THURSDAY, MAY 7,1998

1:00 pm  WELCOME: Gordon L. Gutmann, MD, FACS

Session I

   Moderator: Gordon L.Gutmann MD, FACS

1:15 - 1:30        The Utility and Cost-Effectiveness of Touch Preparation Cytology in Breast Conservation Surgery A. Ladd MD, H. Cramer, MD, R. Goulet Jr., MD, FACS

1:30 - 1:45   Patch Enteroplasty Utilizing Small Intestinal Submucosa in a Murine Model E. Jensen, MD, A. Ladd, MD, B. Kogon, MD, S. Engum, MD,J. Grosfeld, MD, FACS

1:45 - 2:00 Mesocaval Shunt Inhibits Primary and Metastatic Hepatoma Growth and Enhances Apoptosis M. Kabeer, MD, Q. Liu MD, M. Callahan, A. Orazi MD, M. Pescovitz, MD, FACS, J. Grosfeld, MD, FACS

2:00 - 2:15 Increased Hindlimb Leukocyte Concentration in a Chronic Rodent Model  of Venous Hypertension
   T. Hahn, MD, S. Lalka, MD, FACS, J. Unthank, Ph.D.

2:15 - 2:30 EMS Vs.  Non-EMS Transport of Trauma Patients: Is There a Difference?  M.  Kabeer, MD, G. Gomez, MD, FACS, L. Jacobson, MD, FACS, T. Broadie, MD, FACS, L. Scherer, MD, FACS
R. Morton Bolman Award (Trauma Surgery)

2:30 - 2:45 Can the Synergy of a Hospital Merger Benefit Injured Children?  T. Rouse, MD, FACS, S. Engum, MD, L. Scherer, MD, FACS, G. Rodman, MD, FACS

2:45 - 3:00 Percutaneous Tracheostomy: Who, Where, When and How? G. Gomez, MD, FACS
 

3:00 - 3:30 BREAK
 

3:30 - 4:00 American College of Surgeons Distinguished Lecturer  John Lynch, Director, Organization Department, Americian College of Surgeons
Update on American College of Surgeons Activities

4:00 - 4:15 Minimally Invasive Pectus Excavatum Repair  S. Engum, MD, F. Rescorla, MD, FACS, K. West, MD, FACS,  J. Grosfeld, MD, FACS

4:15 - 4:30 Evaluation of Small Intestinal Submucosa and Acellular Dermis as Diaphragmatic Prostheses
L. Dalla Vecchia, MD, E. Jensen, MD, B. Kogon, MD, S.Engum, MD, J. Grosfeld, MD, FACS

4:30 - 5:00 Evolution of Gastric Bypass at Clark Memorial Hospital, Jeffersonville, Indiana, 1979 - 1994  J. Torres, MD, FACS

5:00         ADJOURN

Session II

Moderators: Lewis E. Jacobson, MD, FACS, Eric A. Wiebke, MD, FACS

8:00 - 10:00  DOCUMENTATION AND CODING UPDATE
Barbara Walker, Indiana State Medical Association
 

  - HCFA Documentation Guidelines for E&M Codes

  - Proper Documentation of Consultations

 - Global Surgery Package & Post-op Period

 - Modifiers - The Key to Payment

 - 1998 CPT Coding Changes

 - Critical Care Requirements

 - New vs. Established Patients

 - Medicare C (Choice)
 

10:30 - 11:00 Vietnam - A Generation Ago Gordon Gutmann, MD, FACS

11:00 - 12:00 THE SHUMACKER ORATION Hiram C. Polk Jr, MD, FACS, Louisville, Kentucky
Selective Management of the Melanoma Epidemic

12:00 - 1:30 ANNUAL BUSINESS LUNCHEON

Donor Cardiac Troponin T: A Marker to Predict Heart Transplant Rejection
V. Scavo, MD, P. Vijayaraghavan, Ph.D., R. Morelock, MD, T. Sharp, MD, FACS

Carcinoid Tumors of the Gastrointestinal Tract
R. Melbert, MD

A Comparison of Everted External Jugular Vein Patch Angioplasty to Primary Repair for
Carotid Endartectomy
V. Murthy, MD, C. Hyre, MD, M. Dalsing, MD, FACS

Valved Bovine Jugular Venous Conduits for Right Ventricular to Pulmonary Artery Reconstruction
V. Scavo, MD, M. Turrentine, MD, FACS, T. Aufiero, MD, FACS, T. Sharp, MD, FACS, J. Brown, MD, FACS

NF-kB Activation and IL-6 Production in Fibroblasts by Estrogen Receptor-Negative Breast Cancer Cell Derived IL-1a
T. Newton, MD, P. Bhat-Nakshatri, R. Goulet, MD, FACS, H. Nakshatri, Ph.D.

