Program

2018 ASRM Annual Meeting

Theme:

Achieving Excellence Through Serving and Sharing


 

 

Select a day to view ASRM Program:

Friday, January 12, 2018

Saturday, January 13, 2018

Sunday, January 14, 2018

Monday, January 15, 2018

Tuesday, January 16, 2018

Annual Meetings RELOCATED!

See Registration page for details!

 


Friday January 12, 2018


ASRM Lymphatic Surgery Symposium: A Collaboration with
World Society for Reconstructive Microsurgery/
American Society for Lymphatic Surgery

12:00pm - 5:30pm (Lunch served)
(separate registration and $100 fee required)
 
We are pleased to invite you to Lymphatic Surgery Symposium, a collaboration with World Society for Reconstructive Microsurgery and American Society for Lymphatic Surgery. Lymphatic surgery is a rapidly changing, exciting field in reconstructive microsurgery with much to learn. We have planned a stimulating program with world class experts and pioneers in lymphatic surgery who will share their experience and knowledge. Please join us for this exciting program. Following this session, the participant will be able to:
  • Understand the basics of the lymphatic system and lymphedema
  • Understand the basics behind imaging the lymphatic system
  • Know how to address LVA
  • Understand the different ways to perform lymph node transfer
12:00pm – 12:20pm         Lunch
 
12:20pm – 12:30pm         Opening Remarks: Isao Koshima, MD, WSRM President WSRM Logo
                                          Joseph Dayan, MD, ASLS Chair ASLS Logo
 
Understanding Lymphatic System and Lymphedema (David W. Chang, MD, FACS, Moderator)
12:30pm – 12:50pm         Understanding Pathophysiology of Lymphedema, Babak Mehrara, MD
12:50pm – 1:20pm           Update on Lymphatic Research for Surgeons, Alex Wong, MD
 
Imaging Lymphatic System (Ketan M. Patel, MD, Moderator)
1:20pm – 1:40pm             Overview, Peter C. Neligan, MD, FACS
1:40pm – 2:00pm             ICGN, Takumi Yamamoto, MD, PhD
 
2:00pm – 2:20pm             Coffee break
 
LVA (Isao Koshima, MD, Moderator)
2:20pm – 2:40pm             Intro to LVA, Isao Koshima, MD
2:40pm – 3:00pm             How I Do It, Kiyoshi Yamada, MD
3:00pm – 3:20pm             Deep LVA, Corradino Campisi, MD
 
VLNT (Bernard T. Lee, MD, Moderator)
3:20pm – 3:40pm             Submental LNT, Ming-Huei Cheng, MD
3:40pm – 4:00pm             Supraclavicular LNT, Rebecca Garza, MD
4:00pm – 4:20pm             Axillary/Lateral-Thoracic LNT, Mark L. Smith, MD
4:20pm – 4:40pm             Groin Lymph Node Transfer, Joseph H. Dayan, MD
4:40pm – 5:00pm             Omentum Lymph Node Transfer, Alexander Nguyen, MD
5:00pm – 5:20pm             Mesenteric Lymph Node Transfer and the Mesoappendix
as Potential Donor Site, Roman Skoracki, MD
 
5:20pm                          Conclusion
 

Saturday January 13, 2018

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6:30am – 8:00am                   Continental Breakfast with Exhibitors
 
6:30am - 2:00pm                  Exhibit Hall Hours
 
7:00 am – 8:00am                  AAHS/ASPN/ASRM Instructional Courses
201.      Upper Extremity Soft Tissue Reconstruction - Coverage and Functional Muscle Transfers
Chair:  Milan Stevanovic, MD
Instructors: Mario Cherubino, MD; Carla Baldrighi, MD;
Gary S. Soloman, MSOT, MBA; Gunter Germann, MD

The authors will present advanced microsurgical techniques for treatment of soft issue defects and functional muscle deficits in the upper extremity. There will be an emphasis on surgical decision-making, operative techniques, and expected outcomes following reconstruction. Free tissue transfer with innervated functional muscle flaps and management of complex wounds will be reviewed. Following this session, the participant will be able to:

  • Demonstrate the surgical decision making algorithms for treating patients with complex soft tissue injuries to the upper extremity.
  • Describe surgical techniques for treating patients with simultaneous soft tissue reconstruction and functional muscle transfer in the upper extremity.
  • Discuss the anticipated outcomes following simultaneous soft tissue reconstruction and functional muscle transfer in the upper extremity.
202.      Soft Tissue Coverage of the Hand - Flaps Every Hand Surgeon Should Know
Chair: Bauback Safa, MD
Instructors: Roberto Adani, MD; Edward M. Reece, MD;
Mark Henry, MD; Stephanie N. Kannas, OTR/L, CHT

Soft tissue defects in the hand can present a challenge for the physician caring for these injuries.  This instructional course will cover basic principles of management of hand and user extremity wounds and soft tissue defects, reviewing workhorse flaps every hand surgeon should have in the armamentarium. Following this session, the participant will be able to:

  • Describe basic principles of wound management.
  • Discuss indications for local flaps and when secondary healing is appropriate.
  • Demonstrate local flaps for coverage of finger and thumb defects.
  • Describe anatomy and principles for dorsal hand and first web space coverage with regional flaps.
  • Demonstrate flaps for soft tissue coverage of the elbow.
203.      Chronic Ischemia in the Upper Extremity - Management of Vascspastic and Occlusive Disease
Chair: James P. Higgins, MD
Instructors: Wendell Merritt, MD; Ryan Katz, MD;
Cynthia C. Ivy, OTR/L, CHT

This course will focus on normal and abnormal angiogram interpretation, diagnosis and measurement of vascular compromise, adjuvant treatment and surgical intervention. Particular subsets of patients will be discussed including renal failure patients with AV fistula related ischemia, collagen vascular disease patients, vasospastic disease and post-traumatic ischemia. Following this session, the participant will be able to:

  • Describe common vascular anomalies seen on upper extremity angiograms.
  • Discuss the clinical considerations of surgical and non-surgical management in different clinical scenarios of ischemic disease.
  • Discuss the advantages of various techniques for vascular reconstruction.                            
204.      Novel Surgical Approaches for Headache Management
Chair: Ivica Ducic, MD, PhD
Instructors: Robert R. Hagan, MD; Ziv M. Peled, MD

