Surgeons Offer New Procedures for Colon and Rectal Diseases
Surgeons Offer New Procedures for Colon and Rectal Diseases
Surgeons Offer New Procedures for Colon and Rectal Diseases
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Spring, 2006<br />
<strong>Surgeons</strong> <strong>Offer</strong> <strong>New</strong> <strong>Procedures</strong> <strong>for</strong><br />
<strong>Colon</strong> <strong>and</strong> <strong>Rectal</strong> <strong>Diseases</strong><br />
Minimally invasive techniques benefit patients<br />
Bradley Davis, MD, <strong>and</strong> David O’Brien, MD, both<br />
assistant professors of surgery in the Division of<br />
<strong>Colon</strong> & <strong>Rectal</strong> Surgery, are per<strong>for</strong>ming minimally<br />
invasive <strong>and</strong> new procedures <strong>for</strong> colon disease <strong>and</strong><br />
rectal cancers. Both have per<strong>for</strong>med more than 100<br />
laparoscopic procedures <strong>for</strong> a wide range of diseases<br />
including colon <strong>and</strong> rectal cancers, polyps, Crohn’s<br />
disease, diverticulitis, endometriosis, ulcerative <strong>and</strong><br />
ischemic colitis, GI bleeding, rectal prolapse, repair<br />
of colonoscopic per<strong>for</strong>ation, <strong>and</strong> constipation. (See<br />
more inside — Advanced <strong>Colon</strong> Surgery)<br />
Dr. Davis recently per<strong>for</strong>med the region’s first transanal endoscopic microsurgical (TAM)<br />
procedure, an alternative to radical surgery <strong>for</strong> patients with early rectal cancers.<br />
In collaboration with Gregory Tiao, MD, Division of Pediatric Surgery, Dr. Davis per<strong>for</strong>med<br />
a total colectomy laparoscopically on a five-year-old child, the first time such an operation has<br />
ever been per<strong>for</strong>med.<br />
SBAS Annual Meeting is Held in Cincinnati<br />
Cincinnati Mayor Mark Mallory (left)<br />
reads a proclamation honoring SBAS,<br />
accompanied by Jeffrey Matthews, MD<br />
(center), <strong>and</strong> Kenneth Davis, Jr, MD<br />
Bradley Davis, MD<br />
The UC Department of<br />
Surgery was host to the<br />
Society of Black Academic<br />
<strong>Surgeons</strong> (SBAS) annual<br />
meeting on April 6-8. The<br />
meeting was attended by<br />
over 100 African-American<br />
surgeons from across the<br />
country. SBAS inspires <strong>and</strong><br />
mentors young surgeons<br />
<strong>and</strong> medical students in the<br />
pursuit of academic careers.<br />
Each year the society partners<br />
with a leading department<br />
of surgery to hold a<br />
scientific meeting to share<br />
in<strong>for</strong>mation about scientific<br />
<strong>and</strong> surgical advances.<br />
David O’Brien, MD<br />
Mark Mallory, Mayor of<br />
the City of Cincinnati, read<br />
a proclamation welcoming<br />
SBAS to Cincinnati during a<br />
reception at the National<br />
Underground Railroad Freedom<br />
Center, where the<br />
Society was welcomed by<br />
the Center’s President,<br />
Spencer Crew, PhD. At the<br />
black tie dinner <strong>and</strong> dance<br />
held at the Hilton Cincinnati<br />
Netherl<strong>and</strong> Plaza, Oscar<br />
Robertson, basketball icon<br />
<strong>and</strong> Cincinnati business<br />
entrepreneur, was the guest<br />
speaker. [See more photos<br />
inside back cover.]
Advances in <strong>Colon</strong> Surgery<br />
This year, in the United States, nearly 150,000 people will be<br />
diagnosed with colon cancer, which is the second leading cause<br />
of cancer-related deaths in the US. Fortunately, if detected <strong>and</strong><br />
treated early, colon cancer is one of the most curable cancers.<br />
The primary treatment <strong>for</strong> colon cancer is surgery. In the past,<br />
most patients underwent “open” surgery <strong>for</strong> colon cancer.<br />
However, the <strong>New</strong> Engl<strong>and</strong> Journal of Medicine recently published<br />
a l<strong>and</strong>mark National Institutes of Health (NIH) study, led<br />
by the Clinical Outcomes of Surgical Therapy (COST) Study<br />
Group that supports the use of laparoscopic-assisted colectomy<br />
<strong>for</strong> patients with colon cancer (N Engl J Med 2004; 350:2050-<br />
9). UC <strong>Surgeons</strong> Drs. Bradley Davis <strong>and</strong> David O’Brien are<br />
experts in this procedure, having each per<strong>for</strong>med more than 100<br />
laparoscopic procedures.<br />
As a result of this 10-year study, the American Society of <strong>Colon</strong><br />
<strong>and</strong> <strong>Rectal</strong> <strong>Surgeons</strong> released a supportive statement saying<br />
laparoscopic colectomy <strong>for</strong> curable cancer results in equivalent<br />
cancer-related survival to open colectomy when per<strong>for</strong>med by<br />
experienced surgeons. This surgical option now offers many of<br />
the same benefits of laparoscopic surgery over traditional open<br />
surgery, including quicker recovery time, less pain <strong>and</strong> scarring,<br />
shorter hospital stay, <strong>and</strong> improved cosmetic results. For patients<br />
whose cancer is operable, this alternative procedure is a great<br />
step <strong>for</strong>ward.<br />
During “minimally invasive” colon surgery, the surgeon makes<br />
a series of small incisions in the patient's abdomen. A small<br />
video camera (or “scope”) is placed in one of the incisions, providing<br />
a magnified view of the internal organs on a television<br />
monitor. Surgical instruments are placed in the other incisions,<br />
allowing the surgeon to work inside <strong>and</strong> remove portions of the<br />
colon. As with any surgical procedure, there are some risks. For<br />
more in<strong>for</strong>mation, log on to www.colonsurgeryinfo.com.<br />
______________<br />
In related news, Bradley Davis, MD, will be an instructor <strong>for</strong><br />
the laparoscopic colectomy course at the national meeting of the<br />
American Society of <strong>Colon</strong> <strong>and</strong> <strong>Rectal</strong> <strong>Surgeons</strong> (ASCRS), of<br />
which Janice Rafferty, MD, is program co-director. The meeting,<br />
to be held in June 2006 in Seattle, brings together more than<br />
1200 colon <strong>and</strong> rectal surgeons from around the country. This<br />
year the ASCRS will also be hosting the first allied health symposium<br />
in conjunction with the ASCRS meeting, dedicated to<br />
educating the allied health care professionals that work with<br />
members of the ASCRS. The fee <strong>for</strong> this program is $60 <strong>and</strong> registration<br />
is required. Allied Health Care professionals are welcome<br />
to attend the entire meeting. Further in<strong>for</strong>mation about the<br />
meeting is available at http://www.fascrs.org.<br />
Drs. Davis <strong>and</strong> Rafferty are presenting at the annual Crohn’s<br />
Colitis Foundation meeting of the local chapter in Cincinnati.<br />
Genetic Tests Can Help Determine<br />
Risk of <strong>Colon</strong> Cancer<br />
After two years of surgery <strong>and</strong> chemotherapy <strong>for</strong> her colon<br />
cancer, Judy Dusing’s doctors thought she might have a<br />
genetic predisposition <strong>for</strong> colon cancer. Concerned <strong>for</strong> her<br />
children, Judy decided to have genetic testing <strong>and</strong> consulted<br />
with Janice Rafferty, MD, Chief of the Division of <strong>Colon</strong><br />
<strong>and</strong> <strong>Rectal</strong> Surgery at UC. Dr. Rafferty states that published<br />
studies show “there are genes that can be detected in certain<br />
families that tend to have clusters of cancer.” While genetic<br />
testing is not practical <strong>for</strong> everyone, this simple blood test<br />
may be recommended <strong>for</strong> anyone who has had at least three<br />
relatives with colon cancer in the last two generations of their<br />
family. This is especially important if one of them is an<br />
immediate family member younger than 50 years old. Since<br />
colon cancer can be detected through precancerous polyps,<br />
anyone who tests positive should be carefully followed. “If<br />
we can find the polyps <strong>and</strong> remove them be<strong>for</strong>e the cancer<br />
develops, then we are in good shape,” said Dr. Rafferty. The<br />
amazing thing in all this <strong>for</strong> Judy Dusing was what the gene<br />
testing didn't find. “They discovered that all of my gene testing<br />
was negative.” That means she may not have passed on<br />
an additional cancer risk.<br />
Breast Cancer Trial Brings Good <strong>New</strong>s<br />
A study of almost 20,000 post-menopausal women found that<br />
the osteoporosis drug Raloxifene, also known as Evista, can<br />
help protect against breast cancer just as well as the leading<br />
breast cancer prevention drug, Tamoxifen.<br />
Elizabeth Shaughnessy, MD, PhD, Division of Surgical<br />
Oncology, directed the study section in Cincinnati. About<br />
12% of the Ohio patients were treated in Cincinnati.<br />
“I think it's very exciting because it opens up the possibilities<br />
<strong>for</strong> other women to take this medication. If one can't tolerate<br />
one drug, they can certainly switch to another.”<br />
According to Dr. Shaughnessy, the Tamoxifen appears to per<strong>for</strong>m<br />
better with invasive breast cancers, while Raloxifene<br />
poses a lower risk of uterine cancer, blood clots <strong>and</strong> cataracts.<br />
Dr. Elizabeth Shaughnessy (far left) leads a panel discussion on<br />
breast cancer at the Kingsgate Conference Center in Cincinnati
Burn Division’s Expertise is Featured<br />
Steven T. Boyce, PhD, Professor of Surgery, Division of<br />
Burn Surgery, was featured in an article in the Los Angeles<br />
