Department of Surgery

Transcription

Annual Report
2009 / 2010
University of Ottawa
Annual Report - Contents
July 1, 2009 to June 30, 2010
Wilbert J. Keon Chairman and Professor:
Dr. Éric C. Poulin
Research:
Dr. James Watters
Director of Research
University of Ottawa Surgical Education:
Dr. Farid Shamji
Director Undergraduate Education
Dr. Stuart Oake
Director Surgical Education Program
Dr. Tim Brandys
CORE Program Director
University of Ottawa Surgical Division Chairs:
Dr. Thierry Mesana
Division of Cardiac Surgery
Michael Pitfield Chair
Dr. Kevin Butterfield
Division of Oral & Maxiofacial Surgery
Dr. Joseph Mamazza
Division of General Surgery
Dr. Richard Moulton
Division of Neurosurgery
Dr. Geoffrey Dervin
Division of Orthopaedic Surgery
Dr. Mario Jarmuske
Division of Plastic Surgery
Dr. Sudhir Sundaresan
Division of Thoracic Surgery
Dr. Ronald Gerridzen
Division of Urology
Dr. Andrew Hill
Division of Vascular Surgery
Dr. Baxter Willis
Chief, Department of Surgery
Children's Hospital of Eastern Ontario
1
REPORT FROM THE CHAIR
Academic Year 2009 / 2010
Eric C. Poulin M.D., MSc., FRCSC, FACS
Wilbert J. Keon Professor and Chair,
Department of Surgery,
The 2009-2010 Annual Report from the
Department of Surgery sits in the context of a
worldwide recession which has affected Health
Care in Ontario in many different ways. It has
offered a series of challenges and uncertainties.
Nevertheless many contributions to Surgical
Academic Life have occurred in Ottawa again this
year.
Awards
Dr. John Collins, Division of Urology received a
Lifetime Career Achievement award from the
Department of Surgery. Dr. Collins was Head of
the Division of Urology and then served as
Director of the Department of Surgery Finance
Committee for many years. His quiet resolve,
class and wisdom have imparted the Division of
Urology with a style and cohesiveness that is
palpable to this day. His contributions to the
Department of Surgery have been invaluable.
Milestones
The operating budget of the Ottawa Hospital has gone over the $1 Billion
mark this year.
The Medical School had a successful accreditation visit by the Committee on
Accreditation of Canadian Medical School and the Liaison Committee on
Medical Education (CACMS/LCME). Full accreditation is expected in their final
report due in October.
2
The construction of the University of Ottawa Skills and Simulation Centre is
almost finished and a Grand opening of the 20,000 sq. feet facility is being
planned for early fall. The facility situated in the Loeb building of the Civic
Campus is already seeing an increase in various activities. New partnerships
with the Royal College of Physicians and Surgeons of Canada and CAE, the
famous airline simulation industry are being entertained. Stay tuned.
The Division of Plastic Surgery has welcomed its first residents on July 1st.
This is a new program in Ottawa and the result of tireless efforts from the
entire Plastic Surgery Division.
The new Bariatric Surgery Program started last November. So far, over 100
patients have benefited from this new service in Ottawa. All procedures are
performed laparoscopically. Drs Mamazza and Yelle predict that more than
300 patients/year will be treated.
The cyberknife has been delivered to the Ottawa Hospital Cancer Center and
is currently being installed. Treatment of the first patients is anticipated in
the fall of 2010.
Challenges
Three of our Divisions have suffered setbacks at the recent Royal College
Accreditation visit of the Post-Graduate Programs. The coming year will offer
an opportunity to correct the temporary deficiencies.
3
Promotions
Dr. Marc Ruel, Division of Cardiac Surgery; promoted to Full Professor.
Dr. Andrew Seely and Dr. Sebastien Gilbert, Division of Thoracic Surgery;
promoted to Associate Professor
4
In the Division of Urology Dr. James Watterson, Dr. Stuart Oake and Dr. John
Mahoney, all promoted to Associate Professor.
Cross-appointments
Dean Ferguson, Department of Medicine and Dr. Leanne Ward, Department
of Paediatrics were cross-appointed to the Department of Surgery.
Dr. Eve Tsai, Division of Neurosurgery was cross-appointed to the
Department of Cellular & Molecular Medicine.
Dr. Daniel Peters, MBA., Division of Plastic Surgery has been cross-appointed
to the Telfer School of Management at the University of Ottawa.
Dr. Paul Beaulé, Division of Orthopaedic Surgery has been appointed to the
Faculty of Graduate and Post Graduate Studies.
Recruitment
Dr. Matthew Roberts, Division of Urology. Dr. Roberts graduated from
Medical School at the University of Toronto and completed his Urology
Residency in Ottawa. He pursued a Fellowship in Male Reproductive Medicine
and Surgery at the University of Toronto and obtained a Masters in Education
at the University of Toronto – Ontario Institute for Studies in Education.
Dr. Rodney Breau, Division of Urology. Dr. Breau obtained his M.D. degree
from Dalhousie University in Halifax and finished his Urology Residency at the
University of Ottawa. He went on to get an MSc. in Clinical Research at the
Mayo Clinic College of Medicine and a Urologic Oncology Fellowship at the
same institution.
5
Operations Facilities
Construction has begun for a new
Clinical and research building between
the General Campus cafeteria and the
Medical School. Over 200 staff offices
will be relocated and the current clinic
footprint will be enlarged.
Strategic Directions
The strategic exercise
currently unfolding at
the Ottawa Hospital has
continued to mature.
We now have our new
Vision statement and
our goal, both
represented in the
figure.
6
To that effect, TOH and the Department of Surgery have signed the contract
to become a participating member of the American College of Surgeons
NSQIP initiative (National Surgery Quality Improvement Program). Over 400
hospitals in the USA are currently participating and they include all the major
University Centers. Recently the 59 Hospitals from the active US armed
forces have also joined. We have selected our Surgical Clinical Reviewers
(SCR), Gabi Avni and Marlene Chambers and expect to start sending data
soon. NSQIP has become the benchmark in North America for Quality and
Patient Safety Programs.
In July, we participated in the Annual NSQIP conference in Chicago where we
met representatives of the other two Canadian Participating centers: Jewish
General Hospital in Montreal and Fraser Valley in BC. We foresee the
opportunity to start a Canadian Collaborative as part of NSQIP in the model
of well-known American collaboratives, i.e., the Michigan collaborative. It is
likely that many more Canadian Centers are going to join this exceptional
program.
Dr. David Schramm, Marlene Chambers, Gabi Avni, Dr. Eric Poulin
Finally, this year saw the implementation of the Patient Safety Checklist in all
our Operating Rooms as mandated by the Ministry of Health. This follows an
international study by the World Health Organisation (WHO) published in the
New England Journal of Medicine. Two recent surveys show our compliance
rate to be above 99%. Congratulations to everyone. This courteous exercise
has made all of us appreciate the role and interest of all team members for
safety in the operating Room. It has created a wonderful venue for everyone
to express any concern they may have about each case.
7
REPORT FROM
DR. JAMES WATTERS
DIRECTOR OF RESEARCH
8
DEPARTMENT OF SURGERY RESEARCH SUBMITTED BY;
Dr. James Watters
Collins Day
The 27th annual Collins Surgical Day was held Friday, May 14, 2010. The
honoured guest was Dr. Arvind Koshal, a cardiac surgeon who trained and
practiced at the University of Ottawa Heart Institute until 1991 when he
moved to Edmonton where he has held leadership positions at the
Mazankowski Alberta Heart Institute and Capital Health Region. The program
was again well attended and highly successful. The scientific session was held
in the Foustanellas Auditorium at the University of Ottawa Heart Institute.
There were sixteen platform and fourteen poster presentations, chosen in
open competition and reflecting a great diversity of high quality research.