Adrenomedullin in the Regulation of Hypertension After Cardiopulmonary Bypass
V. Scavo, MD, P. Vijayaraghavan, Ph.D., L. Szekely, MD, R. Morelock, MD, T. Sharp, MD, FACS, T. Aufiero, MD, FACS

Session III

Moderator: Robert E. Pennington, MD, FACS

8:00 - 8:15 Laparoscopic Adrenalectomy: The St. Vincent Experience S. Lucas, MD, M. Arregui, MD, FACS

8:15 - 8:30 Splenic Cysts (Surgery or Observation)  I. Seekri, MD, FACS

8:30 - 8:45 Diagnostic Dilemmas in Acute Ascending Aortic Dissection D. Hormuth, MD, FACS, C. Evanson, MD, J. Pittman, NM, FACS, J. Fehrenbacher, MD, FACS, H. Siderys, MD, FACS, H. Halbrook, MD, FACS, D. Beckman, MD, FACS, T. Wozniak, MD

8:45 -  9:00 Monocusp Valve and Transannular Patch Reconstruction of the Right Ventricular Outflow Tract: An Experimental Study  V. Scavo, MD, M. Turrentine, MD, FACS, T. Aufiero, MD, FACS, A. Miller, BS, K. Sun,MD, G. Carlos, MD, R. Binford, MD, J. Brown, MD, FACS

9:00 - 9:15 Pancreaticocutancous Fistulas: Strategies for Contemporary Management  T Howard, MD, FACS, C. Stonerock, G. Lehman, MD, S. Sherman, MD, E. Wiebke, MD, FACS, J. Madura, MD, FACS, T. Broadie, MD, FACS

9:15 - 9:30 Biliary Diversion for Bile Reflux Gastritis  J. Madura, MD, FACS

9:30 - The Use of ¹¹¹Indium Octreotide in the Diagnosis & Management of Gastrinomas G. Carlos, MD, H. Park, MD, J. Madura, MD, FACS
Willis D. Gatch Award (General Surgery)

9:45 - 10:00 Early Diagnosis of Blunt Intestinal Injury: Do Diagnostic Tests Augment Clinical Judgment?  G. Rodman, MD, FACS, L. Micon,MD, FACS, L Jacobson, MD, FACS, G. Gomez, MD, FACS
 

10:00 - 10:30 BREAK
 

10:30 - 10:45 A Current Summary of Refractive Surgery R. Stewart, MD, FACS

10:45 - 11:00 Catheter Infection Rates Following Multiple Guidewire Exchanges of Central Venous Catheters  C. Hyre, MD, L. Jacobson, MD, FACS, G. Gomez, MD, FACS, D. Canal, MD, FACS, 0. Viegas, MD
Leonard Ensminger Award (Trauma Surgery)

11:00 - 11:15 The Increasing Role of Nonoperative Management of Blunt Spleen Trauma D. Lee,MD, G. Rodman, MD, FACS

11:15 - 11:30 Humoral Immunity After Splenorenal Artery Bypass H. Burkhart, MD, M. Wilcox, MD, A. Sawchuk, MD, FACS
Carl H. McCaskey Award (Subspecialty Surgery)

11:30 - 11:45 Hemodynamic Changes During Dialysis in the Arms and Digits of Patients with PTFE Arteriovenous Grafts S. Eliades, MD, J. Eliades, MD, FACS

11:45 - 12:00 Daclizumab Rapidly Saturates the Interleukin-2 Receptor-a (CD25) on Lymph Node Lymphocytes in Children A. Savo, MD, B. Book, MS, S. Henson LPN, J. Hakimi, Ph.D., M. Pescovitz, MD, FACS

12:00pm        ADJOURN