgery

Lower GI Hemorrhage

Irlna Tantchou, MD, Bentonville, AR

Colon and Rectal Surgeon

Rectal Prolapse: Help! My rectum is falling out.

Nsikak Umoh, MD, Shenandoah, TX

Colon and Rectal Surgeon, The Woodlands Colon and Rectal Associates

Current Management of Complicated Sigmoid Colon Diverticulitis

Izi Obokhare, MD, Amarillo, TX

Associate Professor and Associate Dean for Faculty Development; General Surgery, Colon and Rectal Surgery, Advanced Laparoscopic / Robotic Surgery, Department of Surgery, Texas Tech University Health Science Center

Women in Surgery Panel Discussion

Friday, 5/5/2023 10:30am-12pm

Surgeons need to be aware of disparities in opportunities and outcomes based on gender. In this session the panel will be discussing issues that are faced by female surgeons and strategies to address them to create a more equitable and conscious surgical future. Challenges such as work-life balance, intrinsic biases between colleagues / patients, and inequality will be addressed. Upon completion of this session, participants will have a better understanding of the current obstacles faced by US and international female surgeons. This knowledge will increase the participants' knowledge of the current status of female surgeons as it relates to: surgical outcomes for female vs male surgeons, pay differentials, career opportunities and work-life balance.

Moderators

Tessa London-Bounds, MD and Crystal Totten, MD

Panelists

Tamera Cox, MD, Shelby, NC

General Surgeon, Atrium Health Cleveland

Heidi Reich, MD, Fresno, CA

Cardiothoracic Surgeon, Central California Heart and Lung Surgery

Irlna Tantchou, MD, Bentonville, AR

Colon and Rectal Surgeon

Jennifer Whittington, MD, PhD, New York, NY

General Surgery, Surgical Oncology, Mount Sinai/Elmhurst Hospital Center

Honors Luncheon The Dr. Arno Roscher Endowed Lecture

Friday, 5/5/2023 1pm-1:30pm

Dr. Arno A. Roscher has been a Fellow of the International College of Surgeons since 1968. Dr. Roscher has been very active in ICS activities throughout his over 50 years as a member. He has also held numerous elected leadership positions at both the US Section and International levels. When he contributed $100,000 to the US Section in 2009 the Dr. Arno A. Roscher Endowed Lecture was established. This year marks the thirteenth presentation of this special lecture that has featured renowned physicians presenting on varied topics ranging from the Reduction of Health Disparities to Molecular Genetic Testing to Dr. Ryan Bayley's presentation this year titled, "How Good Physicians Find Themselves in Bad Situations." Dr. Bayley will explore the concept of incivility and the changing expectations that our peers and patients have of physicians in 2023. He will identify the communication styles and behaviors that are most likely to create problems, and most importantly, he will impart actionable strategies in navigating today's medical workplace.

How Good Physicians Find Themselves in Bad Situations

Ryan Bayley, MD, Chapel Hill, NC

Founder and Chief Executive Coach, Bayley Coaching Solutions, Assoc. Adjunct Professor, Dept. of Surgery, Duke University; Emergency Physician, Wake Emergency Physicians (WEPPA); EMS Medical Director, Granville County

Transplantation 2023

Friday, 5/5/2023 1:30pm-3:30pm

Participants in this session will be provided with a comprehensive overview on a number of issues related to transplant surgery such as; Robotics in Transplant, Localizing HCC, Normothermic Regional Perfusion, Pancreas Transplantation and, a Fellowship Training update. Upon completion of the course, surgeons of all specialties will have a more complete understanding of these topics related to transplant surgery.

Moderators

Peter Kennealey, MD and Reza Saidi, MD

Localizing HCC: A multi-faceted approach to HCC in South Texas

Danielle Fritze, MD, San Antonio, TX

Associate Professor, University of Texas Health San Antonio

Normothermic Regional Perfusion for DCD Organ Recovery

Christina Papageorge, MD, Charlottesville, VA

Assistant Professor of Surgery, University of Virginia

Robotic Surgery in Transplantation: A Technology Finding an Indication?

