Table Of Content

AUTHOR INDEX A D Gonzalez, R. P., 291 Adkins, R. B., Jr, 12 Dahn, M. S., 335 Goodwin, C. W., 397 Alvarez, J. A., Dalton, M. L., 118, 187, 344 Gosnell, J. E., 387 Angelos, P., 26 Daly, J. M., 101 Graves, T. A., 3 Angood, P. B., 40 Darosa, D. A., 445 Gray, K., 384 Arbutina, D. R., Davis, K., Jr, 386 Greco, R. S., 479 Dehart, M. J., 413 Green, M., 384 Armstrong, P. J., 435 Deierhoi, M., 383 Greene, F. L., 115 Awolesi, M., Delaplain, C., 438 Guyton, D. P., 10 Azarow, K., Derossis, A. M., 445 Deshmukh, N., 2 De Vente, J. E., Hale, D. A., 441 Barksda De Ville, K. A., Hall,J .G ., 362 Barnes Diethelm, A., 383 Barone, J. E., 194, 27 Dietz, P. A., 251 Harland, R. C., 383 Baskin, T. A., 417 Dolezal, J. M., 20 Harris, H. W., 382, 387 Heffelfinger, S. C., 387 Baskin, T. W., 423 Donnell, R., 387 Bell, R. ! Draper, K., 384 Higgins, R. S. D., 385 Hinkle, G. H., 62 Berger, D. S., 384 Drost, C., 385 Berry, R. E., 182, 346, 350 Dudgeon, D. L., 384, 386 Hodges, T. C., 517 Hoffmann, R., 382 Bland, K. 1., 491 Dudrick, S. J., 312 Bogey, W. M., Jr, 189, 272 ») Dunn, E. L., 209 Holcomb, J. B., 417, 423 Holeman, V. R., 435 Bonnell, B., 40, 263 Holzheimer, R. G., 393 Bordage, G., 445 E Boyarsky, A. H., 479 Eachempati, S. R., 101 Holzman, M., 384 Horst, H. M., 263 Boyle, P., 382 Eboli, D., 479 Horvath, E. E., 417 Bradley, E. L. III, 331 Edgerton, M. T., 78 Howard, P. A., 397 Branson, R. D., 386 Edwards, F. H., 165 Howard, R., 508 Brengman, M. L., 441 Eiseman, B., 130 Hutton, J. E., Jr, 406 Brinkley, W. W., 423 Ellis, M. V., 74 sritt, L. D., 386 Ellis. P: C., 72 Bromberg, W., 508 Ellison, E. C., 190 3rown, T., 413 Ellison, R. W., 423 Iheanacho, M., 80 Burak, W. E., Jr, 62 Itani, K. M. F., 45 Burns, G., 149, 449 Ivy, M. E., 40, 263 Cc Farley, D. R., 205 Farquhar, D., 449 rampbell, R. S., 386 Farrar, W. B., 62 ancio, L. C., 397 Jacobs, D. O., 386 arter, J., 145 Fenton, A. H., 10 Jacocks, M. A., 258 Fernald, J., 76 arter, P. L., 432 Jaques, D. P., 441 First, M. R., 387 asha, L. M., 410 Joehl, R. J., 445 vasper, K., 449 Fischer, J. E., 352 Johannigman, J. A., 386 FitzGerald, J. F., 202 harles, K., 383 Johnson, C. A., 420 Fitzpatrick, J., 362 theadle, W. G Jordan, M. H., 142 ‘theatham, J. T., Fleischer, G. D., 441 Julian, B., 383 Flynn, T., 453 shing, D., 383 shitwood, W. R., Jr, Ford, H. R., 382 hung, M. H., 4 Fortune, J. B., 237 yhurch, H., 45 Francalancia, N. A., 255 Kaminski, D. L., 24 ‘irangle, P., 438 Freeman, M., 387 Kavolius, J., 438 ivetta, J. M., Freier, D. T., 286 Kelly, B. S., 387 Friedmann, P., 139, 181 Kew, C., 383 Fry, D. E.,.389 obb, C. F., Khanna, S., 385 Fuhrman, G. M., 372 worer, J. B.;. 2 Khera, S. Y., 341 Soleman, B., 96 Kim; J. A., 62 ollins, G. J., Jr, 410 G Kim, S., 397, 438 onnally, S. R., 344 Gagliano, R. A., Jr, 410 Kirkpatrick, J. R., 142 cordts, P. R., 428 Gallichio, M., 383 Kolachalam, R. B., 499 ottone, F. J., 110 Gallo, D. R., 376 Konstantakos, A. K., 2 on. 'S.S., 153 Gaston, R., 383 Kostyal, D. A., 341 cunningham, P. R. G., 20 Gathe, J..C., Sr,. Kou, T. D., 384, 386 Mery, F.E., 385 Gillespie, D., 420, 428 Kuhn, J. F., 322 surry, T. K., 432 Goff, J. M., 420 Kumwenda, Z. L., 382 Curtis, J., 383 Goldman, M., 387 Kwasnik, E. M., 145 524 CURRENTSURGERY «+ © 2000 by the Association of Program Directors in Surgery 0149-7944/99/$20.00 Published by Elsevier Science Inc. Pll SO149-7944(00)00139-2 AUTHOR INDEX A D Gonzalez, R. P., 291 Adkins, R. B., Jr, 12 Dahn, M. S., 335 Goodwin, C. W., 397 Alvarez, J. A., Dalton, M. L., 118, 187, 344 Gosnell, J. E., 387 Angelos, P., 26 Daly, J. M., 101 Graves, T. A., 3 Angood, P. B., 40 Darosa, D. A., 445 Gray, K., 384 Arbutina, D. R., Davis, K., Jr, 386 Greco, R. S., 479 Dehart, M. J., 413 Green, M., 384 Armstrong, P. J., 435 Deierhoi, M., 383 Greene, F. L., 115 Awolesi, M., Delaplain, C., 438 Guyton, D. P., 10 Azarow, K., Derossis, A. M., 445 Deshmukh, N., 2 De Vente, J. E., Hale, D. A., 441 Barksda De