2017 OFFICERS and COUNCIL

Ross B. Reagan, Waco ………………………………… President

Ronald M Stewart, San Antonio ...……….…..… President-Elect

Lee Bloemendal, Fort Worth …………………… Past President

Shannon L. Smith, Nacogdoches..………….………… Secretary

Richard C. Frazee, Temple ……………………………Treasurer

George E. Mimari, San Antonio ………….. First Vice President

Richard Vigness, Fort Worth ….……….. Second Vice President

Robert G. Kingman, Corsicana …………….. Council Chairman Anthony L. Estrera, Houston …....……..……….…Council 2018

Michael J. Dragun, Midland …….......……....…….. Council 2019

Mellick T. Sykes, San Antonio …….…………..………. Archivist

NEXT MEETINGS

San Antonio October 6-8, 2017

Houston

April 6-8, 2018

HONORED GUEST SPEAKER

Lenworth Mayhew Jacobs, MD

Vice President, Academic Affairs and Director of Trauma Institute, Hartford Hospital

Dr. Jacobs is the Vice President of Academic Affairs and Director of the Trauma Institute at Hartford Hospital. He is Professor of Surgery, Traumatology and Emergency Medicine at the University of Connecticut. He graduated from the University of the West Indies Medical School in 1970. He received his surgical training at the Peter Bent Brigham Hospital in Boston and at University and Boston City Hospitals. He holds a Master’s Degree in Public Health from the Harvard School of Public Health. Dr. Jacobs became the Director of Emergency Medical Services for the City of Boston and the Trauma Center at Boston City Hospital. He designed and implemented Basic and Advanced Life Support for the City of Boston. He then moved to Hartford Hospital where he implemented the LIFE STAR Air Medical Service and the Trauma Center. He inaugurated a new Department of Traumatology and Emergency Medicine at the University Of Connecticut School Of Medicine. He is the Chairman of the Hartford Consensus, Joint Committee to Increase Survival from Active Shooter and Intentional Mass Casualty Events. He is currently on the Board of Regents of the American College of Surgeons and was on the Executive Committee of the Governors of the American College of Surgeons. He is a past Director of the American Board of Surgery. He is a founder and past President of the Eastern Association for the Surgery of Trauma (EAST) and past Vice President of the American Association for the Surgery of Trauma (AAST). He is past President of the American Trauma Society. He has lectured extensively in the United States and across the World. He has over 250 publications including numerous books and book chapters. He is the founder of the Advanced Trauma Operative Management Course (ATOM) and the Editor of the ATOM Textbook. ATOM is now available in 55 sites in the United States, Canada, Africa, the Middle East, Japan, Saudi Arabia, UAE, Qatar, Italy, and Brazil. Over 700 surgeons have been fully certified as ATOM instructors. ATOM has trained over 3800 surgeons. Dr. Jacobs was awarded an Honorary Degree of Doctor of Science (Honoris Causa) presented by The Council and Senate of the University of the West Indies. He was awarded an Honorary Fellowship in the West African College of Surgeons. He received the Connecticut American College of Surgeons Distinguished Service Award. He has also been recognized by his peers for his contribution to the surgery of trauma and has been the recipient of the Meritorious Award of the American College of Surgeons Committee on Trauma. The American College of Surgeons, American Association for the Surgery of Trauma, and the National Safety Council presented him with the “Surgeons’ Award for Service to Safety”. He received the Dr. Norman E. McSwain, Jr. PHTLS Leadership Award for Contributions and Continued Commitment to the Care of the injured patient especially to their Pre-hospital Care. The Governor of Connecticut presented him with the States’ Award for Dedicated Service to the State of Connecticut.

Texas Surgical Society CME Procedures LEARNING OBJECTIVES

This program is designed to present the surgeon with practical information on a variety of topics in the fields of

general and subspecialty surgery.