Times on January 30, 2006. Dr. Boyce <strong>and</strong> his colleagues<br />
are world-renowned experts in creating artificial tissues to<br />
quickly <strong>and</strong> seamlessly patch burns <strong>and</strong> wounds.<br />
Dr. Boyce also received UC’s Established Entrepreneur<br />
Award at the Faculty Awards Celebration on May 8, 2006,<br />
sponsored by the Office of the President <strong>and</strong> Faculty<br />
Senate.<br />
Steven T. Boyce, PhD<br />
The recent construction of a new operating room at University<br />
Hospital allowed the opportunity to install videoconferencing<br />
technology that enhances patient care <strong>and</strong> resident training.<br />
The operating room (OR 20, the primary “trauma” OR), was<br />
fitted with a Stryker Communications Infinity system that is<br />
configured to connect to one of the Emergency Department<br />
(ED) bays via video through the Center <strong>for</strong> Surgical Innovation<br />
(CSI). The videoconferencing system allows the surgeon to<br />
actively see the patient's injury, request alternate views <strong>and</strong><br />
view vital signs. This enhances communication with the ED<br />
staff <strong>and</strong> provides better care <strong>for</strong> the patient.<br />
The system was successfully put into effect the week of April<br />
17. Dr. Jay Johannigman <strong>and</strong> Dr. Timothy Pritts (Division<br />
of Trauma <strong>and</strong> Critical Care) narrated two different cases: a<br />
gunshot wound <strong>and</strong> a splenectomy (the result of a car crash).<br />
W. Brian Gibler, MD, Chairman, Department of Emergency<br />
Medicine, <strong>and</strong> Jay Johannigman, MD, Director of the<br />
Division of Trauma <strong>and</strong> Critical Care, collaborated with Brett<br />
Harnett, Manager of Experimental IT <strong>for</strong> CSI, to develop the<br />
pilot system <strong>and</strong> clinical protocol, which could be fully imple-<br />
Richard J. Kagan, MD, Director of the Burn Division <strong>and</strong><br />
Chief of Staff at Shriners Hospital, in his capacity as representative<br />
<strong>for</strong> the American Burn Association developed 44 new<br />
CPT codes <strong>for</strong> application of skin grafts <strong>and</strong> skin substitutes.<br />
Kevin Yakuboff, MD, Chief of Plastic Surgery at Shriners<br />
Hospital, has begun a Brachial Plexus Clinic at the Cincinnati<br />
Children's Hospital.<br />
The staff of the Shriners Hospital-Cincinnati, which includes<br />
UC Department of Surgery faculty <strong>and</strong> residents, had 20<br />
abstracts accepted <strong>for</strong> presentation at the American Burn<br />
Association annual meeting held in Las Vegas, April 4-7, 2006.<br />
UC Burn Surgeon Treats Patient from Panama<br />
Kevin Bailey, MD (center) with<br />
members of the flight team.<br />
J. Kevin Bailey, MD, Division<br />
of Burn Surgery, traveled to<br />
Panama in February to bring a<br />
patient to Shriners <strong>for</strong> expert<br />
burn care. The 24-year-old<br />
Panamaniam was injured at<br />
work; his employer searched the<br />
U.S. to find a burn unit that<br />
would care <strong>for</strong> him without burdening<br />
the family <strong>and</strong> company<br />
with extensive medical bills.<br />
Shriners stepped in <strong>and</strong> accepted<br />
the patient, who was recently<br />
discharged home to Panama.<br />
University Hospital <strong>and</strong> CSI Exp<strong>and</strong> OR Videoconferencing Capabilities<br />
mented in the remaining ED bays by this summer.<br />
In addition to patient care advantages, video <strong>and</strong> audio footage<br />
can be stored <strong>and</strong> used <strong>for</strong> training purposes, while following<br />
all HIPAA regulations.<br />
The system is extremely af<strong>for</strong>dable <strong>and</strong> scalable. By using the<br />
Health Alliance's existing videoconferencing technology <strong>and</strong><br />
local area network (LAN) with inexpensive software <strong>and</strong> hardware,<br />
Harnett <strong>and</strong> CSI were able to design a system with many<br />
of the same advantages, but at a more reasonable cost.
Bower Memorial on June 21, 2006<br />
Please join us <strong>for</strong> Final Gr<strong>and</strong> Rounds on June 21st at 8:00 a.m. in the Surgical Amphitheater to celebrate the graduation of our<br />
general surgery chief residents <strong>and</strong> <strong>for</strong> the unveiling of the portrait of Dr. Robert H. Bower <strong>and</strong> dedication of the conference room.<br />
Dr. Bower’s portrait will be presented at Final Gr<strong>and</strong> Rounds with a ribbon cutting <strong>and</strong> inauguration of the Bower Memorial<br />
Conference Room to be held in the Chairman’s office immediately following Gr<strong>and</strong> Rounds. A reception in the Department of<br />
Surgery will follow. All faculty, alumni <strong>and</strong> community physicians are invited to attend.<br />
Cardiothoracic Surgery <strong>New</strong>s<br />
Walter H. Merrill, MD,<br />
Director of the Section of<br />
Cardiothoracic Surgery, played<br />
a major role at the annual<br />
meeting of the Society of<br />
Thoracic <strong>Surgeons</strong>. In addition<br />
to his two presentations<br />
(“Technique of intraoperative<br />
electrophysiologic mapping<br />
<strong>and</strong> identification of ganglionic<br />
plexi” <strong>and</strong> “Interim report of<br />
the Society of Thoracic<br />
Dr. Walter Merrill <strong>Surgeons</strong> Task Force on resident<br />
employment opportunities”), Dr. Merrill presided over<br />
the Thoracic Surgery Resident Luncheon panel entitled<br />
“Today’s Job Market: How to Look <strong>and</strong> What's in Dem<strong>and</strong>”<br />
<strong>and</strong> also moderated the “Adult Cardiac Case Presentation”<br />
Session.<br />
Dr. Flege Wins “Lifetime Hero” Award<br />
John B. Flege, Jr, MD,<br />
Professor of Surgery in the<br />
Division of Cardiac Surgery,<br />
was honored as a “Lifetime<br />
Hero” <strong>for</strong> his years of service<br />
to the community. Dr. Flege<br />
received the Cincinnati<br />
Dr. John B. Flege, Jr.<br />
Business Courier's Lifetime<br />
Health Care Hero award at the<br />
dinner on February 9. Dr.<br />
Flege is considered to be the<br />
“father of cardiac surgery” in<br />
the Cincinnati area. Dr. Flege<br />
gratefully acknowledged the<br />
support of the many nurses <strong>and</strong><br />
hospital staff who helped him build cardiac surgery programs<br />
at Jewish Hospital, Christ Hospital, University Hospital, <strong>and</strong><br />
St. Elizabeth Hospital in Northern Kentucky.<br />
R<strong>and</strong>all Wolf, MD, Professor of Surgery <strong>and</strong> Biomedical<br />
Engineering, <strong>and</strong> Director of the UC Center <strong>for</strong> Surgical<br />
Innovation (CSI), won the Innovator award. E. Steve<br />
Woodle, MD, Professor of Surgery <strong>and</strong> Director of the<br />
Division of Transplantation, was a nominee.<br />
Screening Chest CT Can Identify Early-Stage<br />
Lung Cancer in High-Risk Individuals<br />
Early results from the Lung Cancer Screening Study directed by<br />
John A. Howington, MD, Associate Professor of Surgery <strong>and</strong><br />
Chief of the Division of Thoracic Surgery, have shown that spiral<br />
CT (computed tomography) of high-risk individuals can identify<br />
early-stage lung cancer. The clinical implications are that early<br />
diagnosis allows surgical resection that is often curative.<br />
The study, from August 2001 through April 2005, included 131<br />
high-risk individuals over 50 years old with a minimum 20 packyear<br />
smoking history, but without symptomatic lung cancer at the<br />
time of screening or a history of cancer in the past five years. Fiftysix<br />
percent had at least one non-calcified nodule. Five subjects had<br />
nodules greater than 12 mm <strong>and</strong> four underwent biopsy. Three<br />
patients had stage IA non-small cell lung cancer (NSCLC) <strong>and</strong> one<br />
had stage IIIA NSCLC. All patients diagnosed with lung cancer<br />
underwent complete resections: 2 VATS lobectomies, 1 open lobectomy,<br />
<strong>and</strong> 1 open bilobectomy. There was no operative mortality.<br />
To date, no volunteer has undergone biopsy <strong>for</strong> a benign nodule.<br />
The study was conducted by Dr. Howington <strong>and</strong> Michael F. Reed,<br />
MD, Division of Thoracic Surgery; surgical residents Lynn (Chip)<br />
Huffman, MD, <strong>and</strong> Prakash K. P<strong>and</strong>alai, MD; thoracic nurse<br />
Jeffrey Neu; members of the Division of Pulmonary <strong>and</strong> Critical<br />
Care Medicine <strong>and</strong> Division of Hematology & Oncology,<br />
Department of Internal Medicine, <strong>and</strong> the Department of Radiology.<br />
Dr. Huffman won First Place <strong>for</strong> the abstract in the Cincinnati<br />
Surgical Society's 2005-2006 Resident Essay Competition.<br />
John Mehall, MD, cardiothoracic surgery<br />
resident, presented at the annual meeting of<br />
the Society of Thoracic <strong>Surgeons</strong>, <strong>and</strong> his<br />
comments on job opportunities <strong>for</strong> thoracic<br />
surgery residents were featured in the<br />
March/April issue of Thoracic Surgery<br />
<strong>New</strong>s. Dr. Mehall is President of the<br />
Thoracic Surgery Residents Association, as<br />
well as Program Director <strong>for</strong> the upcoming Dr. John Mehall<br />
Cardiothoracic Technology Symposium<br />
designed <strong>for</strong> thoracic surgery residents in accredited programs, to<br />
be held May 19-21, 2006, at the University of Cincinnati Center<br />
<strong>for</strong> Surgical Innovation (CSI) <strong>and</strong> Kingsgate Conference Center.<br />
For more in<strong>for</strong>mation, visit www.ctsymposium.org.
