2018 NATIONAL CAPITAL GENERAL SURGERY SYMPOSIUM

Saturday, January 27, 2018

Delta City Centre, 101 Lyon Street North, Ottawa , ON

Program Book

COURSE DESCRIPTION

The University of Ottawa, Office of Continuing Professional Development (CPD) and the Division of General Surgery are proud to present this 1-day course designed to provide general surgeons with relevant and up-to-date information about practical general surgery topics. This year's program includes benign colorectal disease, breast disease, hernia issues and acute care surgery topics. This conference will also allow participants to meet, dialogue and network with general surgery specialists through plenary sessions and interactive short presentations.

OVERALL LEARNING OBJECTIVES

By the end of the program, participants should be able to: Assess current clinical management issues in surgical patients for general surgeons in practice, residents, medical students, nurses and other health care professionals in the field. Integrate new clinical management processes, techniques and guidelines in their practice. Facilitate collaboration and networking among health care professionals in the Ottawa area.

ACCREDITATION

This event is an Accredited Group Learning Activity (Section 1) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada, and approved by the University of Ottawa’s Office of Continuing Professional Development. You may claim a maximum of 6.25 hours.

The link to access your certificate of attendance will be emailed to you within two weeks of the activity. Please retain this certificate for your records.

PLANNING COMMITTEE

Special thanks to the following committee members who participated in the planning of this event: Dr. Jacinthe Lampron, Co-chair, General Surgery Dr. Nicole Kolozsvari, Co-chair, General Surgery Dr. Erin Cordeiro, General Surgery Dr. Reilly Musselman, General Surgery

ONLINE EVALUATION

Your feedback is important to us! Please take a moment to complete the course evaluation: https://www.surveymonkey.com/r/GENSURG2018

CONFERENCE PRESENTATIONS

To access the symposium presentations, please follow these steps:

1) Log into your profile on the University of Ottawa registration site: https://eventscpd.med.uottawa.ca 2) Click on the History tab and select the National Capital General Surgery Symposium event 3) Scroll down to Program Schedule and click on the date to view the presentations for that day.

Presentations will be posted as they are received, should the presenter grant us permission to do so.

WIFI ACCESS: 1) Search the wireless networks with your mobile device 2) Connect to the network “Delta_Conference” 3) Enter password “january2018”

PROGRAM AT A GLANCE 07:30 Registration & Networking Breakfast

07:50 Opening Remarks & Introduction Dr. Jacinthe Lampron

08:00 Colorectal Surgery | Moderated by Dr. Reilly Musselman

08:00 An Update on the Surgical Management of Rectal Cancer By the end of this session, participants will be able to: Review the surgical management for patients with malignant polyps of the rectum; Review the surgical management for patients with stage 1 adenocarcinoma of the rectum; Interpret the current evidence for TaTME and understand which patients should be referred for this.

Dr. Reilly Musselman

08:20 Surgical Management of Fulminant C. difficile Colitis By the end of this session, participants will be able to: Compare ileostomy with colonic lavage to subtotal colectomy for medically refractory C. difficile colitis; Provide an approach to the management of fulminant C. difficile colitis.

Dr. Jean-Michel Aubin

08:40 An Update on the Management of Sessile Serrated Polyps By the end of this session, participants will be able to: Distinguish the pathological classification of sessile serrated polyps from traditional adenomas; Review the endoscopic management and surveillance for serrated polyps; Review the definition and management of serrated polyposis syndrome.

Dr. Terry Zwiep

09:00 Panel Q&A

09:20 Breast Disease | Moderated by Dr. Erin Cordeiro

09:20 De-mystifying the Management of Benign Breast Disease By the end of this session, participants will be able to: Review the appropriate management strategies for patients with benign breast disease; Determine risk stratification associated with benign breast disease and appropriate surveillance strategies.

Dr. Amanda Roberts

09:40 Tips for Starting Oncoplastic Surgery in Your OR Tomorrow By the end of this session, participants will be able to: Summarize oncoplastic techniques on a quadrant-by-quadrant basis; Review basic oncoplastic techniques that can be employed by any general surgeon.