Thomas Pshak, MD, Aurora, CO

Assistant Professor of Surgery, University of Colorado

Robotics in Transplant Fellowship Training: See one, do one, teach one?

Jonathan Cullen, MD, Denver, CO

Abdominal Transplantation and Hepatopancreatobiliary Surgery Fellow, University of Colorado

Pancreas Transplantation Alone in the USA, Where Are We Standing After 20 Years?

Reza Saidi, MD, Syracuse, NY

Associate Professor of Surgery, Division Chief of Transplant Services - Kidney Adult and Pancreas, Upstate Medical University

Ensuring the Future of Diabetic Care in the US Features Solid Organ Pancreas Transplantation

Matthew Cooper, MD, Milwaukee, WI

Chief, Division of Transplantation, Medical College of Wisconsin

Annual Research Scholarship Competition

Friday, 5/5/2023 3:45pm-5:15pm

Surgical Residents and Medical Students will participate in this annual contest. Submissions will be judged by the Scholarship Committee. Qualifying candidates will also be judged on a pre-recorded oral presentation. During the Annual Surgical Update oral presentations will be made to the audience. Scores from the previously judged submissions will be combined to determine the winners of various prizes to be announced at the end of the session. Attendees will be presented with fascinating information by some of the brightest young minds in medicine.

Moderators

Anthony Dardano, DO and Steven Dominguez, MD

Cost Comparison of Endovascular versus Open Surgical Revascularization in Popliteal Artery Occlusive Disease

Hamza Ashfaq, MPH, Pikeville, KY

OMS-III, University of Pikeville Kentucky College of Medicine

Popliteal Artery Aneurysm Repair: A Single Center Experience

Nicholas Demas, BS, Lexington, KY

Second Year Medical Student (MS II), University of Kentucky College of Medicine

Cannulation Strategies for OxyRVAD VV ECMO in End Stage Lung Disease

Andrew Gorton, MD, Lexington, KY

Resident Physician, Cardiothoracic Surgery, University of Kentucky

Whole Blood Resuscitation Following Liver Transplantation: Is it Time for Implementation?

Ivan Rodriguez, MD, Aurora, CO

Research Fellow, University of Colorado Anschutz Medical Campus

Evaluation of Post-Operative Urinary Retention in Trans-abdominal Pre-peritoneal Inguinal Hernia Repair:

Challenges in Chart Review

Rachel Schneider, MD, Worcester, MA

Medical Student, UMass Chan Medical School

AANOS Annual Scientific Meeting: Neurological and Orthopaedic Surgery Part 2

Saturday, 5/6/2023 8am-10am

Participants in this second session will receive updates on the diagnosis and treatment options for a variety of Neurosurgical and Orthopaedic maladies. Learners will be informed about and have the ability to discuss the following with the presenters: Basivertebral Nerve Ablation, Thoraco-Lumbar Trauma, Chronic Subdural Hematoma, Orthopaedic IME and, Lumbar Spinal Stenosis.

Moderators

Sudhir Rao, MD and Mark Perlmutter, MD

Modern Management Strategies in Thoraco-Lumbar Trauma

Cristian Gragnaniello, MD, PhD, San Antonio, TX

Assistant Professor, Department of Neurosurgery, UT Health San Antonio; Chairman, Department of Neurosurgery, Audie Murphy VA, San Antonio

Postsurgical Outcomes with Interspinous Spacers in Lumbar Spinal Stenosis: Clinical Outcomes and

Complications

Mohan YS, MD, Garden City, MI

Neurosurgeon, Garden City Hospital

Role of Tranexamic Acid in the Management of Chronic Subdural Hematoma

Roy Torcuator, MD, Flint, MI

Neurosurgeon, Insight Institute for Neurosurgery and Neuroscience, Insight Surgical Hospital