Ville, K. A., Hall,J .G ., 362 Barnes Diethelm, A., 383 Barone, J. E., 194, 27 Dietz, P. A., 251 Harland, R. C., 383 Baskin, T. A., 417 Dolezal, J. M., 20 Harris, H. W., 382, 387 Heffelfinger, S. C., 387 Baskin, T. W., 423 Donnell, R., 387 Bell, R. ! Draper, K., 384 Higgins, R. S. D., 385 Hinkle, G. H., 62 Berger, D. S., 384 Drost, C., 385 Berry, R. E., 182, 346, 350 Dudgeon, D. L., 384, 386 Hodges, T. C., 517 Hoffmann, R., 382 Bland, K. 1., 491 Dudrick, S. J., 312 Bogey, W. M., Jr, 189, 272 ») Dunn, E. L., 209 Holcomb, J. B., 417, 423 Holeman, V. R., 435 Bonnell, B., 40, 263 Holzheimer, R. G., 393 Bordage, G., 445 E Boyarsky, A. H., 479 Eachempati, S. R., 101 Holzman, M., 384 Horst, H. M., 263 Boyle, P., 382 Eboli, D., 479 Horvath, E. E., 417 Bradley, E. L. III, 331 Edgerton, M. T., 78 Howard, P. A., 397 Branson, R. D., 386 Edwards, F. H., 165 Howard, R., 508 Brengman, M. L., 441 Eiseman, B., 130 Hutton, J. E., Jr, 406 Brinkley, W. W., 423 Ellis, M. V., 74 sritt, L. D., 386 Ellis. P: C., 72 Bromberg, W., 508 Ellison, E. C., 190 3rown, T., 413 Ellison, R. W., 423 Iheanacho, M., 80 Burak, W. E., Jr, 62 Itani, K. M. F., 45 Burns, G., 149, 449 Ivy, M. E., 40, 263 Cc Farley, D. R., 205 Farquhar, D., 449 rampbell, R. S., 386 Farrar, W. B., 62 ancio, L. C., 397 Jacobs, D. O., 386 arter, J., 145 Fenton, A. H., 10 Jacocks, M. A., 258 Fernald, J., 76 arter, P. L., 432 Jaques, D. P., 441 First, M. R., 387 asha, L. M., 410 Joehl, R. J., 445 vasper, K., 449 Fischer, J. E., 352 Johannigman, J. A., 386 FitzGerald, J. F., 202 harles, K., 383 Johnson, C. A., 420 Fitzpatrick, J., 362 theadle, W. G Jordan, M. H., 142 ‘theatham, J. T., Fleischer, G. D., 441 Julian, B., 383 Flynn, T., 453 shing, D., 383 shitwood, W. R., Jr, Ford, H. R., 382 hung, M. H., 4 Fortune, J. B., 237 yhurch, H., 45 Francalancia, N. A., 255 Kaminski, D. L., 24 ‘irangle, P., 438 Freeman, M., 387 Kavolius, J., 438 ivetta, J. M., Freier, D. T., 286 Kelly, B. S., 387 Friedmann, P., 139, 181 Kew, C., 383 Fry, D. E.,.389 obb, C. F., Khanna, S., 385 Fuhrman, G. M., 372 worer, J. B.;. 2 Khera, S. Y., 341 Soleman, B., 96 Kim; J. A., 62 ollins, G. J., Jr, 410 G Kim, S., 397, 438 onnally, S. R., 344 Gagliano, R. A., Jr, 410 Kirkpatrick, J. R., 142 cordts, P. R., 428 Gallichio, M., 383 Kolachalam, R. B., 499 ottone, F. J., 110 Gallo, D. R., 376 Konstantakos, A. K., 2 on. 'S.S., 153 Gaston, R., 383 Kostyal, D. A., 341 cunningham, P. R. G., 20 Gathe, J..C., Sr,. Kou, T. D., 384, 386 Mery, F.E., 385 Gillespie, D., 420, 428 Kuhn, J. F., 322 surry, T. K., 432 Goff, J. M., 420 Kumwenda, Z. L., 382 Curtis, J., 383 Goldman, M., 387 Kwasnik, E. M., 145 524 CURRENTSURGERY «+ © 2000 by the Association of Program Directors in Surgery 0149-7944/99/$20.00 Published by Elsevier Science Inc. Pll SO149-7944(00)00139-2 Petrelli, N. J., 38 Sondeen, J. L., Landman, W. A., 70 Philbin, E., 385 Stahl, R., 149 Lara, T. M., 386 Polk, Hi. C., Jr, 322 Stallion, A., 384, LaRaja, R. D., 309 Portes, W. J., 2,3, 17, : Stark, A., 385 Letor, A. T.,: 223 Porter, C., 4: Stevens, S., 387 Leitman, I. M., Pozderac, R. V., 62 Straznicka, M Levine, A. D., 384, Price, S., 344 Subramanian, \ Little, A.°G,;,22 Pruitt, B. A., Jr, Sumpio, B., 149 Liu, K., 521 Pusateri, A. E Lloyd, L. Lotze, M. T., : ‘elian, Luterman, A., 2 Quayle,F . J., } Tepas, J. . Quick, R. C., 123 Thomae, K. |} Thompson, J Macaitis,J . M., 423 Tisherman, S Mackey, W. C., 280 by Tracy, D., 410 MacMillan-Crow, L. A., 384 panlpriig dest le Iretter, J. F Mammen, E. F., 367 RReeidldlyi,c kP,. , 15o2e Trombetta, L Maniscalco-Theberge, M. E., 441 lrunkey, D Reinschmidt, J. P., Martin, R. R., Tzarnas, ¢ Rice, C: L. 161 McCollum, C., Richards, W. O., McDonald, J. C., McGee, J. M., : Ritchie, W. P., Jr Umanskiy, |K McManus, A. T RRoodbriingsuoenz,, M.L . MK..,, 3; 84 Upipternm an, J. S McQuay, N., Jr, 7 Rosenfeld, J. C., 50 Meadows, W., Jr, Rounds, J., 386 Menizer, R. M., Jr, 123 Rowe, V., 387 Van Way, ¢ Merrell, R., 149, 449 Roy-Chaudhury, P., 38 Vaughan, M Miller, C. C., Veldenz, H. ¢ Miller, K. A., 38 Vickers, S. M Miller, M., 387 Vogt, D. P Miraliakbari, R., Saadia, R., 67, Moore, K.. 5 Sadighi, Poh, Morejon, O., Safran, D. B.., Mosic, J., 62 Saha, S., 62 Walker, M Murray, S. P., St. Andre. A.. hese Savitt. T. L.. 70 Watkins, S Sawin, R., 413 biuusip dentin Schein, M.. 321, 388 Welch, W J . Nicholas, G. G., 508 Welling, R North, J. H.. Jr, 376 Schroder, D. M., 214 ; : Schroder, W. B., 155 Wesen, ¢ Nystrom, P. O., 67 Whalen, 1 Schwesinger, W. H Whiting, | Sealy, W. ¢ oO Williams, | Segurola, R., Jr, 479 O'Donnell, S., 420 Sharp, K., 384 Wise, I O'Leary, J. P., 169, 185, 462 Shenoy, A., 161 Wojcik, Oller, D. W., 242 Worth, Shows, T. B., Olsen,J ., 62 Shurin, G. V., 3 Opara, E. C:, ; Silbergleit, A Owen, . Silverman, N., Yeager, Silverman, R. T., 27: Yee, L Silverstein, } G30) Yeston, Palmieri, T. L., 305 Simmonetti, V., 385 Young, Pappas, T. N., 475 Singer, J. A., 218 Young, Pellegrini, C. A., 269 Skinner, R. A., 385 Pemberton, L. B., 155, 197 Sligh, S., 209 Penetrante, R. B., 384 Slocum, H. K., 38 Zagorski, S Peterson, E., 385 Solomon, D. J., Zahir. K. S CURRENT SURGERY « Volume 56/ Number 9 « November/December 1999 SUBJECT INDEX A natural history, 118 ; surgery, 119, 121 Abdominal ’ aE : = graft replacement, 335 injury, seat belt sign following blunt trauma, 20 5 1 surgery, 243 malignancy patients, laparoscopy, 110 i ; a Aortobronchial fistulae, 121 surgNedry , 299 a Aortoesophageal fistulae, 121 walAlil defect< s, re.c< onstruction, 10 AP;I S Abbsscceessssees s 1999-2000 Officers, 460 laIp aroto; mies a.n d, 328 Annual Goa vernor's: Report to ACS: , 462 psoas, 394 Association of Program Directors in Surgery: APDS Annual Meeting, Abstracts and Commentary, University of Alabama at Birmingham, 1999. 8 195-502 Minutes of Meetings, October 11—12, San Francisco, California, 453 Abstracts: Society of Black Academic Surgeons, 382-387 Panel V—Program ; Director's Survival Guide, The: Acid(s) Sessi: on | ribonucleic, 298 Organization and Rules, Structure and Responsibilities of the suppression therapy, 310 Surgical Organizations: How Do They Fit into the Program Acute Director’s Responsibilities?, 87 lung injury, 291 Panel ViI—Program Director’s Survival Guide, The: right heart syndrome, 293 Session II Adenocarcinoma, pancreatic Accreditation and Certification Basic Guidelines: Conferences, Aganglionosis, 305 Surgical Operative Log, Primary and Secondary Components, Allografts, aAr terial and Work Environment, 90 aortic graft replacement in situ, 335 Resident Performance on the ABS Examinations: ABSITE, Qual- C ryopreserved 17 ifying, and Certifying Examinations, 93 Alternative medicine, 29 Troublesome Issues: Scholarly Environment, Continuity of Care, American Board of Surgery Supervision, Graded Responsibility, Flexibility, and Equiva- Information Booklet, 50 lency, 93 In-Training Examinations (ABSITE), 45, 276 Papers, Spring 1999 Meeting, 130 Ampullary carcinoma, 373 Pictures from the American College of Surgeons Meeting, October Anabolic agents, surgery, in, 2 10-15, San Francisco, California, 458 Anastomosis Presidential Address: Toto, This Ain’t Kansas: Truisms for Program Hirschsprung’s disease, 364 Directors in Surgery, 169 primary, peritonitis and obstruction, 101 Reports, Spring 1999 Meeting, 178 Anesthesia To the Membership, 464 blood loss, blood transfusions, renal dysfunction and, Appendicitis laparoscopy, for children, 205 diagnosis, 247 Aneurysms diagnostic laparoscopy, 249 aortic, repair, 299 perforation rates, 248 cerebral, embolization, 260 Arterial allografts femoral, 14 aortic graft replacement in situ, 335 intracranial, 258, 259 cryopreserved, 17 thoracic aortic Arteriography, 335 grafts, 120 Arteriovenous fistulae, 14 natural history, 118, 119 Artery(ies) surgery, 121 carotid, 284 Angiogenesis grafts, radial, 17 myocardial, 256 