Dr. Angel Arnaout

10:00 Management of DCIS: Past, Present and Future By the end of this session, participants will be able to: Review historical treatment algorithms for DCIS; Summarize current management recommendations with regards to surgery, radiation and systemic

therapy; Discuss cutting-edge research examining future directions for DCIS management.

Dr. Suleena Duhaime

10:20 Panel Q&A

10:40 Refreshment Break & Networking with Exhibitors

11:00 Debate: Surgical Management of Colonic Emergencies, Stoma vs. Anastomosis! By the end of this session, participants will be able to:

Discuss the pros and cons of bowel anastomosis in an acute situation; Discuss the pros and the cons of cresting a stoma in an acute situation; Assess the evidences to support surgical management in a colonic emergency.

Dr. Alexandre Bouchard vs. Dr. Lara Williams

12:00 Lunch & Networking with Exhibitors

13:00 Acute Care Surgery | Moderated by Dr. Nicole Kolozsvari

13:00 Acute Small Bowel Obstruction By the end of this session, participants will be able to: Appraise the literature on the value of a gastrograffin challenge for the diagnosis and treatment of

small bowel obstruction; Articulate the clinical significance of the radiological findings of “high-grade” bowel obstruction and

“closed loop” bowel obstruction.

Dr. Maher Matar

13:20 Acute Abdomen in Pregnancy By the end of this session, participants will be able to: Identify the indications for surgical management of the acute abdomen in a pregnant patient; Discuss the perioperative and technical considerations when operating on a pregnant patient.

Dr. Amy Neville

PROGRAM AT A GLANCE 13:40 Appendectomy: Now, Later, Never?

By the end of this session, participants will be able to: Identify contraindications to immediate appendectomy in acute appendicitis; Discuss the value of interval appendectomy; Compare outcomes of early with delayed appendectomy.

Dr. Nicole Kolozsvari

14:00 Panel Q&A

14:20 Refreshment Break & Networking with Exhibitors

14:40 Challenging Hernias | Moderated by Dr. Jacinthe Lampron

14:40 Prophylactic Mesh for Parastomal Hernia By the end of this session, participants will be able to: Review surgical techniques useful in preventing parastomal hernias; Discuss using prophylactic mesh in the creation of permanent ostomy.

Dr. Alexandre Bouchard

15:00 Preventing Hernias During Abdominal Closure By the end of this session, participants will be able to: Review evidence-based techniques for abdominal closure; Review the technical factors involved in preventing incisional hernias.

Dr. Peter Glen

15:20 Incisional Hernias in Acute Surgical Situations By the end of this session, participants will be able to: Review the surgical treatment of incarcerated and strangulated incisional hernias; Review surgical tips in closing an acute abdomen with an incisional hernia.

Dr. Jacinthe Lampron

15:40 Panel Q&A

16:00 Closing Remarks & Evaluations Dr. Jacinthe Lampron

16:05 Networking Cocktail Reception

18:00 Have a Safe Journey Home!

SPEAKERS Dr. Angel Arnaout MD, FRCPC, Breast Surgical Oncologist, The Ottawa Hospital

Dr. Angel Arnaout is a Breast Surgical Oncologist at the Ottawa Hospital, Associate Professor at the University of Ottawa and Associate Scientist at the Ottawa Hospital Research Institute. Dr. Arnaout is a Co-Director of the Canadian National Oncoplastic Partnership Course and also a Co-Director of the Canadian Oncoplastic Surgery Fellowship Training Program at the University of Ottawa.

Dr. Jean-Michel Aubin MD, FRCPC, Surgeon, Queensway-Carleton Hospital

Dr. Aubin completed the medicine program at the University of Ottawa, followed by residency in General Surgery in Ottawa as well. He then completed a Fellowship in Hepatobiliary Surgery in Calgary. Dr. Aubin now practices General Surgery at Queensway-Carleton Hospital.