Dr. Koshal’s address was entitled: “Physician Industry Interaction:
Collaboration, Coercion or Corruption?”
The Collins Day Reception and Dinner were
held at the Rideau Club, attended by
approximately 130 residents, staff, spouses
and others. The evening was hosted by
Mr. David Hill who has had a long and close
relationship with The Ottawa Hospital and
its predecessors. The research prizes were
presented in the evening, together with the
teaching awards. The inaugural John P.
Collins Award for the Best Basic Science
Paper was presented by Dr. R. Gerridzen to
recognize Dr. Collins’ tremendous
contributions to the academic life of the
Department on the occasion of his
retirement. The Award is sponsored by the
Division of Urology.
9
Awards for Best Surgical Teacher
Dr. Fraser Rubens
Dr. John Collins
Division of Urology`
Awards for Best Resident Teacher
Dr. Guillaume Martel
Dr. Neal Rowe
Dr. Mark Steeves
Division of Urology
W.E. Collins Award for Best Overall Paper
Dr. M.F. Shamji
Local and Sustained Anticytokine Delivery Reverses Gait and Sensory
Changes in Experimental Disc Herniation Radiculopathy
Graeme Barber Award for Best Clinical Paper
Dr. Guillaume Martel
Oncologic Outcomes of Laparoscopic and Open Colorectal Cancer Surgery:
Meta-Analysis and Corrrelation with Expert Opinion
John P. Collins Award for Best Basic Science Paper
Dr. Adam Sachs
Decoding Neural Signals from a Microelectrode Array Implanted in the
Primate Prefrontal Cortex
Best Poster Presentation
Dr. Luke Lavallée
Division of Urology
Prostate Tumor Density Predicts Pathologic and Clinical Outcomes in OrganConfined Prostate Cancer
10
The Department of Surgery Research prizes for 2009
The second competition closed in June 2009 and the winners from amongst
many excellent submissions were announced at the Chairman’s Address in
September. The progress reports from the first three awards, made in
December 2008, demonstrated the success of the awards in promoting high
quality research and the development of research expertise in the
Department. The one-time awards are in the amount of $25,000 each, the
2009 recipients were as follows;
Dr. Paul Beaulé
Division of Orthopaedic
Do MRI Findings Correlate with Hip Pain and Radiographic Findings:
Development of a Better Diagnostic Tool for Surgical Intervention.
Dr. Husein Moloo
A randomized, prospective, multi-centered study comparing clinical outcomes
of the ligation of intersphincteric fistula tract (LIFT) procedure versus use of
an anal fistula plug (AFP) in the surgical repair of trans-sphincteric anal
fistulae of cryptoglandular origin.
Dr. Steve Papp
Efficiency of Vacuum-Assisted Closure device in Compartment Syndrome in
an Animal Model.
Methods Centre Agreement
The agreement between the Department of Surgery and the Clinical
Epidemiology Program ‘Ottawa Methods Centre’ has been very positive for
both groups and has been renewed. The OMC provides study design and
methodological support, data management services, statistical services, and
education in a modified cost-recovery model. Support for numerous projects
across the Department is covered by the agreement, with the value of the
services considerably greater than the annual contract charge. OMC scientists
participate actively in educational endeavours as well, e.g. journal clubs and
seminar series, and mentor surgery residents and staff.
11
DEPARTMENT OF SURGERY GRANTS AND RESEARCH SUMMARY
Funding
Type
Total
Amount
Start
Date
End Date
Heart and Stroke
Foundation of
Ontario
Peer
reviewed
$1,250,000.00
2007/07
2012/06
Elucidation of Metabolic and
Cellular Function Alterations in
Dysfunctional Myocardium and
their Response to Therapy
Heart and Stroke
Foundation of
Canada (Program
Grant)
Peer
reviewed
$750,000.00
2007/07
2010/06
Effects of Simulation Training on
Performance of Vascular
Anastamosis on a High-Fidelity
In-Vivo Model: The Role of
Deliberate Practice.
Academy for
Innovation in
Medical Education University of Ottawa
Peer
reviewed
$19,095.00
2008/12
2010/12
Lam, Buu-Khanh; PI
Mapping and Ablation of
Autonomic Ganglia in Prevention
of Postoperative Atrial Fibrillation
in Coronary Surgery (MAAPPS AF
Trial)
AFP Innovation Fund
of the Province of
Ontario
Peer
reviewed
$23,929.00
2009/01
2010/12
Lam, Buu-Khanh; PI
Mapping and Ablation of
Autonomic Ganglia in Prevention
of Postoperative Atrial Fibrillation
in Coronary Surgery (MAAPPS AF
Trial)
Medtronic of Canada
Ltd.
Non-peer
reviewed
$99,420.00
2009/01
2010/12
Clinical and Laboratory
evaluation of Cellular Rejection,
Myocyte Growth, Repair and
Oxidative Stress
Industry
Non-peer
reviewed
$200,000.00
2007/01
present
Endocrinology of Heart Failure
and Inflammation
Canadian Institutes
of Health Research
Peer
reviewed
$600,000.00
2006/01
2011/12
Member Name
Title
Funding Source
Beanlands, Robert; PI
Metabolic and cellular function
alterations in cardiovascular
disease
Suuronen, Erik
Co-principal Investigator
Beanlands, Robert; PI
Collaborators
Ruel, Marc
Lam, Buu-Khanh;Co-PI
Brandys, Timothy; CO-PI
Collaborators
Hendry, Paul
Collaborators
Masters, Roy
de Bold, Adolfo; PI
Collaborators
Masters, Roy
12
Division of Cardiac Surgery Continued
Member Name
Title
Funding Source
Funding
Type
Total Amount
Start Date
Ruel, Marc; PI
Translation of Innovation into
Medical Excellence (TIMEx)
Research Hospital
Fund, Canadian
Foundation for
Innovation
Peer
reviewed
$925,507.00
2008/10
Ruel, Marc; Co-PI
The molecular basis of cardiac
muscle development
CIHR
Peer
reviewed
$675,000.00
2007/10
Collaborators
Ruel, Marc; Roberts,
Robert; McPherson, Ruth
deKemp, Rob; DaSilva,
Jean
Cardiovascular PET Molecular
Imaging Program
CFI / ORF
Peer
reviewed
$6,531,704.00
2007
Ruel, Marc
Joint Investigator
Suuronen, Erik Joint
Investigator
Mechanisms of Progenitor Cellbased Angiogenic Therapy with
Tissue-Engineered Biopolymer
Delivery Matrices and Effects of
Host Substrate Modification
CIHR
Peer
reviewed
$599,241.00
2008/10
2012/09
Ruel, Marc; PI
Infrastructure Operating Fund
(IOF) Award no. 25-5. New
Opportunities Fund grant
Canadian Fund for
Innovation
Peer
reviewed
$144,595.00
2005/01
2009/12
Ruel, Marc; PI
Heart and Stroke
Foundation of
Canada
Peer
reviewed
$159,052.00
2009/06
2011/06
Collaborator
Suuronen, Erik
Evaluation of biopolymer
delivered EPCs for cardiac repair
in a swine model of hibernating
myocardium
Suuronen, Erik; PI
Equipment competition
Heart Institute
Shared Equipment
Competition
Peer
reviewed
$8,961.00
2009/11
2009/11
Collaborators
Suuronen, Erik
Stewart, Duncan
Collaborators
Stewart, Duncan;
Whitman, Stewart; Griffith,
May; deKemp, Rob
End Date
13
Division of Cardiac Surgery Continued
Member Name
Title
Funding Source
Funding
Type
Total Amount
Start Date
End Date
Suuronen, Erik;
Joint Investigator
Endothelial Progenitor Cell
Function in Defective Ischemiainduced Neovascularization in
Diabetes
Canadian Institutes
of Health Research
(CIHR)
Peer
reviewed
$97,616.00
2010
2011
Suuronen, Erik;
Joint Investigator
Bioengineering a highly
vascularized ectopic site for islet
transplantation
Juvenile Diabetes
Research Foundation
(JDRF)
Peer
reviewed
$792,000.00
2009/11
2012/10
Suuronen, Erik; Co-PI
Cardiac Repair by Enhanced
Stem Cell Therapy (CREST)
Ontario Research
Fund (ORF)
Peer
reviewed
$12,911,991.0
0
2010
2015
Suuronen, Erik; PI
Recruitment of endogenous
circulating progenitor cells for
cardiac regeneration using
enhanced tissue-engineered
biomatrices
Heart and Stroke
Foundation of
Canada
Peer
reviewed
$375,696.00
2009/06
2012/06
Imaging for Cardiovascular
Therapeutics
Ontario Research
Fund for Research
Excellence Funding,
Ontario Ministry of
Research and
Innovation
Peer
reviewed
$14,490,484.0
0
2008/05
2013/04
Collaborator
Veinot, John
Joint Investigator
Ruel, Marc
Suuronen, Erik Co-PI
Wright, Graham PI
Collaborator
Ruel, Marc
14
Funding
Type
Total
Amount
Start
Date
End Date
LEO Pharma Inc.