pseudoaneurysms, femoral, 14 therapeutic, 189, 255 Artificial pancreas, applications, 190 Angiographic results, radial artery grafts, 17 Asthma, childhood, chiropractic manipulation, 29 Angi graphy , computed tomography, 357 Autogenous deep venous reconstruction, 335 Anorectal reconstructive surgery, 295 Autografts, epidermal, children, 490 Antibiotic(s) Autopsies, diagnostic, 315, 316 prophylaxis, 25 Autotransfusion, aortic surgery, during, trauma and. 328 Axillary thoracotomy, 302 Anticoagulant reversal Anticoagulation, 519 Antimicrobial Back pain, low, treatment, 29 impregnated central venous catheters, 24 Bacteremia, 397 prophylaxis, vascular surgery, 253 Bacterial translocation, 328 Antireflux surgery, laparoscopic, 203 Basic fibroblast growth factor, 255 Aortic Biopsy aneurysms breast, stereotactic, 10 repair, 299 sentinel lymph node, 318 thoracic Bird’s nest filters, 210 grafts, 120 Bisphosphonate, 3 CURRENT SURGERY « Volume 56/ Number 9 « November/December 1999 Bite injuries, 237, 328 ductal, breast, 10 Bleeding hepatocellular, 214, 2 postoperative, 307 periampullary, 372 ulcers, 309, 310 squamous cell, esophageal Blood thyroid, 376, 377 donations, liver resections, in, 2 Cardiac loss, anesthesia, 116 surgery, 202 transfusions, 116 transplantation, 127 Blunt trauma Carotid care, 508 arteries, 284 computed tomography role, 22 injury, blunt, 280, 281 seat belt sign following, 20, 278 Carpal tunnel Bone metastases, 3 lease, endoscopic, 488 Book Review: Hepatobiliary and Pancreatic Surgery: Imaging Strate syndrome, 485, 486, 487 gies and Surgical Decision Making, Evans SRT, Ascher SM, Catheter(s) eds., New York, Wiley-Liss, 1997, 527 drainage, 481, 482 Bowel prepartion, mechanical, 101 venous, 2 CA1, BRCA2 and, mutations, 220 Cells, squamous, carcinoma, esophagea Breast Cellulitis, 393 biopsy, stereotactic, 10 Cerebral aneurysms embolization cancer Chemoradiotherapy, 223, 226, 374 lymphatic mapping, 62 Chemotherapy mastectomy, bilateral prophylactic, 218 esophageal, cancer, { metastatic, 3 neoadjuvant, 222 surgery, conservative, 8 radiation therapy, surgery and, rand ductal carcinoma, 10 Chest radiograph, 198 Bronchogenic carcinoma, 225 Childhood asthma, chiropractic manipulati Bronchopleural fistulae, postoperative, 200 Children Burn(s) asthma and, treatment, 26 infections, 397 epidermal autografts, 490 insulin effects on, 491 kidney transplantation, younger than laser ablation, 307 laparoscopy anesthesia, 205 Burn(s) minimally invasive surgery, pediatric Chiropractic manipulation, child ast cultured epidermal autografts, 490 Chlorhexidine mortality determinants in massive, 306 coated catheters, 24 risk, children, in, 493 skin preparation, 341 survival, 305 Coagulase-negative staphylococcus Bypass Coil system, Guglielmi, 260 coronary artery, 17 Colon gastric, 105 patch graft, 365 rectal surgery and, feasibility of early Cc Colonic surgery, infection following, 1( Colorectal Calcified peripancreatic mass, menopausal women, in, 84 : cancer surgery laparoscopy, 113 Cancet metastases, 1175, 244 ; surgery, infection following, 101 irradiation, elimination of residual disease, 10 nei caed : Computed tomography (CT), 22, 354 lymphatic mapping, 62 ; _ ; Coronary artery bypass, 1 mastectomy, bilateral prophylactic, 218 Critical care metastatic, 3 ; aes : education, 2035 surgery, conservative, 8 nigoiedle 40 database . report, national, 376 SUTZICaAl, 4 ” Cryopreserved arterial allografts, 1 esophageal Cyclosporine immunosuppression, 232 surgery, 223 ; ; therapy, 221 D familial, 378 Greenfield filters use, 211 Database report, national cancer, 376 lung5, 226 Deep-t vein thrombosis, heparin use, 518 pancreatic, 354, 357 Diabetes management, 191 pancreaticoduodenectomy for, 356 Diagnostic peritoneal lavage (DPL), 22 surgery Diaphragmatic injuries, 277, 279 colorectal, laparoscopy, 113 Diet, hypocaloric, nitrogen-free, 300 lung, 225 Disease thyroid, 379 breast ductal carcinoma, 