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Zoltán Szabó, PhD, FICS, Harry Reich, MD, FACOG, Manabu Yamamoto, MD, PhD, Harold Brem, MD, FACS, Steven F. Harwin, MD, FACS, Michael T. Manley, PhD, FRSA, Michael A. Mont, MD

 

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SURGICAL TECHNOLOGY INTERNATIONAL 25th EDITION

 

 

Editors' Choice:

 

 

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Assessment of Stresses in the Cervical Spine Caused by Posture and Position of the Head
Kenneth K. Hansraj, MD, Chief of Spine Surgery, New York Spine Surgery & Rehabilitation Medicine, New York, New York

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Abstract

Preamble. Billions of people are using cell phone devices on the planet, essentially in poor posture. The purpose of this study is to assess the forces incrementally seen by the cervical spine as the head is tilted forward, into worsening posture. This data is also necessary for cervical spine surgeons to understand in the reconstruction of the neck.

 

Lifetime Achievement in Abdominal Wall Reconstruction

 

 

Dr. Heniford of North Carolina, who runs a large clinical practice for hernia and abdominal wall surgeries, at a recent AWR conference in Washington, DC. He received this year's top industry award from his colleagues:  The GeorgetownMedstar Award – Lifetime Achievement in Abdominal Wall Reconstruction.

 

Components Separation in Complex Ventral Hernia Repair: Surgical Technique and Post-operative Outcomes

Samuel W. Ross, MD, MPH, Clinical Research Fellow, General Surgery Resident, Division of Gastrointestinal and Minimally Invasive Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC, Bindhu Oommen, MD, MPH, Minimally Invasive Surgery Fellow, Division of Gastrointestinal and Minimally Invasive Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC, B. Todd Heniford, MD, FACS, Professor of Surgery, Director, Carolinas Hernia Center, Chief, Division of Gastrointestinal and Minimally Invasive Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC, Vedra A. Augenstein, MD, FACS, Assistant Professor of Surgery, Division of Gastrointestinal and Minimally Invasive Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC

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Abstract

There are over 350,000 ventral hernia repairs (VHR) performed in the United States annually and a variety of laparoscopic and open surgical techniques are described and utilized. Complex ventral hernias such as recurrent hernias, those with infected mesh, open wounds, coexisting enteric fistulas, parastomal hernias, and massive hernias—especially those with loss of abdominal domain—require sophisticated repair techniques. Many of these repairs are performed via an open approach. Ideally, the aim is to place mesh under the fascia with a large overlap of the defect and obtain primary fascial closure. However, it is often impossible to bring together fascial edges in very large hernias. Component separation is an excellent surgical technique in selected patients which involves release of the different layers of the abdominal wall and in turn helps accomplish primary fascial approximation. The posterior rectus sheath, external oblique or the transverse abdominis fascia can be cut and allows for closure of fascia in a tension free manner in a majority of patients. In this chapter we describe the various techniques for component separation, indications for use, how to select an appropriate type of release and post-operative outcomes.

Latest Advances in Surgery

SURGICAL TECHNOLOGY INTERNATIONAL

 

GYNECOLOGY

 

Systematic Review and Classification of Complications after Anterior, Posterior, Apical, and Total Vaginal Mesh Implantation for Prolapse Repair

Abstract

In this review we focus on the transvaginal meshes used for pelvic organ prolapse (POP) repair and possible changes in application after the first FDA warning in 2008. A systematic review of the literature was performed. The data was reviewed for reoperation rates and complications following the Clavien–Dindo classification. A total of 11 randomized controlled and 9 prospective studies with 2,289 patients (most POP-Q≥II, median follow-up 12 mos) were included. The results showed a mean total complication rate of 27% in anterior, 20% in posterior, and 40% in combined mesh repair group (ns). Grade ≥III complications occurred in 8% anterior, 3.5% posterior, and 13% combined (p < 0.05) mesh repairs. No differences were found for reoperation rates for POP (2% to 3%). The following risk factors for complications were identified: operative technique, surgeon experience, previous prolapse repair, concomitant hysterectomy, total mesh repair, mesh properties (light weight, collagen coating were positive factors), young age, sexual activity, and smoking. Due to high complication rates (especially mesh erosion, voiding dysfunction, and dyspareunia) a careful individualized selection of patients and materials, education of patients, and elimination of identified risk factors are urgent prior to implantation of vaginal meshes.