Non-peer
reviewed
$10,000.00
2009/08
2010/07
Ontario Graduate Scholarship –
Dr. R. Seth
Ontario Student
Assistance Program
Peer
reviewed
$15,000.00
2009/09
2010/08
Ontario Graduate Scholarship –
Dr. A. Kus
Ontario Student
Assistance Program
Peer
reviewed
$15,000.00
2009/09
2010/08
Frederick Banting and Charles
Best Canada Graduate
Scholarship-Master's Award - Dr
R Seth
Canadian Institute of
Health Research
Peer
reviewed
$17,500.00
2009/09
2010/08
"Pilot study of extended duration
of pre-operative and postoperative low molecular weight
heparin to improve survival in
patients with resectable
colorectal cancer"
Department of
Medicine, University
of Ottawa
Peer
reviewed
$30,000.00
2009/08
2010/07
Member Name
Title
Funding Source
Auer, Rebecca Ann; Co-PI
"Pilot study of extended duration
of pre-operative and
postoperative low molecular
weight heparin to improve
survival in patients with
resectable colorectal cancer"
Carrier, Marc PI
Collaborators
Wells, Philip; Lorimer, Ian;
Allan David
Auer, Rebecca Ann
Research Supervisor
Collaborators
Rashmi, Seth
Auer, Rebecca Ann
Research Supervisor
Collaborators
Agnieszka, Kus
Auer, Rebecca Ann
Research Supervisor
Collaborators
Rashmi, Seth
Carrier, Marc; PI
Collaborators
Wells Philip, Lorimer Ian,
Allan, David; Miller,
Donald; Thompson, Calvin;
Gagne, Sylvain; Boushey,
Robin; Poulin, Eric;
Friedlich, Martin; Marginea,
Celia
15
Division of General Surgery Continued
Member Name
Title
Funding Source
Funding
Type
Total
Amount
Start
Date
End Date
Vascular progenitor cells and
recovery after cancer surgery
Ottawa Regional
Cancer Foundation
Peer
reviewed
$45,000.00
2010/04
2011/04
The Role of Platelet
Activation/Aggregation Following
Surgery and the Postoperative
Development of Metastatic
Disease
Ottawa Regional
Cancer Foundation
Peer
reviewed
$48,020.00
2010/03
2011/03
The Role of Platelet
Activation/Aggregation Following
Surgery and the Postoperative
Development of Metastatic
Disease
J.P. Bickell
Foundation
Peer
reviewed
$62,515.00
2010/04
2011/03
A Phase II Trial of neoadjuvant
IXO Regimen (Capecitabine,
Oxaliplatin, Irinotecan) Followed
by Combined Modality
Capecitabine and Radiation for
Locally Resectable Advanced
Rectal Cancer
Hoffman-La Roche
Non-peer
reviewed
$75,000.00
2009/09
present
The Use of Extended
Perioperative Low Molecular
Weight Heparin to Improve
Cancer Specific Survival
Following Surgical Resection of
Colon Cancer: A Randomized
Controlled Trial
Leo Pharma Inc
Non-peer
reviewed
$500,000.00
2010/02
present
Allan, David; PI
Collaborators
Corsten, Martin; Javindnia
Hedyeh,
Auer, Rebecca Ann; PI
Collaborators
Bell, John
Collaborators
Bell, John
Jonker, Derck PI
Collaborators
Shabana, Wael;
Marginean, Celia; Asmis,
Tim; Maroun, Jean
Carrier, Marc; Co-PI
Collaborators
Wells, Philip; Stern,
Hartley; Boushey, Robin;
Moloo, Hussein; Allan,
David; Miller, Don;
Mamazza, Joseph
16
Member Name
Title
Funding Source
Funding
Type
Total
Amount
Start
Date
End Date
"Neoadjuvant intratumoral
administrating of JX-594 for
treatment of hepatic metastases
from colorectal cancer"
Ontario Institute for
Cancer Research
Peer
reviewed
$599,000.00
2009/07
2013/07
The Use of Extended
Perioperative Low Molecular
Weight Heparin to Improve
Cancer Specific Survival
Following Surgical Resection of
Colon Cancer: A Randomized
Controlled Trial
Canadian Institute of
Health Research
Peer
reviewed
$989,304.00
2010/03
2014/03
Effect of surgical stress and
hypercoagulability on
experimental colorectal cancer
metastases
Department of
Surgery, University
of Ottawa
Peer
reviewed
$25,000.00
2008/12
2009/12
Novel strategies for enhancing
oncolytic virus-mediated cancer
therapy
Ontario Research
Fund (ORF)
Peer
reviewed
$4,180,000.00
2009/03
2013/03
Collaborators
Bell, John; Atkins, Harry;
Balaa, Fady; Fairfull-Smith,
Robin; Asmis , Tim;
O`Sullivan, Joseph;
Papadatos, Demitri;
Arvuch, Leonard;
Marginean, Celia
Carrier, Marc; Co-PI
Collaborators
Wells, Philip; Stern,
Hartley; Boushey, Robin;
Moloo, Hussein; Allan,
David; Miller, Don;
Mamazza, Jospeh; Smith,
Andy; Jonker, Derek;
Tagalaskis, V
McBurney, Michael PI
Collaborators
Bell, John; Atkins, Harry;
Dimitrilakis, Jim;
Weberpals, Joanna
17
Member Name
Title
Funding Source
Funding
Type
Total
Amount
Start
Date
End Date
Predicting tumor susceptibility to
oncolytic virus infection using
primary human tumor samples
Ottawa Regional
Cancer Foundation
Peer
reviewed
$40,000.00
2009/03
2010/03
The general surgery rotation for
family medicine residents: The
impact, barriers, and lessons
learned
Physicians Services
Incorporated
Foundation (The)
(PSI)
Peer
reviewed
$25,000.00
2008
present
CAPSNet (Canadian Perinatal
Surgical Network)
CIHR
Peer
reviewed
$106,170.00
2008/03
2010/03
Centre for Computer-Assisted
Intervention and Innovation
(CCAII)
ORF-RE - Ontario
Research Fund
Research Excellence
Peer
reviewed
$3,395,000.00
2008/01
2012/07
Boushey, Robin Paul; PI
Annual General Surgery Resident
Research Day April 20-21, 2010.
Sanofi Aventis
Non-peer
reviewed
$3,000.00
2010/04
2011/03
Boushey, Robin Paul; Co-PI
A team of clinical researchers
and clinicians has been
assembled from King Saud
University, The Ottawa Hospital,
and St Michaels Hospital that will
focus on gastrointestinal
diseases.