Dr. Alexandre Bouchard MD, FRCSC, Surgeon, CHU de Québec

Dr. Bouchard completed medical school at Laval University in 2002, followed by his general surgery residency in 2007. He then completed a Fellowship in Minimally Invasive Surgery at the University of Ottawa in 2008 as well as a Fellowship in Laparoscopic Colorectal Surgery at Mayo Clinic Arizona in 2010. Dr. Bouchard is currently a minimally invasive and colorectal surgeon at CHU de Québec-Université Laval. His main fields of interest include transanal endoscopic microsurgery (TEM), laparoscopic colorectal surgery, distal rectal cancer, transanal total mesorectal excision (TaTME), and the ERAS program.

Dr. Erin Cordeiro MD, Surgeon, The Ottawa Hospital

Dr. Cordeiro attended medical school and general surgery residency at Dalhousie University and then completed her fellowship in breast surgical oncology at the University of Toronto in 2014. During her clinical fellowship she also completed a master’s degree in clinical epidemiology through the Institute for Health Policy, Management and Evaluation at the University of Toronto. She then moved to Ottawa in 2014 to begin clinical practice. She is actively involved in research and is focusing on optimizing care in patients with high-risk benign breast disease.

Dr. Suleena Duhaime MD, FRCSC, Surgeon, Hôpital Monfort, Lecturer, University of Ottawa

Dr. Suleena Duhaime completed surgical residency at the University of Ottawa, then started at Montfort Hospital following graduation in 2013. Dr. Duhaime is currently a lecturer at the University of Ottawa as well as the Site Surgical Education Lead at Montfort.

Dr. Peter Glen MD, MSc, FRCSC, Acute Care and Emergency Surgery Fellow, University of Alberta

Dr. Glen is a graduate of the University of Ottawa Medical School and completed his general surgery residency training at the University of Ottawa. He is currently practicing in Alberta where he works as a Fellow in the department of surgery completing training in Acute Care and Emergency Surgery. Dr. Glen is a member of the Canadian Hernia Society and has a special interest in the management of complex abdominal wall hernias. His short term research goals include developing regional mechanisms for tracking outcomes of reconstructive surgeries and their economic impact on the community.

Dr. Nicole Kolozsvari MD, General Surgeon, The Ottawa Hospital

Dr. Kolozsvari received her medical degree from the University of Western Ontario and then completed her general surgery residency, Master of Science, and Minimally Invasive Bariatric Surgery fellowship all at McGill. She is now a general surgeon at the Civic Campus of The Ottawa Hospital with an elective practice focused on bariatric and foregut cases, but continues to enjoy trauma and acute care surgery despite her call karma. Disclosure: Dr. Kolozsvari has a relationship with Ethicon/J&J as they fund the journal club.

Dr. Jacinthe Lampron MD, FRCSC, Medical Trauma Director, The Ottawa Hospital

Dr. Lampron is a trauma/general surgeon and Medical Trauma Director at the Ottawa Hospital. She completed her surgical training at Université Laval and her trauma ICU fellowship at the University of Ottawa. She has been deployed with the Canadian Armed Forces to Kandahar Airfield. She is a reserve Medical Officer. She is appointed as a Coroner in Ottawa. She holds a Master’s in Public Health from the London School of Hygiene and Tropical Medicine.

Faculty Disclosures: Unless otherwise indicated, the speakers listed above declared that they had no financial interests, arrangements and/or affiliations.

SPEAKERS Dr. Maher Matar MD, MHA, FRCSC, General Surgeon, Trauma and Acute Care, The Ottawa Hospital

Dr. Matar completed his medical school training at the University of Ottawa and went on to McGill University to complete his training in general surgery. He completed his masters in health administration at the Telfer School of Management, a trauma fellow-ship at the University of Ottawa and a Trauma and acute care surgery fellowship at the Medical University of South Carolina in Charleston South Carolina. He has published peer reviewed articles with a focus on patient recidivism in trauma, impact of alcohol on surgical patients, along with chapters in various topics of Trauma Surgery. He currently practices at The Ottawa Hospital.

Dr. Reilly Musselman MD, FRCPC, Surgeon, The Ottawa Hospital

Dr. Musselman is a colon and rectal surgeon at The Ottawa Hospital and Assistant Professor in the Department of Surgery at the University of Ottawa. He attended the University of Ottawa for his General Surgery residency training, and completed a fellowship in colon and rectal surgery from the University of Toronto in 2016. His clinical interests include both benign and malignant colorectal disease and his research interests focus on the treatment and outcomes of rectal cancer using administrative databases.

