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2013 Meeting Schedule


NESCRS
2013 ANNUAL SPRING MEETING
Woodstock, Vermont

NESCRS

76th Annual Meeting
Saturday, June 2-3, 2013

 

SATURDAY, June 1, 2013

6:30AM

Vendors set up—Woodstock C

7:00AM

Breakfast -Garden Terrace

7:45

Introduction—Woodstock AB

8:00-8:15

Is Patient Diagnosis a Risk Factor for Organ Space Infection after Colorectal Resections?

Learning Objectives: 1) o understand the prevalence of organ space infections following colorectal resections 2) To identify diagnoses, which are associated with increased organ space infections following colorectal resections.

Calga Eskicioglu, Scott Pinchot, Patricia Roberts, Peter Marcello, Jason Hall, David Schoetz, Rocco Ricciardi
Lahey Clinic, 41 Mall Rd, Burlington, MA 01803

8:15:-8:30

Laparoscopic “Incisionless” Completion Proctectomy after Open Total Abdominal Colectomy with Mid-rectal Hartmann’s Stump for IBD

Learning Objectives: 1) Describe two cases of laparoscopic “incisionless” completion proctectomy for IBD-related refractory proctitis using novel operative techniques and 2) report outcomes of hospital admission length, specimen length, and complications.

Michael Hill, Stefan Holubar
Dartmouth-Hitchcock Medical Center, Lebanon, NH

8:30-8:45

Responsible CT Scanning in Crohn’s Disease

Learning Objectives: 1) o determine the factors that lead to low-yield CT scans in Crohn’s disease. 2) To analyze a subset of Crohn’s patients, those who attend pain clinic, relative to all Crohn’s patients.

Nicole Saur, Maria Traa, Basem Almussallam, Bruce Orkin, Daniel Popowich
Tufts Medical Center, Boston, MA

8:45-9:00

Pre-Operative Hospitalization Increases the Risk for Venous Thromboembolism in Colorectal Surgery Patients: A NSQIP Database Study

Learning Objectives: 1) We assessed pre-operative hospital lengths of stay as a risk factor for VTE. 2) Examine the relationship between other major predictors of venous thromboembolism such as steroid use and unplanned intubation.

Spencer Greaves, Stefan Holubar
Dartmouth-Hitchcock Medical Center, Lebanon, NH

9:00-9:15

Portomesenteric Venous Thrombosis & Inflammatory Bowel Disease: Does Surgical Approach Matter?

Learning Objectives: 1) Understand the association between laparoscopy and the development of portomesenteric venous thrombosis. 2) Identify the contributing factors to developing portomesenteric venous thrombosis

Melissa Murphy1, Jennifer Irani1, Paul Shellito2
1Brigham & Women’s Hospital, Boston, MA
2Mass General Hospital, Boston, MA

9:15-9:30

Establishment of a novel standardized electronic framework for interdisciplinary management and monitoring of patient care pathways in Crohn’s disease.

Learning Objectives: 1) To demonstrate the design of a robust electronic registry system for documentation of interdisciplinary Crohn’s patient care pathways that could be used for the purposes of research and real-time clinical care. 2) o facilitate through discussion further development of this registry as a common dataset allowing data sharing with an inter-departmental and inter-institutional scope.

Maria Traa,
Tuft’s Medical Center, Boston, MA

9:30-10:00

Break

10:00-10:15

High Cost and Low Yield: Routine Preoperative Restaging CT in Locally Advanced Rectal Cancer

Learning Objectives: 1) Understand the role CTscans play in the evaluation of rectal cancer. 2) review the cost effectiveness of preoperative imaging studies in rectal cancer

Jennifer Davids, KarimAlavi, Jose Andres Cervera-Servin,Christine Choi, Paul
Sturrock, W. Brian Sweeney, Justin Maykel
UMass Memorial Hospital
Worcester, MA

10:15-10:30

Superficial Fistula Following Anal Sphincterotomy

Learning Objectives: 1) To determine the incidence of superficial fistulas following anal sphincterotomies. 2) To determine whether an abscess formation following an anal sphicterotomy increases the incidence of superficial fistula formation.