Dimitri Barski, MD, Resident, Department of Urology, Lukas Hospital, Neuss, Germany, Thomas Otto, MD, Professor, Head of Department, Department of Urology, Lukas Hospital, Neuss, Germany, Director, German Centre for Assessment and Evaluation of Innovative Techniques in Medicine, Neuss, Germany, Holger Gerullis, MD, Specialist in Urology, Department of Urology, Lukas Hospital, Neuss, Germany, Research Associate, German Centre for Assessment and Evaluation of Innovative Techniques in Medicine, Neuss, Germany

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BLOOD MANAGEMENT STRATEGIES

 

 

 

Post-operative Blood Management Strategies for Total Hip Arthroplasty

Abstract

Total hip arthroplasty is increasing in incidence due to our aging population. However, this procedure has a high potential for increased blood loss, with allogeneic blood transfusions commonly used. However, due to potential transfusion-related risks such as immunosuppression or infections, attempts have been made to reduce the amount of blood loss and minimize transfusions. Therefore, our aim was to provide a broad overview of the widely used methods for reducing post-operative blood loss after total hip arthroplasty. These include antifibrinolytic agents, autologous blood transfusion drains, avoiding the use of drains, and modifications in drainage techniques. In addition, lowering the transfusion threshold is another method used to decrease the rates of allogeneic blood transfusion. Current evidence suggests that the use of some of these strategies—either alone, or in combination—may reduce the amount of blood loss and the need for allogeneic transfusions. However, further research is needed to create new, more standardized guidelines.

Julio J. Jauregui, MD, Research fellow, Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement, Sinai Hospital of Baltimore, Baltimore, MD, Kimona Issa MD, Research fellow, Seton Hall University School of Health and Medical Sciences, Department of Orthopaedic Surgery South Orange Village, New Jersey, Bhaveen H. Kapadia, MD, Research fellow, Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement, Sinai Hospital of Baltimore, Baltimore, MD, Samik Banerjee, MD, Research fellow, Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement, Sinai Hospital of Baltimore, Baltimore, MD, Steven F. Harwin, MD, Chief of joint reconstruction, Beth Israel Medical Center, Adult Reconstruction and Total Joint Replacement Service, New York, NY, Michael A. Mont, MD, Director of Center for Joint Preservation and Replacement, Sinai Hospital of Baltimore, Baltimore, MD

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Nonsurgical Intra-operative Blood Management Strategies for Total Hip Arthroplasty

Abstract

The substantial blood loss that can occur during total hip arthroplasty frequently requires allogeneic transfusions. Both allogeneic transfusions and post-operative anemia are causes of increased morbidity, cardiovascular risks, and length of stay. This anemia can also lead to decreased vigor, suboptimal rehabilitation, and lowered quality of life in patients undergoing total hip arthroplasty. The aim of this review was to analyze recent evidence on nonsurgical intra-operative blood management strategies utilized for total hip arthroplasty. Specifically, we evaluated the use of fibrin sealants, desmopressin, acute normovolemic hemodilution, hypotensive anesthesia, blood salvage, and peri-operative normothermia. No single strategy has been shown to provide superior results over another in reducing the need for allogeneic transfusions. However, a combination of the above blood management strategies may further result in reduced blood loss over one strategy. Larger prospective randomized studies comparing the individual strategies, as well as their combination, are needed to develop the best algorithm that can be the most effective and safe for intra-operative blood management in total hip arthroplasty.

Jeffrey J. Cherian, DO, Research fellow, Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement, Sinai Hospital of Baltimore, Baltimore, MD, Samik Banerjee, MD, Research fellow, Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement, Sinai Hospital of Baltimore, Baltimore, MD, Bhaveen H. Kapadia, MD, Research fellow, Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement, Sinai Hospital of Baltimore, Baltimore, MD, Guneet S. Sodhi, BS, Medical Student, Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement, Sinai Hospital of Baltimore, Baltimore, MD, Kimona Issa, MD, Research fellow, Seton Hall University School of Health, and Medical Sciences, Department of Orthopaedic Surgery, South Orange Village, New Jersey, Steven F. Harwin, MD, Chief of joint reconstruction, Beth Israel Medical Center, Adult Reconstruction and Total Joint Replacement Service, Michael A. Mont, MD, Director of Center for Joint Preservation and Replacement, Sinai Hospital of Baltimore, Baltimore, MD

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Blood Management Strategies for Total Hip Arthroplasty in Jehovah’s Witness Patients

Abstract

Total hip arthroplasty is associated with extensive blood loss, which is often corrected using allogeneic blood transfusions. However, Jehovah’s Witnesses often refuse allogeneic blood transfusions or certain types of autologous blood transfusions due to their religious beliefs. This may represent a tremendous challenge for the orthopaedic surgeon and their team. Performing a total hip arthroplasty on a Jehovah’s Witness patient requires a well-trained group of physicians willing to pre-operatively optimize the patient, attempt to minimize the blood loss during the surgery, adequately manage the post-operative period, and be aware of which of the life-saving strategies can be used in these patients during an emergency situation. Ultimately, physicians should be prepared to deal with marked blood loss and respect the patients’ wishes, values, and beliefs. This review focuses on studies where primary or revision total hip arthroplasty was performed in Jehovah’s Witness patients. Therefore, we will illustrate that with a prepared team and an optimized patient, it is potentially quite safe to perform total hip arthroplasties in Jehovah’s Witness patients.