Center <strong>for</strong> Surgical Innovation (CSI) in the <strong>New</strong>s<br />
Advanced Center <strong>for</strong> Telemedicine <strong>and</strong> Surgical<br />
Innovation (ACTSI)<br />
The ACTSI was funded by the UC Congress through a grant<br />
with the US Army's Telemedicine <strong>and</strong> Advanced Technology<br />
Research Center (TATRC). Timothy Broderick, MD, is the<br />
Principal Investigator (PI) <strong>and</strong> Director of ACTSI. Mr. Charles<br />
Doarn serves as Co-PI <strong>and</strong> Deputy Director. The focus is on<br />
telesurgery <strong>and</strong> the tools <strong>and</strong> capabilities that enable advanced<br />
medical <strong>and</strong> surgical care on the battlefield. As ACTSI grows in<br />
stature <strong>and</strong> capability, the concept of “benchtop to battlefield to<br />
bedside” will be fully integrated across UC’s medical campus<br />
<strong>and</strong> academic campus through mutually beneficial collaborations<br />
between basic sciences, engineering <strong>and</strong> medical practices.<br />
ACTSI will utilize numerous assets, including the CSI.<br />
Atrial Fibrillation Innovation Center (AFIC)<br />
R<strong>and</strong>all K. Wolf, MD, <strong>and</strong> UC have teamed with the Clevel<strong>and</strong><br />
Clinic Foundation (CCF) to establish the Atrial Fibrillation<br />
Innovation Center (AFIC) through a three-year $22.8M grant<br />
from the State of Ohio. A Joint Use Agreement was established<br />
between UC <strong>and</strong> the CCF to implement the AFIC project. The<br />
CSI has a significant science component with Dr. Wolf serving<br />
as PI. His research will focus on minimally invasive surgical<br />
technologies <strong>for</strong> the treatment of atrial fibrillation, including<br />
robotic applications. Dr. Wolf will serve as a member of the<br />
AFIC Board of Directors.<br />
4th BME-Surgery Symposium - “Nanotechnology”<br />
On January 20, 2006, the Department of Surgery, the<br />
Department of Biomedical Engineering (BME), the Department<br />
of Electrical <strong>and</strong> Computer Engineering <strong>and</strong> Computer Science<br />
(ECECS), <strong>and</strong> the CSI hosted the fourth Surgery-BME seminar,<br />
“Clinical Applications of Biomedical Engineering in the<br />
Surgical Environment: Nanotechnology.” The focus on<br />
nanoscale science <strong>and</strong> technology in medicine provided a foundation<br />
<strong>for</strong> dynamic presentations from faculty of several interdisciplinary<br />
departments, including Chemistry, Pharmacology,<br />
Engineering, Surgery <strong>and</strong> Electrical Engineering from both UC<br />
<strong>and</strong> Cincinnati Children's Hospital Medical Center. Dr. Jennifer<br />
West from Rice University's Department of Biomedical<br />
Engineering was guest faculty <strong>and</strong> presented “Future Directions<br />
in Applied Nanoscience.” Dr. William Ball, Dr. Thomas Mantei,<br />
<strong>and</strong> Dr. R<strong>and</strong>all Wolf served as symposium chairs. More than<br />
70 people attended the seminar, including faculty <strong>and</strong> students<br />
from UC’s medical <strong>and</strong> academic campuses.<br />
Faculty Research Grant Awarded<br />
Brett Harnett, Manager of Experimental In<strong>for</strong>mation<br />
Technology, had his Faculty Research Grant approved by the<br />
University Research Council. His research focus is “A Mobile<br />
Neural Network <strong>for</strong> Real-Time Physiologic Monitoring.”<br />
NEEMO Educational Outreach <strong>Offer</strong>s Children <strong>and</strong><br />
Adults Opportunity to Speak with Underwater Crew<br />
A live event was held at the Cincinnati Museum Center on<br />
Monday, April 10, 2006, at which nearly 300 children were<br />
invited to speak directly with NASA’s Extreme Environment<br />
Mission Operations 9 (NEEMO 9) undersea crew, featuring<br />
Timothy J. Broderick, MD, NASA astronauts Ronald Garan<br />
<strong>and</strong> Nicole Stott; Canadian astronaut <strong>and</strong> mission comm<strong>and</strong>er,<br />
Dave Williams, MD, <strong>and</strong> habtechs Jim Buckley <strong>and</strong> Ross Hein,<br />
who were living <strong>for</strong> 18 days at 75 feet below the surface of the<br />
ocean near Key Largo, FL. Dr. Broderick served as crew chief<br />
<strong>and</strong> conducted robotic surgical research that will someday help<br />
treat astronauts on the Moon <strong>and</strong> Mars. In the short term, this<br />
technology is used everyday to take better care of patients.<br />
Live interaction with NEEMO 9 crew at the Cincinnati Museum Center<br />
3rd Advances in Laparoscopic Hepatic Surgery Course<br />
The CSI worked closely with Joseph Buell, MD, <strong>and</strong> the<br />
Division of Transplantation to conduct the third “Advances in<br />
Laparoscopic Hepatic Surgery” course, February 23-25, 2006.<br />
Attendees from the around the world participated in a two-<strong>and</strong>a-half-day<br />
course on issues <strong>and</strong> technologies <strong>for</strong> supporting<br />
laparoscopic hepatic surgery. The course involved both didactic<br />
lectures <strong>and</strong> h<strong>and</strong>s-on laboratory experience during which the<br />
participants tested <strong>and</strong> evaluated various technologies.<br />
Participants in the “Advances in Laparoscopic Hepatic Surgery” course
Vascular Surgeon Reports That Delayed<br />
Repair May Be Better <strong>for</strong> Aortic Injuries<br />
Patients who survive the first 24 hours of a blunt aortic trauma<br />
injury may have a better chance of long-term survival if repair to<br />
the damaged artery is delayed, according to vascular surgeons at<br />
the University of Cincinnati.<br />
The finding was reported by Amy B. Reed, MD, Assistant<br />
Professor of Surgery in the Division of Vascular Surgery, at the<br />
Midwestern Vascular Surgical Society in Chicago, September 15,<br />
2005, <strong>and</strong> recently published.in the April 2006 edition of the<br />
Journal of Vascular Surgery (volume 43, pp. 684-688).<br />
Dr. Amy B. Reed<br />
A severe blunt thoracic injury, often<br />
the result of sudden deceleration<br />
experienced in an auto accident, can<br />
jerk the aorta <strong>for</strong>ward <strong>and</strong> back again,<br />
causing it to crack. “The real problem<br />
is that most people die from blunt<br />
thoracic aortic trauma be<strong>for</strong>e ever<br />
reaching a hospital, <strong>and</strong> about 50% of<br />
those who do make it will die within<br />
a few hours,” Dr. Reed said.<br />
“Un<strong>for</strong>tunately, even if the aorta is repaired immediately, the<br />
patient almost always has other, equally life-threatening injuries<br />
that jeopardize their overall recovery <strong>and</strong> survival.”<br />
Dr. Reed <strong>and</strong> her colleagues analyzed 51 cases of blunt thoracic<br />
aortic trauma treated at University Hospital, including severity of<br />
accompanying injuries, time from trauma to repair, surgical<br />
method (open versus endovascular) <strong>and</strong> survival outcomes. Of<br />
the 24 patients who made it to the operating room, 13 (54%) were<br />
stabilized <strong>and</strong> then had successful delayed endovascular repair.<br />
Nine patients (38%) had immediate open repair, one of whom<br />
died during the procedure. Two patients (8%) had delayed open<br />
repair.<br />
“This data suggests that in some cases it is better to wait <strong>and</strong><br />
repair the thoracic aortic injury with the minimally invasive<br />
(endovascular) technique,” Dr. Reed said. “If surgeons can take<br />
care of other injuries (such as bleeding liver or serious head<br />
injury) first <strong>and</strong> then safely address the thoracic aortic trauma<br />
injury when the patient is stabilized, there will be a better chance<br />
of surviving.”<br />
Co-authors of the study include Charles (Chip) Crafton, Cindy<br />
Delvecchio, Dr. Joseph Giglia, <strong>and</strong> Dr. J. Keith Thompson.<br />
UC <strong>Surgeons</strong> at Cancer Education Day<br />
