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The Surgeon

A News Bulletin published by the Foundation for Abdominal Surgery,
824 Main Street, 2nd Floor, Ste. 1, Melrose, MA 02176-3195
Editor: Louis F. Alfano, Jr., MD

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American Board of Abdominal Surgery

April 2009

Our three televised live surgeries from Tampa General Hospital consisted of one open and two laparoscopic hernia repairs. During these surgeries there was interactive discussion between the operating room surgeons and the attendees of the conference regarding; “What is the criteria for open as opposed to laparoscopic inguinal hernia repair”; the use of mesh for inguinal hernias in adults vs. none mesh procedures; topical antibiotics during these surgeries; adhesions; neuropathic pain and treatment with regard to inguinal nerve such as anti-depressants in high daily dose to relieve some neuopathic chronic pain; dialogue regarding avoidance of nicking the inguinal nerve and post operative care/orders to circumvent hernia reoccurrence or hematoma in the scrotum and nonsteroidal medication, nerve blocks and opiates that may exacerbate neuropathic pain. The difference in post-operative care was discussed relative to the open hernia repair vs. the laparoscopic surgery and although the recovery time is less with laparoscopic surgery, many of the same post-operative orders apply.

Among other subject matter presented by our lecturers; Cirrhotic Patients are Medically Challenging; Education in Medicine – Is there a crisis?; Medical Co-Morbidity Evaluation Prior to Operation; Barrett’s Esophagus, Gerds, Achalasia; Cancer Genes and Pathways, Anal Squamous Cell Carcinoma; LESS procedures in Surgery vs. NOTES procedures.

Lectures on Bioterrorism and Mass Casualty Care – Public Health Issues given by a trauma surgeon at Tampa General Hospital proved to be a pleasant addition to the primary lectures in abdominal surgery.

A lecture on Bariatric Surgery – Implications of Obesity in Surgery, Pre-op Selection, Operation Type, Pre and Post-Operative Care by a Team, Results and Complications, drew many questions from the audience.

Our “2009 Distinguished Service Award” was given to a well deserving humanitarian and long time supporter of ASAS at a banquet held in his honor Saturday evening.

Dr. Jose A. Mijares, a Cuban immigrant, served in the Cuban Navy and was assigned convoy duty with the United States Navy during World War II, receiving honorable recognition from President Harry S. Truman. In 1960, with the arrival of communism in Cuba, he migrated with his family to Tampa, Fl. and became a US Citizen in 1965. He is certified in general surgery by the American Board of Surgery, is founder and principal owner of Town and Country Hospital in Tampa and designed a surgical clamp which bears his name, the Mijares-Allis Forceps. Dr. Mijares had been known for administering medical care to the poor who would otherwise not be able to afford treatment. He has published several research articles in the medical and surgical field and written a number of books and essays over the years. Dr. Mijares’ family, along with physicians and their families from Tampa General Hospital attended this function to assist in the celebration of this wonderful man’s life.

The American Society of Abdominal Surgeons is proud to acknowledge Dr. Jose A. Mijares as a member of our organization.

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The American Society of Abdominal Surgeons is accredited by the Accreditation Council for Continuing Medical Education to provide Continuing Medical Education for Physicians. The American Society of Abdominal Surgeons is approved by the AMA/CME to grant Category1 credits towards the Physician's Recognition Award of its educational endeavors.


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