Basivertebral Nerve Ablation

Jeffrey Epstein, MD, Babylon, NY

Neurosurgeon, Private Practice, Comprehensive Pain Care of Long Island

The Approach to the Orthopaedic IME: What the Science Says

David Weiss, DO, Morrisville, PA

Orthopaedic Pain Medicine Specialist

Updates in Trauma and Critical Care Surgery: 2023 Considerations

Saturday, 5/6/2023 8am-10:15am

The latest on Trauma and Critical Care Surgery will be presented in this annual forum. The audience will be made aware of what can be encountered in critical care situations and will have a better understanding of what to do if they come across similar situations. Featured will be topics on; Intercostal Nerve Cryo Ablation, Penetrating Lung Injuries, Massive Transfusion, Blunt Chest Trauma, Thoracic Trauma and, Deployment of Surgeons into Critical Care.

Moderators

Sharique Nazir, MD and Ridwan Shabsigh, MD

Cross-Training and Supervised Deployment of Surgeons into Critical Care During the COVID19 Health Crisis

Ridwan Shabsigh, MD, Bronx, NY

Chairman, Department of Surgery, SBH Health System, Professor of Clinical Urology, Weill Cornell Medical School

Management of Penetrating Lung Injuries

Loren Harris, MD, New York, NY

Chairman, Department of Surgery Richmond University Medical Center Staten Island, NY

Thoracic Trauma Update 2023

Peter Rhee, MD, MPH, DMCC, White Plains, NY

Professor of Surgery Uniformed Services University of the Health Sciences and City University of New York, Saint Barnabas Hospital

Massive Transfusion in Trauma: Does Payer Status Decrease Futile Transfusion?

Anthony Kopatsis, MD, Elmhurst, NY

Ichan Mount Sinai School of Medicine Elmhurst Hospital Center

Blunt Chest Trauma: Past and Present

Petr Nestrojil, MD, PhD, Brno, Czech Republik

Trauma Clinic, University Hospital Brno, Czech Republik

Intercostal Nerve Cryo Ablation Provides Effective Analgesia When Used as an Adjunct in Rib Fracture

Stabilization: The Recent Evidences.

Saptarshi Biswas, MD, Myrtle Beach, SC

Associate Program Director General Surgery Residency, Director of Surgical Research and Simulation, Grand Strand Medical Center

Rural Surgery: Applications and Adaptations for Your Practice

Saturday, 5/6/2023 10:15am-12pm

Rural surgeons have limited resources and this poses a challenge for providing best practice care for patients. This session will explain how techniques performed at large facilities can be adapted to their smaller facilities with the resources they have. Surgeons, especially those in a rural setting, will be able to adapt techniques and practices to their unique environments. Participants in this session will increase their knowledge of options for treatment of rural patients in limited resource settings.

Moderators

Tracy Sambo, MD and Melissa Johnson, MD

Harness Hang Syndrome; Death on a rope and Rescue Death. Debunking myths and evidence- based discussion of Suspension Syndrome.

Saptarshi Biswas, MD, Myrtle Beach, SC

Associate Program Director General Surgery Residency, Director of Surgical Research and Simulation, Grand Strand Medical Center

Update on GERD ACG Guidelines- Medical and Surgical Treatment

Francis Buckley, MD, Austin, TX

Associate Professor of Surgery, University of Texas, Dell Medical School

Rural Trauma: The Importance of PreHospitaInclusion in Research, Planning, Training and Operations

Will Chapleau, Paramedic, Trauma Nurse Specialist, Chicago Heights, IL

Director International Pre-Hospital Medicine Institute

Rural Surgery in Extremis: Comparison of Independent Rural and International Surgical Residencies

Riley Grogan, MD, La Crosse, WI

General Surgery Resident (PGY-IV), Gundersen Health System

The Centralization Conundrum - The Challenges of Breast Surgery in Rural Practice

Lee Trombetta, MD, Winona, MN

General Surgeon, Gundersen Medical Center, La Crosse, WI

Special Luncheon Lecture

Saturday, 5/6/2023 1:00pm-1:30pm

The current model of surgical education determines promotion and trainee completion based largely on surrogate measures of competence such as case logs, standardized test performance, faculty evaluations, and a final attestation by the program director. Unfortunately, these surrogate measures do not allow for a demonstration and understanding of trainee performance as they complete their training period. The American Board of Surgery is launching use of 18 Entrustable Professional Activities (EPAs) for General Surgery in all training programs across the United States.

