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2014 Program and Abstracts
Final Program | Posters

All Full Oral Presentations will be 8 Minute Presentations; 5 Minute Discussion
All Brief Report Presentations will be 3 Minute Presentations; 2 Minute Discussion

Friday, September 12, 2014
9:00 am - 5:00 pm Registration
Tamarack Ballroom Foyer
9:00 am - 5:00 pm Speaker Ready Room
Tamarack Ballroom Foyer
9:00 am - 5:00 pm Poster Set-Up Available
Spruce Camp
12:00 pm - 3:30 pm Exhibit Hall Hours
Spruce Camp
1:00 pm - 1:15 pm Pre-Centennial Historical Lecture
Ashley W. Oughterson - Surgeon, Soldier, Leader

John W. Kunstman, MD & Walter E. Longo, MD
Yale University, New Haven, CT
1:15 pm - 3:15 pm Scientific Session I
Tamarack Ballroom
Moderator: Frederick R. Radke, MD
1. What Is the Appropriate Follow-up of Benign Thyroid Nodules
Peter J. Mazzaglia, *Sarah Rapoport, *Saad Ajmal
Rhode Island Hospital, Providence, RI
2. Remedial Parathyroid Localization: Utility of Real-time Selective Venous Sampling
*Amir H. Lebastchi, *John E. Aruny, *Patricia I. Donovan, *Courtney E. Quinn, *Glenda G. Callender, *Tobias Carling, Robert Udelsman
Yale University, New Haven, CT
3. The Impact of Medical Co-morbidities Upon Surgical Outcomes. An Analysis of the Rhode Island Hospital NSQIP Database
*Larissa C Chiulli, *Andrew H. Stephen, *Daithi S. Heffernan, Thomas J. Miner
Rhode Island Hospital, Providence, RI
4. Vascularized Flaps for Perineal Wound Reconstruction after Abdominal Perineal Resection for Rectal Cancer: A NSQIP Study
*Stefan D. Holubar, *Alex Nourishad, *Gary L. Freed
Dartmouth-Hitchcock Medical Center, Lebanon, NH
+5. Peri-operative Bundle Reduces Post-operative Hepatic Surgery Infections
*Maureen V. Hill, *Stefan David Holubar, *Catherine I. Garfield Legare, *Christopher M. Luurtsema, Richard J. Barth, Jr.
Dartmouth Hitchcock Medical Center, Lebanon, NH
6. Preoperative Identification of Main Duct IPMN: A Clinicopathologic Correlate
*Lindsay Hollander1,2,3, *Kisha Mitchell1, *Harry Aslanian1, *James Farrell1, *Joanna Gibson1, *Suzan Abu-Abed1, Charles Cha1, Ronald Salem1
1Yale University School of Medicine, New Haven, CT; 2University of Connecticut School of Medicine, Farmington, CT; 3VA Connecticut Healthcare System, West Haven, CT
Brief 1. Variations in Metastasis Site by Primary Location in Colon Cancer
*Ramzi Amri, Liliana G. Bordeianou, *Patricia Sylla, David L. Berger
Massachusetts General Hospital, Harvard Medical School, Boston, MA
Brief 2. Long-Term Survival Following Transfusion-Free Heart Transplantation in Jehovah's Witnesses
*Andrew C W Baldwin1,2, *Mehmet H. Akay3, *Rajko Radovancevic3, *J. Michael Duncan2, *Whitson B. Etheridge2, *Denton A. Cooley2, *O H Frazier2
1Yale School of Medicine, New Haven, CT; 2Texas Heart Institute, Houston, TX; 3Memorial Hermann Heart and Vascular Institute, Houston, TX
Brief 3. Long-Term Results in Recipients of Combined HLA mismatched Kidney and Bone Marrow Transplantation Without Maintenance Immunosuppression
Tatsuo Kawai, *David H. Sachs
Massachusetts General Hospital, Boston, MA
Brief 4. Non-Technical Skills, Rather than Technical Skills, Predict the Severity of Surgical Complications
*Alexandra Briggs, *Steven J. Yule, Edward Whang, *Wei Jiang, Michael J. Zinner, Douglas S. Smink
Brigham and Women's Hospital, Boston, MA
Brief 5. Pellino-1 Gene Therapy Promotes Angiogenesis, Cell Survivability and Improves Myocardial Function Following Infarction by Activating PI-3kinase and MAPkinase 2 Signaling