Nikki Goulet, Caroline Jadlowiec, Kate McHugh, Jeffrey Cohen, Kristina Johnson,
William Sardella, Paul Vignati, Christine Bartus
Connecticut Surgical Group, IC,West Hartford, CT

10:30-10:45

What is the effect of stoma construction on surgical site infection after colorectal surgery?

Learning Objectives: 1) To understand the impact of stoma construction on wound complications/SSI after an index colorectal procedure. 2) o elucidate the role of laparoscopy in reducing SSI in colorectal surgery.

Scott Pinchot, Cagla Eskicioglu, Patricia Roberts, Peter Marcello, Tom Read,
Jason Hall, Lawrence Rusin, David Schoetz, Rocco Ricciardi
Lahey Clinic, Burlington, MA

10:45-11:00

Laparoscopic Colectomy is an Underutilized Procedure for the Elective Management of Colovesical Fistulas.

Learning Objectives: 1) Describe current status of laparoscopic resection in the treatment of colovesical fistulas. 2) Describe factors associated with the use of laparoscopy for treatment of colovesical fistulas.

Haisar Dao2, Peter Miller1,Satyadeep Bhattacharya2, Adam Klipfel2, Matt Vrees2
Steven Schechter2
1St. Elizabeth’s Hospital, Boston, MA
2 Warren Albert Medical School, Brown University, Providence, RI
2Rhode Island Colorectal Clinic, LLC, Pawtucket, RI

11:00-11:15

Increased Conversion to Open in Early Use of Robotic Colectomy vs Laparoscopic Colectomy

Learning Objectives: 1) To characterize the current use of robotic colectomy based on the National Inpatient Sample. 2) To describe the current conversion rate of robotic colectomy to an open procedure.

Romie Mundy, Justin Lee, Ziad Kutayli
Baystate Medical Center,Springfield, MA

11:15-11:30

The Evolution of Technique in Performance of Minimally Invasive Colectomies

Learning Objectives: 1) Document the surgical trends of hand-assisted laparoscopic surgery (HALS) and Laparoscopic-assisted colectomy (LAC) within a mature colorectal practice. 2) Identify which patients and disease characteristics lend themselves to HALS.

Caroline Jadlowiec1, Elizabeth Mannion4, Kate McHugh1,3, Christine Bartus1,3,
Kristina Johnson1,2, William Sardella1,2, Paul Vignati1,2, Jeffrey Cohen1,2
1Hartford Hospital, Hartford, CT
2 Univ of CT Integrated General Surger Residency Prgm, Farmington, CT
3 The Hospital of Central Connecticut, New Britian, CT
4 Univ of CT School of Medicine, Farmington, CT

11:30-11:45

Variation in use & Outcomes of Ureteral Stent Placement with Elective Colorectal Surgery

Learning Objectives: 1) Identify nationwide trends in use of ureteral stents during colorectal surgery 2) Identify outcomes associated with stent use and map trends in ureteral injury and urinary complication rates

Allyson Stone, Stefan Holubar, John Seigne, Samuel Finlayson
Dartmouth-Hitchcock Medical Center, Lebanon, NH

11:45-12:00

Intussusception of the Appendix Secondary to Endometriosis: A Case Report

Learning Objectives: 1) Discuss the diagnosis of endometriosis of the appendix. 2) Understand the mechanism of appendicle intussusception

Kirstyn Brownson1, Peter Prieto1, Scott Thornton2

YNHH, Yale Univ School of Med, New Haven, CT
Park Avenue Surgical Associates, Fairfield, CT

12:00-12:15PM

Does Entereg Shorten Length of Stay in Patients Undergoing Laparoscopic Colectomy?

Learning Objectives: 1) To determine if entereg reduces hospital length of stay following laparoscopic colon resection. 2) To determine if entereg accelerates gastrointestinal recovery after laparoscopic colon

Dan Mullins, Kristina Johnson, Kristy Thurston, Ilene Staff
CT Surgical Group PC, Hartford, CT

12:15PM

Meeting Adjourns—Lunch on your own

12:30PM

Mock Orals—Wilder Board Room

6:30-7:30

Cocktail Reception –Front Garden; rain location: Wicker Lounge

7:30-10:00

inner—Rockefeller Room
After Dinner- Podium Awards announced: 1st, 2nd and 3rd prizes

Sunday, June 2, 2013

7:00-8:00

Breakfast

8:00-8:10

Gram Negative Sepsis After Rubber Band Ligation of an Internal Hemorrhoid: A Rare Complication of a Common Procedure

Learning Objectives: 1) Describe rubber band ligation of internal hemorrhoids 2) Understand sepsis as a complication of rubber band ligation.