Several UC <strong>Surgeons</strong> provided expert commentary <strong>and</strong> the<br />
latest in<strong>for</strong>mation about preventing, detecting <strong>and</strong> treating all<br />
types of cancer at the 2nd Annual Community Cancer<br />
Education Day on March 25. Faculty spoke one-on-one with<br />
the public about cancer concerns <strong>and</strong> provided Q&A sessions<br />
<strong>and</strong> panel discussions. “The goal is to give people the in<strong>for</strong>mation<br />
they want <strong>and</strong> need in the fight against cancer,” said<br />
Elizabeth Shaughnessy, MD, PhD, Assistant Professor of<br />
Surgery in the Division of Surgical Oncology.<br />
Elizabeth Shaughnessy, MD, PhD, Division of Surgical Oncology,<br />
leads a panel discussion at UC’s Cancer Education Day<br />
S<strong>and</strong>ra Starnes, MD, Division of Thoracic Surgery,<br />
speaks with visitors at UC’s Cancer Education Day<br />
Surgeon Wins “Spirit of Caring” Award<br />
Kevin Yakuboff, MD, Chief of Plastic<br />
Surgery at Shriners Hospitals <strong>for</strong><br />
Children, was recently named 2006<br />
Spirit of Caring honoree. Dr. Yakuboff<br />
has been with the hospital since 1988.<br />
Dr. Yakuboff was recognized <strong>for</strong> “his<br />
Kevin Yakuboff, MD<br />
numerous contributions over the years<br />
to plastic surgery <strong>and</strong> burn patients <strong>and</strong><br />
his commitment to delivering outst<strong>and</strong>ing medical care to the<br />
patients in a caring <strong>and</strong> empathetic way.” Dr. Yakuboff was<br />
also recognized as a valuable resource in situations requiring<br />
his expertise in reconstructive <strong>and</strong> h<strong>and</strong> surgery as well as his<br />
ability to h<strong>and</strong>le difficult patient issues with compassion.<br />
The Spirit of Caring Award recognizes Shrine employees who<br />
demonstrate an exemplary level of caring <strong>and</strong> acknowledges<br />
outst<strong>and</strong>ing employee contributions towards fulfilling the<br />
mission of providing superior care at the Cincinnati hospital.
Dr. J. Wesley Alex<strong>and</strong>er<br />
Awards <strong>and</strong> Achievements<br />
J. Wesley Alex<strong>and</strong>er, MD, ScD, Professor of Surgery, Division of Transplantation, was a grant reviewer <strong>for</strong><br />
the National Institutes of Health <strong>for</strong> a Special Emphasis Panel/Scientific Review Group meeting in February.<br />
Ambikaipakan Balasubramaniam, PhD, Professor of Surgery <strong>and</strong> Director of the<br />
Peptide Laboratory, was a member of the organizing committee of the 8th<br />
International NPY meeting entitled “Neuropeptide Y <strong>and</strong> Cohorts in Human<br />
<strong>Diseases</strong>” held April 22-26, 2006, in St. Petersburg, FL. He chaired a session <strong>and</strong> presented<br />
a talk entitled “Peripherally active anorectic peptides based on NPY.” Dr.<br />
Balasubramaniam also is a member of the Editorial Board <strong>for</strong> the meeting proceedings<br />
to be published in a special issue of Peptides (Elsevier Press).<br />
Joseph S. Giglia, MD, Interim Director of the Division of Vascular Surgery, is the Dr. A. Balasubramaniam<br />
recipient of the 2006 Lifeline E.J. Wylie Memorial Traveling Fellowship from the<br />
American Vascular Association. Dr. Giglia will be presented with the award at the Annual Meeting of the<br />
Society <strong>for</strong> Vascular Surgery in June, 2006. The fellowship provides funds <strong>and</strong> opportunities to travel to<br />
other centers of excellence to learn new advances in vascular surgery.<br />
Alex B. Lentsch, PhD, Director of Research, is serving as a member of the National<br />
Institutes of Health Study Section, Hepatobiliary Pathophysiology. This study sec-<br />
Dr. Joseph Giglia tion reviews grant applications about the cell biology of liver cells; mechanisms of<br />
repair <strong>and</strong> regeneration; mechanisms of cell death <strong>and</strong> inflammation; cholesterol <strong>and</strong><br />
bile salt metabolism; fibrosis <strong>and</strong> cirrhosis; <strong>and</strong> viral hepatitis <strong>and</strong> liver transplantation. In May, 2006, Dr.<br />
Lentsch will be visiting professor at the Borgess Research Institute in Kalamazoo, Michigan, where he will<br />
present at the Trauma Services Gr<strong>and</strong> Rounds on the topic of ischemia/reperfusion injury.<br />
(L-R) Dr. M. Anthony Pogrel, Chair of Oral &<br />
Maxillofacial Surgery at UCSF, Dr. Robert D. Marciani,<br />
<strong>and</strong> Dr. William Ware following Dr. Marciani’s<br />
presentation of the William Ware Lecture<br />
Dr. Janice Rafferty<br />
Robert D. Marciani, DMD, Chief of the Division of Dr. Alex Lentsch<br />
Oral <strong>and</strong> Maxillofacial Surgery, was a visiting professor<br />
<strong>and</strong> the William Ware lecturer in January 2006 at the University of Cali<strong>for</strong>nia,<br />
San Francisco (UCSF).<br />
Michael S. Nussbaum, MD, FACS, Associate Professor<br />
of Surgery, Vice Chair <strong>for</strong> Clinical Affairs <strong>and</strong> Chief of<br />
Staff of The University Hospital, completed his four-year<br />
term on the Board of Directors of the American Board of<br />
Emergency Medicine (ABEM) on February 3, 2006.<br />
During his tenure on ABEM, Dr. Nussbaum served on the<br />
Assessment of Practice Per<strong>for</strong>mance, Test Development,<br />
<strong>and</strong> Credentials Committees. Dr. Nussbaum was recent-<br />
Dr. Michael Nussbaum<br />
ly elected Secretary of the Central Surgical Association<br />
<strong>for</strong> 2006-2009 <strong>and</strong> will serve as Local Program Director <strong>for</strong> the annual meeting<br />
to be held in Cincinnati in 2007.<br />
Janice Rafferty, MD, Chief of the Division of <strong>Colon</strong> <strong>and</strong> <strong>Rectal</strong> Surgery, is the program co-chair <strong>for</strong> the<br />
national meeting of American Society of <strong>Colon</strong> <strong>and</strong> <strong>Rectal</strong> <strong>Surgeons</strong> (ASCRS) to be held in June 2006 in<br />
Seattle. The meeting brings together more than 1,200 colon <strong>and</strong> rectal surgeons from around the country.<br />
Amy B. Reed, MD, Assistant Professor of Surgery <strong>and</strong> Director of the Vascular<br />
Surgery Fellowship Program, was named one of 15 “Businesswomen to Watch” by<br />
the Cincinnati Enquirer on January 29, 2006. Dr. Reed also was an invited speaker<br />
at the local program of the recent Society of Black Academic <strong>Surgeons</strong> meeting in<br />
Cincinnati, where she spoke on “Vascular Surgery Training in the 21st Century.”<br />
Dr. Amy Reed
Urology <strong>New</strong>s<br />
NEW UROLOGY FACULTY HAS EXPERTISE IN MICROSURGERY<br />
Dr. Ahmad Hamidinia<br />
Ahmad Hamidinia, MD, has joined UC <strong>Surgeons</strong> as Clinical Professor of Urology in the Division of<br />
Urology. Dr. Hamidinia specializes in urologic microsurgery <strong>and</strong> medical treatment of male reproductive<br />
evaluation as well as medical <strong>and</strong> surgical treatment (minimally invasive sling procedures <strong>and</strong> pelvic floor<br />
reconstructive procedures) <strong>for</strong> female incontinence.<br />
Dr. Hamidinia received his medical degree from the University of Mashhad School of Medicine in Mashhad,<br />
Iran. He served his general surgery residency at Bridgeport Hospital (affiliated with Yale University) in<br />
Bridgeport, CT. Dr. Hamidinia completed his urology residency at Southern Illinois University in<br />
Springfield, IL, where he served on faculty <strong>for</strong> nine years. He served as Chairman of the Section of Urology<br />
at Miami Valley Hospital <strong>and</strong> most recently was Clinical Associate Professor at Wright State University.<br />
Dr. Hamidinia has won several research <strong>and</strong> teaching awards. He is a member of the American Urology Association, American<br />
Fertility Society, American Association of Clinical Urologists, Ohio Urological Society, <strong>and</strong> a Fellow of the American College of<br />
