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2018Hernia SymposiumMultidisciplinary Management of Complex Hernias

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September 15, 2018

McNair Campus Houston, Texas

Baylor College of Medicine Medical Center

www.bcm.edu/surgical-conference | @BCM_Surgery

COURSE-DIRECTORSMichele Loor, MDAssistant Professor of SurgeryDivision of General SurgeryBaylor College of Medicine

Carlos Galvani, MDDivision of General SurgeryChief, Metabolic and Bariatric SurgeryBaylor College of Medicine

Edward Reece, MD, EMBAAssociate Professor of SurgeryChief, Adult Plastic SurgeryJosephine Abercrombie Endowed Professor in Plastic Surgery ResearchBaylor College of Medicine

PLANNING COMMITTEERonnetta Eaton Scott HolmesRizwan Moton Susan ResslerAmy Silva

www.bcm.edu/surgical-conference | @BCM_Surgery

In its inaugural year, this course is designed for the wide spectrum of generalists and specialists who diagnose and manage hernia repairs, including complex open and minimally invasive abdominal wall reconstruction. Didactic talks, panel discussions and Q&A sessions will delve into diagnostic and interventional strategies to provide clinicians the opportunity to discuss specific treatment challenges and to learn methods that will be useful in their practices.

www.bcm.edu/surgical-conference | @BCM_Surgery

PROGRAM OVERVIEW

VENUEBaylor College of Medicine Medical CenterMcNair Campus 7200 Cambridge StreetHouston, TX 77030

www.bcm.edu/surgical-conference | @BCM_Surgery

MCNAIR CAMPUS

Christy Chai, MD Baylor College of Medicine

Carlos Galvani, MD Baylor College of Medicine

Marc Gottlieb, MD Banner University Medical Center

Ronald Hoxworth, MD UT Southwestern Medical Center

Shayan Izaddoost, MD, PhD Baylor College of Medicine

Mike K. Liang, MD McGovern Medical School, UTHealth

FACULTYMichele Loor, MD Baylor College of Medicine

Edward Reece, MD, EMBABaylor College of Medicine

Shinil Shah, DO McGovern Medical School, UTHealth

Joseph A. Talarico, MD Thompson Health

Sebastian Winocour, MD, MSc Baylor College of Medicine

www.bcm.edu/surgical-conference | @BCM_Surgery

CME INFORMATIONThe reconstruction of abdominal wall defects remains one of the most challenging dilemmas facing surgeons. Congenital, acquired or post traumatic defects all present unique challenges to the reconstructive surgeon. A multitude of surgical techniques and mesh materials are available to improve outcomes in ventral hernia repair. Robotics has become an important tool for both routine and complex inguinal and ventral hernia repairs. Even though ventral hernia repair remains one of the most common procedures performed, there is little consensus as to the best surgical technique, prosthetic material of choice, or strategies to repair complex defects.

This course is designed to engage physicians who are passionate about repairing hernias in an attempt to align robotic, open, and laparoscopic experts for optimal patient outcomes after hernia repair.

Target AudienceThis activity is designed for general surgeons, minimally invasive surgeons, plastic surgeons, nurses, residents, fellows and advanced practice providers who are interested in optimizing their hernia repair outcomes.

www.bcm.edu/surgical-conference | @BCM_Surgery

Objectives• Identify ways to optimize patient outcomes after

hernia repairs• Highlight new techniques, updates in hernia repair,

and implications of hernia surgery• Describe the emerging robotic-assisted hernia

techniques as well as the current laparoscopic and open approaches for each hernia disease

• Discuss patient selection, postoperative care, complication management, and outcome tracking

Educational Methods Lecture, Panel Discussion, Demonstration, Question and Answer Sessions

EvaluationAn evaluation by questionnaire will address program content, presentation, and possible bias.

Accreditation/Credit DesignationBaylor College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Baylor College of Medicine designates this live activity for a maximum of 7.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

www.bcm.edu/surgical-conference | @BCM_Surgery

PROGRAM

8:30 Registration /Continental Breakfast

8:50 Welcome / Announcements / Opening Remarks

Session I9:00 - 9:30 Prehabilitation and Patient Education - Dr. Shinil Shah

9:30 - 9:50 Component Separation and Functional Abdominal Wall Repair - Dr. Edward Reece

9:50 - 10:10 Hernia Repair with and without Bariatric Surgery – Dr. Carlos Galvani

10:10 – 10:25 Panel Discussion, Q & A

10:25 – 10:45 Exhibit Break

10:45 - 11:30 Keynote Lecture Standardizing Your Practice in Hernia Surgery: The Journey to Becoming A Center of Excellence - Dr. Joseph Talarico

Keyn

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with U of R Thompson Health in Canandaigua, New York. He is the director of the Hernia Center of Excellence and an instructor in Surgery at SUNY Upstate. He created the hernia BOOST program and is well known for educating communities on the advantages of robotic assisted surgery. He joined Thompson Health after practicing in private practice after being staff surgeon at the Cleveland Clinic, and also after completing a two year fellowship in Advanced Laparoscopic and Bariatric Surgery. Dr. Talarico completed a General Surgery residency at the University of Illinois at Chicago. His specialty interests include advanced robotic surgery, hernia surgery, and single incision surgery.