10 Carcinoid tumors, 503, 506 Hirschsprung’s, 362, » 364 Carcinoma(s) Distal pancreatectomy, ampullary, 373 Doppler equation, 523 bronchogenic, 225 Drainage CURRENT SURGERY Volume 56 / Number 9 « November/December 1999 G catheter, 481, 482 enteric, 288 Gallbladder surgery, 252 Ductal carcinoma in situ (DCIS), 10 Gastric bypass, 105 Duhamel technique, surgery, 362 Gastrointestinal tract carcinoid tumors, 505, 506 Duke University Halsted program, surgical training, 34 Gene(s) Duodenal ulcers, 309 expression, insulin-like growth factor 1, 299 Duplex-Directed Manual Occlusion (DDMO), 14 therapy, 256 Dysfunction, urinary tract, 235 transfer, intramuscular, 255 Genetic testing, familial cancer, 378 Glandular tissue, transaxillary removal, 312 Graduate education, surgical, 34 Editorials Grafts Critical Path for Surgical Training, A, 99 antibiotic-impregnated, 335 Enemy Is Suffering—Not Death, The, 473 colon patch, 365 How Serious Are We About ImprovinOgu r Performance?, 27 5 patient survival and, 124 Some Reflections on Halsted and Residency Training, 1 radial artery, 17 Therapeutic Angiogenesis: Too Good to Be True?, 189 thoracic aortic aneurysms for, 120 There Is Only Now, 350 Grand Rounds in General Surgery Education Calcified Peripancreatic Mass in a Postmenopausal Woman, 84 critical care, 203 Difficulty Swallowing in an Elderly Man, 175 ethics, surgical residents, for, 267 Greenfield filters, 209, 211 surgical Growth graduate, for, 34 factor, basic fibroblast, 255 history, residency programs, 344 hormone residency, 445 receptors, 298 resident, vascular testing, 523 treatment, 299 Elderly Guglielmi detachable coil system, 260 cardiac surgery for, 2 Gynecologic oncology, 296 man, swallowing, in, 175 Gynecomastia, 312, 313 Embolisms, pulmonary, prevention, 212 Embolization, cerebral aneurysms, 260 H Empyema, thoracic, 197 Endocrine neoplasia, multiple, type 2, 378 Halsted program, surgical training, Endoscopic Head carpal tunnel release, 487, 488 blunt vascular injuries, sonography, 355 surgery, hemmorhage in, 2 treament Healing wounds bleeding ulcers, 309 impaired, 240 postoperative bronchopieural fistulae, 200 insulin effect on, 492 Endovascular stent Health Management Organizations (HMOs), 76 grafts, 120 Health care marketing, 80 infections, 335 Heart, right, syndrome, acute, 293 Enteric drainage, 288 Helical computed tomography, 355, 357 Epidermal autografts, children, 490 Helicobacter pylori, 309, 310 Erythropoietin injection, preoperative recombinant, human, 244 Hemodilution, isovolemic, 242 Esophageal cance Hemoglobin, stroma-free, 245 surgery, 22: Hemorrhage, head and neck surgery, in, 241 therapy, 2s Heparin Ethics education, surgical residents, for, 267 deep-vein thrombosis, use, 518 -induced thrombocytopenia, 369, 519 Heparinization, 283 F Hepatic Facial surgery, postoperative infection, 238 resections, 116, 117, 216, 242, 244 False aneurysms, femoral, 14 surgery simulation, 196 Familial cancer, 378 Hepatobiliary periampullary carcinoma, 372 Fasciitis, necrotizing, 394 Hepatocellular carcinoma, 214, 215, 216 Femoral aneurysms, 14 Hernias Fibroblast growth factor, basic, 255 incisional, 105 Filters, inguinal, laparoscopic repair, 204 bird’s nest, 210 Hernioplasty, laparoscopic ventral, 108 Greenfield, 209, 211 Hirschsprung’s disease, 362, 304 vena cava, 209, 212 Hirudin, recombinant, 519, 522 Fistulae HIV infection, 393 aortobronchial, aortoesophageal, and, 121 Hormone(s) arteriovenous, 14 growth bronchopleural, postoperative, 200 human recombinant, 299 Flaps, rectus turnover, 107 receptors, 298 Flexible sigmoidoscopy simulator, 194 sex, trauma and, 328 528 CURRENT SURGERY Volume 56 / Number 9 « November/December 1999 Hospital stays, 445 Human Laparoscopic growth hormone receptors, 298 I I ; antireflux surgery, 203 recombinant growth hormone, 299 a . ; i diagnosis, 208 Hyperbaric oxygen therapy, 240 ; ; = gallbladder surgery, 252 