*Vladimir Coca-Soliz1,2, *Leonidas Tapias1, *Vaithinathan Selvaraju2, *Mahesh Thirunavukkarasu2, David W McFadden2, J. Alexander Palesty1, *Nilanjana Maulik3
1Saint Mary's Hospital, Waterbury, CT;2University of Connecticut Health Center, Farmington, CT;3Saint Mary's Hospital, University of Connecticut Health Center, CT
Brief 6. Effect of Pre-Admission Beta-Blocker Use on Outcomes in a National Sample of Elderly Americans Undergoing Emergency Abdominal Surgery
*Courtney Collins, *Julie M. Flahive, *Fred A. Anderson, Jr., *Heena P. Santry
University of Massachusetts, Worcester, MA
Brief 7. Proposal and Critical Appraisal of Exclusion Criteria to the International Study Group for Pancreatic Surgery (ISGPS) Definition of Delayed Gastric Emptying
*James M. Healy, *John W. Kunstman, Ronald R. Salem
Yale, New Haven, CT
3:15 pm - 3:45 pm Coffee Break, Visit Exhibits & Posters
Spruce Camp
3:45 pm - 5:15 pm Scientific Session II
Tamarack Ballroom
Moderator: Gregory R. Gadowski, MD
+7. Thrombocytosis as an Early Predictor of Complications Following Pancreatic Resection
*Andrew M. Blakely, Jason T. Machan, Steven Reinert, William G. Cioffi, Kevin P. Charpentier
Rhode Island Hospital/Brown University, Providence, RI
+8. The Liver Transplant Timeline: A Comparison of Patients With and Without Hepatocellular Carcinoma From Listing to Post-Transplant Care
*Madhukar S. Patel, *Rachel Kohn, *Johannes R. Kratz, James F. Markmann, *Parsia A Vagefi
Massachusetts General Hospital/Harvard Medical School, Boston, MA
9. Market Competition and Density in Liver Transplantation: Relationship to Volume and Outcome
*Joel T. Adler1, Heidi Yeh1, James F. Markmann1, *Louis L. Nguyen2
1Massachusetts General Hospital, Boston, MA; 2Brigham and Women's Hopsital, Boston, MA
+10. Endovascular (EVAR) versus Open Surgical Repair (OSR): A Seven Year Retrospective Review of Ruptured Abdominal Aortic Aneurysm (rAAA) Repair in a Community Hospital Setting
*Muhammad T. Rishi, J. Alexander Palesty
Saint Marys Hospital, Waterbury, CT
11. Preoperative High Resolution Ultrasound for Assessment of Malignant Central Compartment Lymph Nodes In Papillary Thyroid Cancer
*Kristopher Day, *Mamoona Khokhar, *Rohit Sangal, *Nigar Ahmedli, *Latha Pisharodi, Jack Monchik
Brown University, Providence, RI
12. Use of White Blood Cell Count and Left Shift to Improve the Predictive Value of Ultrasound for Suspected Appendicitis in Children.
*Seema Anandalwar, *Michael Callahan, *Richard Bachur, *Christina Feng, *Feroze Sidhwa, *George Taylor, *Shawn Rangel
Boston Children's Hospital, Boston, MA
13. Radial Margin Positivity as a Poor Prognostic Factor for Colon Cancer
*Ramzi Amri, Liliana G. Bordeianou, *Patricia Sylla, David L. Berger
Massachusetts General Hospital, Harvard Medical School, Boston, MA
5:15 pm - 6:00 pm State Caucus Meetings
CT Plaza
MA Tamarack Ballroom
ME Alder
NH Mountain Birch
RI Oak
VT Sugar Maple
6:00 pm - 7:00 pm Welcome Reception
Spruce Camp
Saturday, September 13, 2014
7:00 am - 12:00 pm Registration
Tamarack Ballroom Foyer
7:00 am - 12:00 pm Speaker Ready Room
Tamarack Ballroom Foyer
7:00 am - 10:35 am Exhibit Hall Hours
Spruce Camp
7:00 am - 7:45 am Specialty Group Breakfasts
Topic 1: International Surgery
Bruce J. Leavitt, MD & Michael R. Curci, MD
Alder
Topic 2: Emerging Trends in Management of Complicated Diverticulitis
Moderator: Neil Hyman, MD
Faculty: Jesse Moore, MD; Stefan D. Holubar, MD; Paul C. Shellito, MD