Invited faculty will outline most common form of medically resistant chronic headaches, neuralgia and migraines, requiring additional treatments. With respect to nerve surgery, specific effort will be made to clarify: Anatomical Considerations, Indications & Diagnostic tools, Timing and the Type of available surgical treatments and Alternative treatments & controversies. Following this session, the participant will be able to:

  • Discuss common forms of medically resistant chronic headaches, neuralgia, and migraines.
  • Describe Anatomical Considerations and diagnostic tests.
  • Describe timing and the type of surgical treatment.
  • Discuss the role of medical care and alternative treatments. 
205.      Nerve Transfers Following Spinal Cord Injury
Chair: Kristen Davidge, MD
Instructors: Ida K. Fox, MD; Catherine Curtin, MD;
Wilson Z. Ray, MD
Cervical spinal cord injury can result in devastating, often bilateral, loss of hand and arm function.  Distal nerve transfers offer a novel method to augment upper extremity function in patients with this condition. However, there are many important and unique considerations in performing nerve transfers in patients with spinal cord injury to minimize risks and optimize functional outcomes. Our panel of experts will discuss current techniques and controversies in nerve transfers for spinal cord injury and foster discussion with the audience. Following this session, the participant will be able to:
  • Discuss the unique considerations in patient selection, perioperative care, and rehabilitation of patients with spinal cord injury undergoing distal nerve transfers.
  • Identify different nerve transfer procedures to restore upper extremity function in cervical spinal cord injury.
  • Recognize the limitations and pitfalls of nerve transfers for spinal cord injury.
  • Examine current literature on outcomes following nerve transfers in spinal cord injury relation to timing of intervention.
206.      Sense and Sensibility: Sensory Reinnervation of the Breast
Chair: Aldona J. Spiegel, MD

Instructors: Aldona J. Spiegel, MD; Risal S. Djohan, MD;
Stefania Tuinder, MD, PhD

A panel of invited faculty will review the most current data on restoration of breast sensation in autologous reconstruction. This is an important topic which has become an important consideration to many patients, now seeking this additional benefit of autologous reconstruction. There will be discussion of latest functional MRI studies on how sensation in the breast is represented at the cortical level, as well as specific anatomical consideration, methods, technique tips and tricks on how to incorporate neurotization routinely in autologous breast reconstruction. Following this session, the participant will be able to:

  • Examine current literature as to sensation in breast reconstruction.
  • Discuss latest functional MRI cortical mapping of breast sensation.
  • Review detailed anatomy of breast sensation.
  • Describe methods of routine DIEP flap neurotization.
207.      Soft Tissue Coverage for Upper and Lower Extremity Trauma
Chair: Gregory M. Buncke, MD

Instructors: Guenter Germann, MD; William C. Pederson, MD;
Pedro C. Cavadas, MD, PhD

A panel of leading authorities in the field of post traumatic reconstruction of upper and lower extremities will discuss their experience in soft tissue reconstruction including time from injury to coverage, ideal recipient vessel choices, pre-operative concerns and flap choice including fasciocutaneous vs muscle/STSG. Case presentation and audience participation is welcome. Following this session, the participant will be able to:

  • Understand the timing of coverage of post traumatic wounds.
  • Understand the differences and proper utilization of faciocutaneous vs fascial/STSG vs muscle/STSG.
  • Understand the most efficient and effective way to monitor flaps.
208.      Innovations in Microsurgery
Chair: Jesse C. Selber, MD, MPH
Instructors: Paul Cederna, MD, FACS; Ian L. Valerio, MD;
Tom Van Mulken, MD
Surgical Innovation is necessary to move the specialty of microsurgery forward. In this panel, we will explore concepts around surgical innovation including some specific examples in robotics, device development and targeted neural integration. Topics for discussion will include how to conduct innovation safely, how to manage regulatory hurdles and what the future holds for innovation in microsurgery. Following this session, the participant will be able to:
  • Understand the principles of surgical innovation
  • Be familiar with the role of technology in surgical innovation
  • Understand robotic innovations in microsurgery
  • Be familiar with technological advances in extremity reconstruction                                                                      
8:00am – 8:15am                   AAHS/ASPN/ASRM President’s Welcome
William C. Pederson, MD; AAHS President
Tessa Gordon PhD, DSc; ASPN President
David W. Chang, MD; ASRM President
Paul Cederna, MD, FACS, PSF Immediate Past President
 
8:15am – 9:30am                   AAHS/ASPN/ASRM Combined Panel: Targeted Muscle Reinnervation
Moderator: Paul Cederna, MD, FACS
Panelists: R. Glenn Gaston, MD; Gregory A. Dumanian, MD;
Oskar C. Aszmann, MD
The focus of this panel will be to discuss the basic techniques of targeted muscle reinnervation for the control of upper extremity prosthetic devices. We will examine the indications for targeted muscle reinnervation, the operative techniques to optimize functional outcome, and the various approaches for various amputation levels. We will also examine the role of targeted reinnervation to provide sensory feedback from prosthetic devices. The types of sensory feedback that can be provided with targeted reinnervation, and the benefits of this approach over sensory substitution approaches will be examined. Experts in the field of reconstructive surgery, physical medicine and rehabilitation, and recovery of function following limb loss will participate as panelists. This is sure to be a highly valuable panel which will not only discuss the current state-of-the-art but will also look into the future of targeted reinnervation to provide high fidelity motor control and sensory feedback. Following this session, the participant will be able to:
  • Describe the indications for targeted reinnervation, eligibility criteria, and operative approaches for targeted reinnervation inpatients sustaining upper extremity amputations.
  • Discuss use of targeted reinnervation for recording efferent motor action potentials for prosthetic control.
  • Discuss the use of targeted reinnervation for stimulating afferent sensory action potentials for sensory feedback.
  • Describe the challenges for restoration of function following limb loss and the role of targeted reinnervation to enhance that function.
  • Describe the importance of sensory feedback to optimize functional recovery while using a prosthetic limb.
9:30am – 10:00am                 Coffee Break with Exhibitors
 
10:00am – 11:00am               Joint Presidential Keynote Lecture: Jeff Karp, PhD
                                           Towards Accelerated Biomedical Innovation

Scientists have something in common with professionals in business, government and beyond. We all need to solve problems, but we're tempted to get comfortable with a limited “toolbox” of techniques and approaches. No matter our field, it can be difficult to break out of our old limitations and achieve something new and different. In this talk, Prof. Karp reveals two of the most powerful “tools” used by his bio-research lab to solve problems in innovative ways, on a continuing basis. The first tool is bioinspiration—the art and discipline of adapting proven-effective techniques, materials, designs and concepts from nature to provide the foundation for a bold new human-designed solution. For example, creatures like slugs and snails have provided inspiration for a next generation surgical adhesive. The second tool is radical simplicity—the art and discipline of reducing a problem to its essence. Dr. Karp has harnessed this tool to develop prophylaxis technologies for contact dermatitis that were rapidly advanced to the market and are being used in multiple countries and therapeutic strategies to combat inflammatory bowel disease that are advancing to clinical studies. Jeff explains how his team has employed these tools and how they can succeed in any field. This talk opens exciting new paths to the continual innovation that is so important in today’s fast-changing world.
 