<strong>Surgeons</strong>. He has been invited to teach <strong>and</strong> per<strong>for</strong>m surgery in China the past four years. Dr. Hamidinia has published articles<br />
on microsurgical techniques <strong>and</strong> fertility disorders, in addition to several book chapters <strong>and</strong> videotape presentations.<br />
Dr. Hamidinia is certified by the American Board of Urology. He will see patients at the Medical Arts Building <strong>and</strong> at University<br />
Pointe. Dr. Hamidinia may be reached at (513) 475-8787.<br />
Inaugural Arthur T. Evans Visiting Professor<br />
The Division of Urology hosted the first annual Arthur T.<br />
Evans Visiting Professor in memory of Dr. Evans, a <strong>for</strong>mer<br />
director of the Division of Urology, on Wednesday, February<br />
15, 2006. Kevin T. McVary, MD, Professor of Urology at the<br />
Feinberg School of Medicine, Northwestern University, spoke<br />
at Surgical Gr<strong>and</strong> Rounds on “The Molecular Biology of<br />
Erectile Dysfunction: From Cavernous Nerve Injury to Sonic<br />
Hedgehog.” A memorial fund has also been established in Dr.<br />
Evans’ name to further the training of urology residents.<br />
<strong>New</strong> Research Awards<br />
Glendon Zinser, PhD,<br />
<strong>and</strong> Susan Waltz, PhD<br />
Urology residents <strong>and</strong> faculty with Kevin T. McVary, MD (fifth from left), the<br />
first Annual Arthur T. Evans Visiting Professor, at Surgical Gr<strong>and</strong> Rounds<br />
Glendon Zinser, PhD, post-doctoral fellow in the Division of Research, was awarded a Scholars<br />
Grant from UC's Building Interdisciplinary Research Careers in Women's Health (BIRCWH) program.<br />
Directed by Drs. Ken Clark <strong>and</strong> Leslie Myatt of the Department of Obstetrics <strong>and</strong> Gynecology,<br />
the BIRCWH program promotes the career development of independent junior researchers working<br />
on women's health issues by pairing scholars with senior investigators in a mentored, interdisciplinary<br />
scientific environment. Dr. Zinser, working under the mentorship of<br />
associate professor Susan Waltz, PhD, will focus on the cross-talk of nuclear<br />
hormone receptors <strong>and</strong> cell surface receptor tyrosine kinases in breast cancer.<br />
The BIRCWH program was enabled by a five-year, $2.5 million grant award<br />
to the Department of Obstetrics <strong>and</strong> Gynecology by the National Institutes of<br />
Health Office of Research on Women's Health.<br />
Karl Matlin, PhD, Director of Research, received a five-year R01 grant award fron the National Institutes<br />
of Health <strong>for</strong> his project “Cell-Matrix Interactions in Epithelial Polarization” to begin May 1, 2006.<br />
Karl Matlin, PhD
Ahmad SA, Wray C, Rilo HR, Choe KA, Gelrud A,<br />
Howington JA, Lowy AM, Matthews JB. Chronic pancreatitis:<br />
Recent advances <strong>and</strong> ongoing challenges. Current Problems<br />
in Surgery 43(3):124-238, 2006.<br />
In this invited monograph, faculty members from the UC<br />
Department of Surgery <strong>and</strong> the UC Pancreatic Disease Center<br />
provide an excellent reference to physicians <strong>and</strong> surgeons who<br />
wish to gain a more comprehensive underst<strong>and</strong>ing of chronic<br />
pancreatitis <strong>and</strong> its treatment. Subscribers can see the full text<br />
online at http://www.sciencedirect.com.<br />
Alex<strong>and</strong>er JH, Ferguson TB, Joseph DM, Mack MJ, Wolf RK,<br />
et al. The project of ex-vivo vein graft engineer via transfection<br />
IV (PREVENT IV) trial: study rationale, design, <strong>and</strong> baseline<br />
patient characteristics. Am Heart Journal 150:643-649, 2005.<br />
Alex<strong>and</strong>er JW, Goodman HR, Alloway RR, Woodle ES. Can<br />
immunonutrients reduce rejection rates in African-Americans?<br />
Exp Clin Transplant 3:349-350, 2005.<br />
Amlal H, Faroqui S, Balasubramaniam A, Sheriff S.<br />
Estrogen up-regulates neuropeptide Y Y1 receptor expression in<br />
a human breast cancer cell line. Cancer Research 66:3706-<br />
3714, 2006.<br />
The high incidence <strong>and</strong> activity of the Y1 receptor in human<br />
breast tumor cells suggests that it may play an important role in<br />
breast cancer.<br />
Chance WT, Dayal R, Friend LA, Sheriff S. Possible role of<br />
CRF peptides in burn-induced hypermetabolism. Life Sciences<br />
78:694-703, 2006.<br />
Davis BR, Matthews JB. Diverticular disease of the colon. In:<br />
Wolfe MM, Davis GL, Farraye FA, et al (eds), Therapy of<br />
Digestive Disorders, 2nd edition. Philadelphia: Elsevier, 2006;<br />
pp. 855-869.<br />
Doarn CR, Merrell RC. A look ahead [Editorial]. Telemed <strong>and</strong><br />
E Health 12:1, 2005.<br />
Doarn CR, Merrell RC. Telemedicine <strong>and</strong> e-health <strong>for</strong> international<br />
medical issues [Editorial]. Telemed <strong>and</strong> E Health 11:621-<br />
623, 2005.<br />
Doarn CR, Justis D, Chaudhri MS, Merrell RC. Integration of<br />
telemedicine practice into correctional medicine: An evolving<br />
st<strong>and</strong>ard. J Correctional Health Care 11:253-270, 2005.<br />
Doarn CR, Merrell RC. Changing of the guard [Editorial].<br />
Telemed <strong>and</strong> E Health 11:415-416, 2005.<br />
Doarn CR, Nicogossian AE, Merrell RC. Telematic support <strong>for</strong><br />
Recent Publications<br />
disaster situation. In: Istepanian RSH, Laxminarayan S,<br />
Pattichis CS (eds), M-Health: Emerging Mobile Health Systems.<br />
<strong>New</strong> York: Springer Science+Business Media, Inc., 2006; pp.<br />
549-559.<br />
Gillinov AM, Wolf RK. Surgical ablation of atrial fibrillation.<br />
Prog Cardiovasc Dis 48:169-177, 2006.<br />
Hanly EJ, Marohn MR, Schenkman NS, Miller BE, Moses GR,<br />
Marchessault R, Broderick TJ. Dynamics <strong>and</strong> organizations of<br />
telesurgery. European Surgery 37:274-278, 2005.<br />
Harnett BM. Telemedicine systems <strong>and</strong> telecommunications.<br />
J Telemedicine <strong>and</strong> Telecare 12:4-15, 2006.<br />
Husted TL, Broderick TJ. NASA <strong>and</strong> the emergence of new<br />
surgical technologies. J Surg Res 132:13-16, 2006.<br />
Merrell RC, Doarn CR. Disasters - How can telemedicine help?<br />
[Editorial] Telemed <strong>and</strong> E Health 11:511-512, 2005.<br />
Reed AB, Thompson JK, Crafton CJ, Delvecchio C, Giglia<br />
JS. Timing of endovascular repair of blunt traumatic thoracic<br />
aortic transections. J Vasc Surg 43:684-688, 2006.<br />
Shen H, Schuster R, Stringer KF, Waltz SE, Lentsch AB. The<br />
Duffy antigen/receptor <strong>for</strong> chemokines (DARC) regulates<br />
prostate tumor growth. FASEB Journal 20:59-64, 2006.<br />
This paper describes an important role <strong>for</strong> this receptor (the<br />
DARC) in controlling the development of prostate cancer. The<br />
majority of African-Americans lack this receptor, <strong>and</strong> this study<br />
suggests that the lack of the DARC may be an important contributing<br />
factor to the higher incidence <strong>and</strong> mortality of prostate<br />
cancer in African-American men.<br />
Thompson JK, Reed AB, Giglia JS. Novel endovascular treatment<br />
of blunt thoracic aortic trauma with a self-exp<strong>and</strong>ing stent<br />
lined with aortic extender cuffs. Ann Vasc Surg March 21, 2006<br />
[Epub ahead of print].<br />
The authors report successful treatment of blunt thoracic aortic<br />
trauma with a self-exp<strong>and</strong>ing stent lined with commercially<br />
available aortic extender cuffs. This technique could still have<br />
utility in emergency settings when approved thoracic endografts<br />
are available <strong>for</strong> this indication.<br />
Nicogossian AE, Lugg DJ, Doarn CR. Civilian telemedicine in<br />
remote <strong>and</strong> extreme environments. In: Istepanian RSH,<br />
Laxminarayan S, Pattichis CS (eds), M-Health: Emerging<br />
Mobile Health Systems. <strong>New</strong> York: Springer Science+ Business<br />
Media, Inc., 2006; pp. 517-529.<br />
Wolf RK. A perspicacious view. Innovations 1(1):1-2, 2005.