King Saud University
Non-peer
reviewed
$100,000.00
2009/02
present
Regional Communities of Practise
Meetings for Colorectal Cancer
Surgical Oncology
Group at the
Non-peer
reviewed
$10,000.00
2006/01
present
Assessment of Patient's
Intestinal, Bladder and Sexual
Function Following Rectal Cancer
Surgery.
Anonymous Private
Individuals
(Canadians)
Non-peer
reviewed
$5,000.00
2009/11
2010/11
Collaborators
Bell, John
Asano, Tracy; PI
Balaa, Fady Co-PI
Bass, Juan
Site Investigator
Skarsgar, Erick; PI
Bass, Juan; Co-PI
Kim, Peter PI
Collaborators
Al-Obaid, Omar; Mamdani,
Muhammed;
18
Funding
Type
Total
Amount
Start
Date
End Date
CBCF
* CBCF
Allocations
$258,829.00
2009/04
2012/04
Improving a non-invasive
method for monitoring core
temperatuve in infants.
CHEO/FHS
partnership grant
Peer
reviewed
$15,000.00
2009/06
2009/09
Mamazza, Joseph; PI
Donation to MIS Fellowship Fund
Ultramed Inc.
Non-peer
reviewed
$46,279.73
2010/03
2010/03
Mamazza, Joseph; PI
Bariatric Surgery Program
Covidien
Non-peer
reviewed
$60,000.00
2009/01
2012/01
Moloo, Husein; PI
A Randomized, Prospective,
Multi-centered Study Comparing
Clinical Outcomes of the Ligation
of Intersphincteric Fistula Tract
(LIFT) Procedure versus Use of
an Anal Fistula Plug (AFP) in the
Surgical Repair of Transsphincteric Anal Fistulae of
Cryptoglandular origin
Department of
Surgery - University
of Ottawa
Peer
reviewed
$25,000.00
2009/09
2011/09
Prophylaxis for
Thromboembolism in Critical
Care Trial (PROTECT)
CIHR
Peer
reviewed
$82,224.00
2006/01
present
An Evaluation of the Champlain
Region Cancer Surgery Model
MOHLTC
Non-peer
reviewed
$300,000.00
2007/01
2009/12
Member Name
Title
Funding Source
Chadwick, Christopher;
Joint Investigator
Efficacy of Thoracic Paravertebral
Block in Reducing Chronic Pain
and Disability after Breast
Cancer Surgery with Lymph
Node Dissection
Chou, Shirley; PI
Collaborators
Murto, K; Daboval, T;
Summer, Jay; Montpetite,
Catherine; Law,
Brenda,Molgatsen; Mccilli,
Alexandra; Dion, Charles
Collaborators
Goldberg, S; Bleier, J
Cook, D
Collaborators
Pagliarello, Giuseppe
Watters, James; PI
19
Member Name
Title
Heyland; PI
Reducing Death due to Oxidative
Stress: Glutamine and
Antioxidant Supplementation
Collaborator
Pagliarello, Giuseppe
Yelle, Jean-Denis; Site PI;
A multi-center
randomized,double-blind, parallel
group, placebo controlld trial to
evaluate tje efficacy and safety
of activated recombinant factor
VII in the treatment of refractory
bleeding in severely injured
trauma patients
Funding Source
Industry, $15,000
per patient entered
(NovoSeven/Niastas
e)
Funding
Type
Total
Amount
Start
Date
End Date
Peer
reviewed
$34,555.00
2006/01
present
Peer
reviewed
$15,000.00
2007/02
present
20
Funding
Type
Total
Amount
Start
Date
End Date
Center for Stroke
Recovery, Heart and
Stroke Foundation of
Ontario
Peer
reviewed
$50,000.00
2008/11
2009/12
Technical laboratory support
funds
CHEO- Surgery
Research Funds
Non-peer
reviewed
$180,000.00
2008/12
2011/12
Tsai, Eve; Co-PI
Novel Biomaterial Systems for
Treating Spinal Cord Injury
Smart Futures Fund
Peer
reviewed
$933,460.00
2010/01
2013/12
Tsai, Eve; PI
Bioengineering strategies to
restore motor function after
spinal cord injuries
Canadian Institutes
of Health Research
(CIHR)
Peer
reviewed
$415,946.00
2008/01
2011/03
Tsai, Eve; Co-PI
Creation of a translational spinal
cord repair laboratory
CFI
Peer
reviewed
$170,198.00
2008/10
2009/09
Tsai, Eve; PI
Rick Hansen Spinal Cord Injury
Registry, SCI Solutions Network
Rick Hansen Spinal
Cord Injury Registry
and SCI
Peer
reviewed
$120,000.00
2009/04
2011/03
Vassilyadi, Michael; Joint
Investigator
A "Needs Assessment" for the
development of a toddler winter
activity helmet.
ThinkFirst
Foundation of
Canada
Non-peer
reviewed
$9,000.00
2008/10
2010/12
Thalamic brain tumors in Canada
in the MRI era
Brain Tumor
Foundation of
Canada and the C17
Research Network
Peer
reviewed
$143,000.00
2009/09
2010/06
Member Name
Title
Funding Source
Nzau, Munyao; PI
Signaling pathways of vascular
remodeling in cerebral ischemiahypoxia injury, subarachnoid
hemorrhage and aging.
Nzau, Munyao; PI
Collaborator
Thompson, CA
Hoshizaki, Blain PI
Vassilyadi, Michael; Site
Investigator
21
Funding
Type
Total
Amount
Start
Date
End Date
Physicians Services
Incorporated
Foundation (The)
(PSI)
Peer
reviewed
$159,000.00
2009/01
2011/01
Randomized Clinical Trial
comparing a mono block
acetabular shell to titanium
modular shell in total hip
replacement
Wright Medical
Technology
(Arlington, TN)
Non-peer
reviewed
$100,000.00
2007/09
2009/12
Beaulé, Paul; PI
Femoroacetabular
Impingement: Correlating Hip
Morphology to Changes in
Cartilage and Subchondral
Bone
CIHR
Peer
reviewed
$581,782
October
2009
September
2014
Beaulé, Paul; PI
Do MRI Findings Correlate
with Hip Pain and
radiographic Findings:
Development of a Better
Diagnostic Tool for Surgical
Intervention
Department of
Surgery, University
of Ottawa
Peer
reviewed
$25,000
Sept 2009
Beaulé, Paul; PI
A Prospective Randomized
Clinical Trial Comparing Ion
Levels and Clinical
Outcomes of the
CONSERVE® A-Class
Total Hip System with
BFH™ Technology to Metal
on Polyethylene Total Hip
Replacement
Randomized Clinical Trial
Comparing Cemented to
Cementless femoral hip
resurfacing: A bone mineral
density measurement
assessment
Wright Medical
Technology
Non-perr
reviewed
$800/pp
June 2007
Ongoing
CORIN, USA
Non-peer
reviewed
$167,000.00
2008/09
2009/12
Member Name
Title
Funding Source
Chaput, Alan; PI
Pregabalin in the Prevention of
Postoperative Delirium and
Pain
Beaulé, Paul
Beaulé, Paul; PI
Collaborators
Feibel, Robert; Thurston,
Peter; Kim, Paul
Beaulé, Paul; PI
Collaborator
Kim, Paul
22
Division of Orthopaedic Surgery Continued
Funding
Type
Total
Amount
Start
Date
End Date
CIHR
Peerreviewed
$551,782
October
2009
September
2013
Oxford unicompartmental knee
arthroplasty: Effect of
procedural deficiencies on
lateral compartment contact
pressure and knee alignment
Biomet
Non-peer
reviewed
$30,000
September
2009
Present
Evaluation of a ‘Cold Welding’
Phenomenon in Modular Necks
of Total Hip Replacements
Wright Medical
Technology
Non-peer
reviewed
$41,500
February
2008
December
2009
A Prospective Randomized
Controlled Trial Assessing the
Outcome of Celecoxib
Administration vs. Placebo
following Anterior Cruciate
Ligament Reconstruction.