11:00am – 12:00pm               AAHS/ASPN/ASRM Joint Outstanding Paper Session
Moderators: Warren C. Hammert, MD; Alison Snyder-Warwick, MD; Gregory H. Borschel, MD; Julie E. Park, MD
 
11:00am – 11:05am   
HS 201. Fighting the “Opioid Epidemic:” A Prospective Randomized Controlled Double-Blinded Trial Comparing Acetaminophen, Ibuprofen, and Oxycodone after Hand Surgery
Rothman Institute at Thomas Jefferson University, Philadelphia, PA
Asif Ilyas, MD; Andrew Miller, MD; Dennis Martin, BS; Jonas Matzon, MD
 
11:05am – 11:10am   
HS 202. Outcomes and Cost Analysis of Needle Aponeurotomy, Collagenase Injection, and Fasciectomy in the Treatment of Dupuytren’s Contracture
Mayo Clinic, Rochester, MN
Nels Leafblad, MD; Eric Wagner, MD; Nathan R Wanderman, MD; Marco Rizzo, MD; Sue Visscher, PhD
 
11:10am – 11:20am   
Discussion
 
11:20am – 11:25am   
PN 203. SIRT1 Inhibition Improves Age-related Shift in Wallerian Degeneration
Wake Forest Baptist Medical Center, Winston-Salem, NC; Wake Forest School of Medicine, Winston-Salem, NC
Zhongyu Li, MD, PhD1; Tiefu Liu, PhD2; Jiaozhong Cai, BS2; Thomas L. Smith, PhD2; (1) Wake Forest Baptist Medical Center, Winston-Salem, NC; (2) Wake Forest School of Medicine, Winston-Salem, NC
 
11:25am – 11:30am   
PN 204. Extracting Regenerative Peripheral Nerve Interface Signals from Human Subjects for Neuroprosthetic control
University of Michigan, Ann Arbor, MI
Carrie A Kubiak, MD; Philip Vu, MSE; Zachary T Irwin, PhD; Chrono Nu, BSc; Troy Henning, MD; Deanna Gates, PhD; RB Gillespie, PhD; Theodore A. Kung, MD; Paul S. Cederna, MD; Cynthia Chestek, PhD; Stephen W. P. Kemp, PhD, MSc
 
11:30am – 11:40am
Discussion
 
11:40am – 11:45am    
RM 205. A Clinically Relevant Protocol Induces Tolerance to a Vascularized Composite Allograft Across Major Histocompatibility Barriers In A Large Animal Model
University of Colorado, Aurora
Presenter: David Woodbridge Mathes, MD
Bruce Swearingen, MD1; Scott Graves, PhD2; Rainer Storb, MD2;  David Woodbridge Mathes, MD1; (1) University of Colorado, Aurora, CO, (2) Transplantation Biology Program, Fred Hutchinson Cancer Research Center, Seattle, WA
 
11:45am - 11:50am    
RM 206. Two Veins Reduce Muscle Free Flap Complications in Lower Extremity Reconstruction
Wyss Department of Plastic Surgery, NYU Langone Medical Center, New York
Presenter: John T. Stranix, MD
John T Stranix, MD1; Z-Hye Lee, MD1; Lavinia Anzai, MD1; Adam Jacoby, MD1; Josh Mirrer, MD1; Tomer Avraham, MD2; Pierre B. Saadeh, MD1; Jamie P. Levine, MD3; Vishal D Thanik, MD4; (1) NYU Langone Medical Center, New York, NY, (2) Yale School of Medicine, New Haven, CT, (3) New York University Langone Medical Center, New York, NY, (4) Hansjorg Wyss Department of Plastic Surgery, NYU Langone Medical Center, New York, NY
 
11:50am - 11:55am     

Discussion

12:00pm                               Joint Programming Adjourns
 
12:30pm – 5:00pm                 ASRM Master Series in Microsurgery: Consistency of the Masters
                                           (Separate Registration and Ticket Required)
Reconstructive microsurgery has revolutionized the treatment of complex defects all over the body. Excellent functional and aesthetic outcomes are the goal of every reconstruction and should be the standard of care. Achieving this end result is now not only possible but expected with the advent of new techniques as well as the perfection of established ones. This symposium will demonstrate the latest in techniques and will provide the attendees with insight as well as tips and tricks on how to achieve CONSISTENT excellence in reconstructive microsurgery. Following this session, the participant will be able to:
  • Know new ways to achieve the best functional and aesthetic outcomes.
  • Understand the latest approaches for Supraclavicular Lymph Node Transfer, Superficial Circumflex Perforator Flap, Medial Femoral Condyle Flap, Phalloplasty, DIEP Flap, Lympho-Venous Bypass, Anterior-Lateral Thigh Flap, Finger Replantation and Nerve Surgery.
  • Know tips and tricks to achieve your goal of consistent results.
 
12:30pm    Lunch for Master Series in Microsurgery
        Chair:  David H. Song, MD, MBA
 
1:00pm      Introduction
        David H. Song, MD, MBA
 
1:05pm      Supraclavicular Lymph Node Transfer
        David W. Chang, MD, FACS
 
1:25pm      Superficial Circumflex Perforator Flap
        Joon Pio (Jp) Hong, MD
 
1:45pm      Medial Femoral Condyle Flap
        James P. Higgins, MD
 
2:05pm      Phalloplasty
        Bauback Safa, MD, MBA
 
2:25pm      DIEP Flap
        Joan E. Lipa, MD, FRCS
 
2:45pm      BREAK
 
3:05pm      Lympho-Venous Bypass
        Isao Koshima, MD
 
3:25pm      Anterior-Lateral Thigh Flap
        Pierong Yu, MD, FACS
 
3:45pm      Finger Replantation
        Gregory M. Buncke, MD
 
4:05pm      Nerve Surgery
        Paul Cederna, MD, FACS
 
4:25pm      Conclusion
        David H. Song, MD, MBA
 
6:00pm – 7:00pm                  ASRM Young MIcrosurgeons/New Member Reception
                                           Supported by Synovis Micro Companies Alliance, Inc.
All young microsurgeons and new members of the ASRM are invited to attend a reception to network and meet fellow members.
 
