website: the cutting edge - tulane university · 2017-08-11 · the cutting edge fall 2010...

Website:

The Cutting EdgeFall 2010 Newsletter

The 2010-11 academic year holds tremendous promise for the Department of Surgery as we capitalize on the achievements of the last f e w year s and look forward to expanding services throughout the department and surgical

services as a whole. Tulane surgery has taken a leadership role in areas as diverse as international rural trauma and pre-hospital care initiatives; evaluating the interaction of stem cells and breast cancer metastasis; to the development of novel surgical techniques such as robotic transaxialary total thyroidectomy. The Faculty, Residents and Staff of the department continue to work tirelessly to promote advances in surgical science and surgical patient care.

A new addition to the department is Matthew Cowell, who takes the reigns as the department’s Practice Development Manager. Matthew is working with University, Medical School and HCA leadership to encourage strategies to promote Tulane Department of Surgery locally, regionally and nationally. In addition to practice development, Matthew and his team (Monique LeCompte and Caroline Barber) are renewing a commitment to alumni relations and we look forward to having more interaction with our alumni than ever before.

In the l a s t ne ws le t te r I ment ioned the implementation of the Surgical Services concept at Tulane. This organizational construct enables the surgery departments to work more closely together to better manage surgical initiatives in the areas of patient care, research and education. Dean Sachs provided guidance in setting up the Surgical Services concept and the affiliated board. The Surgical Services concept is based upon an understanding that in the modern economic environment flexibility and responsiveness is critical to success. By putting the Chairs and Section Chiefs of the surgical departments and divisions together, Tulane Surgery as a whole can plan more effectively, utilize resources with greater effectiveness, and ensure areas of collaboration are maximized. By consolidating shared services such as surgical education and clinical research infrastructure the surgical services team is better able to meet the needs of all surgical Faculty. In addition, the collaboration embodied in the Surgical Services concept allows for greater consistency and higher quality.

We are excited to see Surgical Services evolve and strength and are confident it will be a model that will be replicated in many academic medical centers throughout the country.

A Message from the Chair...

Tula

ne U

nive

rsit

y Sc

hool

of M

edic

ine

Douglas P. Slakey, M.D., M.P.H.Professor & Chair

Published by Tulane School of Medicine Department of Surgery

2 Dept. Update ACS Follow Up

3 “Watch & Wait”

8-13 Publications & Presentations

4 - 5 “Cambodia Program”

6 Information on Dr. Korndorffer’s patent

7 Alumni News Lagniappe

Department Update

Dr. Ernest Chiu’s research project,

“The Use of Adipose Stem Cells in

Breast Surgery: Friend or Foe?, has been

chosen as the recipient of an Aesthetic

Surgery Education and Research

Foundation Grant in the amount of

$40,000.

Dr. Anil Paramesh was recently

awarded a grant from the American

Organ Procurement Organization

(AOPO) to study the use of lymph nodes

vs. serum for transplant crossmatching.

Dr. Jim Korndorffer recently

received a patent on a laparoscopic

camera training device that will be used

by the Fundamentals of Laparoscopic

Surgery program of the ACS and

SAGES.

2010 American College of Surgeons Clinical Congress Reception

Washington, DC

(Drs. John Bolton - Ochsner, Douglas Slakey - Tulane and Christopher Baker - LSU )

On October 4, 2010 the LSU, Ochsner and Tulane

Departments of Surgery held an reception during

the American College of Surgeons Clinical

Congress in Washington, DC.

At the conference, Dr. Emad

Kandil presented his

experience with robotic

transaxillary thyroid surgery

with intraoperative nerve

monitoring. He also presented

his data on robotic adrenal surgery with

intraoperative endoscopic ultrasound.

Did you know?

The Department of Surgery has

received 626 resident applications

this year for 4 spots.

The Cutting Edge - Fall 2010 page 2

“Watch and Wait”

Safe for Many Incisional HerniasFor Patients at Low Risk, Incarceration Rare

Over Two-year Follow-up Gabriel MillerGeneral Surgery NewsISSUE: OCTOBER, 2010 | VOLUME: 37:10

Although there is little support for it in the surgical literature, a pilot study has confirmed what experts say is a common practice among surgeons: It is safe to simply observe many patients who have asymptomatic incisional hernias.

Studies to support the approach of “watchful waiting” for incisional hernias are important on several levels, experts say, from avoiding surgical complications and lowering health care costs to protecting surgeons legally.

The single-institution study was performed at the Michael E. DeBakey VA Medical Center in Houston, and results were presented at the 2010 annual meeting of the American Hernia Society (AHS).

Although incisional hernia operations are elective, surgeons are taught that these hernias, even if asymptomatic, should be repaired to avoid a later complication like bowel strangulation. Consequently, more than 200,000 repairs are performed annually at a cost of approximately $2.5 billion, with rates of complications including infection as high as 44% in some reports of open repair, according to Charles Bellows, MD, associate professor and chief of general surgery at Tulane University, in New Orleans, and the study’s lead author.