Dr. Amy Neville MDCM, MSc (Epi), FRCSC, Surgeon, Assistant Professor of Surgery, The Ottawa Hospital, University of Ottawa

Amy Neville completed her residency training in general surgery as well as fellowships in Minimally Invasive Surgery and Bariatric Surgery at McGill University in Montreal. Dr. Neville currently practices general, minimally invasive and bariatric surgery at The Ottawa Hospital, Civic Campus in Ottawa, ON. She is a surgeon and assistant professor of surgery at The Ottawa Hospital, University of Ottawa. Dr. Neville is Medical Director of The Ottawa Hospital Regional Bariatric Centre of Excellence and a board member of the provincial Ontario Bariatric Network. She is currently the general surgery Site Chief at the Civic Campus of The Ottawa Hospital. Disclosure: Dr. Neville has received or will be receiving a teaching honorarium from Ethicon.

Dr. Amanda Roberts MD, MPH, FRCSC, Breast Surgical Oncologist, The Ottawa Hospital

Dr. Amanda Roberts is a Breast Surgical Oncologist at The Ottawa Hospital. She has completed a Breast Surgical Oncology Fellowship at the University of Toronto followed by a Clinical Research fellowship examining population-based healthcare utilization after breast cancer surgery. Her fellowship was supported by a Canadian Breast Cancer Foundation salary grant and a health research grant from the Physicians Services Incorporated Foundation. Dr. Roberts completed her medical degree at McMaster Medical School and her general surgery residency at the University of Toronto. During her residency, she attended the Johns Hopkins Bloomberg School of Public Health and obtained a Masters in Public Health with a focus on Health Leadership and Management.

Dr. Lara Williams MD, MSc, FRCSC, Colorectal Surgeon, Assistant Professor of Surgery, The Ottawa Hospital, University of Ottawa

Dr. Lara Williams is a dual fellowship trained colorectal and minimally invasive surgeon at The Ottawa Hospital. She completed her undergraduate degree in Biological Sciences at the University of Guelph. Dr. Williams obtained her medical degree at the University of Western Ontario and was awarded the Medical Alumni Gold Medal. Dr. Williams graduated from the General Surgery program at Dalhousie University in 2009. During her residency she completed her Masters of Medical Sciences, investigating the molecular pathogenesis of esophageal adenocarcinoma. She also successfully completed the Royal College of Physicians and Surgeons of Canada Clinician Investigator Program. Dr. Williams has gone on to complete Fellowships in Colorectal Surgery and Minimally Invasive Surgery at the University of Ottawa. Dr. Williams had an academic surgical practice at Dalhousie University from 2011 to 2015 and joined the Department of Surgery at The Ottawa Hospital in August 2015. She is a member of a four-surgeon group practice model alongside Drs. Husein Moloo, Isabelle Raiche, and Reilly Musselman (The Ottawa Colorectal Group). Dr. Williams is currently the Program Director of General Surgery at the University of Ottawa and the Quality and Patient Safety Lead for the Division of General Surgery. Dr. Williams’ clinical interests include the application of minimally invasive techniques to the surgical management of patients with colorectal cancer, inflammatory bowel disease, and other benign colorectal diseases. Her research interests include clinical outcomes and health services – related research, with a focus on the development and implementation of models of surgical care to facilitate quality improvement initiatives in Colorectal Cancer. Disclosure: Dr. Williams has received payment (authorship royalties) from UptoDate®.

Dr. Terry Zwiep MD, MSc, FRCSC, Colorectal Surgery Fellow, The Ottawa Hospital

Dr. Zwiep is currently completing his Colorectal Surgery fellowship at the University of Ottawa. He grew up in the Niagara region and attended the University of Western Ontario for medical school and his General Surgery residency.

Faculty Disclosures: Unless otherwise indicated, the speakers listed above declared that they had no financial interests, arrangements and/or affiliations.

NOTES

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