Julio J. Jauregui, MD, Research fellow, Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement, Sinai Hospital of Baltimore, Baltimore, MD, Bhaveen H. Kapadia, MD, Research fellow, Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement, Sinai Hospital of Baltimore, Baltimore, MD, Samik Banerjee, MD, Research fellow, Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement, Sinai Hospital of Baltimore, Baltimore, MD, Kimona Issa, MD, Research fellow, Seton Hall University School of Health, and Medical Sciences, Department of Orthopaedic Surgery, South Orange Village, New Jersey, Sherwin Su, MD, Orthopaedic surgery resident, Seton Hall University of Health, and Medical Sciences, Paterson, NJ, Steven F. Harwin, MD, Chief of joint reconstruction, Beth Israel Medical Center, Adult Reconstruction and, Total Joint Replacement Service, New York, NY, Michael A. Mont, MD, Director of Center for Joint Preservation and Replacement, Sinai Hospital of Baltimore, Baltimore, MD

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Surgical Intra-operative Blood Management Strategies for Total Hip Arthroplasty

Abstract

This section will complement other recent review articles of blood conservation in total hip arthroplasty. The purpose of this review was to provide a broad overview, as well as to evaluate the recent evidence on surgical intra-operative blood management strategies utilized for total hip arthroplasty. In this section, we specifically evaluated the use of bipolar sealants, patient positioning, wound compression, computer-assisted surgery, minimally invasive surgical approach, and cemented versus noncemented prostheses.

Jeffrey J. Cherian, DO, Research fellow, Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement, Sinai Hospital of Baltimore, Baltimore, MD, Bhaveen H. Kapadia, MD, Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement, Sinai Hospital of Baltimore, Baltimore, MD, Samik Banerjee, MD, Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement, Sinai Hospital of Baltimore, Baltimore, MD, Julio Jauregui, MD, Research fellow, Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement, Sinai Hospital of Baltimore, Baltimore, MD, Kimona Issa, MD, Research fellow, Seton Hall University School of Health and Medical Sciences, Department of Orthopaedic Surgery, South Orange Village, New Jersey, Steven F. Harwin, MD, Chief of joint reconstruction, Beth Israel Medical Center, Adult Reconstruction and Total Joint Replacement Service, New York, NY, Michael A. Mont, MD, Director of Center for Joint Preservation and Replacement, Sinai Hospital of Baltimore, Baltimore, MD

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SURGICAL TECHNOLOGY INTERNATIONAL 23rd EDITION

 

 

Editors' Choice:

 

 

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SURGICAL OVERVIEW

 

Three-Dimensional Laparoscopy: A New Tool in the Surgeon's Armamentarium

Nicolas C. Buchs, MD, Faculty Surgeon, Head of the Multidisciplinary Center for Surgical Teaching, Clinic for Visceral and Transplantation Surgery, Department of Surgery, University Hospital of Geneva, Geneva, Switzerland, Philippe Morel, MD, Chief of Division, Clinic for Visceral and Transplantation Surgery, Department of Surgery, University Hospital of Geneva, Geneva, Switzerland

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WOUND HEALING

 

The Evolution of Negative Pressure Wound Therapy (NPWT): A Review of Science, Available Devices, and Evolution in the Usage of NPWT

Stephanie C. Wu, DPM, MS, FACFAS, Associate Dean of Research, Associate Professor of Surgery, Associate Professor, Stem Cell and Regenerative Medicine, Dr. William M. Scholl College of Podiatric Medicine, Rosalind Franklin University of Medicine and Science, Director, Center for Lower Extremity Ambulatory Research, Rosalind Franklin University of Medicine and Science, North Chicago, Illinois,  Melissa K. Skratsky, DPM, Assistant Professor, Department of Podiatric Medicine and Radiology, Dr. William M. Scholl College of, Podiatric Medicine, Rosalind Franklin University, North Chicago, Illinois, Charles A. Andersen, MD, FACS, Chief, Vascular, Endovascular, Limb Preservation Surgery Service, Medical Director of Wound Care Clinic, Clinical Professor of Surgery UW, USUHS, Madigan Army Medical Center, Tacoma, Washington