In addition, among those patients who have underlying comorbidities like chronic obstructive pulmonary disease and heart and liver disease, the high risk for a difficult-to-manage mesh infection tips the risk–benefit ratio toward watchful waiting.

“As the risk of complications after incisional hernia repair increases, the benefits from surgery become unacceptable,” said Dr. Bellows.

Although many surgeons put off an operation in a patient with an asymptomatic incisional hernia because of

the high risk for complications, there are few data on the natural history of these hernias and how patients fare when left untreated.

“What Dr. Bellows is trying to do is prove that it’s safe [to observe], and I think it was a very logical thing to do,” said Robert Fitzgibbons Jr., MD, professor and chief of general

surgery at Creighton University in Omaha, and a leading author of studies on watchful waiting in patients with inguinal hernias.

In the VA study, 42 men with incisional hernias were enrolled in a watchful-waiting trial over 11 months in 2005 and 2006. These patients were asymptomatic, refused surgery or were deemed “high-risk” for surgical complications.

Patients were told to watch for hernia symptoms with physician follow-up scheduled at two, six and 12 months. Main outcome measures were pain and discomfort interfering with usual activities as measured by the Activity Assessment Scale (AAS) and physical function and quality of life as measured by the SF-36 Health Survey. Secondary measures included patient-reported pain and complications like incarceration.

In the VA study population, average age was 64 years and mean body mass index (BMI) was 32 kg/m2. Average hernia size was 205 cm2 (range, 16-870 cm2), and patients had an average of 2.4 previous repairs.

Thirty-eight patients completed the study. During the 12-month period, there were 33 emergency room (ER) visits, but only eight were for hernia-related issues. Of these ER visits, four resulted in a hospital admission (three patients). Two of the patients were admitted for bowel obstruction, and one patient was admitted twice for hernia-related pain. Acute hernia accident/incarceration occurred in one patient (2.3%) within one year of watchful waiting.

AAS scores remained similar throughout the study period (baseline, 24.2; after 12 months, 24.5). In addition, the patients’ physical functioning on the SF-36 decreased from 40.8 to 36.5, and mental functioning increased from 48.5 to 55 during the study period.

Pain scores on the Brief Pain Inventory and the 10-point visual analog scale decreased slightly over the year of observation.

“It appears that quality of life does not significantly change over 12 months, pain does not worsen and the risk of acute

hernia accidents is low,” Dr. Bellows said. “This means that one can safely offer nonoperative treatment in patients with

large, uncomplicated incisional hernias without the fear of incarceration or a significant decline in the patient’s quality of life due to the hernia disease.”

Dr. Bellows also commented that in the second year of follow-up, which was not reported at the AHS meeting, there have been no further incarcerations.

page 3The Cutting Edge - Fall 2010

Dr. Bellows

Watch & Wait continued...

Both Drs. Bellows and Fitzgibbons were quick to point out that the pendulum should not swing completely toward observation. Any patient who definitely wishes to have a hernia fixed should have an operation offered to them, and certain hernias prone

to later problems should continue to be repaired prophylactically.

“Watchful waiting is best for those patients who are deemed high-risk for surgery [and] who are minimally symptomatic or asymptomatic and who do

not report any pain from their hernia that interferes with normal activities,” Dr. Bellows said. “Watchful waiting is most likely not right for those patients with severe debilitating pain from their hernia disease, and this approach should most likely not be used for small defects,” he added, characterizing hernias less than 3×3 cm as those too small to leave alone.

In addition to the small neck suggested by Dr. Bellows, Dr. Fitzgibbons included an incarcerated, irreducible hernia or one with a history of rapid enlargement as relative indications for surgery.

Dr. Bellows said an observational approach for incisional hernia needs a well-designed, multi-center, prospective randomized controlled trial to confirm that his results from a small group of VA patients hold true for the general population.

If confirmation does occur, Dr. Fitzgibbons said watchful waiting likely would be embraced by the surgical community at large.

“I think that surgeons would welcome it, just as they did for inguinal hernias,” Dr. Fitzgibbons said. “In general, I think surgeons would like to see in the literature confirmation of what they’re actually [already] doing, if for no other reason than medicolegal reasons.

CAMBODIA PROGRAM by Bernard Jaffe, M.D.

Professor of Surgery Emeritus

Just like the potato chip, that you can’t have just one, Cambodia is a country you can’t visit just once. I discovered that almost four years ago, when my wife, Marlene, and I visited Cambodia and Laos under the auspices of People to People in a trip co-sponsored by the American College of Surgeons Operation Giveback program. We met the remarkably generous and loving Khmer people, and were staggered by their lack of resources and medical knowledge. One brief trip and I was hooked. I have returned several times each year since and have already planned for four educational missions this academic year.