Surgical Education <strong>New</strong>s<br />
Victim of Hurricane Katrina Finds a<br />
<strong>New</strong> Home in UC Surgical Residency<br />
Jerry Fortuna, MD, who was displaced by Hurricane Katrina from his<br />
surgical residency program at Keesler Air Force Base in Biloxi,<br />
Mississippi, was invited to continue his training in the UC Department<br />
of Surgery’s residency training program. This is his story:<br />
“A native of Columbia, South Carolina, I graduated from the US Air<br />
Force Academy in 1995. I attended the University of South Carolina<br />
School of Medicine, where I graduated in 1999 <strong>and</strong> completed my<br />
internship in 2000. I have spent the last 5 years as an active duty Flight<br />
Surgeon assigned to a combat coded F-15C fighter squadron. After<br />
multiple tours of duty in the Middle East, I re-entered residency training<br />
at Keesler AFB in Biloxi, MS. Very soon, however, Hurricane Katrina<br />
rendered the hospital non-operational <strong>and</strong> the residents were displaced<br />
to other programs across the country. Since my wife is from Louisville<br />
<strong>and</strong> is also an active duty physician, we looked <strong>for</strong> programs close to Air<br />
Force bases <strong>and</strong> close to home. Wright-Patterson AFB in Dayton <strong>and</strong><br />
the University of Cincinnati were a perfect fit. My younger brother is<br />
in his last year of residency in Radiology here at UC <strong>and</strong> the training<br />
programs here came highly recommended.”<br />
(L-R) Timothy Pritts, MD, PhD, Acting Director of Surgical Education, with<br />
surgical residents Tom Husted, MD, Jerry Fortuna, MD, <strong>and</strong> Jaime Lewis, MD<br />
“A veteran of several moves with the military, I can easily say that the<br />
UC Surgery Department has been absolutely outst<strong>and</strong>ing in welcoming<br />
me <strong>and</strong> my family into the program <strong>and</strong> the area. I am ecstatic about<br />
being in the program <strong>and</strong> have found my first two months here extremely<br />
challenging, fulfilling <strong>and</strong> utterly enjoyable. The staff here have put<br />
together an impressive group of residents <strong>and</strong> faculty, <strong>and</strong> I am honored<br />
to have been given an opportunity to train at such a reputable institution.<br />
I will remain on active duty during the duration of my training <strong>and</strong> will<br />
complete the remainder of my military commitment to the Air Force<br />
upon graduation. I am confident that I will have an outst<strong>and</strong>ing educational<br />
experience here at UC <strong>and</strong> we are excited to be so close to home<br />
<strong>and</strong> family! I look <strong>for</strong>ward to my years of training here at UC <strong>and</strong> we<br />
are very appreciative of all the help <strong>and</strong> support we have received from<br />
the Department of Surgery.”<br />
Jerry Fortuna, MD (on behalf of his wife, Sarah, <strong>and</strong> their children:<br />
Haleigh, Elizabeth, <strong>and</strong> Jerry III).<br />
Match Day 2006 Results<br />
Two UC College of Medicine students, Callisia Clarke <strong>and</strong><br />
Jonathan Thompson, matched with the UC Department of<br />
Surgery residency training program in general surgery.<br />
This year’s incoming interns in general surgery:<br />
Eric Campion, University of Michigan<br />
Callisia Clarke, University of Cincinnati<br />
Angela Ingraham, Loyola University<br />
Christopher Lundquist, V<strong>and</strong>erbilt University<br />
Charles Park, Brown Medical School<br />
Jonathan Thompson, University of Cincinnati<br />
Callisia Clarke opens the envelope, then shows her delight after<br />
matching with the UC Department of Surgery.<br />
Jonathan Thompson <strong>and</strong> his wife celebrate his matching with UC.<br />
“I am ecstatic about being in the program <strong>and</strong><br />
have found my first two months here extremely<br />
challenging, fulfilling <strong>and</strong> utterly enjoyable. I look<br />
<strong>for</strong>ward to my years of training here at UC <strong>and</strong> we<br />
are very appreciative of all the help <strong>and</strong> support<br />
we have received from the Department of<br />
Surgery.”<br />
Jerry Fortuna, MD
Andrew Knott, MD<br />
Kelly McLean, MD<br />
Surgical Education <strong>New</strong>s<br />
Andrew Knott, MD, <strong>and</strong> Kelly McLean,<br />
MD, were chosen by the American<br />
College of <strong>Surgeons</strong> <strong>and</strong> the Advisory<br />
Council <strong>for</strong> General Surgery to participate<br />
in GS08-Surgical Jeopardy during the<br />
2006 Spring Meeting at the Wyndham<br />
Anatole in Dallas, on April 23, 2006. The<br />
“Surgical Jeopardy” competition runs <strong>for</strong><br />
2.5 hours. Teams will compete in rounds<br />
of competition. The winning teams will<br />
advance to compete in a final round that<br />
will include a Jeopardy Round <strong>and</strong> a Final<br />
Jeopardy round, the winner of which will<br />
take all. The degree of difficulty will<br />
increase with each round of competition.<br />
Questions will be drawn from SESAP 12.<br />
Joshua M.V. Mammen, MD, served on a<br />
panel of key organizations (panelists<br />
including the heads of the American Board<br />
of Surgery, American College of <strong>Surgeons</strong><br />
Division of Education, <strong>and</strong> the Surgery<br />
Resident Review Committee) at the<br />
Association of Program Directors in<br />
Joshua Mammen, MD Surgery meeting in Tucson, as the representative<br />
of the Resident <strong>and</strong> Associate<br />
Society (RAS) of the American College of <strong>Surgeons</strong>. He serves<br />
as the Co-chair of the Education Committee <strong>and</strong> the Member-atlarge<br />
<strong>for</strong> General Surgery on the Executive Committee of RAS.<br />
Grady Alsabrook, MD<br />
Grady Alsabrook, MD, was one of six<br />
UC residents voted by UC College of<br />
Medicine students to receive a Gold<br />
Foundation Humanism <strong>and</strong> Excellence in<br />
Teaching Award. He will be presented<br />
with a certificate <strong>and</strong> cash award during<br />
the Student Clinician Ceremony on June<br />
30. Other finalists <strong>for</strong> the award included<br />
Drs. Kfir Ben-David, Jocelyn Logan-<br />
Collins, <strong>and</strong> Brian Pan.<br />
UC surgical residents took the top three places in the Cincinnati<br />
Surgical Society’s 2005-2006 Resident Essay Competition.<br />
Five-minute presentations were given by the winning residents<br />
at the meeting on May 2, 2006:<br />
1st Place: Lynn Huffman, MD: “Early Results from Lung<br />
Cancer Screening Using Spiral CT of High-Risk Individuals.”<br />
2nd Place: Bryon Boulton, MD: “APC Tumor Suppressor<br />
Regulates Mammary Epithelial Apoptosis <strong>and</strong> Proliferation.”<br />
3rd Place: Mubeen Jafri, MD: “Holangiocyte Injury Mediates<br />
Temporal Dependence of Experimental Biliary Atresia.”<br />
There were a total of 19 abstracts submitted <strong>and</strong> 6 judges.<br />
Richard Stevenson, MD, Director of the Student Clerkship in<br />
Surgery, won the Gold Apple Award winner as best teacher in<br />
the clinical years as voted by the UC Class of 2006.<br />
Department of Surgery Faculty Continue<br />
Key Roles in Prestigious Surgical Societies<br />
For the first time, the Society of University <strong>Surgeons</strong> (SUS)<br />
<strong>and</strong> the Association of Academic Surgery (AAS) held a joint<br />
meeting, referred to as the first annual Academic Surgical<br />
Congress. The February 2006 event in San Diego had recordbreaking<br />
attendance, <strong>and</strong> the UC Department of Surgery continues<br />
to play a key role in these organizations.<br />
Brad Warner, MD (pediatric surgery) <strong>and</strong> Jeffrey<br />
Matthews, MD (pancreatic/liver sugery) are past presidents<br />
of the SUS, serve on the SUS Foundation Exceutive<br />
Committee, <strong>and</strong> were on the task <strong>for</strong>ce that brought the two<br />
societies together <strong>for</strong> the joint meeting.<br />
Timothy Pritts, MD, PhD (trauma surgery/education) was<br />
elected to the AAS Education Committee. Michael Reed,<br />
MD (thoracic surgery) serves on the membership committee<br />
of the AAS. Andrew Lowy, MD (surgical oncology) <strong>and</strong><br />
Karyn Butler, MD (trauma surgery/cardiovascular research)<br />