Pfizer Corporation
Non-peer
reviewed
$66,000.00
2009/07
2011/12
Feasibility of Outpatient Total
Knee Arthroplasty
Ontario Ministry of
Health and LongTerm Care
Peer
reviewed
$89,500.00
2010/05
2011/12
Are patient decision aids for
total joint replacement costeffective and do they optimize
the surgical referral process
from primary care?
Foundation for
Informed Medical
Decision Making
(FIMDM), Boston
* Foundation
$100,000.00
2007/10
2010/07
Member Name
Title
Funding Source
Beaulé, Paul; PI
Cartilage Degeneration in
Femoro-Acetabular
Impingment
Dervin, Geoff; PI
Beaulé, Paul; PI
Co- Investigators:
Dr. Schweitzer, Department
of Radiology;
Dr. Frei, Carleton University;
Dr. Lamontagne, University
of Ottawa
Collaborator
Nganbe Michel; Department
of Mechanical Engineering
(UofO)
Dervin, Geoffrey; PI
Collaborators
Johnson, Donald; Liew,
Allan; Bienkowski, Peter
Dervin, Geoffrey; PI
Collaborators
Gofton, Wade; Lane, Alan,
Giulivi, Antonio
Stacey, D; PI
Collaborators
Dervin, Geoffrey
23
Member Name
Title
Funding Source
Funding
Type
Total
Amount
Start
Date
End Date
Gofton, Wade; Co-PI
Perioperative Ischemia
Reductiion Study (PROSE);
Pilot on Recruitment and
Response
Heart and Stroke
Foundation
Peer
reviewed
$49,994.00
2008/08
2009/07
Perioperative Ischemia
Reductiion Study; Pilot on
Recruitment and Response
Ontario AFP
Innovation Fund
Peer
reviewed
$600,000.00
2009/04
present
Gofton, Wade; Co-PI
The effects of VAC on
Compartment Syndrome,
OHRI
Peer
reviewed
$25,000.00
2008/01
2009/12
Gofton, Wade; Superivsor
Visuo-haptic Simulation as a
Teaching Aid
Postgraduate
Education Office
Peer
reviewed
$16,000.00
2008/07
2009/07
Improving Education and
Coping of Scoliosis Patients
Undergoing Surgery and Their
Families Using E-Health.
Candian Institute of
Health Research
(CIHR)
Peer
reviewed
$5,704.00
2008/11
2010
A Multinational, Multicenter
randomized Double-Blind study
comparing the efficacy and
safety of AVE5026 with
Enoxaparin for the prevention
of venous thromboembolism in
patients undergoing elective
TKA surgery.
Sanofi-Aventis
(Canada)
Non-peer
reviewed
$60,000.00
2008/09
2010/09
Yang, Homer; PI
Collaborators
Hill, Andrew; Watters,
James; Well, George;
Chaput, Alan; Fayad, Ashraf;
Gofton, Wade
Gofton, Wade; Co-PI
Yang, Homer; PI
Collaborator
Pahuta, Markian
Jarvis, James G; Co-PI
Kim, Paul R; Site PI
24
Member Name
Title
Funding Source
Funding
Type
Total
Amount
Start
Date
End Date
Kim, Paul; PI
A Prospective Case Series
(Pilot Study) Comparing Ion
Levels and Clinical Outcomes
of the CONSERVE® A-Class
Type Hip System with BFH™
Technology to the
CONSERVE® Plus Total Hip
Resurfacing System
Wright Medical
Technology
Non-peer
reviewed
$800/pp
July 2006
April 2010
Gofton, Wade; PI
Extended Prophylaxis
Comparing Low Molecular
Weight Heparin to Aspirin
Following Total Hip
Arthroplasty (EPCAT)
Canadian Institutes
of Health Research
(CIHR); through
Queen Elizabeth II
Health Sciences
Centre, Halifax,
Nova Scotia
Peer
Reviewed
$750/pp
Dec 2007
June 2010
Augment Injectable Bone Graft
vs Autologous Graft RCT
Biomimetics
(Industry)
Non-peer
reviewed
$90,000.00
2009/08
2010/06
Lalonde, Karl-André; PI
Prospective, Randomized,
Multi-Center Clinical Evaluation
of the Open Wedge Osteotomy
and Low Profile Plate & Screw
(LPS) System Compared to the
Proximal Chevron Osteotomy
for the Treatment of Hallux
Valgus with an Increased
Intermetatarsal Angle
Arthrex Inc
Non-peer
reviewed
$3,000.00
start up and
$380.00 per
patient
December
2008
Ongoing
Lalonde, Karl-André; PI
A Prospective, Randomized,
Controlled, Multi-Center,
Pivotal Human Clinical Trial to
Evaluate the Safety and
Effectiveness of Augment™
Injectable Bone Graft
Compared to Autologous Bone
Graft as a Bone Regeneration
Device in Foot and Ankle
Fusions
BioMimetics
Therapetics
Non-peer
reviewed
$7,501
US/pp
August
2009
Ongoing
Collaborators
Kim, Paul; O`Neil Joseph;
Murnaghan, Patrick
DiGiovanni, Chris; PI
Lalonde, Karl-André; Site PI
25
Member Name
Title
Funding Source
Funding
Type
Peer
reviewed
Total
Amount
$2,704.00
Start
Date
2010/06
End Date
McKenna, Jocelyne; PI
Professionalism in Canadian
Medicine
Subscapularis Fixation in
Shoulder Arthroplasty
Physicians Services
Incorporated
Foundation (The)
(PSI)
Peer
reviewed
$97,000.00
2008/03
2010/03
Efficiency of Vacuum-Assisted
Closure Device in
Compartment Syndrome in an
Animal Model
Department of
Surgery, University
of Ottawa
Personal
award
$25,000.00
2009/09
2010/12
Wai, Eugene Kenneth; PI
Development and evaluation of
novel bone anchors and
"smart" adaptive implants for
the treatment of the bone
deficient skeleton
National Sciences
and Engineering
Research Council of
Canada (NSERC)
Peer
reviewed
$112,000.00
2008
2010
Wai. Eugene; PI
FOCUS Cognitive Ancillary
Study
National Institutes of
Health (NIH),
National Heart, Lung
and Blood Institute;
through UMDNJ
Non-peer
Reviewed
$4,455
Oct 2004
Feb 2009
BURST FRACTURE: To brace
or not to brace in stable
thoracolumbar burst fractures:
A randomized controlled trial.
Physicians Services
Incorporated
Foundation (PSI)
Peer
reviewed
$37,848
Jun 2004
Feb 2009
Understanding wait lists for
MRI: Appropriateness of
utilization and triaging of
priority
CIHR
Peer
reviewed
$433,098.00
2006/06
2009/12
2011/06
Lalonde, Karl-André Joint
Investigator
Lapner, Peter; PI
Collaborator
Athwal, G; Uhthoff, H;
MacDonald, P
Papp, Steve; PI
Collaborators
Gofton, Wade; Liew, Allan,
Renaud, Jean Marc
Co- Investigators: Papp,
Steve; Gofton, Wade; O’Neil,
Joseph; Liew, Alan
Wai, Euguen; PI
Co- Investigators: Chow,
Don; Johnson, Garth;
O’Neil, Jopseh;
Feasby Thomas & Shojania
Kaveh; PI.