The major focus of my project has been trauma care, and it takes just one moment on the massively crowded streets of Phnom Penh to understand Cambodia’s incredible mortality rate from motor vehicle accidents, said to be the highest in the world. The variety of vehicles is impressive, including automobiles, lorries piled high with goods and people, motorcycles each carrying as many as five passengers, bicycles, rickshaws (called cyclos), and tuk tuks (small four-passenger vehicles propelled by tiny lawn motor engines that go tuk tuk tuk tuk tuk tuk). Traffic lanes and signals aren’t even suggestions; drivers ignore lanes completely and turn at will from anyplace in the road without signaling. The few drivers who stop for the occasional traffic signals don’t wait for the light to turn green before charging ahead.

Trauma care is not taught in the developing medical education system. There is no specialty of emergency medicine or trauma surgery; the emergency departments of the central and university hospitals are staffed by rotation by all staff members. Thus a patient with a serious injury is likely to be cared for the hospital gynecologist, pediatrician, dermatologist, etc.

Over the last four years I have trained hundreds of doctors, nurses and medical students on the care of injured patients. I have developed a two-day course focusing on protocol-driven assessment, resuscitation, and definitive care, leaving charts of the protocols in every ED. Operation Smile has adopted the project and provides significant educational support, including staff, translators, intubatable mannequins, etc...

Dr. Bernard Jaffe

page 4The Cutting Edge - Fall 2010

Cambodia Program continued...

It is hard to imagine, but CPR is not taught in medical school or residency programs. The course is given in English (most Cambodians younger than 40 years of age learned English in school and are bilingual) but the syllabus, slides, and multiple choice examination (required to receive the certificate of completion from Operation Smile, which carries a lot of weight) are simultaneously translated into Khmer. I have taught this course in the two medical schools in Phnom Penh, one of which is in session only on weekends to allow students to work during the week. In addition to the university (public) hospitals in Phnom Penh, I have also trained the medical personnel in all the regional hospitals, in Siem

Reap, Battambang, and Sihanookville. It has been incredibly rewarding to return to the teaching sites and watch trauma care provided in the effective, structured manner I have taught the staffs. Several months ago, in a direct response to the training program, Tulane has entered into an affiliation agreement with the University of the Health Sciences of the Royal University of Cambodia to allow for an exchange of residents and medical students, a program that has just gotten underway in the last few months.

With the apparent success of the educational program (Operation Smile’s assessment, not mine), I have been assured at least three more years of funding for staff (I pay the overwhelming majority of my own expenses), and we have entered into a period of expansion. For example, during my first 2010 mission, I trained more than 350 Vietnamese medical personnel in hospitals in Ho Chi Minh and Hanoi (including the Vietnam Military University and Hospital). We have made plans to bring this program to the regional medical centers throughout Vietnam over the next two or three years. I also taught the course this October to the staff of the Mittaphab Hospital, the major trauma facility in Vientiane, Laos, as well as a pediatric trauma variant to the National Women’s and Children’s Hospital in Vientiane. Via an intermediary

foundation that operates in Myanmar, we have been invited to teach at the First Medical School in Yangon, Burma, this November.

Since the ambulance systems in these developing countries are primitive (they are for-profit and the drivers have no medical training), the majority of first responders are police officers. Accordingly, in my most recent trip, I taught injury care on the streets and safe transport to 206 policemen and women in the Police Academy of Cambodia, which serves the entire country.

Operation Smile is interested in supporting additional classes to assure continuity and to allow me to expand into additional areas in Asia and elsewhere. For example, Mali, Rwanda, and the Democratic Republic of the Congo are being discussed currently. Dr. Rodney Steiner, Chief of Pediatric Surgery, has already accompanied me to Cambodia last Fall, and others are scheduled to assist in upcoming training missions.

As a huge benefit to the Tulane surgical training program, funding has been offered by Operation Smile via the Regan Foundation for resident participation in these missions, all expenses paid. PGY 3’s will be accompanying me on a regular basis and act as faculty for the 2-3 week educational missions.

Dr. Marie Unruh was first and joined the October 2010 mission to Cambodia and Laos. Dr. Marquinn Duke will travel with me in November to Myanmar and Vietnam. The remainder of the PGY3’s will be involved in spring missions. This is an incredible opportunity for Tulane residents to see and participate in educational programs in the Third World and, needless to say, a striking recruiting advantage for Tulane’s residency program.

The Cutting Edge - Fall 2010

http://www.operationsmile.org/

page 5

Marie UnruhPGY 3

http://www.operationsmile.org

http://www.operationsmile.org

While laparoscopy has revolutionized surgery by improving patient outcomes it requires that the surgeon master a new skill set. Contrary to open surgery, where surgeons have

complete visual and tactile control of the operating field, during laparoscopic procedures both of these senses are altered. Tactile feedback from the operating field is limited due to the nature of the laparoscopic instruments and visual control is impacted by both the loss of depth perception and because

the surgeon has to rely on an assistant to control the camera and the corresponding field of view.

Laparoscopic camera navigation (LCN) is perceived to be

an easy task but in reality it requires a unique set of skills

including centering the operative field, maintaining a

correct horizontal axis, holding a steady image, and tracking

instruments in motion. Significant dexterity is required to

ensure the correct use of the additional degrees of freedom

afforded by an angled laparoscope, particularly when sizing

the field of vision appropriately. Inefficient camera

navigation skills require that the surgeon divert their

attention from the operation and may lengthen procedure

times.