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GYNECOLOGY

 

McCarus Cosmetic Hysterectomy™ - A Patient-Centric Approach

Steven D. McCarus, MD, FACOG, Chief, Division of Gynecologic Surgery, Florida Hospital Celebration Health, Assistant Professor, Department of Obstetrics and Gynecology, University of Central Florida, Founder and Director, McCarus Surgical Specialists for Women, Orlando, Florida

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Use of the ENSEAL® G2 Tissue Sealer in Gynecologic Surgery
James Dana Kondrup, MD, FACOG, Minimally Invasive Surgeon, Broome Obstetrics and Gynecology, Binghamton, New York, Assistant Clinical Professor, Department of Obstetrics and Gynecology, Upstate Medical Center, Syracuse, New York, Fran Anderson, PhD, RN, Research Coordinator, Our Lady of Lourdes Hospital, Binghamton, New York, Becky Quick, MSN, RN, CNOR, Surgical Education Coordinator, Our Lady of Lourdes Hospital, Binghamton, New York,

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ORTHOPAEDIC SURGERY

 

Modern Dual-mobility Cup Implanted with an Uncemented Stem: About 100 Cases with 12-year Follow-up

Rémi Philippot, MD, PhD, Assistant Professor of Orthopaedic Surgery, Jean Francois Meucci, MD, Assistant of Orthopaedic Surgery, Bertrand Boyer, MD, Assistant of Orthopaedic Surgery, Frederic Farizon, MD, Professor of Orthopaedic Surgery

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Previous Issues

       

STI XXII

 

Table of Contents

STI XXI

 

Table of Contents

STI XX

 

Table of Contents

STI XIX

 

Table of Contents

STI XVIII

 

Table of Contents

STI XVII

 

Table of Contents

STI XVI

 

Table of Contents

STI IV

 

Table of Contents

 

STI III

 

Table of Contents

 

 

 

 

 

 

 

Previous Editions

 


 

New Online Studies

 

 

STI

Long-term Outcome on the use of the Ventralight™ ST Hernia Patch in Laparoscopic Ventral Hernia Repair  

Tim Tollens, MD, Consultant, Halit Topal, MD, Surgical Trainee, Alexander Lucardie BSc, Apprentice, Koen Vermeiren, MD, Consultant, Chris Aelvoet, MD, Consultant,  Department of General and Abdominal Surgery, Imelda Hospital, Bonheiden, Belgium

 

Abstract

BACKGROUND: Laparoscopic ventral hernia repair (LVHR) is a common procedure in abdominal surgery. Use of mesh has become the gold standard in the last decade because of significant fewer recurrences. Subsequently, the attention shifted to reduce mesh related complications in the short- and long-term as well as to facilitate its handling and positioning. In continuation of our previous study we conducted a final analysis about the use of the Ventralight™ ST hernia patch (Davol Inc, Subsidary of C. R. Bard, Inc. Warwick, RI).
METHODS: Prospectively collected data of 61 consecutive patients (men/women: 44/17) from July 2011 to October 2013 were analysed in this final study. Patients were evaluated clinically at 4 time points in total. At the final clinical check- up 97% of the total study population was reassessed. The primary outcome parameter was recurrence. Secondary outcome parameters were described in terms of mesh related complications, pain scores and quality of life.
RESULTS: Mean follow-up time was 23 months (range 16 – 44). Mean length of hospital stay was 4 days (range 2-17). There were no operative complications. Two patients (both > 80 years old) died more than 1 year after the procedure because of a cardiovascular event. One morbid obese patient (2%) treated for a recurrent incisional hernia showed a second recurrence at the last follow-up visit. A clinical significant seroma was observed in 2 patients (3%) one month postoperatively. At last follow-up, 2 patients (3%) reported persistent mild discomfort at one specific spot. There was a significant reduction in the Visual Analogue Scale (VAS) scores at the last follow-up visit compared to preoperative scores (3.01 vs 0.27; P < 0.01). Quality of life measurements using the SF-36 questionnaire showed good results.
CONCLUSION: This final analysis of long-term follow-up results on the use of the Ventralight™ ST hernia patch in laparoscopic ventral hernia repair confirms our preliminary findings of the previous two reports. Use of the Ventralight™ ST hernia patch is associated with good short- and long-term outcomes and can be considered as safe and feasible in LVHR.