Collaborators
Wai, Eugene; Emery, Derek;
Foster, Alan; O`Rourke, E
26
Member Name
Title
Funding Source
Funding
Type
Total
Amount
Start
Date
End Date
Wai, Eugene; PI
Transfusion Trigger Trial for
Outcomes in Cardiovascular
Patients Undergoing Surgical
Hip Fracture Repair
National Institutes of
Health (NIH),
National Heart, Lung
and Blood Institute
(NHLBI); through
UMDNJ
Peer
reviewed
$45,000
Oct 2004
Feb 2009
Wai, Eugene Kenneth; PI
Transforaminal Lumbar
Interbody Fusion in
Degenerative Spondylolisthesis
A Randomized Controlled Trial
Depuy Spine
Non-peer
reviewed
$125,000.00
2007/09
2009/09
Wai, Eugene; PI
BioSET - A multi-center,
prospective, parallel group,
randomized, pilot study
evaluating safety and
preliminary effectiveness of
Prefix compared to iliac crest
bone in participants with
degenerative disc disease
undergoing transforaminal
lumbar interbody fusion (TLIF):
PFX-101.
BioSET Inc.
Non-peer
reviewed
$17,571.78
Jan 2009
ongoing
CSS: Health-related quality of
life following surgical treatment
of focal symptomatic spinal
stenosis compared to
osteoarthritis of the hip or
knee.
Canadian Spine
Society A Multicenter
Canadian Spine
Society Study.
Peer
reviewed
$3,600
Jan 2009
Nov 2009
Spine Helix
NSERC
unknown
$112,043
Co- Investigators: Papp,
Steve; Gofton, Wade; O’Neil,
Joseph, Liew, Alan
Co-Investigators: Kingwell,
Stephen; Johnson, Garth;
Tsai, Eve
Wai, Eugene, PI
Co- Investigators: O’Neil,
Joseph; Johnson, Garth;
Chow, Don; Tsai, Eve;
Moulton, Rick; Agbi, Charles
Frei, Hanspeter; Department
of Mechanical Engineering
(Carlton U)
December
2010
Co- Investigators:
Wai, Eugene
27
Member Name
Title
Funding Source
Funding
Type
Total
Amount
Start Date
End Date
Werier, Joel; PI
Prospective Randomized
Controlled Study comparing the
FIXION expandable nail versus
plate and screw fixation for
Pathahlogic humeral fractures
Ottawa Regional
Cancer Foundation
Peer
reviewed
$18,000.00
2009/07
2010/12
Feasby Thomas & Shojania
Kaveh; PI.
Understanding wait lists for MRI:
Appropriateness of utilization and
triaging of priority
CIHR
Peer
reviewed
$433,098.00
2006/06
2009/12
Peer
reviewed
$160,266.59
2008/01
2009/12
Collaborators
Wai, Eugene; Emery,
Derek; Foster, Alan;
O`Rourke, Eugene
Bhandari, Mohit; PI
Collaborator
Wai, Eugene Kenneth
Fixation Using Alternative
Implants for the Treatments of
Hip Fractures (FAITH): A Multi
Centre Randomized Trial
Comparing Sliding Hip Screws
and Cancellous Screws on
Revision Surgery Rates and
Quality of Life in the Treatment
of Femoral Neck Fractures
28
Funding
Type
Total
Amount
Start
Date
End Date
Allergan Inc.
Personal
award
$60,000.00
2010/03
2011/03
Faculty of Medicine
Award University of
Ottawa
Peer
reviewed
$5,000.00
2009/05
2009/08
Johnson & Johnson
Non-peer
reviewed
$75.000.00
2010
Start
Date
Member Name
Title
Funding Source
Peters, Daniel; Co-PI
Ying, Yvonne; Co-PI
Canadian Plastic Surgery Chief
Resident Review Course
Murphy, Matthew; PI
Evaluation of global abstract
rating scale to increase reliability
and validity of abstract rankings
as compared to the current
abstract review form used for the
Canadian Society of Plastic
Surgery annual scientific
program.
Rockwell, Gloria Site
Supervisor
Guay, Nicolas
“Breast Cancer
Reconstruction and
Microsurgery Fellowship”,
Division of Thoracic Surgery
Member Name
Title
Funding Source
Funding
Type
Total
Amount
Seely, Andrew; Co-PI
Adjuvant Melatonin for the
Prevention of Lung Cancer
Recurrence and mortality
following resection: a
randomized placebo controlled
clinical trial
The Hecht
Foundation
Peer
reviewed
$494,000.00
2007/06
2012/07
Real-time Prognostication in
Critically Ill Patients with
Continuous Multiorgan Variability
Analysis
CIHR
Personal
award
$275,000.00
2006/07
2011/07
Collaborators
Maziak, Donna;
Sundaresan, Sudhir;
Shamji, Farid; Laurie, S;
McCrae, D, Fergusson
Seely, Andrew; PI
Collaborators
Hebert, Paul; Maziak,
Donna; Shamji, Farid;
Sundaresan, Sudhir
End Date
29
Division of Vascular Surgery
Member Name
Title
Funding Source
Funding
Type
Total
Amount
Start
Date
End Date
Hill, Andrew B; Joint
Investigator
Contrast ultrasound in the
surveillance of endovascular
abdominal aortic aneurysm
repair
Bristol-Myers Squibb
Medical
Non-peer
reviewed
$55,000.00
2007/07
present
Bryson, Gregory; PI
Delerium and postoperative
cognitive dysfunction following
aortic repair. A comparison of
open and endovascular
techniques.
Improving the assessment of
hypothalamic pituitary adrenal
function in acute stress
The Physician's
Services
Incorporated
Foundation
Peer
reviewed
$87,283.00
2006/05
present
PSI
Peer
reviewed
$142,000.00
2008/01
present
Contrast Ultrasound in the
Surveillance of Endovascular
Abdominal Aortic Aneurysm
Repair
Industry and Peer
reviewed
Non-peer
reviewed
$75,000.00
2009/06
2011/12
Non-peer
reviewed
$20,000.00
2008/06
2009/07
Peer
reviewed
$606,502.00
2009/09
2011/09
Collaborators
Hill, Andrew
Hill, Andrew B; Co-PI
Collaborators
Meggison, Hilary; Taljaard,
Monica
Nagpal, Sudhir; PI
Collaborators
Nagpal, Sudhir; Ramsey,
Tim
Nagpal, Sudhir; Co-PI
Collaborators
Perron, Lygia; Hill,
Andrew; Hajjar, George;
Jetty, Prasa; Nagpal Sudhir
Yang Homer; PI
Collaborators
Ruddy T, Watters J, Gofton
W, Jetty P, Wells G,
Chaput A
Economic Evaluation of Open
Surgical Repair versus F.E.V.A.R.
for Treatment of
Type IV TAAA
Perioperative Ischemia Reduction
Study (PROSE) - Remote ECG
Monitoring
The Ottawa Hosptial
Academic Medical
Organization
30
Division of Vascular Surgery Continued
Funding
Type
Total
Amount
(AIME)
Education
Research
(Teaching)
$19,929.00
Economic Evaluation of Open
Surgical Repair versus F.E.V.A.R.
