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Appropriateness Conference

When is Open Surgery Most Appropriate?

Wednesday, March 13, 2002:

Conference Co-Coordinators: John Hunter, MD and Abe Fingerhut, MD

Description:

Less formal than the traditional Consensus Forum, an Appropriateness Conference is evidence based and still results in an expert opinion- based recommendation on a given topic. Appropriateness in health care services and especially on one specific given topic like laparoscopic surgery has not often been the subject of meetings and workshops, since it is often just assumed that services delivered are "appropriate" until proven otherwise. In view of recent discussions on cost-effectiveness, quality of care and rationing, however, the "appropriateness" of the health care delivered has become a key issue.

The World Congress Appropriateness Conference will consist of 2.5 hours of presentation, followed by 1.5 hours of discussion with presenters, an expert panel and audience interaction. The topics which have been selected are appendectomy, hernia, colectomy and GERD. Each topic will have three lectures, including a dispassionate review of existing literature, a lecture on when it is appropriate to use the open approach, and a talk on when it is appropriate to convert.

Our goal is to encourage the exchange of national and international information and knowledge on the meaning of appropriateness, the methods of identifying appropriate and inappropriate treatments in the domain of laparoscopic surgery, and to determine when a specific laparoscopic or open procedure is appropriate, and when conversion to an open procedure is appropriate.

The results of the Appropriateness Conference will be presented during a lunch on Saturday, March 16. The lunch program will include a brief history of consensus panels in laparoscopic surgery; a review of the World Congress appropriateness conference, how it came to be and why we picked the topics, and the conclusion of the panel/audience discussion following the presentations. This luncheon is free of charge to Appropriateness Conference registrants.

Objectives:

To determine the appropriate indications for:

• Open appendectomy

• Open repair of hiatal hernia

• Open colectomy

• Open GERD, and

• To determine the appropriate times for conversion of alaparoscopic procedure to an open procedure

Topics and Tentative Faculty:
1:00 - 1:15 PM	Introduction and Global Statement	John Hunter, MD
1:15 - 1:45 PM	Laparoscopic Appendectomy
	Review	Michael Sarr, MD
	Open	David Rattner, MD
	Lap. Approach	H. Jaap Bonjer, MD
1:45 - 2:15 PM	Laparoscopic Inguinal Hernia Repair
	Review	TBA
	Open	Jorge Cervantes, MD
	Lap. Approach	Robert Fitzgibbons, MD
2:15 - 2:45 PM	Laparoscopic Colectomy
	Review	Steven Wexner, MD
	Open	Douglas Wong, MD
	Lap. Approach	Antonio Lacy, MD
2:45 - 3:15 PM	Laparoscopic GERD Repair
	Review	David Watson, MD
	Open	Donald Low, MD
	Lap. Approach	Bernard Dallemagne, MD
3:15 PM	BREAK
3:30 - 4:30 PM	Panel/Audience Discussion & Response

Panelists:

Abe Fingerhut, MD
Ruth Fischbach, PhD
Annetine Gelijns, PhD
Hans Glise, MD
Charles Lightdale, MD
Thom Lobe, MD
Journalist TBA

Literature Reviewer: Robert Glasgow, MD
Literature Ranking: Elie Chouillard, MD

On behalf of the World Congress, SAGES acknowledges a generous educational grant in support of this program from Aesculap/BBraun.

 

[Table of Contents] [General Information] [Schedule at a Glance] [Hands-on Courses] [Appropriateness Conference]

[Surgeons-in-Training Session] [Postgraduate Courses] [Scientific Sessions - Friday] [Scientific Sessions - Saturday]

[Industry Education Night] [Exhibitors] [Invited Faculty] [Lunches] [Learning Center & Poster Program]

[Social Programs & Special Events] [Accompanying Person Tours] [Hotel Information]

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