Sugar Maple
Topic 3: Notes on NOTES: Future or Folly?
John Romanelli, MD
Mountain Birch
7:00 am - 8:00 am Continental Breakfast
Spruce Camp
7:45 am - 8:40 am Scientific Session III
Tamarack Ballroom
Moderator: Thomas J. Miner, MD
14. Nontrauma Surgeons Can Safely Cover the Trauma Service at a Level One Trauma Center
*Nathan Louras, *John Fortune, Neil Hyman
University of Vermont, Burlington, VT
15. Admissions for Isolated Non-Operative Head Injuries: Sharing the Burden among Trauma Surgery, Neurosurgery, and Neurology
*Ting Zhao1, *Ali Y. Mejaddam1, *Yuchiao Chang1, *Alice Gervasini1, *Marc A. DeMoya1, *David R. King1, Hasan B. Alam2, George C. Velmahos1
1Massachusetts General Hospital, Boston, MA; 2Department of Surgery, University of Michigan Hospital, Ann Arbor, MI
16. Do Patient Safety Indicators Explain the Increased Mortality Associated with Weekend Admission?
Rocco Ricciardi1, *Jason Nelson2, Peter W. Marcello1, Patricia L. Roberts1, Thomas E. Read1, *Jason F. Hall1, *Todd D. Francone1, David J. Schoetz1
1Lahey Hospital & Medical Center, Burlington, MA; 2Tufts University, Boston, MA
Brief 8. Tolerance of Sustained Ventricular Fibrillation with Continuous-Flow Left Ventricular Assist Device Support
*Andrew C W Baldwin1,2, *Courtney J Gemmato3, *Steve K Singh2,3, *William E Cohn2,3, *Hari R Mallidi2,3, *O H Frazier2,3
1Yale School of Medicine, New Haven, CT; 2Texas Heart Institute, Houston, TX; 3Baylor College of Medicine, Houston, TX
Brief 9. Readmission After Colectomy: Predictors of a Costly and Common Outcome
*Lillias H. Maguire1, *Lindsay A. Bliss2, *Zeling Chau3, *Sing Chau Ng2, *Deborah A. Nagle2, *Andrew T. Chan1, Jennifer F. Tseng2
1Massachusetts General Hospital, Boston, MA;2Beth Israel Deaconess Medical Center, Boston, MA;3UMass Memorial Medical Center, Worcester, MA
Brief 10. Staged Implementation of an Enhanced Recovery Protocol for Patients Undergoing Bowel Resection: A Promising Approach to Improve Patient Outcomes
*Andrew Pellet, *Jesse Moore, *Peter Callas
University of Vermont/Fletcher Allen Health Care, Burlington, VT
8:40 am - 8:55 am Introduction of New Members
Tamarack Ballroom
8:55 am - 10:15 am Resident Autonomy and Readiness to Practice, Current Perspectives
Tamarack Ballroom
Moderator: James Whiting, MD
Faculty: Thomas H. Cogbill, MD
Douglas S. Smink, MD
Brian George, MD
10:15 am - 10:45 am Coffee Break with Poster Session, Visit Exhibits
Spruce Camp
10:45 am - 11:25 am Scientific Session IV
Moderator:
Dougald MacGillivray, MD
17. Paper of the Year Award
A Surgical Safety Checklist to Reduce Morbidity and Mortality in a Global Population

Alex B. Haynes, MD, MPH, Thomas G. Weiser, MD, MPH, William R. Berry, MD, MPH, Stuart R. Lipsitz, ScD, Abdel-Hadi S. Breizat, MD, PhD, E. Patchen Dellinger, MD, Teodoro Herbosa, MD, Sudhir Joseph, M.S., Pascience L. Kibatala, MD, Marie Carmela M. Lapitan, MD, Alan F. Merry, MB, ChB, FANZCA, FRCA, Krishna Moorthy, MD, FRCS, Richard K. Reznick, MD, MEd, Bryce Taylor, MD, and Atul A. Gawande, MD, MPH, for the Safe Surgery Saves Lives Study Group*
18. Clinical Science First Place Award - NESS Resident and Fellow Research Day
Sponsored by the NESS Scholars Foundation
Serious Congenital Heart Disease and Necrotizing Enterocolitis in Very Low Birth Weight Neonates: A Prospective Cohort Analysis

Jeremy G. Fisher1, Sigrid Bairdain1, Eric A. Sparks1, Faraz A Khan1, Jeremy Archer3, Michael Kenny2, Erika Edwards2, Roger Soll2,4, Biren P. Modi1, Scott Yeager5, Jeffrey Horbar2, Tom Jaksic1
1Department of Surgery, Boston Children's Hospital, Boston, MA; 2Vermont Oxford Network, Burlington, VT; 3Congenital Heart Center, University of Florida, Gainesville, FL and Billings Clinic, Billings, MT; 4Department of Pediatrics, University of Vermont, Burlington, VT; 5Division of Pediatric Cardiology, University of Vermont, Burlington, VT
19. Basic Science Second Place Award - NESS Resident and Fellow Research Day
Sponsored by the NESS Scholars Foundation
Eradication of Multidrug-Resistant Pseudomonas Biofilm from Infected Prolene Mesh with Pulsed Electric Fields