Creating proper visualization for the surgeon depends on

the ability of the camera operator but the skill required to

operate the camera is far from intuitive and camera

operators may need to overcome a considerable learning

curve before becoming proficient. Laparoscopic training of

surgeons outside of the operating room has been shown to

improve surgeon skill and efficiency but, historically, little

time has been spent on training the camera operators in

situations other than an active surgery. In order to counter

this deficiency Dr. James Korndorffer, Professor of Clinical

Surgery and Director of the Tulane Center for Advanced

Medical Simulation, has developed a cost-effective LCN

simulation system that has been shown to significantly

improve the operating room performance of camera

operators.

Dr. Korndorffer has received a patent for this device and

has licensed it, free of royalties, to the Society of American

Gastrointestinal and Endoscopic Surgeons (SAGES) where

it will be used in the Fundamentals of Laparoscopic Surgery

program, enhancing training nationally.

Tulane Advanced Medical Simulation Center

Website: http://tulane.edu/som/sim/

Office:+ (504) 988- 9150

Fax:+ (504) 988-9151

Dr. James Korndorffer Receives Patent for a Cost-Effective Laparoscopic Camera Navigation Simulator

Dr. James Korndorffer


http://tulane.edu/som/sim/

http://tulane.edu/som/sim/

Alumni Information

Dr. Juan Duchesne visited his son’s, Esteban

Duchesne, Pre-K4 class at St. Clement of Rome

School in Metairie, Louisiana. The class was

studying the letter “D” during that week so they

had Dr. Duchesne come in as a community helper

that starts with this letter.

Lagniappe

On the Tulane Medical Alumni Association (TMAA) website you’ll find items like networking resources for potential employers and employees, notices about events and news about Tulane Medicine and alumni.

The mission of the Tulane Alumni Association is to promote the interest, welfare and advancement of the Tulane University School of Medicine, to advance the cause of medical education, and to maintain close and mutually beneficial relationships among the Tulane medical alumni, students and institutional leadership.

On the TMAA site you will find an online alumni community, locate a friend finder, continuing medical education information in addition to much more useful

information. Remember to sign up for their mailing list at http://tmaa.tulane.edu so you’ll be updated on the latest TMAA events and news.

If you have any alumni related questions or need additional information please contact Cynthia Hayes, Executive Director, Tulane Medical Alumni Association.

Tulane Medical Alumni Association 1430 Tulane Avenue New Orleans, LA 70112

Phone+ (504) 988-6248

Fax + (504) 988-5288

Email+ [email protected]

Cynthia Hayes


http://tmaa.tulane.edu

http://tmaa.tulane.edu

mailto:[email protected]


FACULTY PUBLICATIONS & PRESENTATIONS

JANUARY 1, 2010 - JUNE 30, 2010

DR. CHARLES BELLOWS, III, General Surgery, Surgical Research, Laparoscopic Surgery

Publication

KANDIL, E., Alabbas, H., Jacob, C., FRIEDLANDER, P. L., DUCHESNE, J. C., JOSHI, V., BELLOWS, C. F. (2010). A Simple and Safe Minimally Invasive Technique for Laparoscopic Gastrostomy. JSLS, 14(1), 62-5. (January (1st Quarter/Winter) 2010.

DR. ABIGAIL CHAFFIN, Plastic & Reconstructive Surgery

Publication

CHIU, E. S., CHAFFIN, A. E., FRIEDLANDER, P. L., H, L. P., Y, L. M., B. R. (2010). Circumferential Pharyngoesophageal Reconstruction using Supraclavicular Artery Island Flap. Plast Reconstr Surg, 125(1), 161-6. (January (1st Quarter/Winter) 1, 2010)

Presentation

CHAFFIN, A. E. (Presenter Only), Department of Surgery Grand Rounds, Tulane University School of Medicine, New Orleans, LA, "Abdominal Wall Reconstruction," Academic, Local. (March 24, 2010).

DR. ERNEST CHIU, Plastic & Reconstructive SurgeryPublications

CHIU, E. S., FRIEDLANDER, P. L., R, W. S., M, T. J., S. J., T, A. C., A, W. E. (2010). The Effect of AlloDerm® On the Initiation and Subsequent Growth of Human Neovessels Laryngoscope. Laryngoscope, 120(3), 443-9. (March 2010)

CHIU, E. S., W, C. J., W. C., D, S.-C. M. (2010). Three- and Four-Dimensional Computed Tomographic Angiographic Studies of the Supraclavicular Artery Island Flap. Plast Reconstr Surg, 125(2), 525-31. (February 2010)


Presentations

CHIU, E. S. (Presenter & Author), AAPS 2009 Annual Meeting, AAPS, San Antonio, TX, "Poster Presentation," Academic, National, Refereed, published in proceedings, Invited.