Hypertension, pulmonary, systemic, and, 245 aa Rays eS: ; ; repair, inguinal hernia, 204 Hypocaloric diet, nitrogen-free, 300 ae i surgery, 2 t ventral hernioplasty, 108 Laparoscopy abdominal malignancy patients, 110 latrogenic pseudoaneurysms, 14 anesthetic, children’s, 205 Idiopathic venous thromboembolism, 514 colorectal cancer surgery, use in, 11 Immunosupression, cyclosporine, 232 computed tomography and, 354 Impaired wound healing, 240 diagnostic, appendicitis, for, 249 Impetigo, burn wound, 397 diaphragmatic rupture, 278 Incisional hernias, 105 evaluation, l] eft lower chest injuries, 277 Infection(s) gastric adenocarcinoma, 111 burn, 399 7 surgery, 207I,m 4 %; clean wound, 251 trauma, 278 colorectal surgery, after, 101 tumor growth, surgical scars in, following endovascular stent, 335 Laparotomies, abscesses and, 328 gallbladder surgery, after, 252 Laser ablation, burns, of, 307 pancreas-related, 331 Laavvaagg e postoperative, facial surgery, 238 colonic, intraoperative, 101 posttr. auma,‘ 32298R peritoneal, diagnostic, 22 soft tissue, 393 Leegg ulu cers, 3399:3 streptococcus, 393 Lepirudin, 519 surgery Letters to the Editor e. volutioionn., ffi uturef,e 338QC9 Cl. inical C.o mmitments and ] Acade| mic Accomplis irradiated head, neck and, following, 240 the Future Have in Storet2 rectal, 101 Resident Performance on the ABS Examin surgical, patient morbidity and, 321 and Certifying Examinations, 27 vascular, 17, 335 Leucine kinetics, 300 wound, 322 Liver Inguinal hernia, laparoscopic repair, 204 failure, postoperative, 216 Injections, erythropoietin, 244 resections, 115, 116, 117, 216 Injuries Lobectomy, 227 abdominal, seat belt sign following blunt trauma, “2 0 Lung bite, 237, 328 cancer, 225, 226 carotid, blunt, 280, 281 injury, acute, 291 diaphragmatic, 277, 279 Lymph node, sentinel, biopsy, 318 lung, acute, 291 Lymphadenectomy seat belt, intra-abdominal, 22 mediastinal. 225 vascular, 283 sentinel, 319 Insulin Lymphoscintigraphy, 62 effects, burns, on, 491 -like growth factor 1 gene expression, 299 pumps, 190, 191, 192, 193 M wound healing, effects on, 492 Male pelvic anatomy reconstuction, 195 Intra-abdominal Malignancy, abdominal, laparoscopy, 110 seat belt injury, 22 Malignant neoplasms, 315 surgery, 296 Mammography, 10 Intracranial aneurysms, 258, 25‘ Managed Care Organizations (MCO’s) Intramuscular gene transfer, marketing health care, 70, 80 Intravenous panidronate, 3 payer-influence, 82 Irradiation, elimination of residual disease, 10 physic ian Ischemia -organized advocacy groups, 7 critical limb, 255 —patient relationship, 78 myocardial, 256 profit, 72 Ischemic stroke, 517, 521 single-payer system, 76 Isovolemic hemodilution, 242 acts Manual occlusion, duplex-directed, 14 MART-1, 319 Mastectomy, bilateral prophylactic, 218, 218, 21 K Mediastinal lymphadenectomy, 225 Kidney transplantation Medical center, breast conservation surgery at children younger than 1 year, 232 Medicine, alternative, 29 pediatric, 233, 234 Medullary thyroid cancer, metastatic, 377 Kinetics, leucine, 300 Melanoma CURRENT SURGERY «+ Volume 56/ Number 9 « November/December 1999 sentinel lymph node biopsy, 318 Pancreatectomy, distal, 475, 476 specific proteins, detection, 319 Pancreatic Menopausal women, calcified peripancreatic mass in, 84 adenocarcinoma, 374, 476 Mesh, prefascial polypropylene, 105 cancer, 354, 357 Metastases islet transplantation, 289 bone, = pseudocysts, 480, 481, 482 colorectal, 117, 244 tumors, 355, 477 nodal, 377 Pancreaticoduodenal transplantation, 288 Metastatic Pancreaticoduodenectomy, 356, 374 breast cancer, 3 Panidronate, Intravenous, 3 medullary thyroid cancer, 379 Pediatric Mutations burns BRCA1, BRCA2, and, 220 initial general management, surgery and, 490 RET prc to-oncogene, 378 mortality determinants in massive, 306 Myocardial risks, 493 angiogenesis, 256 infarction, 516 scalp donor sites, outcome, 491 ischemia, 256 kidney transplantation, 232, 233, 234 