 

Featured Articles

 

 

STI

Don't Fear Adhesions: Safe Approaches for Reoperative Minimally Invasive Surgery  

Rebekah S. Kim, MD, Fellow in Colon and Rectal Surgery, Orlando Health, Colon and Rectal Clinic, Orlando, Florida, Francisco P. Itriago, MD, Fellow in Minimally Invasive Surgery, Orlando Health, Colon and Rectal Clinic, Orlando, Florida, James C. Rosser, Jr. MD, FACS, Professor of Surgery, Morehouse School of Medicine, Atlanta, Georgia, Jay A. Redan, MD, Associate Professor of Surgery, Director of Minimally Invasive Surgery Celebration Hospital, Florida Hospital, University of Central Florida, Celebration, Florida

 

 

STI

Sleeve Gastrectomy: A Procedure in a State of Flux

Silke Mueller, MD, Senior Physician, Black Forrest Hospital, Villingen, Germany, Norbert Runkel, MD, FACS, Professor of Surgery, Head of Department of General and Visceral, Surgery, Black Forrest Hospital, Villingen, Germany, Rainer Brydniak, MD, Senior Physician, Department of Bariatric Surgery, Black Forrest Hospital, Villingen, Germany

 

 

Transanal Endoscopic Surgery Using Different Single-Port Devices

Cornelia Lorenz, MD, Consultant Surgeon, Department of General and Visceral-Surgery and Minimal-Invasive-Surgery, Lutheran Amalie Sieveking-Hospital, Hamburg, Germany, Thomas Nimmesgern, MD, Consultant Surgeon, Department of General and Visceral-Surgery and Minimal-Invasive-Surgery, Lutheran Amalie Sieveking-Hospital, Hamburg, Germany, Thomas E. Langwieler, MD, Chief Physician, Department of General and Visceral-Surgery and Minimal-Invasive-Surgery, Lutheran Amalie Sieveking-Hospital, Hamburg, Germany

 

STI-XVIII

Alignment in Total Knee Arthroplasty: Where Have We Come From and Where Are We Going?

Aaron J. Johnson, MD, Fellow, Center for Joint Preservation and Reconstruction, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, Maryland, Steven F. Harwin, MD, FACS, Chief of Adult Reconstructive Surgery and Total, Joint Replacement, The Center for Reconstructive Joint Surgery, Beth Israel Medical Center, New York, New York, Kenneth A. Krackow, MD, Professor of Orthopaedics, State University of New York at Buffalo, Department of Orthopaedics, Orthopaedic, Research Laboratory, Buffalo, New York, Michael A. Mont, MD, Co-Director, Center for Joint Preservation and Reconstruction, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, Maryland

 

FEATURED ARTICLES

 

Innovation and Management of Diabetic Foot Wounds
Mark W. Clemens, MD, Justin M. Broyles, BS, Phi-Nga Jeannie Le, MD, Christopher E. Attinger, MD

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Routine Hiatal Hernia Repair in

Laparoscopic Gastric Banding
Jonathan Reich, MD, FACS, Karl Strom, MD, FACS, James Pasquariello, MD, Silvia Fresco, MD, FACS, Joseph Barbalinardo, MD, FACS

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STI

Update on Technologies for Cardiac Valvular Replacement, Transcatheter Innovations, and Reconstructive Surgery
W. R. Eric Jamieson, MD, FRCS (C), FACS, FACC

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The Use of Cementless Acetabular Component in Revision Surgery Without Pelvic Discontinuity
Paolo Cherubino, MD, Fabio D'Angelo, MD, Michele Francesco Surace, MD, Luigi Murena, MD, Ettore Vulcano, MD

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Neck-Modular Femoral Stems for Total Hip Arthroplasty
Nitin Goyal, MD, William J. Hozack, MD
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"The editors of Surgical Technology International have developed a superb monograph which deserves close attention by not only physicians but also the individuals who are responsible for supporting the economics of medicine." …

 

Frederick L. Greene, M.D., F.A.C.S.

Chairman, Department of Surgery

Carolinas Medical Center, Charlotte, NC, USA

 

 

Editor-in-Chief:

 

Zoltan Szabo, Ph.D, F.I.C.S.

Zoltan Szabo, Ph.D., F.I.C.S.