for Treatment of _Type IV TAAA
Ottawa Hospital
Research Institute
Clinical Trial
(Research)
$20,000.00
Curcumin to prevent acute
kidney injury from elective
abdominal aortic aneurysm
repair
PSI
Operating
(Research)
$142,000.00
Member Name
Title
Funding Source
Price, J; PI
Effects of Simulation Training on
Performance of Vascular
Anastamosis on a High
Fidelity in vivo model
Hill, Andrew; PI
Ooi, TC; PI
Brandys, Tim; Co-PI
Hill, Andrew; Co-PI
Start
Date
March
2010
End Date
Present
31
Division of Urology
Funding
Type
Total
Amount
Start
Date
End Date
2010 Pfizer –
Canadian Male
Sexual Health
Council
Peer
reviewed
$50,000.00
2010/06
2011/06
Division of Urology Conference
Travel Grant
U of O, Division of
Urology
Personal
award
$1,000.00
2009/07
2010/06
“Sphingolipid (S1P) and
Cavernous Nerve Post-Injury
Neurobiology”
Department of
Surgery
Peer
reviewed
$25,000.00
2009/01
2010/12
Bella, Anthony; PI
Molecular mechanisms for
cavernous nerve neuroprotection
and regeneration following injury
due to prostate cancer treatment
in diabetic men
Prostate Cancer
Research Foundation
of Canada
Peer
reviewed
$50,685.00
2007
2009
Bella, Anthony; PI
Molecular mechanisms for
cavernous nerve neuroprotection
and regeneration for neuregulin
and chondroitinase following
injury due
ACORDA
Therapeutics
* IndustrySponsored
Research
Grant
$66,798.00
2008
2009
Bella, Anthony; PI
Molecular mechanisms of
cavernous nerve regeneration
following prostate cancer
treatment in men with metabolic
syndrome
American Urological
Association
Northeastern Section
Peer
reviewed
$42,500.00
2008
2009
Gomes, James; PI
Prostate morbidity through
prostate proteome profile
(PMProt)
Public Health Agency
of Canada
Peer
reviewed
$19,475.00
2010/01
2011/02
Member Name
Title
Funding Source
Bella, Anthony; PI
Effect of targeted hypothermia
on the recovery of erectile
function after cavernous nerve
injury in the rat
Blew, Brian; PI
Bella, Anthony; PI
Collaborators
DiSanto, Michael; Renaud,
Leo
Morash, Christopher Co-PI
Cagiannos, Ilias Co-Pi
32
Division of Urology Continued
Member Name
Title
Funding Source
Funding
Type
Total
Amount
Start
Date
End Date
Perry, Gad; PI
Phase II study of PET-CT
scanning with C-11 acetate in
patients with intermediate and
high risk prostate cancer
undergoing radical
prostatectomy.
The Ottawa Regional
Cancer Foundation
Peer
reviewed
$20,000.00
2008/05
2010/06
Prediction of side-specific
extracapsular extension at
radical prostatectomy.
UMRF
Peer
reviewed
$60,000.00
2007/05
2010/05
Voiding urosonography with
ultrasound contrast agent, a
radiation-free technique for
monitoring of vesico-ureteral
reflux in children
Innovation Funds
component of the
AHSC AFP, Ministry
of Health (Peer
reviewed)
Peer
reviewed
$35,753.00
2009/05
2011/12
Mahoney, John; PI
SELECT-Selenium and Vitamin E
Cancer Prevention Trial
Southwest Oncology
Group
Peer
reviewed
$169,200.00
2001/07
2012/12
Morash, Christopher; PI
Small Renal Masses - Active
Surveillance and their Natural
History
University Medical
Research Fund
(UMRF)
Peer
reviewed
$25,000.00
2009/12
2010/12
Comparison Between Radical
Prostatectomy and External
Radiation in the Management of
Intermediate-Risk Prostate
Cancer Patients.
The Ottawa Regional
Cancer Foundation
Peer
reviewed
$30,000.00
2008/06
2010/06
Collaborator
Cagiannos, Ilias
Cagiannos, Ilias; PI
Collaborators
Morash, Chris; Gerridzen,
Ronald
Guerra, Luis; Co-PI
Hurteau-Miller, Julie; PI
Collaborators
Leonard, Michael
Rebollo-Polo, Udjus,
Kristin;
Gerridzen, Ronald Co-PI
Morash, Christopher; Co-PI
Cagiannos, Ilias; Co-PI
Eapen, Libni; PI
Collaborators
Malone, Shawn
33
Division of Urology Continued
Member Name
Title
Funding Source
Funding
Type
Total
Amount
Start
Date
End Date
Gomes, James; PI
(PMProt)
of Canada
Peer
reviewed
$19,475.00
2009/06
2010/07
(PMProt)
CIHR
Peer
reviewed
$350,000.00
2008/09
2011/09
Title of Grant: A Phase II study
of PET-CT scanning with C-11
acetate in patients with
intermediate and high risk
prostate cancer undergoing
radical prostatectomy
The Ottawa Regional
Cancer Foundation
Peer
reviewed
$20,000.00
2008/05
2011/01
Understanding testicular cancer
epidemiology and etiology
(UTEE)
of Canada
Peer
reviewed
$42,363.00
2009/01
2009/12
Does Androgen Suppression
Treatment In Prostate Cancer
Reduce Myocardial Blood Flow
Reserve?
Prostate Cancer
Research Foundation
of Canada
Peer
reviewed
$57,823.00
2008/07
2010/12
Proper use and maintenance of
the LifePort pulsatile perfusion
machine in kidney
transplantation: a web-based
educational video
Astellas
Pharmaceuticals
unrestricted grant
Non-peer
reviewed
$5,000.00
2010/05
2011/04
Morash, Christopher G.L.
Collaborators
Cagiannos, Ilias
Gomes, James; PI
Collaborators
Cagiannos, Ilias;
Krewski, Dan; Birkett,
Nicholas; Robertson,
Susan; AlZoughool,
Mustafa; Brazeau Angela
Perry, Gad; PI
Collaborators
Morash, Christopher;
Cagiannos, Ilias;
Raymond, Francois;
DaSilva, Jean
Morash, Christopher; Co-PI
Gomes, James; PI
Collaborator
Cagiannos, Ilias
Ruddy, Terrence; PI
Collaborators
Morash, Christopher G.L.
Warren, Jeffrey; Co-PI
34
Surgical Education
Submissions by;
Dr. Tim Brandys
CORE Program Director
SURGICAL SKILLS LAB DIRECTOR
Dr. Stuart Oake
Director Postgraduate
Surgical Education
35
THE CORE PROGRAM AND SURGICAL SKILLS SUBMITTED BY;
Dr. Tim Brandys
Overview
The CORE program had had another successful academic year in 2009-2010.
With the construction of the new Skills and Simulation Centre at the LOEB
Research Institute, the CORE program faced a number of challenging logistical
issues. Thankfully, Kim Tardioli, the skills lab coordinator and her team were
able to successfully navigate through the various construction sites and find
alternative facilities to put on a CORE program activities without fail. The CORE
program once again addressed the educational needs of 53 residents from all
surgical specialties. The curriculum adhered to our well established program of
providing basic knowledge of surgical principles, surgical skill training and
CanMEDS instructional activities. The program was well received and residents
continued to favorably evaluate the activities and the preceptors that provide
them.
Highlights
The CORE program underwent its scheduled review with the Royal College of
Physicians and Surgeons of Canada in January 2010. This review was extremely
favorable and the Royal College commended the CORE program on several
activities that are being provided. The program received full approval with no
weaknesses identified. This is a testament to the whole CORE program team
and especially the surgeons who willingly provide their time to act as preceptors
on a regular basis, giving lectures and providing skills teaching.
36
Future initiatives
A new era in skills training is on the horizon in Ottawa with the official opening
of the University of Ottawa Skills and Simulation Centre to take place in October
of 2010. We look forward to a new state of the art facility in which the CORE
program and other surgical educational activities will flourish. The new Skills
and Simulation Centre will include over 20,000 square feet of space for learning
activities. Large and small sized skills rooms will be available to host the CORE
program and act as a venue for numerous other surgical activities for
undergrad, post-grad and CME learners. The centre will contain lead lined areas
to accommodate training of surgical procedures which require fluoroscopy.
Simulated operating rooms, ICU and trauma bays will be available for practice of
technical skills or group interactions. State of the art audiovisual technology will
allow direct video conferencing to and from operating rooms at the main
campuses with the skills centre. A large conference room will be available for
didactic teaching in small group sessions. Animal care facilities will be available
for live animal labs to take place. The expectations for the centre as a learning
institute of excellence are high. It has already drawn in experts from outside
the Ottawa area to participate. Dr. Viren Naik, previous head of the St.