John Aversa,
Ciardiello, Bonadies & Aversa Surg Group, Hamden, CT

8:10-8:20

Cross sectional study of routine anoscopy assisted anal Pap smears (A-PAP) vs. traditional anal Pap smears (T-PAP) in HIV-infected individuals: Comparison of sample adequacy.

Learning Objectives: 1) To discuss the role of Anal Pap Smear in identifying individuals who should have further workup for Anal Intraepithelia Neoplasia. 2)To discuss the appropriate procedure for obtaining Anal Pap Smear with comparison of the use of the anoscope vs. brush/swab only.

Kelly Tyler, MD1,
Dir of C&R Surg, Durane Walker2, Sally Spencer-Long2,
Daniel Skiest1
1Tufts Univ School of Med, Baystate Med Ctr, Springfield, MA
2 High Street Health Center, Springfield, MA

8:20-8:30

Laparoscopic peritoneal lavage (LP) vs Hartmann’s procedure (HP) for non feculent perforated diverticulitis with equivalent Hinchey class: Improved outcomes with laparoscopy.

Learning Objectives: 1) Understand the management of perforated diverticulitis. 2)Describe laparoscoic approach to diverticular disease.

Romie Munday, James Kiely,
Baystate Medical Center,Springfield, MA

8:30-8:40

Anal Neoplasia—What Do We Know and What do We Need to Learn

Learning Objectives: 1) To describe the current knowledge base for anal neoplasia. 2)To describe what is unknown about anal neoplasia.

Amanda Ayers,
Colorectal Surgeons of Greater Hartford, Hartford, CT

8:40-8:50

Pilonidal Surgery

Learning Objectives: 1) To understand the diagnostic methods of pilonidal disease. 2)To understand the concept of Pilonidal Z-plasty.

David Becker,
Beverly Surgical Associates
Beverly, MA

8:50-9:00

Medical Management of Pilonidal disease

Learning Objectives: 1) Understand the etiology of pilonidal disease. 2)Describe proper medical management of pilonidal disease.

Ziad Kutayli,
Baystate Medical Center,Springfield, MA

9:00-9:10

Break

9:15-10:15

Evolving Strategies in the Management of Diverticular Disease

Learning Objectives: 1)List current areas of controversy in the management of diverticular disease. 2)Define differentiating clinical characteristics of diverticular disease presentation including acute, complicated, chronic and uncomplicated recurring diverticulitis. 3)Discuss the concept, rationale and current controversies regarding laparoscopic wash-out for perforated diverticular disease. 4)Identify indications for operation on recurring intermittent acute uncomplicated diverticulitis. 5)Describe appropriate follow-up after percutaneous drainage of a diverticular abscess.

Dr. Alan Thorson,
Clinical Professor of Surgery
Current President of the ASCRS
Creighton University School of Medicine
Omaha, NE

10:30

Business Meeting

11:30

Meeting Adjourns

List of officers
Dr. Alan Hackford—President
Dr. Paul Shellito—Vice President
Dr. Steven Schechter—Secretary/Treasurer
Dr. Gino Trevisani—Program Director
Dr. Sam Banerjee—Member at Large
Dr. Jason Hall—Member at Large

We would like to thank our Exhibitors

Cadence Pharmaceuticals
Covidien
Cubist Pharmaceuticals
Ethicon Endosurgery Johnson & Johnson
Sanofi Biosurgery(Genzyme)
Pacira
Salix Pharmaceuticals

This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of The University of Vermont and New England Society of Colon & Rectal Surgery. The University of Vermont is accredited by the ACCME to provide continuing medical education for physicians.

The University of Vermont designates this live activity for a maximum of ____ AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.