 

Dr. Szabo accomplishments in medical research and education have primarily been in magnified surgery, beginning with microsurgery in 1972 (Reconstructive Neurovascular, Fertility surgery, Urology, Ophthalmology) and subsequently in laparoscopic surgery two decades later (general, gynecology, urology, fetal, and cardiovascular Robotic surgery). He was involved with pioneering work in both modalities including research and development of techniques, teaching methodology, clinical applications, instrumentation and sutures, all of which have become standards in numerous surgical specialties.
Established the first multidisciplinary microsurgery training and research laboratory with coworkers and they subsequently published the first teaching manual in 1975
Among other factors “Training the trainers” program was responsible for the rapid dissemination of this new modality.
In 1983 conducted a series of microsurgery lectures and workshops in Hungary the first in a series of micro and later in Laparoscopic Educational Mission.
In 1991, during the first Advanced Laparoscopic Course at the University of Utah Medical School the systematic suturing technique was introduced by Dr. Szabo, heralding in the second phase of laparoscopic evolution: Advanced Laparoscopy.
In 1992 at UC Davis with coworkers created the first successful Laparoscopic Radical Prostatectomy study on dogs proving its feasibility for clinical application.
In 1992 Established and run the first Formal Academic Laparoscopic teaching course as an Associate Director with coworkers at the University of California, Medical School, and Dept. of Surgery which served as a model that many other programs had emulated world wide.
He was first to accomplish a successful LIMA to LED anastomosis (22 minutes) in

A surviving large animal model using a remote Surgical Robot (Zeus), proving its potential usefulness in cardiac surgery.
He was also a principal member of a team which was first to develop direct fetal (fetoscopic) percutaneus-transuterin access and operative techniques at UCSF in a joint project with the University Of Munster, Germany
1993 First Base of the Brain Workshop with University of St. Louis, Medical School, Dept. of Neurosurgery
1993 The first series of Advanced Laparoscopic Workshop in Pecs, Debrecen, Szeged, and subsequently several workshop every year until accepting the invitation of University Szeged Medical School as a Visiting Professor to train the in house residents and interested Clinicians in 2003 an co editing the course Syllabus in 2006.
Dr. Szabo has trained thousands of surgeons over the past thirty years worldwide.
Organized extensive training programs, workshops in USA, Canada, Singapore, Florence, Caracas, Neuss, Tokyo, New Delhi, Ludhiana, Mumby, Ujvidék, Szeged, Pécs, Debrecen and Budapest.
Conducted Advanced Laparoscopic workshops in India in 1996,  2003  and  2004  
He has written extensively(13 books), including co-authoring a textbook, editing an annual surgery review book, numerous book chapters and serving on the editorial board of various surgical journals.
Dr. Szabo is a Fellow of the International College of Surgeons, U.S. Section, and he is a honorary member of three prestigious surgical societies:  the Society of American Gastrointestinal Endoscopic Surgeons (SAGES), Hungarian Gynecological Society, Yugoslav Endoscopic Society, honorary member, and Society of Reconstructive Microsurgery (associate member). He is a member of several other surgical organizations and is the founder and Director of the Microsurgery & Operative Endoscopy Training (MOET) Institute in San Francisco, accredited with commendations for educational design from the Accreditation Council for Continuing Medical Education (ACCME).
Previous formal academic affiliations have included with the University of the Pacific, School of Dentistry, (San Francisco) and the University of California School of Medicine, San Francisco (UCSF) He currently serves on various committees of SAGES and is the recipient of numerous awards for his research work and innovative teaching methodology, including commendations for educational design from the Accreditation Council for Continuing Medical Education.
Dr. Szabo has always worked with the outstanding pioneers of surgery and their ambitious disciples, seamlessly combining talents, providing leadership, organizational skill and working tirelessly on a global scale, advancing the Science of Magnified Surgery. 

In Hungary the first educational visit took place in 1983 when Pof. Gal and Prof. Lampe arranged a microsurgical workshop in Debrecen, Prof. Kis the leader of the OTKI arranged a workshop in Budapest. There was a Lecture and workshop in Szeged on the invitation of Prof. Herceg.

 

 

 

 

Prof. A. Johannes Coburg

Prof. A. Johannes Coburg

 

Dr. A. Johannes Coburg had his surgical training at Oldenburg, starting 1966, and Hannover.  1969/70 he was research fellow on the field of organ transplantation with Professor Thomas Starzl at Denver. Back to Hannover Medical School, he became senior co-worker with Professor Rudolf Pichlmayr in general surgery and organ transplantation. 1978 he was elected to become head of Surgical Clinic I (General and Vascular Surgery) in the City Hospital Neuss/Rhine, Teaching Hospital of University of Düsseldorf.

His research was confined to transplant immunology, immunosuppression, vascular access surgery, and many various general surgical topics. His thesis (Habilitation) about „Clinical Application of Normovolemic Hemodilution“ (1975), using autologous blood in order to save homologous blood transfusions, was correlated with extended circulatory and coagulation studies in major surgical procedures. For lectures about this topic he was invited by eight American University Hospitals that he visited on a round trip in 1976 (Boston, Chicago, Denver, San Francisco, a.o.).
In 1979, he became Professor of Surgery.