Session II11:30 – 11:45 Use of Biologic Mesh in Abdominal Wall Repair - Dr. Shayan Izaddoost

11:45 – 12:00 Paraesophageal Hernias - Dr. Carlos Galvani

12:00 – 12:20 Inguinal Hernias: Robotic vs. Laparoscopic vs. Open - Dr. Christy Chai

12:20 – 1:20 Lunch / Panel Discussion *Poll Everywhere Controversial Topics in Hernia Care Case presentations with audience polling Moderator: Dr. Mike Liang Panel: Dr. Carlos Galvani, Dr. Edward Reece, Dr. Joseph Talarico

1:20 – 1:45 Exhibit Break

1:45 – 2:30 Keynote Lecture System and Financial Implications of Creating an Abdominal Wall Program – Dr. Ronald Hoxworth

www.bcm.edu/surgical-conference | @BCM_Surgery

Keynote Lecture

Dr. Ronald E. Hoxworth is an Associate Professor and Chief of Plastic Surgery for the University Hospitals at UT Southwestern Medical Center in Dallas, TX. He has attained dual board certification from both the American Board of Surgery and the American Board of Plastic Surgery. He is Director of the Abdominal Wall Reconstruction Program at University of Texas Southwestern Medical Center, Director of University Hospitals Wound Care Clinic and a Plastic Surgeon for the National Hockey League’s Dallas Stars. Dr. Hoxworth completed his undergraduate training at the prestigious University of Pennsylvania and finished medical school at Jefferson Medical College in Philadelphia where he completed a general surgery residency at Thomas Jefferson University Hospital. He joined UT Southwestern in 2007 after completing a fellowship in Plastic Surgery. His extensive cosmetic and reconstructive practice includes both adult and pediatric patients. Dr. Hoxworth most recently completed his MBA at the University of Texas at Dallas. He has been the recipient of numerous awards and accolades throughout his career from his patients, students and colleagues.

www.bcm.edu/surgical-conference | @BCM_Surgery

Session III2:30 – 2:50 Emergency Hernia Repair & Critical Care Needs of the Hernia Patient - Dr. Michele Loor

2:50 – 3:10 Managing Complications - Dr. Edward Reece

3:10 - 3:30 Soft Tissue Coverage of the Abdominal Wall in Complex Hernia Repair - Dr. Sebastian Winocour

3:30 – 4:15 Keynote Lecture Use of Amniotic Tissue in Complex Hernia Repair and Enterocutaneous Fistulas – Dr. Marc Gottlieb

4:15 – 4:45 Q&A / Panel Discussion Bring us your Hernia Challenges Moderator: Dr. Michele Loor Panelists: Conference Faculty

4:45 - 5:00 Wrap up / Final comments

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Dr. Marc E. Gottlieb is a practicing board-certified Plastic Surgeon, specializing in Wound & Reconstruction. He is currently serving his community at Banner University Medical Center, Wound and Reconstruction Institute, located in Phoenix, AZ. Dr. Gottlieb’s area of special interest and expertise include wound management and related reconstructive surgery, cancer and cancer reconstruction, hand and extremity surgery, peripheral nerve surgery, microvascular and upper extremity vascular surgery & abdominal wall reconstruction. His education includes completing his medical schooling at Thomas Jefferson University, Philadelphia, and completing residency at Albany Medical College & the University of Southern California.

www.bcm.edu/surgical-conference | @BCM_Surgery

AUDIENCE PARTICIPATION

Poll Everywhere Audience Response System

We will be implementing the Poll Everywhere system during the 12:20 panel discussion sessions.

One may participate using the App:1. Download from the App Store or get it on Google Play.2. Install the App on your smartphone3. Open the App4. Select ‘I’m Participating’5. Enter ‘BCMSURGERY’ in the ‘join a presentation field’6. When a new question appears, select your answer.

One may participate via text:1. Send a text message to the number 223332. In the message enter ‘BCMSURGERY’3. Wait for confirmation that you joined4. Submit your answer

CLAIMING CREDITPhysician CME Credit or Other Healthcare Professional AttendanceAfter the conference, an email will follow from the Baylor College of Medicine Office of Continuing Medical Education with instructions for completing the evaluation and obtaining your CME, Certificate of Attendance, or CE Certificate (if applicable).