PROGRAM

TEXAS SURGICAL SOCIETY Organized March 6, 1915

The 200th Meeting of the TEXAS SURGICAL SOCIETY

Spring Semi-Annual Scientific Session April 7-9, 2017

Midland _____________

Hosts

Midland Area Members and Spouses

Local Arrangements

Michael Dragun - Chairman John Staub – Golf Tournament

David Young – Shooting Chuck Fraser – Tennis Terry Staub – Jogging

Regan Viney- Spouse Activities

CONTINUING MEDICAL EDUCATION CREDIT INFORMATION

Accreditation This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the American College of Surgeons and the Texas Surgical Society. The American College of Surgeons is accredited by the ACCME to provide CME for physicians. AMA PRA Category 1 Credits™ The American College of Surgeons designates this live activity for a maximum of 10.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Of the AMA PRA Category 1 Credits™ listed above, a maximum of 9.0 credits meet the requirements for Self-Assessment. Of the AMA PRA Category 10.0 Credits™ listed above, a maximum of 1.0 credit may qualify as Ethics.* * The content of this activity may meet certain mandates of regulatory bodies. ACS has not and does not verify the content for such mandates with any regulatory body. Individual physicians are responsible for verifying the content satisfies such requirements. Disclosure Information In compliance with the ACCME Accreditation Criteria, the American College of Surgeons, as the accredited provider of this activity, must ensure that anyone in a position to control the content of the educational activity has disclosed all relevant financial relationships with any commercial interest. All reported conflicts are managed by a designated official to ensure a bias-free presentation. Please see the insert to this program for the complete disclosure list.

The 200th Semi-Annual Meeting of the

TEXAS SURGICAL SOCIETY PROGRAM

April 7-9, 2017 Midland, Texas

Friday April 7, 2017 A3 Papers limited to 10 minutes - Discussion time of 10 minutes 1:30 p.m. Welcome and Introduction President – Ross B. Reagan 1:40 p.m. Scientific Paper Presentations 1) 1:40-2:00 p.m. Joseph Coselli - Houston Reoperative Surgery on the Thoracoabdominal Aorta 2) 2:00-2:20 p.m. Chris Bell - Dallas Robotic Assisted Laparoscopic inguinal hernia repair – Outcomes, Technical Considerations, and Lessons 3) 2:20-2:40 p.m. R. Scott Jones – Charlottesville, VA Physician-Owned Surgical Hospitals Outperform Other Hospitals in Medicare Value-Based Purchasing Program 4) 2:40-3:00 p.m. Eric Silberfein - Houston The future of the Texas Surgical Society and the Raleigh Ross Scholar: Where are they now? 3:00-3:10 p.m. Raleigh Ross Scholars Presentation Milad Mohammadi...…………....Texas Tech University HSC - Lubbock John Admire…..………………UT Health Science Center – San Antonio Matt Tillman……….Texas A&M Univ. HSC (Scott & White) – Temple Richard L. Lu…………..………………UT Medical Branch - Galveston Yuichi Ishida….....………………Texas Tech University HSC – El Paso Andrew Miller………………………..Dell UT Medical School – Austin 3:10-4:10 p.m. Scientific Guest Speaker Lenworth Jacobs, M.D. Hartford, CT The Evolving Role of Simulation in Operative Surgical Education 4:10-4:25 p.m. Intermission 4:25-5:25 p.m. Executive Session-Members Only 6:30 p.m. Cocktail Dinner Saturday April 8, 2017 3 8:00-8:10 a.m. Welcome and Introduction President – Ross B. Reagan 5) 8:10-8:30 a.m. Donald Stewart -Waco From Ancient Egypt to Modern Day Texas: How Bladder Stone Disease Affected Medicine, Surgery, and History 6) 8:30-8:50 a.m. Steven Wolf - Dallas Analysis of OR Efficiency 7) 8:50-9:10 a.m. Samuel Snyder - Edinburg Is There Any Value to a PACU PTH after Total Thyroidectomy when Routine Calcium Supplementation Is Planned? 8) 9:10-9:30 a.m. Scott Johnson – San Antonio Operative Outcomes Following Esophagectomy: Use of the Colon vs. Stomach as the Reconstructive Conduit 9) 9:30-9:50 a.m. Donald Crockett – Midland West Texas as a Proving Ground for Pre-Hospital Trauma Care Education: How to Conquer the Wild West 9:50-10:00 a.m. Intermission