CHIU, E. S. (Presenter Only), Mentor Adiopose Tissue Innovation Summit, Mentor, NY, NY, "Safety Concerns of Fat Grafting to the Breast," Academic, National, Invited. (June 25, 2010).

CHIU, E. S. (Presenter Only), Stanford University Plastic Surgery Grand Rounds, Stanford University, Stanford, CA, "Plastic Surgery Grand Rounds," Academic, Local, Invited. (May 25, 2010).

CHIU, E. S. (Presenter Only), UC Davis Grand Rounds, UC Davis, Sacramento, CA, "Grand Rounds," Academic, Local, Invited. (May 25, 2010).

CHIU, E. S. (Presenter Only), UCLA Head & Neck Surgery Grand Rounds, UCLA, Los Angeles, CA, "Head & Neck Surgery Grand Rounds," Academic, Local, Invited. (May 12, 2010).

CHIU, E. S. (Presenter Only), UCLA Plastic Surgery Grand Rounds, UCLA, Los Angeles, CA, "Plastic Surgery Grand Rounds," Academic, Local, Invited. (May 11, 2010).

CHIU, E. S. (Presenter Only), Department of Surgery Grand Rounds, Tulane University School of Medicine, New Orleans, LA, "Current Options in Head and Neck Reconstruction," Academic, Local. (January 20, 2010)


DR. JUAN DUCHESNE, Trauma Critical Care

Publications

Simmons, J. D., Haraway, A. N., Schmieg Jr, R. E., DUCHESNE, J. C. (2010). Blunt Renal Trauma and the Predictors of Failure of Non-Operative Management. J Miss State Med Assoc, 51(5), 131-3. (May 2010)

DUCHESNE, J. C., Howell, M. P., Eriksen, C., Wahl, G. M., Rennie, K. V., Hastings, P. E., MCSWAIN, N. E., Malbrain, M. L. (2010). Linea alba fasciotomy: a novel alternative in trauma patients with secondary abdominal compartment syndrome.. The American Surgeon, 76(3), 312-6. (March 2010)

Wahl, G. M., Islam, T., Gardner, B., Marr, A. B., Hunt, J. P., MCSWAIN, N. E., Baker, C. C., DUCHESNE, J. C. (2010). Red light cameras: do they change drive behavior and reduce accidents?. The Journal of Trauma, 68(3), 515-8. (March 2010)

KANDIL, E., Alabbas, H., Jacob, C., FRIEDLANDER, P. L., DUCHESNE, J. C., JOSHI, V., BELLOWS, C. F. (2010). A Simple and Safe Minimally Invasive Technique for Laparoscopic Gastrostomy. JSLS, 14(1), 62-5. (January (1st Quarter/Winter) 2010)

Presentations

DUCHESNE, J. C. (Presenter Only), Surgery Grand Rounds, Tulane University School of Medcine, New Orleans, LA, "Low volume resuscitation during damage control: the never ending conundrum.," Academic, Local, Invited. (April 2010).

DUCHESNE, J. C. (Presenter Only), Critical Care & Acute Care Surgery 2010, Las Vegas, NV, "Bullseye!!--Transmediastinal GSW.," Academic, National, Invited. (March 2010).

DUCHESNE, J. C. (Presenter Only), Critical Care & Acute Care Surgery 2010, Las Vegas, NV, "Pelvic sepsis.," Academic, National, Invited. (March 2010).

DUCHESNE, J. C. (Presenter Only), Trauma Critical Care & Acute Care Surgery 2010, Las Vegas, NV, "Update on damage control resuscitation.," Academic, National, Invited. (March 2010).

DUCHESNE, J. C. (Presenter Only), Charter Day Royal College of Surgeons, Irish College of Surgeons, Dublin, Ireland, Academic, International, Invited. (February 2010).

DUCHESNE, J. C. (Presenter Only), American College of Surgeons, Louisiana Chapter Annual Meeting, "Acute coagulopathy of trauma shock vs. global induced coagulopathy: impact of transfusion ratios on mortality," Non-Academic, State, Invited. (January 2010).

DUCHESNE, J. C. (Presenter Only), American College of Surgeons, Louisiana Chapter Annual Meeting, "Damage control resuscitation in combination with damage control surgery: a survival benefit and not a survival bias," Non-Academic, State, Invited. (January 2010).

DUCHESNE, J. C. (Presenter Only), Military Pre-Hospital Resuscitation Task Force, Dallas, TX, "Role of lyophilized fibrinogen in hemorrhagic shock.," Non-Academic, Invited. (January 2010).

DUCHESNE, J. C. (Presenter Only), Society of Critical Care Medicine, Florida, "Management of damage control resuscitation in a civilian setting.," Academic, National, Invited. (January 2010).

DUCHESNE, J. C. (Presenter Only), Eastern Association for the Surgery of Trauma 2010, EAST, Phoenix, AZ, "Coagulation response to different plasma: red cell ratios in trauma transfusion.," Academic, Regional, Invited. (January 22, 2010).