7:00pm – 8:30pm                 ASPN/ASRM Welcome Reception

                                          Supported by Accurate Surgical and Scientific Instruments, Corp.


Sunday, January 14, 2018

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6:30am – 8:00am                   Continental Breakfast with Exhibitors
 
6:30am – 1:30pm                   Exhibit Hall Hours
 
7:00am – 8:00am                   ASRM Breakout Panels
401.      Blink: In Case You Missed It 
Moderator: Michael Klebuc, MD
Panelists: Gregory H. Borschel, MD, FACS;
Andres Rodriguez Lorenzo, MD, PhD
Following this session, the participant will be able to:
  • Understand the importance of the ability to blink
  • List three challenges in restoring the blink function
  • Describe a method in reconstructing the blink function
412.      An Algorithmic Approach to Deciding which Lymphedema Surgery a Patient Needs
Moderator: David W. Chang, MD, FACS
Panelists: Jaume Masià, MD, PhD; Roman Skoracki, MD, FRCSC; Ming-Huei Cheng, MD
There are many procedures that are available for lymphedema: LVA, VLNT, liposuction. Panelists will share how they decide what procedure to perform and why, patient selection criteria and outcomes. Following this session, the participant will be able to:
  • Know how to decide between LVA, VLN, liposuction.
  • Understand patient selection criteria based on outcomes.
7:00am – 8:30am                   ASRM Scientific Paper Presentations: Head and Neck
Moderators: Evan Matros, MD; Eric Chang, MD; Matthew M. Hanasono, MD; Rebecca Garza, MD
 
8:00am – 4:00pm                   Sewing with the Masters
                                                       Supported by Synovis Micro Companies Alliance, Inc.;
                                            Accurate Surgical and Scientific Instruments, Corp.;
                                            Mitaka USA, Inc.; WetLab Corporation; and Surgical Specialties
                                            Perfect your techniques during a private, 15-minute live scope session 
                                            with a master of microsurgery.
                                            (separate registration required, available in December)
 
8:30am – 8:45am                   ASRM President and Program Chairs Welcome
Meeting Theme: Achieving Excellence Through Serving and Sharing
David W. Chang, MD, FACS; Julie E. Park, MD; Joon Pio (Jp) Hong, MD
 
David W. Chang, MD, FACS Julie E. Park, MD Joon Pio (Jp) Hong, MD
 
8:45am – 9:45am                   ASPN/ASRM Combined Panel: Facial Reanimation
Moderator: Ronald M. Zuker, MD, FRCSC
Panelist: Gregory H. Borschel, MD, FACS; Shai Rozen, MD;
David Chwei-Chin Chuang, MD
This panel will focus on the advances in facial reanimation surgery. Timing of surgery will be discussed as well as the motor nerves and sensory nerves that may be of value in reconstruction of the paralyzed and insensate face. Following this session, the participant will be able to:
  • Identify methods to improve the power of the cross face nerve graft.
  • Describe motor nerve selection and timing of intervention for facial reanimation surgery.
  • Identify options for children regarding facial reanimation and facial reinnervation.
9:45am – 10:15am                 ASPN/ASRM Combined Scientific Paper Presentations
                                              ASRM Moderator: Joon Pio (Jp) Hong, MD
 
10:15am – 10:45am               Coffee Break with Exhibitors
 
10:45am – 11:30am               ASRM President’s Invited Lecture: Gregory M. Buncke, MD
                                           (Not for Credit)

Gregory M. Buncke, MD

Dr. Buncke is Director of The Buncke Clinic and Chairman of the Department of Plastic Surgery, California Pacific Medical Center. After graduating from the Georgetown University School of Medicine, Dr. Buncke completed a plastic surgery residency at Stanford University and finished his training in a hand/microsurgical fellowship with Harry J. Buncke MD in San Francisco. His interests are in most aspects of reconstructive microsurgery and he is especially interested in teaching and promoting the next generation of microsurgeons.
 
11:30am – 12:15pm               WMG Lunch Series: Work Life Balance or Juggling Act?
(Separate registration required, available in December/limited space availability) (Not for Credit)
Moderator: Joan E. Lipa, MD, FRCS
Panelists: Liza C. Wu, MD, FACS; Anuja Bajaj, MD;
Aldona J. Spiegel, MD
Dr. Wu will talk about the perspective of academic surgeon, using the focus of Coordinating the Godina Traveling Fellowship. Dr. Spiegel will discuss establishing a successful practice and keeping it balanced. Dr. Bajaj will talk about the transition to private practice.
 
11:30am – 12:15pm               Lunch with Exhibitors
 
12:15pm – 1:15pm                ASRM YMG and WMG Joint Forum: Ergonomics and the Microsurgeon
Moderator: Jon Ver Halen, MD
Panelists: Susan Hallbeck, PhD; Jack Dennerlein, PhD;
Valerie Lemaine, MD
Dr. Lemaine will discuss body mechanics, insurance and practice issues. Dr. Hallbeck from the Mayo Clinic will explain how micro-breaks can enhance surgeon physical function. Dr. Dennerlein of the Massachusetts Hospital Ergonomics Task Force, is also a da Vinci consultant. His research aims to prevent work-related musculoskeletal disorders (MSDs) through understanding the injury mechanisms based on hypothesis-driven laboratory and field studies using biomechanics, neuromuscular, exposure-response and intervention protocols and models. Following this session, the participant will be able to:
  • Define ergonomics and its benefits
  • Identify work activities that can lead to injury
  • Give examples of ergonomic principles and/or interventions that can reduce the risk of injury.
1:15pm – 3:30pm                  ASRM Scientific Paper Presentations: Breast
                                             Moderators: Angela Cheng, MD; Michele Manahan, MD; Joseph Disa, MD;
                                             Summer Hanson, MD; Mihye Choi, MD; Mark Tan, MD
 