revascularization, 17 Pelvic reconstruction, male, 195 Myositis, 393 Peptic ulcers, bleeding, 310 Periampullary carcinoma, 372 Perioperative antibiotic prophylaxis, 335 Peripancreatic calcified mass, menopausal women, 84 Neck Peritoneal lavage, diagnostic, 22 blunt vascular injuries, 2 Peritonitis, 101 surgery, hemorrhage i Photophoresis, rejection prevention, 127 Necrotizing fasciitis, 394 phVEGF 165 299, 256 Needlescopic urology, 207 Physical therapy, low back pain, 29 Neoadjuvant chemotherapy, 222 Physician Neoplasia -organized advocacy groups, MCO’s, 74 endocrine, multiple, type 2, 378 —patient relationship, MCO’s, in, 78 malignant, 315 Physicians’ Assistants (PA), surgery/trauma house role, 509 Neurologic complications, chiropractic manipulation, following, Calli- Pleural empyema, thoracoscopy treatment, 200 fornia, 29 Pneumonia, 397 News Pneumothorax Annual Information Letter to Program Directors in Surgery, Residency Clearing House, 96 spontaneous, 302, 303 Residency Review Committee for Surgery—Update, October 1999, tension, 278 Poems 1605 Nitric oxide, inhaled, 291, 292, 293 0504—am, Richard T. Silverman, MD, 273 Nitrogen-free hypocaloric diet, Tending Roses, J. Michael McGee, MD, 528 Nodal metastases, 377 Polypropylene mesh, prefascial, 105 Node(s) Postoperative dissection, 377 bleeding, 367 lymph, sentinel, biopsy, 318 bronchopleural fistulae, 200 subcardinal, 225 infection, facial surgery, 238 Nonpalpabable testis, 208 liver failure, 216 North Dakota, breast cancer decisions, patient-made, 8 Posttrauma infections, 328 Povidone-iodine skin preparation, 341 oO Prefascial polypropylene mesh, 105 Program Information Forms, RRC, 269 Obesity complications, 105 Programs, surgical training, 99, 449 Occlusion, manual, duplex-directed, 14 Prophylactic bilateral mastectomy, 218, 219, 220 ( Incology Prophylaxis gynecologic, 296 antibiotic, 251, 322 surgical, 115, 214, , 372, 495, 503 antimicrobial, vascular surgery, 253 Oophorectomy, 220 Prostatectomy, retropubic, 244 Organs Proteins, melanoma-specific, detection, sharing, 124 Proto-oncogene, RET, mutation, 378 solid, xenotransplantation, 229 Oxygen, hyperbaric, 240 Pseudoaneurysms, iatrogenic, 14 Pseudocysts, pancreatic, 480, 481, 482 Psoas abscess, 393 Pulmonary Paclitaxel, 226 embolism Pancreas prevention, 212 artificial, applications, 190 risk, pregnant women, in, 209 —kidney transplants, 286 hypertension, 123, 245 -related infections, 331 resection, 301 530 CURRENT SURGERY «+ Volume 56/ Number 9 « November/December 1999 Duhamel technique, 362 Radial artery grafts, 17 elective, asymptomatic, unruptured intracranial ane Radiation therapy, 223, 374 esophageal cancer, 221, 223 Radiograph, chest, 198 facial, postoperative infection in, 238 gallbladder, 252 Recombinant hirudin Cepirudin), 519 Reconstruction gynecologic, 296 anorectal, 295 head and neck, hemorrhage in, 241 male pelvic anatomy, 195 hepatic, simulation, 196 infections venous, deep, autogenous, 335 Rectal/colon surgery evolution, future, 389 feasibility of early feeding following, 296 irradiated head, neck, following, 240 rectal, 101 infectious complications, 101 Rectus turnover flaps, 107 intra-abdominal, 296 Renal dysfunction, 116 laparoscopic, 207, 477 minimally invasive, children, 206 Resection morbidity, patient, and, 321 hepatic, 115, 116, 117, 216, 2 pulmonary, 301 rectal, infectious complications, 101 thoracic, 227 vascular, 356 thoracoscopic, 302, 303 Residency Review Committee (RRC), 96, 269 trauma house staff, physic Residency training, 1 Residents, surgical, critical care education of, 263 thyroid, 239 vascular, 253 Residual disease, breast ductal carcinoma, of, 10 irgical Respiratory distress, 292 RET proto-oncogene mutation, 378 critical care, 40 education Retropubic prostatectomy, 244 Revascularization, myocardial, 17 graduate, 34 undergraduate, 1 Ribonucleic acid, 298 history education, residency programs infections, 321, 389 