His clinical work at Neuss comprised general (visceral), vascular, and thoracic surgery.
In 1990, he established endodcopic surgery in the City Hospital Neuss. From 1991 symposia and workshops for training in endoscopic surgery, under the auspices of German Society of Surgery,  were started to be held twice a year, for 2 days each, throughout 2002, most of which together with Professor Zoltan Szabo as Chief Tutor.

Dr.  Coburg has given 122 written publications and given 168 oral presentations. He is a member of German Society of Surgery since 1972, of German Society of Vascular Surgery and Endovascular Therapy, of Northern-German, Rhine-Westfalian and Middle-Rhine Society of Surgery. In 2001, he was honored with the Silver Medal of the City of Neuss.

After retirement, he continues teaching at surgical seminars for medical students. He partakes in voyages and river cruises as a ship´s doctor. He is an advisor in medical litigation lawsuits, and helps to foreward the hospice idea.  He is also involved in the article selection process, commissioning key authors and new surgical topics for Surgical Technology International.

 

 

 

Manabu Yamamoto, MD, PhD

Manabu Yamamoto, MD, Ph.D

 

Manabu Yamamoto, MD PhD, Director and Chairman, Adachi Kyosai Hospital, Tokyo, Japan

Dr. Yamamoto started his endoscopic career during the surgical internship in 1985. He did more than 500 procedures per year using flexible endoscopy including UGI, colonoscopy, ERCP, EST, polypectomy, hemostasis and EIS/EVL other than the surgeries. During his fellowship at University of Colorado (1990-1992), he worked closely with Professor Greg Van Stiegmann who pioneered laparoscopic cholecystectomy. This has greatly influenced the future direction of his carrier. Now, he  is one of the leading endoscopic surgeon for both Japanese and American societies.

 

He also is well known as a director and chief singer of Japanese comedy touch singing/dancing surgeons group called “SAGES Far East” and acts at many meetings in the World. Dr Yamamoto is Board member of Japan Society for Endoscopic Surgery as well as the Society of American Gastrointestinal Endoscopic Surgeons (SAGES)


 

 

 

Harry Reich, MD, FACS, FACOG,

Harry Reich, MD, FACS, FACOG,

 

Dr. Harry Reich is the immediate past president of the International Society for Gynecologic Endoscopy (ISGE) and was honorary chairman of the 2006 AAGL annual meeting.  He is known worldwide as a pioneer in the field of laparoscopic surgery. His special interest and expertise include total laparoscopic hysterectomy for the large uterus, excision of rectovaginal endometriosis, adhesion surgery, and prevention and management of laparoscopic complications. 

 

In 1991, Dr. Reich received the Excel Award for extraordinary contributions to laparoscopy from the SLS and is the first non-European honorary member of the European Society of Gynecologic Endoscopy.  He was the director of advanced laparoscopic surgery at Columbia Presbyterian Medical Center in New York City from 1995 to 2000. 

 

Dr. Reich performed a number of “firsts”, including laparoscopic electrosurgical oophorectomy, laparoscopic hysterectomy, total laparoscopic hysterectomy, laparoscopic lymphadenectomy in women (for ovarian c/a) and men (for prostate c/a), laparoscopic rectal resection (for excision of full thickness rectal endometriosis), laparoscopic hysterectomy for cancer, fetoscopic umbilical cord ligation (for an acardiac twin at 19 weeks gestation).

 

Dr. Reich’s professional memberships include the Society of Laparoendoscopic Surgeons (Past President), the International Society of Gynecologic Endoscopists  (Past President) and the AAGL.  Currently, Dr. Reich operates internationally at workshops.

 

 

 

 

Harold Brem, MD

Harold Brem, MD

 

Trained as a general surgeon, Harold Brem, MD FACS is the Chief of the Division of Wound Healing & Regenerative Medicine at Winthrop University Hospital, Mineola NY.

 

The Winthrop University Hospital Wound Program focuses on a multidisciplinary approach to improving clinical outcomes for all wound patients as objectively measured by decreased wound area and improved quality of life. As part of this program, Dr. Brem directs an outpatient wound center, a dedicated inpatient wound unit and a research lab.

 

Dr. Brem's research, funded by the NIH includes a wound-healing laboratory focused on molecular and cellular basis of non-healing wounds, as well as novel delivery systems. His work has focused on all aspects of care including surgical technique, writing protocols, clinical trials, and wound outcomes-related research. He also developed a comprehensive Wound Electronic Medical Record (WEMR).