1:15pm - 3:30pm                  ASRM Scientific Paper Presentations: Extremities
                                             Moderators: Rudy Buntic, MD; Subhro Sen, MD; James P. Higgins, MD;
                                             Patrick Reavey, MD; Dong-Joon Lee, MD; Suhail Mithani, MD
 
3:00pm – 4:00pm                  ASRM Breakout Panels
403.      Beauty and the Breast:  Intraoperative and Secondary Considerations to Optimize the Aesthetics of Breast Reconstruction 
Moderator:  Joan E. Lipa, MD, FRCS
Panelists: Mihye Choi, MD; Aldona J. Spiegel, MD
The quest for the beautiful breast has changed the way we view microvascular breast reconstruction.  This Panel will cover Intraoperative Considerations, particular in the case of the challenging immediate reconstruction skin envelope and nipple position;  Delayed reconstruction shaping and how it differs from the immediate situation, as well as the shaping considerations for non-DIEP flaps; and Secondary Considerations including revision surgery and contralateral balancing surgery and its timing. Following this session, the participant will be able to:
  • Apply strategies to address the unfavorable skin envelope in immediate breast reconstruction.
  • Discuss approaches to repositioning the nipple-areolar complex in NSM cases.
  • Understand the challenges in flap shaping in delayed breast reconstruction and ‘second-line’ flaps.
  • Describe considerations in the timing of balancing surgeries
  • Apply concepts to finesse aesthetic results in breast reconstruction.
404.      The Aesthetics of Head and Neck Reconstruction
Moderator: Matthew M. Hanasono, MD
Panelists: Amir H. Dorafshar, MBChB, FACS; Jong Woo Choi, MD;
Roman Skoracki, MD, FRCSC
Over the last several decades, there have been numerous advances in the fields of aesthetic, craniofacial, and microsurgery. Aesthetic units are no longer "skin deep" but are recognized as being composed of both soft and hard tissue. Indeed, hard tissue must complement the soft tissue to recreate the unit. In addition, revisionary procedures have become necessary to achieve the desired result.  The presenters will outline their methodical approach to achieve aesthetically pleasing and functional results in free-flap head and neck reconstruction. Following this session, the participant will be able to:
  • Know techniques for improving aesthetic outcomes in head and neck reconstruction.
  • Understand how autologous fat grafting and dental restoration can complete the final result in head and neck reconstruction.
  • Know how medical modeling can improve the accuracy of restoring the facial skeleton.
405.      Reconstructive Algorithm for Lower Extremity Flap Selection: From Local to Free and Beyond
Moderator: Geoffrey G. Hallock, MD
Panelists: Karen Evans, MD; Stephen J. Kovach, III, MD;
Pedro C. Cavadas, MD, PhD
A reconstructive algorithm for the lower extremity that should be salvaged will be covered by our experts in this region. The efficacy of many championed non-surgical alternatives will be assessed, with the intent to prove just how valuable flaps are instead. This is true even for the challenging patient with multiple co-morbidities where amputation would be an easier solution. Or is it? The relevance of an orthoplastic approach especially for combined tibial bone defects should also be considered. But what is the future? Will vascularized composite tissue allotransplantation supercede all our prior conceptions? That we will all want to decide. Following this session, the participant will be able to:
  • Understand the efficacy of various non-surgical alternatives vs. flaps.
  • Know the value of flaps.
  • Consider the value of flaps vs. amputation.

406.      So You Want to Set Up a Lymphedema Practice?
Moderator: Mark L. Smith, MD
Panelists: Ketan M. Patel, MD; Wei Fan Chen, MD;
Joseph H. Dayan, MD
 
407.      Selecting the Ideal Flap for Phalloplasty: Functional, Aesthetic and Patient Considerations
Moderator: Lawrence J. Gottlieb, MD, FACS
Panelists: Lawrence J. Gottlieb, MD, FACS; Bauback Safa, MD, MBA; Sinikka Suominen, MD; Christopher J. Salgado, MD
Following this session, the participant will be able to:
  • Describe different techniques available for phalloplasty
  • Choose the appropriate technique for their patients
  • Understand the limitations of phalloplasty
  • Minimize donor-site morbidity
408.      The Latest in Abdominal Wall Reconstruction
Moderator: David W. Mathes, MD
Panelists: David Ross, MD, FRCS(Plast); Gregory A. Dumanian, MD; Charles E. Butler, MD
This panel will review the current concepts and principles being applied to abdominal wall reconstruction. There will be discussion on proper patient selection, anterior and posterior component separation, and the use of various mesh materials for support and reinforcement. In addition, there will be review on innovative suture and mesh materials that are currently being studied. This panel will include case studies with various management strategies. Following this session, the participant will be able to:
  • Be able to identify which patients are good candidate for abdominal wall reconstruction.
  • Distinguish between anterior and posterior component of separation.
  • Understand which mesh material best supports and reinforces for each patient.
4:30pm – 6:30pm                   ASRM Best Case/Best Save
    Supported by Synovis Micro Companies Alliance, Inc.
    Chair: Michael R. Zenn, MD, MBA
    Submissions of microsurgical salvage cases performed during the last
    year will be presented and a panel of experts will critique the submitted
    cases. Attendees will vote for the Best Microsurgical Case and the
    Best Microsurgical Save of the year.

Monday, January 15, 2018

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7:00am – 9:00am                   Continental Breakfast with Exhibitors