Ss oncology, 115, 214, 372 operations, skin preparation, 341 Scars, surgical, tumor growth in, following laparoscopy, 112 patient(s) Seat belt(s) leucine kinetics in, 300 abdominal injury—associated, 20 morbidity and, 321 injury, intra-abdominal, 22 residency education, 445 Sentinel lymph node biopsy, 318 resident education critical care, 263 lymphadenectomy, 319 vascular testing, 523 Sex hormones, trauma and, 328 scars, tumor growth in following laparoscopy Sigmoidoscopy, flexible, simulator, 194 training, 34, 99, 449 Silver sulfadiazine—coated catheters, 24 Swallowing, elderly man, in, 175 Site Visitor Report, Residency Review Committee, 269 Symposia Soft tissue infections, 393 Mini-Symposium: What's New in Surgical Infect Sonography, endoscopic, 355 405 Spleen preservation, distal pancreatectomy, in, 476, 477 Gary P. Wratten Surgical Symposium, 406 Squamous cell carcinoma, esophageal, 222 Staphylococcus, cc agulase-negati\ eS graft reconstruction for, 3° T stent(s) endovascular, 120 lension pneumothorax, 278 infections, 335 Testis, nonpalpable, 208 Stereotactic breast biopsy, 10 Therapeutic angiogenesis, 189, Streptococcus infections, 393 Therapy Stroke acid suppression, 310 ischemic, 517, 521 esophageal cancer, 221 risk, 516 gene, 256 Stroma-free hemoglobin, 245 hyperbaric oxygen, 240 Subcardinal nodes, 225 physical, low back pain, 29 Suppurative thrombophlebitis, 397 radiation, 374 Surgeons, trauma, 508, 510 thromboembolism, 519 Surgery warfarin, 368 abdominal, 299 Thoracic aortic anorectal reconstructive, 295 aneurysms antireflux laparoscopic, 203 grafts, 120 aortic, 243 natural history, 118 cardiac, 202 surgical treatment, 119, 121 classic complications, 67 empyema, 197 colon surgery, 227 feasibility of early feeding after, 296 Thoracoscopic infectious complications, 101 evaluation, residual traumatic hemothorax, 198 CURRENT SURGERY Volume 56 / Number 9 « November/December 1999 surgery, 302, 303 Thoracoscopy, pleural empyema, treatment, 200 Thoracotomy, axillary, 302 Icers Thrombin injection, duplex-directed, 14 bleeding, 309, 310 duodenal, 309 Thrombocytopenia, heparin-induced, 369, 519 leg, 393 Thromboembolism idiopathic venous, 514 Itrasound, 523 duesen, 519 nited Network for Organ Sharing (UNOS), 124 . Irinary tract dysfunction, 235 Thrombophlebitis, suppurative as " : i ; ; rology, needlescopic, 207 Thrombosis 5) deep vein, 212, 516, 518 prevention, 369 Thyroid cancer, 379 asculat carcinoma, 376, 3 infections, 17 surgeereye, ae2 39 injuries, 283 Tissue(s) glandular, transaxillary removal, 312 SsuIgery, plasminogen aativEtor 517 testing, surgical resident education, 523 soft, infections, 393 Vena cava Toxic shock syndrome, 394 filters, 209, 212 Training occlusion, 210 residency, 1 Venous surgical, programs, 99, 449 catheters, 24 ransaxillary removal, glandular tissue, 312 reconstruction, 335 Lenin thromboembolism, idiopathic, 514 blood. 116 thrombosis, 516 requirements, hepatic resection, during, 242 Vitamin Kj, 368 ansplantation cardiac, 127 kidney W children younger than 1 year, 2: Warfarin therapy, 368 pediatric, 233, 234 Women pancreas—kidney, 286 menopausal, calcified peripancreatic mass in, 84 pancreatic islet, 289 pregnant, pulmonary embolism risk, 209 pancreaticoduodenal, 288 Wound(s) pulmonary hypertension, 123 burn Trauma cultured epidermal autografts, 490 blunt infections, 97 care, 508 mortality determinants in massive, 306 computed tomography role, 22 risk, children, in, 493 seat belt sign following, 20 survival, 305 laparoscopy for, 278 complications, surgery, 240 surgeons, 510 healing Traumatic hemothorax, residual, 198 impaired, 240 TRICARE/CHAMPUS, single-payer health management system, 76 insulin effect, 492 Tumor(s) infection, 97, 251, 322 carcinoid, 503, 506 growth, surgical scars-following laparoscopy, 112 pancreatic, 355, 4 lyrosinase, 31 Xenografting, 228, 229, 230 CURRENT SURGERY Volume 56 / Number 9 « November/December 1999