 

Additionally, he has focused on the development of standard protocols for treatment of chronic wounds and the integration of multidisciplinary, evidence-based practices for optimal outcomes in non-healing wounds, objectives that serve as the foundation for this conference. Dr. Brem is then author of numerous peer reviewed manuscripts and a recipient of multiple NIH research grants.

 

His passion for clinical education is apparent in the design of this certificate course. The focus is not just in providing the clinician with the best available scientific information, but rather how they can translate this knowledge into their daily practice.

 

 

Steven F. Harwin, M.D., F.A.C.S

Steven F. Harwin, M.D., F.A.C.S

 

Dr. Harwin specializes in surgery of the hip, knee and shoulder including total hip and knee replacement and arthroscopic surgery of the knee and shoulder, ACL ligament reconstruction and rotator cuff disorders. All procedures are performed in a minimally invasive fashion.


He is a designer of primary and revision hip and knee prostheses and orthopaedic instruments and devices that are have been implanted in over 1 million patients world-wide, including the Trident, Talon and Restoration PS Total Hip system, the Modular Revision Total Hip system and the Kinemax, Scorpio and Triathlon Total Knee systems.


Dr. Harwin is an Associate Professor of Orthopaedic Surgery at the Albert Einstein College of Medicine and Chief of Adult Reconstructive Surgery of the Hip and Knee at the Beth Israel Medical Center. He founded and directs The Center for Reconstructive Joint Surgery and has served as director of the New York Center for Bloodless Medicine and Surgery.


He has extensive operative experience and has performed over 12,000 joint replacements and arthroscopic procedures. He has been named a "Top Surgeon in America", "Best Doctor in America", "Top Orthopaedist in America", "Best Doctor in the New York Metro Area", and a “New York Super Doctor”.


Dr. Harwin is a member of the editorial board of several academic publications, including the Journal of Arthroplasty, Orthopedics and the Journal of Knee Surgery and has contributed more than 150 scientific articles, book chapters, surgical techniques and academic presentations.


He is certified by the American Board of Orthopaedic Surgery, a fellow of the American Academy of Orthopaedic Surgeons and the American College of Surgeons, a member of the American College of Sports Medicine and a Charter Member of the American Association of Hip and Knee Surgeons.
Further information about Dr. Harwin can be found on his website www.drharwin.com.


 

Editorial Advisory Board

 

Mohan C. Airan, M.D., F.A.C.S.,
F.A.C.M.Q.

Chicago, Illinois

 

Tom Bates, F.R.C.S.
Ashford, UK

 

Giorgio Brunelli, M.D.
Brescia, Italy

 

John C. Chiu, M.D., D.Sc, F.R.C.S.
Newbury Park, California

 

Stephen Chadwick, M.S.,
F.R.C.S.

London, U.K.

 

Sir Alfred Cuschieri, M.D.,
Ch.M., F.R.C.S. Ed.

Dundee, U.K

 

Gergely Csáky, M.D., Ph.D.
Debrecen, Hungary

 

Suresh V. Desphande, MD,
New Delhi, India

 

Gary A. Fantini, M.D., F.A.C.S.
New York, New York

Michel Gagner, M.D., F.R.C.S.C., F.A.C.S.
New York, New York

 

István Gál, M.D., Ph.D.
Gyöngyös, Hungary

 

Kenneth Hansraj, M.D.
New York, New York

 

Edward R. Howard, M.S.,F.R.C.S.
London, U.K.

 

W. R. Eric Jamieson, M.D.,F.R.C.S.
Vancouver, BC, Canada

 

Steven G. Kaali, M.D., F.A.C.O.G.
New York, New York

 

Morris D. Kerstein, M.D.,F.A.C.S.
Philadelphia, Pennsylvania

 

Jonathan Kruskal, Ph.D.
Boston, Massachusetts

James E. Lewis, M.D., F.A.C.O.G.
San Francisco, California

 

Adolph Lombardi, M.D.
Columbus, Ohio

 

Paolo Maccharini, M.D.
Hannover, Germany

 

R. Unnikrishnan Nair, M.D.,F.R.C.S.
Leeds, U.K.

 

Ernane D. Reis, M.D.
New York, New York

 

Col. Richard M. Satava, D.,F.A.C.S.
Seattle, Washington

 

Raghu Savalgi M.D., Ph.D(surg), F.R.C.S.
New Haven CT

 

Paul S. Strange, M.D., F.A.C.S.
Indianapolis, Indiana

 

Christof Sohn, M.D.
Heidelberg, Germany