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Our top priority is providing value to members. Your Member Services team is here to ensure you maximize your ACS member benefits, participate in College activities, and engage with your ACS colleagues. It's all here.

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Clinical Congress News

Surgical Trainees Present Cases with “Spectacular Significance” to Expert Panel

October 22, 2024

The Spectacular Cases session, now in its 20th year, featured clinical cases presented to a panel of experts by members of the ACS Resident and Associate Society (RAS) yesterday morning.

“This is an extremely successful session—that is why it has continued for so many years,” said Juan C. Paramo, MD, FACS, who started co-moderating the session in 2004. “The format—similar to a morbidity and mortality conference—is a very interactive session with a lot of back-and-forth discussion between residents and world-renowned surgeons.”

In fact, the long-running Spectacular Cases session is especially popular with Clinical Congress attendees because it is known to stimulate lively debates between RAS members and the panel as they challenge each other with reviews of procedures and processes.

This year’s panel included Sharmila Dissanaike, MD, FACS, FCCM, Melissa E. Hogg, MD, FACS, Leigh A. Neumayer, MD, MBA, MS, FACS, and Kenneth W. Sharp, MD, FACS.

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More than 100 multidisciplinary cases were submitted for consideration this year, with seven cases selected for presentation.

“Limiting the number of cases selected each year allows for plenty of time for a very robust discussion,” said Dr. Paramo, an attending surgeon and associate professor of surgery at Mount Sinai Medical Center in Miami, Florida. “Although we don’t have a specific theme, we try to bring unique cases with varied pathologies and from different surgical specialties. What the cases do have in common is their complexity, with challenges regarding care management.”

For each case presentation, RAS members seek to accomplish similar objectives, including identifying and analyzing risks and benefits of treatment approaches; providing pathways for anticipating, diagnosing, and managing complications; and determining approaches for integrating results of clinical treatment in order to develop effective patient management planning.

This year’s Spectacular Cases featured the following presentations:

  • Urgent Multivisceral Transplantation for Catastrophic Penetrating Abdominal Trauma
  • Migration of Axios Stent Causing GI Bleed, Jejunal Obstruction, and Gallstone Ileus
  • Re-Do Esophageal Replacement with Pedicled Colonic Interposition Bypass for Long-Segment Gastric Conduit Stenosis Following Transhiatal Esophagectomy
  • High-Risk Pregnancy, High-Stakes Care: A Multidisciplinary Approach to Preserving Maternal and Fetal Health after Gunshot Injury
  • Cocaine-Induced Bowel Ischemia Causing Enterocolic Fistulae, Small Bowel Perforations, Intra-Abdominal Abscess Requiring Drainage, Subtotal Colectomy and Small Bowel Repair—Complicated by Postoperative Enterocutaneous Fistula
  • Rare Case of Choledocho–Colonic Fistula Completely Managed Using Minimally Invasive Techniques
  • Multidisciplinary Strategies in Managing Choledochojejunostomy Complications: A Case of a Complicated Edge Procedure and IVC Injury

The Spectacular Cases Panel Session is available for on-demand viewing.

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