DR. PAUL FRIEDLANDER, Otolaryngology OncologyPublications

CHIU, E. S., FRIEDLANDER, P. L., R, W. S., M, T. J., S. J., T, A. C., A, W. E. (2010). The Effect of AlloDerm® On the Initiation and Subsequent Growth of Human Neovessels Laryngoscope. Laryngoscope, 120(3), 443-9. (March 2010)

KANDIL, E., Wassef, S., Alabbas, H., FRIEDLANDER, P. L. (2010). Minimally invasive video-assisted thyroidectomy and parathyroidectomy with intra-operative recurrent laryngeal nerve monitoring. Int J Otolaryngol. (February 8, 2010)



Dr. Friedlander continued

Levi, J., FRIEDLANDER, P. L., Hasney, C., OCCHIPINTI, E. A., KANDIL, E., KAHN, M. J. (2010). Combined mycophenolate mofetil and prednisone therapy in Tamoxifen and prednisone-resistant Reidel’s thyroiditis. (1st ed., vol. 20, pp. 105-107), Thyroid. (January (1st Quarter/Winter) 2010)


DR. BERNARD JAFFE, Professor Of Surgery EmeritusPublication

MCGEE, J., Magnus, J., Islam, T., JAFFE, B., ZHANG, R., FLORMAN, S. S., HAMM, L. L., Mruthiniti, N., Sullivan, K., SLAKEY, D. P. (2010). Donor-recipient gender and size mismatch affects graft success after kidney transplantation. Journal American College of Surgeons, 210(5), 718-725., el, 725-6. (May 2010)

DR. EMAD KANDIL, Endocrine SurgeryPublications

KANDIL, E., FLORMAN, S. S., Alabbas, H., Abdullah, O., MCGEE, J., Noureldine, S., SLAKEY, D. P., ZHANG, R. (2010). Exploring the effect of parathyroidectomy for tertiary hyperparathyroidism after kidney transplantation. Am J Med Sci. (March 15, 2010)

KANDIL, E., Alabbas, H., Lum, Y. W., Tufaro, A. P. (2010). Familial isolated primary hyperparathyroidism with double adenoma: Case report and literature review. South Med J. (February 2010)

KANDIL, E., Alabbas, H., Tufaro, A. P., Carson, K. A., Tufano, R. P. (2010). The impact of baseline intact parathyroid hormone levels on severity of primary hyperparathyroidism and outcomes in patients undergoing surgery. (2nd ed., vol. 136, pp. 147-150), Arch of Otolaryngol Head Neck Surg. (February 2010)

KANDIL, E., Wassef, S., Alabbas, H., FRIEDLANDER, P. L. (2010). Minimally invasive video-assisted thyroidectomy and parathyroidectomy with intra-operative recurrent laryngeal nerve monitoring. Int J Otolaryngol. (February 8, 2010)


Levi, J., FRIEDLANDER, P. L., Hasney, C., OCCHIPINTI, E. A., KANDIL, E., KAHN, M. J. (2010). Combined mycophenolate mofetil and prednisone therapy in Tamoxifen and prednisone-resistant Reidel’s thyroiditis. (1st ed., vol. 20, pp. 105-107), Thyroid. (January (1st Quarter/Winter) 2010)

Presentations

KANDIL, E., Dept of Otolaryngology Grand Rounds, Johns Hopkins Medical Institutions, Baltimore, MD, "Robotic-assisted thyroid surgery," Academic, Local, Invited. (May 20, 2010).

KANDIL, E., American Head & Neck Society Meeting, American Head & Neck Society, Las Vegas, NV, "Sensitivity and specificity of ultrasound as the primary screening modality for localization of primary hyperparathyroid disease," Academic, National. (April 28, 2010).

KANDIL, E., American Head & Neck Society Meeting, American Head & Neck Society, Las Vegas, NV, "Transaxillary gasless robotic thyroid surgery with nerve monitoring: Initial experience in a North American center," Academic, National. (April 28, 2010).

KANDIL, E., Dept of Pediatrics Grand Rounds, Tulane University School of Medicine, New Orleans, LA, "Thyroid cancer in children," Academic, Local. (April 15, 2010).

KANDIL, E., World Robotic Symposium, Orlando, FL, "Nerve monitoring in robotic scarless neck surgery," Academic, International. (April 11, 2010).

KANDIL, E., Tulane Cancer & Transplant Symposium, Tulane University School of Medicine, New Orleans, LA, "Robotics in minimally invasive GI surgery," Academic. (April 10, 2010).

KANDIL, E., Dept of Medicine Grand Rounds, Tulane University School of Medicine, New Orleans, LA, "Thyroid cancer: Current guidelines," Academic, Local. (April 7, 2010).


Dr. Kandil continued

KANDIL, E., Dept of Otolaryngology Grand Rounds, Tulane University School of Medicine, New Orleans, LA, "Endocrine head and neck surgery," Academic, Local. (March 18, 2010).

KANDIL, E., 2nd Annual Symposium on Thyroid and Parathyroid Diseases, Tulane University School of Medicine, New Orleans, LA, "Current surgical management of primary hyperparathyroidism." (March 6, 2010).