7:00am – 4:00pm                   Exhibit Hall Hours
 
7:30am – 8:30am                   ASRM Breakout Panels
409.      How Low Can You Go? Reconstruction of Nipple Sparing Mastectomies in Ptotic Patients
Moderator: Amy S. Colwell, MD, FACS
Panelists: Amy S. Colwell, MD, FACS; Dung Nguyen, MD;
Hakim Said, MD
Nipple-sparing mastectomy is increasingly performed for breast cancer treatment and prevention. Reconstructive challenges arise in some patients with Grade II-III breast ptosis in achieving acceptable nipple position and in ensuring adequate perfusion. This panel explores options for nipple preservation in this challenging group of patients and offers tips in techniques based on their collective experience. Following this session, the participant will be able to:
  • Know what options exist to help nipple centralization in patients undergoing nipple-sparing mastectomy.
  • Be able to determine who is not a candidate for nipple-sparing mastectomy based on breast size and nipple location.
410.      Perforator Flaps of the Face
Moderator: Peter C. Neligan, MD, FACS
Panelists: TC Teo, MD; Gudjon Gunnarsson, MD;
Lawrence J. Gottlieb, MD, FACS
Following this session, the participant will be able to:
  • Identify different source vessels of the face
  • Design free style perforator flaps of the face
  • Understand the limitations of perforator flaps of the face
  • Describe advantages of using perforator flaps of the face
411.      Sarcoma Reconstruction of the Extremities
Moderator: Guenter Germann, MD
Panelists: Thomas Hayakawa, FRCSC, MD; Marco Innocenti, MD;
L. Scott Levin, MD, FACS
Following this session, the participant will be able to:
  • Understand the principles of resection of malignant soft tissue tumors
  • Understand the decision making in reconstructive procedures
    • function
    • form and shape
  • Understand escalating therapeutic principles of reconstruction from simple to complex
402.      Optimizing Speech and Swallow
Moderator: Peirong Yu, MD, FACS
Panelists: Hung-Chi Chen, MD, PHD; Katherine A. Hutcheson, PhD;
Jan Jeroen Vranckx, MD, PhD; Mario G. Solari, MD

In this panel of “optimizing speech and swallow”, Dr. Hung-Chi Chen from Taiwan will share his experience with the ileocolon flap for pharyngoesophageal reconstruction and voice restoration. Technical details such as how to avoid strictures, how to improve air shunting into the ileum segment, and how to prevent regurgitation/reflux back to the airway, etc., will be discussed. Dr. Mario Solari from Pittsburg will discuss surgical techniques to improve swallow functions following tongue and pharyngoesophageal reconstruction, such as flap design and flap insetting. Dr. Jan Vranckx from Belgium will share his experience of laryngotracheal reconstruction. Dr. Kate Hutcheson from Houston will discuss speech rehabilitation after free flap reconstruction in laryngopharyngectomy patients with tracheal esophageal puncture (TEP). Following this session, the participant will be able to:

  • Be familiar with the ileocolon flap and its use for pharygoesophageal reconstruction and voice restoration
  • Understand ways to avoid strictures and prevent regurgitation/reflux back to airway after reconstruction
  • Understand surgical techniques used to improve swallow functions following tongue and pharyngoesophageal reconstruction
  • Identify speech rehabilitation possibilities after free flap reconstruction in laryngopharyngectomy patients and TEP
413.      Microsurgery Outside the Halls of Academia
Moderator: Anureet K. Bajaj, MD
Panelists: John Hijjawi, MD, FACS; Bernard W. Chang, MD;
Charles K. Lee, MD
Many have said that it is difficult if not impossible to have a successful microsurgical practice in a non-academic setting. Our panelists — who come from a diversity of practice backgrounds and employment situations including solo private practice — will explore and discuss ways in which a successful practice in microsurgery can be incorporated into the non-academic practice. Following this session, the participant will be able to:
  • Understand the obstacles or issues that one can encounter when performing microsurgery in a non-academic setting.
  • Know what strategies can be implemented to successfully perform microsurgery in a non-academic setting.
  • Realize what the financial issues are related to performing microsurgery in a non-academic setting and what strategies the surgeon can employ to optimize reimbursement.
414.      Baby's Got Back: Posterior Trunk Reconstruction
Moderator: Koenraad Van Landuyt, MD, PhD
Panelists: Michel Saint-Cyr, MD, FRCSC; Scott Hollenbeck, MD;
David W. Mathes, MD
Following this session, the participant will be able to:
  • Understand the important principles for posterior trunk reconstruction
  • Describe three flaps for posterior trunk reconstruction
7:30am – 9:00am                   ASRM Scientific Paper Presentations: Lymphedema
                                             Moderators: Alex Wong, MD; Adrian Ooi, MD; Roman Skoracki, MD, FRCSC;
                                             Dhruv Singhal, MD
 
8:00am – 9:00am                   ASRM Past Presidents Breakfast
 
8:00am – 3:00pm                   Sewing with the Masters
                                                       Supported by Synovis Micro Companies Alliance, Inc.;
                                            Accurate Surgical and Scientific Instruments, Corp.;
                                            Mitaka USA, Inc.; WetLab Corporation; and Surgical Specialties
                                                       Perfect your techniques during a private, 15-minute live scope session 
                                            with a master of microsurgery.
                                            (separate registration required, available in December)
 
9:00am – 10:00am                Association of Latin-American Microsurgery Panel:
                                           Latin America and Microsurgical Innovations
Moderator: Eric Santamaría, MD
Panelists: Alexander Cárdenas, MD; Mauricio Mendieta, MD, FICS;
Eric Santamaría, MD; Giovanni Montealegre, MD; Bruno Dagnino, MD
ASRM is proud to have the Association of Latin-American Microsurgery (ALAM) as our Guest Society.
 
Advances in reconstructive microsurgery in some regions of the world are sometimes not widespread within the English-speaking community. In Latin-America there is a great number of innovations and contributions to reconstructive microsurgery and in this panel we aim to present some of these ideas from several microsurgeons from different countries in Latin America. At the end of the panel, attendees will be able to learn some techniques and refinements of some reconstructive microsurgery procedures, little known before and that can be applied for the benefit of their own patients. Following this session, the participant will be able to:
  • Know the latest in facial reanimation surgery in Mobius Syndrome
  • Know how to select pedicled and free perforator flaps in lower extremity trauma coverage
  • Know ways to choose between fibular free flaps using CAD-CAM in oncological head and neck reconstruction
  • Understand how augmented reality and dynamic infrared thermography can be used for perforator mapping in the anterolateral thigh.
Facial Reanimation Surgery in Mobius Syndrome. Experience in 124 Cases from a Tertiary Referral Hospital in Latin America: Alexander Cárdenas, MD (Mexico)
 
Pedicled and Free Perforator Flap Selection in Lower Extremity Trauma Coverage: Mauricio Mendieta, MD, FICS (Nicaragua)
 
Microsurgical reconstruction of Congenital Craniofacial Deformities: Eric Santamaría, MD (Mexico)
 
CAD-CAM Planning in Oncological Head and Neck Reconstruction with 25 Fibular Free Flaps: Pearls and Pitfalls: Giovanni Montealegre, MD (Colombia)
 
Augmented Reality and Dynamic Infrared Thermography for Perforator Mapping in the Anterolateral Thigh: Bruno Dagnino, MD (Chile)
 
10:00am – 10:30am               Coffee Break with Exhibitors
 
10:30am – 10:45am               ASRM William A. Zamboni Visiting Professors Presentation
                                           (Not for Credit)
Moderator: Gordon K. Lee, MD
Visiting Professors: Gregory R. D. Evans, MD, FACS;
Randy Sherman, MD
The ASRM William A. Zamboni Visiting Professor Program highlights the fantastic work of microsurgeons and ASRM members as well as the diversity associated with a practice involving microsurgery and complex reconstruction. Traveling professors are longstanding and actively participating members of the ASRM. Hosting a visiting professor promotes early exposure of medical students and young surgeons to the field of microsurgery to educate and potentially interest them in a career involving microsurgery. The visiting professors will give a brief summary of their travels and experience.
 