DISCLAIMERThis activity is designed for healthcare professionals for educational purposes. Information and opinions offered by the faculty/presenters represent their own viewpoints. Conclusions drawn by the participants should be derived from careful consideration of all available scientific information.

While Baylor College of Medicine makes every effort to have accurate information presented, no warranty, expressed or implied, is offered. The participant should use his/her clinical judgment, knowledge, experience, and diagnostic decision-making before applying any information, whether provided here or by others, for any professional use.

NOTICESFaculty, topics, program schedule, and credit are subject to change. Audio or videotaping is prohibited without written permission from the Activity Directors and Baylor College of Medicine Office of Continuing Medical Education.

DRUG/DEVICE STATUS DISCLOSURE Some drugs/devices identified during this activity may have United States Food and Drug Administration (FDA) clearance for specific purposes only or for use in restricted research settings. The FDA has stated that it is the responsibility of the individual physician to determine the FDA status of each drug or device that he/she wishes to use in clinical practice and to use the products in compliance with applicable law.

Baylor College of Medicine requires that all faculty/presenters disclose an unlabeled use or investigational use of pharmaceutical and medical device products, and provide adequate scientific and clinical justification for such use. Physicians are urged to fully review all the available data on products or procedures before using them to treat patients.

www.bcm.edu/surgical-conference | @BCM_Surgery

DISCLOSURE OF FINANCIAL RELATIONSHIPS WITH COMMERCIAL INTERESTS

DISCLOSURE POLICYBaylor College of Medicine (BCM) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education (CME) for physicians. BCM is committed to sponsoring CME activities that are scientifically based, accurate, current, and objectively presented.

In accordance with the ACCME Standards for Commercial Support, BCM has implemented a mechanism requiring everyone in a position to control the content of an educational activity (i.e., directors, planning committee members, faculty) to disclose any relevant financial relationships with commercial interests (drug/device companies) and manage/resolve any conflicts of interest prior to the activity. Individuals must disclose to participants the existence or non-existence of financial relationships: 1) at the time of the activity or within 12 months prior; and 2) of their spouses/partners.

In addition, BCM has requested activity faculty/presenters to disclose to participants any unlabeled use or investigational use of pharmaceutical/device products; to use scientific or generic names (not trade names) in referring to products; and, if necessary to use a trade name, to use the names of similar products or those within a class. Faculty/presenters have also been requested to adhere to the ACCME’s validation of clinical content statements.

BCM does not view the existence of financial relationships with commercial interests as implying bias or decreasing the value of a presentation. It is up to participants to determine whether the relationships influence the activity faculty with regard to exposition or conclusions. If at any time during this activity you feel that there has been commercial/promotional bias, notify the Activity Director or Activity Coordinator. Please answer the questions about balance and objectivity in the activity evaluation candidly.

www.bcm.edu/surgical-conference | @BCM_Surgery

www.bcm.edu/surgical-conference | @BCM_Surgery

PLANNING COMMITTEEThe following planning committee members have reported that she/he has/had financial relationships with commercial interests (drug/device companies): Carlos Galvani, MD: Consultancy: Intuitive Surgical

The following planning committee members have reported no interest or other relationship(s) with commercial interests (drug/device companies) that may relate to the educational content of this activity:

Ronnetta EatonScott HolmesMichele Loor, MDRizwan MotonEdward Reece, MD, EMBASusan ResslerAmy Silva

FACULTY PRESENTERSThe following faculty/presenters/conference moderators have reported that she/he has/had financial relationships with commercial interests (drug/device companies): Carlos Galvani, MD: Consultancy: Intuitive Surgical Joseph A. Talarico, MD: Speakers Bureau Member: Intuitive Surgical Honorarium Recipient: Intuitive Surgical, Medtronic

The following faculty/presenters/conference moderators have reported no interest or other relationship(s) with commercial interests (drug/device companies) that may relate to the educational content of this activity:

Christy Chai, MDMarc Gottlieb, MDRonald Hoxworth, MDShayan Izaddoost, MD, PhDMike K. Liang, MDMichele Loor, MDEdward Reece, MD, EMBAShinil Shah, DOSebastian Winocour, MD, MSc

www.bcm.edu/surgical-conference | @BCM_Surgery

EDUCATIONAL GRANTSBaylor College of Medicine, Office of Continuing Medical Education, gratefully acknowledges the following companies for providing an educational grant in support of this activity.

ACell

Allergan

Davol Inc.

Ethicon USA

Integra LifeSciences Corporation

Medtronic

W.L. Gore & Associates, Inc.

EXHIBITORS

Support for this conference has been provided in part by the following exhibitors:

ACell

Allergan

Amnio Technology, LLC

Integra LifeSciences Corporation

Intuitive Surgical

TELA Bio, Inc.