serve on the publications committee of the SUS, <strong>and</strong> were<br />
also appointed to the program committee of the SUS.<br />
<strong>New</strong> members admitted to the SUS include Timothy<br />
Broderick, MD (GI/endocrine surgery) <strong>and</strong> Joseph Buell,<br />
MD (transplant/liver surgery). Members-elect include<br />
Jeffrey Sussman, MD (surgical oncology), Thomas Inge,<br />
MD, PhD (pediatric surgery) <strong>and</strong> Jeffrey Pearl, MD (pediatric<br />
cardiac surgery).<br />
Drs. Karyn Butler, Andrew Lowy, Jeffrey Matthews, <strong>and</strong><br />
Brad Warner were session moderators. Surgery faculty<br />
made nine presentations at the meeting (see Presentations),<br />
including three by Timothy Crombleholme, MD (pediatric<br />
surgery) at the SUS Plenary Session.<br />
“It is exciting to see the UC Department of Surgery<br />
play such an important role in these two prestigious<br />
academic organizations. We are well represented<br />
across our divisions <strong>and</strong> specialties, <strong>and</strong> the success of<br />
our mission to train the future leaders of American<br />
Surgery is evident in the number of our rising stars who<br />
have become active in these prestigious organizations.”<br />
Jeffrey B. Matthews, MD<br />
Chairman, UC Department of Surgery
Trauma/Critical Care <strong>and</strong> CSTARS Faculty Are Honored<br />
John Heiser (left), President of the AARC, presents the Forrest<br />
M. Bird Lifetime Achievement Award to Richard Branson<br />
“Living Proof” Patient Revisits UC Trauma<br />
Center <strong>and</strong> Reveals Plan to Become a Doctor<br />
Rachael Swango, 18, who survived a life-threatening car accident in<br />
February, revisited the UC Trauma Center on April 17 to thank the<br />
surgeons <strong>and</strong> other trauma team members who helped save her life.<br />
She also revealed her plans to become a doctor. Ms. Swango was<br />
featured in University Hospital's “Living Proof” ad campaign, <strong>and</strong><br />
was presented with signed posters of the ad by the trauma team,<br />
including Timothy Pritts, MD, PhD.<br />
Dr. Pritts said that Ms. Swango suffered a severed vena cava, lacerated<br />
liver <strong>and</strong> collapsed lungs in the accident. Such an injury to the<br />
vena cava or other large veins has a mortality rate of approximately<br />
75 percent. According to Dr. Pritts, the exceptionally fast <strong>and</strong> efficient<br />
care offered by a Level I Trauma Center <strong>and</strong> its multidisciplinary<br />
team is best suited to treat multiple-trauma victims.<br />
Ms. Swango will graduate from Finneytown High School in June<br />
<strong>and</strong> plans to attend Concord University in West Virginia.<br />
Rachael Swango is presented with a signed poster of the “Living<br />
Proof” poster by Timothy Pritts, MD, PhD, <strong>and</strong> other members of<br />
the University Hospital’s Trauma Team who helped save her life.<br />
Branson Wins Lifetime Achievement Award<br />
Richard D. Branson, MS, RRT, MBA, FAARC, Associate<br />
Professor of Surgery in the Division of Trauma <strong>and</strong> Critical<br />
Care, received dual honors at the American Association <strong>for</strong><br />
Respiratory Care (AARC) International Respiratory Congress<br />
which was held in San Antonio, TX, in December 2005.<br />
Mr. Branson was named a Life Member of the AARC <strong>and</strong> also<br />
received the prestigious Forrest M. Bird Lifetime Achievement<br />
Award from the American Respiratory Care Foundation<br />
(ARCF). The Award was established in 1983 with a grant from<br />
Dr. Forrest M. Bird, founder of Bird Products Corporation, to<br />
acknowledge outst<strong>and</strong>ing individual scientific contributions in<br />
the area of respiratory care of cardiopulmonary disorders. The<br />
Life Membership Award is given annually to AARC members<br />
who have gone above <strong>and</strong> beyond the call of duty in advancing<br />
the respiratory care profession.<br />
Flight Surgeon in Afghanistan Expresses His<br />
Gratitude <strong>for</strong> CSTARS/CCATT Training at UC<br />
“I’d like to recognize the Cincinnati CSTARS [Center <strong>for</strong> Sustainment<br />
of Trauma <strong>and</strong> Readiness Skills] program <strong>for</strong> really helping to prepare<br />
me <strong>and</strong> my team <strong>for</strong> our recent deployment to Bagram, Afghanistan.<br />
Of all the Air Force training I’ve received over the last 7 years, I think<br />
CSTARS was some of the best <strong>and</strong> most practical. Specifically, the<br />
h<strong>and</strong>s-on equipment training <strong>and</strong> the simulated scenarios along with<br />
the flight exercise really paid off in the field. Our very first CCATT<br />
[Critical Care Air Transport Team] mission almost exactly mirrored the<br />
final ‘flight training’ scenario.<br />
CCATT Simulated C-17 Trainer as part of CSTARS training program at UC<br />
“The entire 36-hour mission will remain etched in my brain. Incredible<br />
stress, uncertainty, fatigue, <strong>and</strong> equipment problems! Fortunately, the<br />
CSTARS scenarios, equipment training <strong>and</strong> lectures really paid off <strong>for</strong><br />
our team. Specifically, Dr. Stephen Barnes ran us a scenario during our<br />
training flight at CSTARS that really helped. I was thanking Dr. Barnes<br />
<strong>and</strong> CSTARS the entire harrowing flight from Balad because I <strong>and</strong> my<br />
team felt confident <strong>and</strong> were able to get our patients to L<strong>and</strong>stuhl alive.<br />
We would have been lost <strong>and</strong> really in much bigger trouble <strong>and</strong> maybe<br />
lost a patient in flight without CSTARS.”<br />
Major Peter M. Harding, MD
UC Heart Program Celebrates 20 Years<br />
Heart transplant recipients at the 20-year celebration of University Hospital’s heart transplant program.<br />
The University Hospital celebrated its 20th anniversary of per<strong>for</strong>ming<br />
heart transplant surgeries during an event held on<br />
December 21, 2005, in the hospital's main lobby. Launched in<br />
December 1985, UC's heart transplant program has treated more<br />
than 348 patients.<br />
The first heart transplant locally was per<strong>for</strong>med by David<br />
Melvin, MD, PhD, on December 17, 1985. The University<br />
Hospital did one heart transplant in 1985 <strong>and</strong> 10 in 1989, as<br />
Cardiac faculty at University Hospital include (l-r) Lynne Wagoner, MD,<br />
David Melvin, MD, PhD, John Flege, Jr, MD, <strong>and</strong> Walter Merrill, MD<br />
cyclosporine dramatically changed the transplant l<strong>and</strong>scape.<br />
University Hospital did 12 of the 15 heart transplants per<strong>for</strong>med<br />
in Greater Cincinnati in 2004. The others were done at<br />
Children's Hospital Medical Center. They are the only two hospitals<br />
per<strong>for</strong>ming heart transplants in Greater Cincinnati.<br />
Nationally, there were 2,016 heart transplants in 2004.<br />
“As a team, we have to carefully evaluate patients be<strong>for</strong>e we put<br />
them on the list,” said Dr. Lynne Wagoner, medical director of<br />
the heart transplant program at the University of Cincinnati <strong>and</strong><br />
University Hospital. “Donor hearts are not sitting on a shelf<br />
waiting <strong>for</strong> us. We have to ensure the people who we put on the<br />
list are going to take care of the heart. We require them to stop<br />
smoking <strong>and</strong> insist on diet changes <strong>and</strong> exercising.”<br />
The prime organ donor c<strong>and</strong>idate is someone who suffers brain<br />
death, often from an accident or sudden medical crisis like an<br />
aneurysm. Fewer than 1% of deaths meet the criteria; thus,<br />
many more registered donors are needed. Nationally, 17 people<br />
die every day waiting <strong>for</strong> an organ transplant.<br />
As of January 20, 2006, approximately 3,000 patients in the<br />
nation were waiting <strong>for</strong> hearts. University Hospital has 20, <strong>and</strong><br />
there are 22 waiting throughout Greater Cincinnati.<br />
Oral & Maxillofacial Surgery Division To Welcome <strong>New</strong> Residents<br />
The Division of Oral <strong>and</strong> Maxillofacial Surgery had a very successful match<br />
with the following:<br />
Leslie A. Orzech, who will graduate in May from Case Western Reserve<br />
University School of Dental Medicine in Clevel<strong>and</strong>, Ohio.<br />