10:45am - 11:30am               Presidential Panel: Achieving Excellence Through Serving
                                           and Sharing (Not for Credit)
                                           Moderator: David W. Chang, MD, FACS
                                           Panelists: David W. Chang, MD, FACS; Adam Maciejewski, MD;
                                           Peter Nthumba, MD; Joon Pio (Jp) Hong, MD
Dr. Maciejewski will share his story about how he was able to train himself to become a world class reconstructive surgeon without formal training in this field. Dr. Nthumba will share how he was able to build a successful reconstructive program in a remote place in Kenya and the challenges that he still faces today with a lack of resources. Dr. Hong will discuss how he was able to train/educate and act as an “ambassador” of microsurgery to the underserved areas in the world.
 
11:30am -11:45am                Presidential Ceremony (Not for Credit)
 
11:45am – 12:45pm               ASRM YMG Panel: To Evolve is To Change: Lessons Learned in the
                                             Last 12 Months of My Practice
 Moderator: Jon Ver Halen, MD
 Panelists: Edward I. Chang, MD, FACS; Jeffrey H. Kozlow, MD, MS;
 Minh-Doan Nguyen, MD, PhD; Theodore A. Kung, MD
Panelists will describe new techniques / products they have utilized in the last 12 months in their practices. They will describe the opportunities and challenges presented by these new techniques, and ultimately describe whether they were "game-changers" or not. Following this session, the participant will be able to:
  • Identify 3 new techniques or technologies in reconstructive microsurgery and/or general reconstruction
  • List opportunities and challenges to implementing these techniques in their practice.
11:45am – 12:45pm               Scientific Paper Presentations: CTA/VCA
                                             Moderators: Amir Dorafshar, MD; David W. Mathes, MD
 
12:45pm – 1:30pm                ASRM Business Meeting/Lunch (members only) (Not for Credit)
 
12:45pm – 1:30pm                Lunch with Exhibitors
 
1:30pm – 2:30pm                  ASRM Panel: CPR vs DNR: Reviving the Failing Flap vs.
                                           Throwing it in the Bucket
Moderator: James P. Higgins, MD
Panelists: Liza C. Wu, MD, FACS; Matthew M. Hanasono, MD;
L. Scott Levin, MD, FACS
Microsurgery is fun.....until it isn't. A true test of the microsurgeon's skill is when things aren't going well. Thrombosis. Revision. Thrombosis. Vein graft. Thrombosis.  Defeat or challenge? Let see what the experts say. Join us for a discussion with some of the country's best. How do they react when the chips are down? What secret tips and tricks do they have for the toughest situations? We will discuss anecdotal and evidence based results. Whether you are a breast surgeon, head & neck reconstructive surgeon, hand surgeon or lower extremity specialist, this panel will help you manage the toughest situations. Following this session, the participant will be able to:
  • Understand ways to revive failing flaps
  • Know tips and tricks to salvage a surgery that might otherwise fail
1:30pm - 2:45pm                  ASRM Scientific Paper Presentations: Microsurgical Practice and
                                             Patient Safety

                       Moderators: Patrick Garvey, MD; Justin M. Sacks, MD, FACS

2:30pm - 3:00pm                  Coffee Break with Exhibitors
 
3:00pm – 3:45pm                  Godina Lecture: Liza C. Wu, MD (Not for Credit)

Marko Godina was a visionary reconstructive microsurgeon, an insightful and enthusiastic teacher, and a remarkable man. He led the way for a generation of microsurgeons in understanding the care and treatment of complex extremity injuries through early reconstructive microsurgery. The American Society for Reconstructive Microsurgery honors the memory of Marko than through an ongoing investment into promising, upcoming, committed surgeons, who will, through study and investigation, continue to expand the horizons of our field. In this regard, the Godina Traveling Fellow has been established to allow a deserving individual, chosen by the ASRM to travel among numerous microsurgical centers.
 
Dr. Liza Wu is an Associate Professor of Plastic Surgery at the University of Pennsylvania Health Systems. She received her medical degree and plastic surgery training at the University of Chicago Hospitals followed by a microsurgery fellowship at MD Anderson Cancer Center. She has also most recently completed a surgical oncology fellowship in breast as well at UPenn. Her practice involves the surgical management of the breast cancer patient with a high concentration of microsurgery. She is the American Society of Reconstructive Microsurgery 2017 Godina Traveling Fellow.
 
4:00pm – 5:45pm                  Science Slam: Presentations
                                             Moderators: Paul S. Cederna, MD, FACS; Michael W. Neumeister, MD

                        David Song, MD; Gordon K. Lee, MD; Howard Langstein, MD;
                        Randy Feingold, MD

6:00pm – 7:00pm                  ASRM Women’s Microsurgery Group Reception
Supported by Integra
All woman microsurgeons and their families are welcome to join the Women’s Microsurgery Group for cocktails and family–friendly fare.  There is no charge to ASRM attendees for this event, however, please select this option when registering to ensure proper accommodations are made.
 
6:00pm – 7:00pm                  Godina Alumni Club Reception
     Sponsored by Synovis Micro Companies Alliance, Inc.
 
7:00pm – 10:00pm                ASRM Celebration!