Attendees will learn about the American Board of Surgery plan for implementing Entrustable Professional Activities. This will include: Rationale for implementation; Planned timeline; EPA content; and plan for technologic support.

Entrustable Professional Activities in General Surgery Residency

Daniel Dent, MD, San Antonio, TX

Chair, Department of Medical Education; Professor and Vice Chair for Education, Department of Surgery; University of Texas Health San Antonio Long School of Medicine

Surgical Oncology Updates

Saturday, 5/6/2023 1:30pm-3:30pm

The specialty of surgical oncology is always changing with new therapeutic strategies introduced on a regular basis. Surgeons who treat oncology patients need ongoing education to remain current in this always evolving specialty. Participants in this session will learn various current diagnostic and therapeutic strategies to care for oncology patients. Areas covered will include; a general update, Colorectal Liver Metastases, Importance of Nutrition, HIPEC and, Distance from the Cancer Center.

Moderators

Joshua Mammen, MD and Colleen Murphy, MD

Management of Colorectal Liver Metastases

Colin Court, MD, PhD, San Antonio, TX

Assistant Professor, Division of Surgical Oncology and Endocrine Surgery Mays Cancer Center, UT Health San

Antonio - MD Anderson

The Importance of Nutrition in Patients Undergoing Surgery for GIT Tumor

Jiri Matyas, MD, Pardubice, CZ

Head of ICU, Surgery Clinic Pardubice, Czech Republic

Effects of Insurance Type and Distance from the Cancer Center on Outcomes After Robotic-Assisted

Pulmonary Lobectomy

Eric Toloza, MD, PhD, Tampa, FL

Cardiothoracic Surgeon, Moffitt Cancer Center

An Update on HIPEC in Appendiceal and Colorectal Malignancy

Tyler Mouw, MD, Lubbock, TX

Assistant Professor Texas Tech University, Department of Surgery

Contemporary Surgical Treatment of Melanoma

Joshua Mammen, MD, PhD, Omaha, NE

Professor of Surgery, University of Nebraska

General Plenary Session

Saturday, 5/6/2023 3:45pm-5:30pm

ICSUS CME programs are rich in diversity and represent many surgical specialties. This multidisciplinary educational session seeks to provide content that improves the learner’s overall competence, performance or patient outcomes through interaction with peers. ICSUS encourages participants from all specialties to interact and learn from one another, thereby building a broad base of knowledge. In this short session developed from abstract submissions of ICS Fellows and others, presentations will cover the following topics: Atrial Fibrillation, Laparoscopic Whipple, Dialysis Catheter Exchange, Renal Transplant Graft Failure, Wound Closure.

Moderators

Siva Vithiananthan, MD and Erika Fellinger, MD

Hybrid Surgical Approach to Atrial Fibrillation

Tessa London-Bounds, MD, MPH, Lexington, KY

Assistant Professor of Surgery, University of Kentucky

Total Laparoscopic Whipple Procedure - A video case presentation

Michael Jacobs, MD, Novi, MI

Clinical Professor of Surgery, Michigan State University CHM; Director of HPB Program and HPB Fellowship, Associate Chair of Surgery, Ascension Providence and Providence Park Hospitals

Pulmonary Infarction after Dialysis Catheter Exchange

Francis Podbielski, MD, Riverside, IL

Clinical Professor of Surgery, University of Illinois at Chicago

A Single Site, Retrospective Chart Review of Renal Transplant Graft Failure and Mortality Rates Pre and Post

COVID-19 Pandemic

Troy Hollinsworth, MS-3, Sioux Falls, SD

Medical Student

A Novel Technique for Wound Closure using Spanning Sutures to Decrease Graft Size

Lior Levy, BA, New York, NY

Medical Student, New York Medical College