Karen K. Potaczek, who will graduate in May from Marquette University<br />
School of Dentistry in Milwaukee, Wisconsin.<br />
They will begin their Oral <strong>and</strong> Maxillofacial Surgery residency training on<br />
July 1, 2006.<br />
Leslie Orzech Karen Potaczek
Joseph F. Buell, MD (fourth from right),<br />
with faculty of McGill University<br />
Recent Presentations<br />
Joseph F. Buell, MD, Division of Transplant Surgery, was invited professor<br />
<strong>and</strong> spoke on “Laparoscopic Hepatic Resection” at the 2005 McGill<br />
Hepatopancreatobiliary & Liver Transplant Surgery conference at McGill<br />
University, Montreal, Quebec, Canada, November 7-9, 2005.<br />
Mr. Charles Doarn, Executive Director of the UC Center <strong>for</strong> Surgical<br />
Innovation (CSI), presented “Telesurgery” at the National Virtual<br />
Telemedicine Gr<strong>and</strong> Rounds via VTC (video teleconference), January 17,<br />
2006.<br />
Mr. Doarn also participated in the “Innovation Imperative” symposium in<br />
Cincinnati on March 3, 2006, comprising a group of international thought<br />
leaders in a day-long <strong>for</strong>um to discuss innovation <strong>and</strong> ways in which universities<br />
play a key role in the creative economy.<br />
Harnett BM. “Advanced Network Opportunities <strong>for</strong> Surgical Tele-<br />
Robotics.” Center <strong>for</strong> Computational Sciences, University of Kentucky, Lexington, KY, February, 2006.<br />
Pritts TA. “Good Medicine in Good Places.” Nursing Education <strong>and</strong> Professional Practice Group, University Hospital, Cincinnati, Ohio,<br />
January 18, 2006.<br />
Wolf RK. “Surgical Microdevices <strong>and</strong> Nanodevices.” BME (Biomedical Engineering) Seminar, University of Cincinnati, January 23,<br />
2006.<br />
John Howington MD, Associate Professor of Surgery <strong>and</strong> Director of the Division of Thoracic Surgery, <strong>and</strong> Ms. J. Rita McNeil, City<br />
Solicitor <strong>for</strong> the City of Cincinnati, spoke at the “Closing the Gap” conference on April 12, 2006, about the St. Vincent DePaul (SVDP)<br />
Charitable Pharmacy opening this summer at the Bank Street location. Patient counseling <strong>and</strong> advocacy are already taking place with volunteers<br />
assisting clients in enrollment <strong>for</strong> Medicare part D <strong>and</strong> Pharmaceutical Company Assistance programs. Dr. Howington <strong>and</strong> Ms.<br />
McNeil are alumni of the Leadership Cincinnati Class of 2003-2004. Ms. McNeil is President of the SVDP Charitable Pharmacy Board<br />
of Directors, on which Dr. Howington is a Board member along with several other Leadership Cincinnati classmates.<br />
For the first time, the Society of University <strong>Surgeons</strong> (SUS) <strong>and</strong> the Association of Academic Surgery (AAS) held a joint meeting,<br />
referred to as the First Annual Academic Surgical Congress, held February 7-11, 2006, in San Diego, CA. The following abstracts were<br />
presented at the meeting (faculty in red) <strong>and</strong> also published in Journal of Surgical Research 2006;130(2):160-338.<br />
Boulton BJ, Ebetino MB, Willson TA, Goss KH. “The APC tumor suppressor regulates apoptosis <strong>and</strong> proliferation in human breast cancer<br />
cells.”<br />
Huffman LC, Knight DD, Butler K. “Increased age is associated with reduced survival following trauma to the duodenum or pancreas.”<br />
Panait L, Merrell RC, Rafiq A, Dudrick SJ, Broderick TJ. “Virtual reality laparoscopic skill assessment in microgravity.”<br />
Pritts TA, Schuster RM, Chaiken M, Worrell R, Matlin K, Lentsch A, Matthews JB. “Thermal injury increases endotoxin susceptibility<br />
<strong>and</strong> intestinal TLR4 expression.”<br />
Reed MF, Zagorski WA, Dhamija A, Knudsen ES. “Inhibition of RB tumor suppressor activity increases chemosensitivity in lung cancer<br />
xenografts.”<br />
Sheng GS, Warner BW. “EGF receptor signaling induces proliferation of intestinal epithelial cells via MAPK-directed increase in P21<br />
expression.”<br />
In addition, three papers were presented at the SUS Plenary Session by pediatric surgeon Timothy Crombleholme, MD, <strong>and</strong> colleagues:<br />
Marwan A, Parvadia J Vaikunth S, Harkness U, Maldonado A, Kalinowska B, Alaee D, Uzvolgyi E, Crombleholme T.<br />
“Postpneumonecty compensatory lung growth occurs through an endothelial progenitor cell-mediated mechanism.”<br />
Parvadia J, Marwan A, Vaikunth S, Harkness U, Maldonado A, Alaee D, Kalinowska B, Ripberger M, Uzvolgyi E, Crombleholme T.<br />
“Liver regeneration is a salivary VEGF dependent phenomenon.”<br />
Vaikunth SS, Keswani SG, Parvadia JK, Marwan A, Harkness U, Maldonado A, Alaee D, Kalinowska B, Uzvolgyi E, Crombleholme T.<br />
“Exogenous endothelial precursor cells (EPCS) correct the wound healing deficit <strong>and</strong> enhance neovascularization in FVBN-MMP-9<br />
knock-out mice.”
SBAS Meeting Attracts Prominent <strong>Surgeons</strong> <strong>and</strong> Stars<br />
(L-R) Mr. Oscar Robertson with Drs.<br />
Jeffrey Matthews <strong>and</strong> Henri Ford<br />
James Kingsbury, Executive Director of<br />
University Hospital (left) with Kenneth<br />
Davis, Jr, MD, <strong>and</strong> Jane Henney, MD,<br />
Provost, UC Medical Center<br />
(L-R) Anthony Stallion, MD (UC alumnus),<br />
Kenneth Davis, Jr, MD, Mrs. Oscar (Yvonne)<br />
Robertson, <strong>and</strong> W. Lynn Weaver, MD<br />
Kenneth Davis, Jr, MD, introduces<br />
Karyn Butler, MD, at local program<br />
Michael Nussbaum, MD (center) introduces<br />
Callisia Clarke (recent UC Medical School<br />
graduate who matched to UC Department<br />
of Surgery) to Steven Stain, MD (far left)<br />
(L-R) Selwyn Vickers, MD, SBAS President,<br />
Mayor Mark Mallory, Jeffrey Matthews, MD,<br />
<strong>and</strong> Kenneth Davis, Jr, MD, after reading of<br />
proclamation by Mayor Mallory at SBAS<br />
Selwyn Vickers, MD, President of<br />
SBAS (left), presents Jeff Matthews,<br />
MD, with Asa Yancey Lecture plaque<br />
Mr. Oscar Robertson presents guest lecture<br />
(L-R) Jeff Matthews, MD, Selwyn Vickers, MD,<br />
Mayor Mark Mallory, <strong>and</strong> Ken Davis, Jr, MD<br />
Local SBAS program in Surgical Amphitheater<br />
UC surgery residents <strong>and</strong> other guests at SBAS<br />
(L-R) Eddie Hoover, MD, Walter Merrill, MD,<br />
<strong>and</strong> David Melvin, MD, PhD [Drs. Hoover <strong>and</strong><br />
Merrill were thoracic surgery residents together]
Surgical Gr<strong>and</strong> Rounds Schedule<br />
May 10, 2006 Joseph F. Buell, MD (Transplant Surgery): “Progress in Laparoscopic Liver Transplant Surgery”<br />
May 17, 2006 Guest Lecturer, Richard A. Hodin, MD, Associate Professor of Surgery, Harvard Medical<br />
School; Surgical Director, MGH Inflammatory Bowel Disease Center: “Advances in Surgery <strong>for</strong><br />
Inflammatory Bowel Disease”<br />
May 24, 2006 Guest Lecturer, Frederick Grover, MD, Chief of Surgery, Denver VA Medical Center; Professor<br />
<strong>and</strong> Head, Division of Cardiothoracic Surgery, University of Colorado Health Sciences Center:<br />
“Lung Transplantation: Past, Present, <strong>and</strong> Future”<br />
May 31, 2006 Joint Anesthesia/Surgery Gr<strong>and</strong> Rounds - Anesthesia Visiting Professor, Lee Fleisher, MD,<br />
Robert D. Dripps Professor <strong>and</strong> Chair, Department of Anesthesiology <strong>and</strong> Critical Care; Professor<br />
of Medicine, University of Pennsylvania: “Strategies to Reduce Cardiac Risk of Noncardiac<br />
Surgery” [Note time changed to 7:00 a.m.]<br />
June 7, 2006 Pediatric Surgery<br />
June 14, 2006 Hector R. Wong, MD (Research), Professor of Pediatrics; Director, Division of Critical Care<br />
Medicine, Cincinnati Children's Hospital: “Genome Wde Expression Patterns in Pediatric SIRS <strong>and</strong><br />
Septic Shock”<br />
June 21, 2006 Final Gr<strong>and</strong> Rounds [Gr<strong>and</strong> Rounds will resume in September]<br />
(l-r) Drs. Mubeen Jafri, Prakash P<strong>and</strong>alai, Lynn (Chip) Huffman, <strong>and</strong> Ryan Thomas<br />
are the four finalists in the Resident Research Competition. The winner will be<br />
announced at Final Gr<strong>and</strong> Rounds on June 21, 2006.<br />
University Surgeon is published September-October, quarterly by UC <strong>Surgeons</strong>, 2004 Inc.<br />
Written by Steve Wiesner, 558-4207, steve.wiesner@uc.edu<br />
Edited by Elizabeth Pierce, 558-1321, elizabeth.pierce@uc.edu<br />
Spring, 2006