Saiqa I. Khan, Daniela Vecchio, Alexander Golberg, Godi Blumrosen, Harry M. Salinas, Michael McCormack, Martin Yarmush, Michael R. Hamblin, William G. Austen, Jr.
Massachusetts General Hospital, Boston, MA
11:25 am Free Afternoon
12:30 pm Fun Run
The New England Surgical Society's first 5K Fun Run takes place on Saturday, September 13th. The race will begin at 12:30 pm outside the front entrance of the Stowe Mountain Lodge. Enjoy a scenic 3.2 mile run around Spruce Peak and the grounds of the Stowe Mountain Lodge, and over three bridges, before returning to the entrance of the hotel. Refreshments and protein bars will be served. Join the fun or come cheer on your fellow NESS attendees!
7:00 pm President's Reception & Dinner (Business Attire)
Featuring Guest Speaker: Brian Lindner

Reception: Tamarack Ballroom Terrace
Dinner: Tamarack Ballroom
7:00 pm Kids Banquet
New this year, children are invited to their own Kid's Banquet, to be held concurrently to the President's Reception & Dinner on Saturday in the Alder Room. Games and arts and crafts will be among the entertainment offered for kids, along with dinner.
 
Sunday, September 14, 2014
7:00 am - 11:30 am Registration
Tamarack Ballroom Foyer
7:00 am - 10:30 am Speaker Ready Room
Tamarack Ballroom Foyer
7:00 am - 11:30 am Exhibit Hall Hours
Spruce Camp
7:00 am - 8:00 am Continental Breakfast
Spruce Camp
7:30 am - 8:15 am Annual Business Meeting (Members Only)
Tamarack Ballroom
8:15 am - 9:30 am Scientific Session V
Tamarack Ballroom
Moderator: Kari Rosenkranz, MD
20. Left Out? Safety in Live Left Lobe Liver Donation
*Manuel I Rodriguez-Davalos, *Roger Patron-Lozano, *James T. Tooley, *Peter S. Yoo, *Stephen M. Luczycki, *Michael Schilsky, *David C. Mulligan, *Sukru H. Emre
Yale University School of Medicine, New Haven, CT
21. Improvement in Severe Pulmonary Hypertension in Obese Patients Following Laparoscopic Gastric Bypass or Sleeve Gastrectomy
*Eric G. Sheu, *Denise W. Gee
Massachusetts General Hospital, Boston, MA
22. No Need to Abandon Focused Unilateral Exploration for Primary Hyperparathyroidism with Intraoperative Monitoring of Intact Parathyroid Hormone: A Ten Year Follow-Up
*Jovian Yu1, *Kristopher Day2, *Bella Avanessian2, Jack Monchik2
1The Warren Alpert Medical School of Brown University, Providence, RI; 2Rhode Island Hospital, Providence, RI
23. Is Computed Tomographic Angiography of the Head Useful in the Management of Traumatic Brain Injury?
*Leily Naraghi, *Andreas Larentzakis, *Catrina M. Cropano, *Yuchiao Chang, *Laurie Petrovick, *Jarone Lee, *Daniel D. Yeh, *Haytham Kaafarani, *Peter J. Fagenholz, *Marc A. De Moya, *David R. King, George Velmahos
Massachusetts General Hospital, Boston, MA
24. Metastatic Evaluations in Asymptomatic, Sentinel Node Positive Breast Cancer Patients: An Analysis of Utility and Cost
*Andrew Pellet, *Mujde Erten, Ted James
University of Vermont/Fletcher Allen Health Care, Burlington, VT
Brief 11. Mortality and Risk in Non-curable, Surgically-treated Stage IV Colorectal Cancer
*Erin Teeple, *Arin Madenci, *Katerina Kimonis, *Jiping Wang, *Ronald Bleday, *Joel Goldberg
Brigham and Women's Hospital, Boston, MA
Brief 12. Ascites After Irreversible Electroporation of the Liver and Pancreas
*Asha Zimmerman, Kevin Charpentier
Brown University, Providence, RI
9:30 am - 9:35 am Conferment of the Nathan Smith Award
Sponsored by the NESS Scholars Foundation

Tamarack Ballroom

Albert W. Dibbins, MD

9:35 am - 10:15 am 30th Annual Samuel Jason Mixter Lecture
Sponsored by the NESS Scholars Foundation

Tamarack Ballroom

Surgical Education and Training in the US - How Is It Likely to Change?
Thomas H. Cogbill, MD

10:15 am - 10:20 am Introduction of President
Tamarack Ballroom

Theresa A. Graves, MD

10:20 am - 11:20 am Presidential Address
Tamarack Ballroom

Surgical Care in the State of Maine
Frederick R. Radke, MD

11:20 am Adjourn

+ = Resident Essay
* = Non-member of NESS



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