KANDIL, E., 2nd Annual Symposium on Thyroid and Parathyroid Diseases, Tulane University School of Medicine, New Orleans, LA, "Technical Advice on Transaxillary Robotic Thyroid Surgery." (March 6, 2010).

KANDIL, E., 2nd Annual Symposium on Thyroid and Parathyroid Diseases, Tulane University School of Medicine, New Orleans, LA, "Ultrasound of Neck." (March 6, 2010).

KANDIL, E., Pan American Oncology Symposium, M.D. Anderson Hospital, Houston, TX, "Nerve Monitoring during Transaxillary Robotic Thyroid Surgery." (February 25, 2010).

KANDIL, E., Oncology Grand Rounds, Tulane University School of Medicine, New Orleans, LA, "Current management of thyroid cancer." (February 12, 2010).

KANDIL, E., ARON Meeting, Association of Perioperative Registered Nurses (ARON) of New Orleans, New Orleans, LA, "Thyroid and parathyroid surgery: From Dr. Kocher to the Robot," Invited. (January 27, 2010).

KANDIL, E., LACS/SAL Joint Annual Meeting, Louisiana Chapter of American College of Surgeons/Surgical Association of Louisiana, New Orleans, LA, "Does parathyroidectomy for tertiary hyperparathyroidism in kidney transplant recipients deteriorate renal graft survival?," State. (January 18, 2010).

KANDIL, E., LACS/SAL Joint Annual Meeting, Louisiana Chapter of American College of Surgeons/Surgical Association of Louisiana, New Orleans, LA, "Does a preoperative PTH level predict the likelihood of multiglandular disease in primary hyperparathyroidism?," State. (January 17, 2010).KANDIL, E., LACS/SAL Joint Annual Meeting, Louisiana Chapter of American College of Surgeons/Surgical Association of Louisiana, New Orleans, LA, "Is the intraoperative parathyroid hormone assay in patients with primary hyperparathyroidism and double adenoma important?," State. (January 17, 2010).

KANDIL, E., Surgery Grand Rounds, Tulane University School of Medicine, New Orleans, LA, "Thyroid and Parathyroid Surgery: Who moved my cheese?." (January 13, 2010).

DR. MARY KILLACKEY Abdominal Transplant Surgery

Publication

KILLACKEY, M., ZHANG, R., SPARKS, R., PARAMESH, A. S., SLAKEY, D. P., FLORMAN, S. S. (2010). Challenges of Abdominal Organ Transplant in Obesity. South Medical Journal, June(103), 532-40. (June 2010)

DR. JENNIFER MCGEE , Abdominal Transplant Surgery

Publications

MCSWAIN, N. E. (2010). Diaster response. Natural disaster: Katrina.. Surgery Today. (March 2010)

DUCHESNE, J. C., Howell, M. P., Eriksen, C., Wahl, G. M., Rennie, K. V., Hastings, P. E., MCSWAIN, N. E., Malbrain, M. L. (2010). Linea alba fasciotomy: a novel alternative in trauma patients with secondary abdominal compartment syndrome.. The American Surgeon, 76(3), 312-6. (March 2010)

Wahl, G. M., Islam, T., Gardner, B., Marr, A. B., Hunt, J. P., MCSWAIN, N. E., Baker, C. C., DUCHESNE, J. C. (2010). Red light cameras: do they change drive behavior and reduce accidents?. The Journal of Trauma, 68(3), 515-8. (March 2010)

MCSWAIN, N. E. (2010). The White Coat, the Symbol of a Physician.. Journal of the Louisiana State Medical Society, 162, 52-6. (January (1st Quarter/Winter) 2010)


Dr. McGee continued

Presentations

MCSWAIN, N. E. (Presenter Only), Surgery Grand Rounds, Tulane University School of Medicine, New Orleans, LA, "Surgical Diagnosis and Management of Abdominal Trauma.," Academic, Local, Invited. (April 14, 2010).

MCSWAIN, N. E. (Presenter Only), Trauma, Critical Care, Acute Care Surgery 2010, Las Vegas, NV, "Common Missed Injuries.," Non-Academic, National, Invited. (March 23, 2010).

MCSWAIN, N. E. (Presenter Only), Medical Disaster Response, Las Vegas, NV, "Who Goes? Who Dies? Tough Decisions in New Orleans.," Non-Academic, National, Invited. (March 21, 2010).

MCSWAIN, N. E. (Presenter Only), Surgery Grand Rounds, Tulane University School of Medicine, New Orleans, LA, "Kinematics.," Academic, Local, Invited. (February 24, 2010).

MCSWAIN, N. E. (Presenter Only), 5th Symposium of Extremity War Injury and Disaster Preparedness, Washington, DC, "Katrina: View From the Ground.," Non-Academic, National, Invited. (January 29, 2010).