 

Tuesday, January 16, 2018

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7:00am – 9:00am                   Continental Breakfast
 
7:30am – 8:30am                   ASRM Breakout Panels
415.      Through Thick and Thin: Autologous Breast Reconstruction at the Extremes of BMI
Moderator: Stefan O.P. Hofer, MD, PhD
Panelists: Toshihiko Satake, MD; Joseph M. Serletti, MD, FACS;
Gordon K. Lee, MD
Microsurgical breast reconstruction has become the standard of care at many institutions. Still, many surgeons will select “ideal” candidates for microsurgical breast reconstruction and not offer the full spectrum of breast reconstruction to patients who have limited tissue reserves at very low BMI or extensive tissue availability at very high BMI. During this panel participants will be presented with structured approaches to maximize outcomes and minimize complications when performing microsurgical breast reconstruction at the extremes of BMI. The panelists will present their technical and management algorithms to perform these procedures in the safest possible way and give confidence when faced with these more advanced cases for breast reconstruction. Following this session, the participant will be able to:
  • Understand use of autologous tissue for breast reconstruction in patients at very low and very high ranges of BMI.
  • Know examples of specific challenges in small and large donor sites for autologous tissue breast reconstruction.
  • Understand the risks for complications in patients at extremes of BMI.
416.      Midface Reconstruction
Moderator:  Matthew M. Hanasono, MD
Panelists: Jamie P. Levine, MD; Amir H. Dorafshar, MBChB, FACS; Eric Santamaría, MD
The midface is arguably most challenging region of the head and neck to reconstruct.  This panel will discuss defect classification, reconstructive technique, and functional outcomes.  We will focus on areas of controversy, including, obturators vs. soft tissue flaps vs. osteocutaneous flaps, how to reconstruct the orbital floor, and dental restoration, as well as basic tenets of head and neck reconstruction. Following this session, the participant will be able to:
  • Understand how to choose the most appropriate flap for the midfacial defect.
  • Know the major classification systems in midfacial reconstruction.
  • Understand how medical modeling can improve outcomes in midfacial reconstruction.
417.      Sweet Feet: Reconstruction of the Diabetic Foot
Moderator:  Christopher Attinger, MD
Panelists: Joon Pio (Jp) Hong, MD; Christopher Attinger, MD; Chih-Hung Lin, MD; Karen Evans, MD
After this session the participants will be able to:
  • Understand the indications for reconstruction
  • Understand the balance of kinetics and soft tissue coverage
  • Understand the spectrum of diabetic foot reconstruction
418.      After the Operation: Post-Operative Protocols and Long Term Follow Up for Lymphedema Surgery
Moderator: Jaume Masià, MD, PhD
Panelists: Mark L. Smith, MD; Isao Koshima, MD; Gemma Pons, MD
After this session the participants will be able to:
  • Understand the importance and different methods of postoperative care
  • Understand the long term progress of lymphedema after surgery
419.      The Business of Microsurgery: Innovations and Opportunities
Moderator: Justin M. Sacks, MD, FACS
Panelists: Adeyiza Momoh, MD; Michael R. Zenn, MD, MBA;
Ivica Ducic, MD, PhD
 
420.      How Thin Can You Go?  Primary vs. Secondary Thinning of Perforator Flaps
Moderator: Marco Innocenti, MD
Panelists: Samir Mardini, MD; Mitsunaga Narushima, MD;
Hyun-Suk (Peter) Suh, MD, PhD
After the session, the participants will understand:
  • The different anatomical layers of elevation
  • The technique involved in the elevation
  • The limitation of approach
7:30am – 9:15am                   Scientific Paper Presentations: Outcome Studies Research

                        Moderators: Charles K. Lee, MD; Scott Hollenbeck, MD;
                        Edward I. Chang, MD, FACS; Amir Inbal, MD; Mark Sisco, MD; Mike Howard, MD

9:15am – 10:00am                 Harry J. Buncke Lecture – Lawrence J. Gottlieb, MD, FACS

                                            Supported by the California Pacific Medical Center
                                           (Not for Credit)

The Harry J. Buncke Lectureship has been created with the support of the California Pacific Medical Center to honor Dr. Buncke's remarkable contributions to the field of microsurgery. Dr. Harry Buncke played a major role in the development of our specialty and helped develop several microsurgical laboratories across the globe. He influenced countless residents and fellows as well as numerous department chairs throughout the world. Lawrence J. Gottlieb, MD, FACS has been selected to give the 2017 annual Buncke Lecture.
 

As faculty at the University of Chicago Section of Plastic and Reconstructive Surgery over the past 33 years, and as former Chief of the section and program director of the reconstructive microsurgery fellowship and current Director of the Burn and Complex Wound Center, Dr. Gottlieb has been a pillar of resident and fellow education, motivating dozens of trainees to pursue careers in reconstructive microsurgery. Many have progressed to become regional, national, and international leaders in the field. Beyond direct care for thousands of patients, he has presented his work and insightful approach through hundreds of oral presentations, over 120 peer-reviewed publications, and 50 book chapters, inspiring paradigm shifts in the reconstruction process.

Beyond Dr. Gottlieb’s many contributions in reconstructive surgery, his endless compassion, ingenuity, and humility make him the fine surgeon and educator he is.
 
10:00am – 10:15am             Break
 
10:15am - 11:00am             ASRM Scientific Paper Presentations: Basic Science
                                           Moderators: Dung Nguyen, MD; Amy Moore, MD

10:15am – 11:00am            ASRM Scientific Paper Presentations: Complex Non-Microsurgery
                                           Reconstruction/Trunk

                                           Moderators: Ray Dunn, MD; John Nigriny, MD
11:00am – 12:00pm             American Society for Reconstructive Transplantation Panel
  Long Term Follow-Up on Our First VCA Patients:
  Ethical Considerations and Lessons Learned
  Chairs: Sue McDiarmid, MD and Gerald Brandacher, MD
  Panelists: Bohdan Pomahac, MD; W.P. Andrew Lee, MD, FACS;
  Christina Kaufman, PhD; Robert L. Walton, MD, FACS
  Following this session, the participant will be able to:
  • Have a deep understanding of long term outcomes of various types of reconstructive transplantation procedures
  • Know best practices in monitoring VCA long term
  • Understand ethical considerations, both obvious and surprising

Introduction: Sue McDiarmid, MD

Long-term Outcomes after Face Transplantation: Bohdan Pomahac, MD

Long-term Outcomes after Upper Extremity Transplantation: W.P. Andrew Lee, MD

How to Monitor Vascularized Composite Allografts Long-term: Christina Kaufman, PhD

Ethical Considerations and Lessons Learned in VCA: Robert L. Walton, MD, FACS


 

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