10) 10:00-10:20 a.m. Kristene Gugliuzza - Galveston Needs Assessment For Development of a Rectal Cancer Center of Excellence in West Texas 11) 10:20-10:40 a.m. Ronald Stewart – San Antonio Enterocutaneous Fistula and the Open Abdomen: A case report managed with successful occlusion 12) 10:40 – 11:00 a.m. Robert Feldtman - Dallas Office Based Endovascular Intervention in Lower Extremity Diabetic Arterial Disease, A Review of 1040 Patients 13) 11:00-11:20 a.m. Ronald Stewart – San Antonio Update of Fluid and Catheter Management in Patients with ARDS 14) 11:20-11:40 a.m. John Griswold – Lubbock Improved background pain management in burn injured and large soft tissue infection (NSTI) patients using an analgesia-only, non-drip, non-sedation protocol 11:40-12:00 p.m. New Member Presentation Second Vice President – Richard Vigness Teresa Kroeker…………………………………………………….Austin Damon A. Mimari………………………….……….………..San Antonio Ravi S. Radhakrishnan……………………………………..….Galveston Donald A. Stewart…………………………………………………..Waco Samual R. Todd…………………………………………………..Houston Larry Hollier………………………………..………… New Orleans, LA 12:00-1:00 p.m. Member Guest Luncheon Jim Henry Midland, TX Tales from the Oil Patch 1:15-1:25 p.m. Reconvene First Vice President – George E. Mimari 1:25-2:25 p.m. Scientific Guest Speaker Lenworth Jacobs, M.D. Hartford, CT Strategies to Increase Survival in Active Shooter and Intentional Mass Casualty Events 15) 2:25-2:45 p.m. Russell Sawyer – Castro Valley, CA Laparoscopic Scroll Technique for Umbilical/Ventral Hernia 16) 2:45-3:05 p.m. William Shutze - Dallas Results of a Synchronized Protocol for Acute Aortic Syndrome Transfers 17) 3:05-3:25 p.m. Kenneth Benson – Lubbock, Presented by Robert Feldtman - Dallas During My Lifetime in Urologic Practice 18) 3:25-3:45 p.m. Kenneth Sirinek – San Antonio Associated Comorbidities Impact Postoperative Mortality in Patients Undergoing Surgery for Colonic Volvulus 19) 3:45-4:05 p.m. Bruce MacFadyen - Houston Surgical Training in Africa 20) 4:05-4:25 p.m. Shelton Viney - Midland How the use of NSQIP Data has change Perioperative Surgical Care in a Community Hospital Setting -- Leading to the implementation a multidisciplinary team approach and creating ERAS programs across specialties 21) 4:25-4:45 p.m. Francis Buckley III – Round Rock Real-time Diagnosis of Barrett’s Esophagus: Comparing Confocal Laser Endomicroscopy with Conventional Histology for the Identification of Intestinal Metaplasia

6:30 p.m. Cocktails and President’s Banquet M. Ray Perryman Waco, TX An Economic Perspective on Changes Affecting Healthcare and Healthcare Providers Sunday April 9, 2017 8:00-9:00 a.m. Ethics Breakfast The Reverend W.L. “Chip” Prehn, Ph.D. Midland, TX Post-postmodern Shifts in Our Thinking.

We wish to formally acknowledge Midland Health

and Medical Center Health System

for their educational grants in support of this meeting.

IN MEMORIAM

Ernest Poulos Denton A Cooley Ted Huang

1926-2016 1920-2016 1937-2016

SCHEDULE OF EVENTS

Thursday April 6, 2017 1:00 p.m. COUNCIL MEETING – Tropics B Friday April 7, 2017 8:00 a.m. GOLF TOURNAMENT (John Staub) –

Midland Country Club. Meet in the lobby at 6:30 a.m. to carpool. Shotgun start at 8:00 a.m.

9:00 a.m. SHOOTING (David Young) – WishBone

Ranch. Meet in the lobby at 7:30 a.m. to carpool. Shooting starts at 9:00 a.m.

9:00 a.m. TENNIS (Chuck Fraser) – The Racquet Club of

Midland. Meet in the lobby 8:00 a.m. to carpool. Tournament starts at 9:00 a.m.

1:30 p.m. FIRST SCIENTIFIC SESSION – Ballroom

A/B/C 4:25 p.m. EXECUTIVE SESSION (Members only) –

Ballroom A/B/C

6:30 p.m. COCKTAIL BUFFET DINNER – Permian Basin Petroleum Museum. Shuttle service will begin at 6:15 p.m.

Saturday April 8, 2017 6:00 a.m. JOGGING (Terry Staub) – The Staub’s House.

Meet in the lobby 6:00 a.m. 6:30 a.m. NEW MEMBER BREAKFAST- Civics 7:00 a.m. WOMEN IN SURGERY BREAKFAST - Executive A 8:00 a.m. SECOND SCIENTIFIC SESSION – Ballroom

A/B/C 10:00 a.m. SPOUSES EVENT (Reagan Viney) – Museum

of the Southwest, Racquet Club, Susie’s South 40 Candy Factory. Meet in the lobby at 10 a.m. to catch the shuttle

12:00 p.m. MEMBER- GUEST LUNCHEON – Ballroom

D/E 1:15 p.m. THIRD SCIENTIFIC SESSION- Ballroom

A/B/C 6:30 p.m. COCKTAILS AND PRESIDENTIAL

BANQUET – Midland Country Club. Shuttle service will begin at 6:00 p.m.

6:30 p.m. KIDS MOVIE NIGHT – Midland Country Club.

Shuttle service will begin at 6:00 p.m. Sunday April 9, 2017 8:00 a.m. ETHICS BREAKFAST– Ballroom D