MCSWAIN, N. E. (Presenter Only), Combat Pre-Hospital Fluid Resuscitation: Defining State of the Art, Institute of Surgical Research, U. S. Army Conference, Dallas, TX, "Potential Utility of Prothrombin Complex Concentrates (PCC) for the Therapy of Trauma Coagulopathy.," Non-Academic, National, Invited. (January 9, 2010).

DR. PETER MEADE, Trauma Critical Care & General Surgery

PublicationMEADE, P. (2010). A Surgeon's Report from Haiti--One Week After the Earthquake. American College of Surgeons, On-Line. (January (1st Quarter/Winter) 21, 2010)

DR. ANIL PARAMESH, Abdominal Transplant Surgery

PublicationKILLACKEY, M., ZHANG, R., SPARKS, R., PARAMESH, A. S., SLAKEY, D. P., FLORMAN, S. S. (2010). Challenges of Abdominal Organ Transplant in Obesity. South Medical Journal, June(103), 532-40. (June 2010)

DR. DOUGLAS P. SLAKEY, Abdominal Transplant Surgery

Publications

KILLACKEY, M., ZHANG, R., SPARKS, R., PARAMESH, A. S., SLAKEY, D. P., FLORMAN, S. S. (2010). Challenges of Abdominal Organ Transplant in Obesity. South Medical Journal, June(103), 532-40. (June 2010)

Slakey, L., Slakey, C., SLAKEY, D. P. (2010). Deceased Donor Management and Demographic Factors Related to Kidney Allograft Rejection and Graft Survival. Transplant Procedures, 42(5), 1513-1518. (June 2010)

MCGEE, J., Magnus, J., Islam, T., JAFFE, B., ZHANG, R., FLORMAN, S. S., HAMM, L. L., Mruthiniti, N., Sullivan, K., SLAKEY, D. P. (2010). Donor-recipient gender and size mismatch affects graft success after kidney transplantation. Journal American College of Surgeons, 210(5), 718-725., el, 725-6. (May 2010)

KANDIL, E., FLORMAN, S. S., Alabbas, H., Abdullah, O., MCGEE, J., Noureldine, S., SLAKEY, D. P., ZHANG, R. (2010). Exploring the effect of parathyroidectomy for tertiary hyperparathyroidism after kidney transplantation. Am J Med Sci. (March 15, 2010)

Presentations

SLAKEY, D. P., 9th World Congress of the International Hepato-Pancreato-Biliary Assoc, Buenos Aires, "Complications and Morbidity of Liver Resection are Lower in the Laparoscopic Cases Compared to Matched Open Cases for Segmental Resections." (April 2010).

SLAKEY, D. P., 9th World Congress of the International Hepato-Pancreato-Biliary Assoc, Buenos Aires, "Use of Vessel Sealing Technology in the Pancreaticoduodenectomy." (April 2010).

SLAKEY, D. P., 2010 Advanced Hyperbaric Symposium, Columbia, SC, "Hyperbaric Medicine and Transplantation," National, Invited. (April 22, 2010).

SLAKEY, D. P., American Association of (Perioperative) Clinical Directors, Tucson, AZ, "There Has to be a Better Way: Physician OR Manager Perspectives," National, Invited. (March 7, 2010).


RONALD STEIN, Nurse Practitioner, Abdominal Transplant Surgery

Presentation

STEIN, R. A., National League for Nursing Education Summit, Baltimore, Maryland, "Cultural Sensitization of Nursing Students to Inner City Client's Economic Constraints."

DR. THOMAS YEH, Pediatric Cardiothoracic SurgeryPublications

YEH, T., Hickey, E. J., Jacobs, J. P., Caldarone, C. A., Tchervenkov, C. I., McCrindle, B. W., Lacour-Gayet, F., Pizarro, C. (2010). Ross and Yasui operations for complex biventricular repair in infants with critical left ventricular outflow tract obstruction. European Journal of Cardiothoracic Surgery, 37, 279-278. (2010)

YEH, T., Jegatheeswaran, A., McCrindle, B. W., Blackstone, E. H., Jacobs, M. L., Lofland, G. K., Austin, E. H., Morell, V., Jacobs, J. P., Jonas, R. A., Cai, S., Rajeswaran, J., Ricci, M., Williams, W. G., Caldarone, C. A., DeCampli, W. M. (2010). Persistent Risk of Sbusequent Procedures and Mortality in Patients after Interrupted Aortic Arch Repair: A CHSS Study American Association for Thoracic Surgery. (May 3, 2010)


Tulane Department of Surgery

1430 Tulane Avenue/SL 22

New Orleans, LA 70112

504-988-5128 or 2317

504-988-1874 [email protected] To make an appointment with one of our surgeons call 504-988-3589.

If your call is regarding plastic surgery call 504-988-4167.

The Cutting Edge

To learn more about the Tulane Department of Surgery, please visit http://tulane.edu/som/departments/surgery/

For inquiries contact Monique LeCompteOffice: (504) 988-5128

Email: [email protected]

http://tulane.edu/som/departments/surgery/

http://tulane.edu/som/departments/surgery/



website: the cutting edge - tulane university · 2017-08-11 · the cutting edge fall 2010...

Documents