Michael’s simulation centre has left Toronto to become the Medical Director of
our new Skills and Simulation Centre and Dr. Stan Hamstra has been
successfully recruited from the University of Michigan to come and act as the
research director for the new institute. With this new Skills and Simulation
Centre, the University of Ottawa’s reputation for training excellent surgeons
should continue and provide us with a leadership role both nationally and
internationally.
37
POSTGRADUATE SURGICAL EDUCATION SUBMITTED BY;
Dr. Stuart Oake
Department of Surgery Postgraduate Education Committee
(Surgery PGEC)
The Department of Surgery has officially established a Postgraduate Education
Committee. The Committee comprises all Departmental Educational Program
Directors. Meetings are held quarterly, the first being December 2009.
Membership of Postgraduate Education Committee:
Surgery PGEC Chair
Dr. Stuart Oake
General Surgery
Dr. Dennis Pitt
Orthopaedic Surgery
Dr. Joel Werier
Urology
Dr. Jim Watterson
Cardiac Surgery
Dr. Fraser Rubens
Neurosurgery
Dr. John Sinclair
Paediatric General Surgery
Dr. Shirley Chow
Thoracics
Dr. Donna Maziak
Vascular Surgery
Dr. Tim Brandys
Plastic Surgery
Dr. Mary Jean Duncan
Department Chair
Dr. Eric Poulin
Ex-officio
Susan McCumber
The guiding principle of the Committee is “To identify commonality among
Departmental Programs and to develop Departmental educational
initiatives that can be presented to the University of Ottawa
Postgraduate Education Committee on a single front”.
Terms of Reference
In February 2010, Terms of Reference were developed for the Department of
Surgery Postgraduate Committee and presented and passed by the Surgery
Executive Committee. The reporting structure for the Committee is as follows:
Department of Surgery Postgraduate Education
Ë
Ì
Surgery Executive Committee
Æ
PGME University of Ottawa
38
University Bylaw Change
Through the support of the University Postgraduate Education Office, the
Department of Surgery Education Committee (Surgery PGEC) is petitioning the
University to allow the Department of Surgery to set up policies and educational
principles that are specific to Surgical Programs and not currently governed in
the bylaws that rule all 60-plus Programs in the University, many of which are
non-surgical in nature. It is the belief of the Department of Surgery that there
are issues specific to surgical programs that require a governance system
currently not adequately addressed by existing bylaws. This will require a
Senate bylaw change. A draft bylaw change has been prepared by the Surgery
PGEC in conjunction with the University Postgraduate Office, and is in its final
stages in preparation for presentation to the University for consideration. There
will be consultation with the University of Ottawa legal counsel to ensure the
document has been drafted accurately, thereby optimizing chances of success.
The following is an excerpt from a later draft of the policy:
“The Postgraduate Medical Education Committee shall be responsible for
approving residency training requirements which exceed the minimum specialty
training requirements defined by the Royal College of Physicians and Surgeons
of Canada or the College of Family Physicians of Canada where the failure for a
resident to achieve such enhanced requirements would result in a prolongation
of training.”
Process:
1. Programs seeking enhanced training requirements need to make
application, both in writing and with an in camera presentation, to the
PGEC outlining the following;
a. The nature of the training
b. The logic for the requirement
c. The process and timeline for addressing a resident’s failure to
meet the training requirement within the stipulated time range
2. Approval will be simple majority of the PGEC.
3. Residents will be given at least one year’s notice before any changes
are enacted.”
Dr. Paul Bragg, Postgraduate Education Dean, University of Ottawa has been
instrumental in the development of this policy. From the perspective of the
University of Ottawa Postgraduate Education Committee, this policy will afford
the same rights and privileges to all University of Ottawa programs.
39
Department of Surgery Postgraduate Administrative Support;
With the development of the Surgery PGEC and its robust agenda, the
Department of Surgery, through the support of the Department of Surgery
Finance Committee, has funded a 0.4 FTE Administrative Assistant. The
Administrative Assistant’s responsibility is to facilitate the development and
implementation of initiatives agreed upon by the Surgery PGEC. The Admin
Assistant is currently shared with the Urology Residency Program and is housed
in the Urology Office of Education. Beth Balharrie has been a key component to
the development of the Surgery PGEC agendas and implementation of its
components.
Department of Surgery Education Office;
The Surgery PGEC has spent significant time in discussion and conceptualization
of a potential Department of Surgery Education Office. This is a work in
progress, with final plans depending upon further discussion within our
Committee and with Facilities Management of The Ottawa Hospital. The current
concept would be to have an office that would house as many Department of
Surgery programs as possible and allow us to share resources in a more efficient
fashion, i.e., administrative assistant man-hours. Our Committee is committed
through its mandate, outlined previously, to allow educational programs and
initiatives to be shared across all, for the purposes of avoiding work duplication
and to allow the weaker programs to benefit from those in a position of
strength.
The Year to Come - Agenda and Developing Issues;
1. We will continue and see to completion the topics outlined in this report.
2. After-math of Royal College Accreditation. As a key issue, we will provide
support and the assistance to programs within our Department that did
not receive full approval with the 2010 Royal College Accreditation.
3. Continue to support Plastic Surgery in its inaugural year, and after its first
successful CaRMS match.
4. The Department of Surgery will play an active role in the University’s
initiative to revise Web One45, making it more functional and applicable
to current issues. As an example, we will work on refined ITER guidelines
for all programs; this is a current pitfall for many surgical programs. The
author of this document will be sitting on this committee in representation
to the Department of Surgery and its surgical programs.
40
DIVISION OF
CARDIAC SURGERY
UNIVERSITY OF OTTAWA
HEART INSTITUTE
41
DIVISION OF CARDIAC SURGERY
General Overview
Dr. Thierry Mesana,
Professor,
Michael Pitfield Chair of Cardiac Surgery
Chairman of Transplant Committee
Faculty Members
Dr. Munir Boodhwani
Dr. Paul Hendry, Devices Program Director
Dr. William Goldstein
Dr. Khanh Lam, Undergraduate Program Director
Dr. Harry Lapierre
Dr. Roy Masters, Deputy Chief
Dr. Gyani Maharajh, Chief Paediatric Cardiac Surgery,
CHEO
Dr. Fraser Rubens, Post-Graduate Program Director
Dr. Marc Ruel, Cardiac Surgery Research Director
Dr. Laszlo Ressler
Research Scientists involved with Cardiac Surgery Research Activities:
Dr.
Dr.
Dr.
Dr.
Erik Suuronen, PhD, Basic Science Molecular Biology
Rosendo Rodriguez, MD,PhD, Clinical Research coordinator
Rosalind Labow, PhD, Director of Taichman Research Laboratory.
Michel Labrosse , PhD, Cardiac Valve Computer Simulation Research
Cardiac Surgery Fellow
Dr.
Dr.
Dr.
Dr.
Olivier Schussler
Stefano Mastrobuoni
Elsayed Elmestekawy
Riccardo Giovannetti
Surgical Services
The Division offers cardiac surgery to Ottawa-Gatineau population and beyond.
20% of our caseload consists of referrals from western Quebec. We also get
referrals from across Eastern and Northern Ontario and other parts of Canada,
due to more specific expertise such as mitral valve surgery, minimally invasive
coronary surgery, Pulmonary Thrombo Endarterectomy, Heart Transplant/rotary
VADs, minimally invasive Arrhythmia surgery.
42
Surgical volumes have been steady, even slightly increasing around 1500 major
heart surgery cases in the past 12 months, including Quebec referrals.
Noticeably, after a period of decrease in coronary surgery, cardiac surgery
volumes have been stable and even with a recent increase in our waiting list
which varies now between 170 and 200 patients. Anything above 200 patients
would expose our patients to exceed recommended waiting times. In this case
we would, as per Ministry/CCN rules, offer over waiting patients to get surgery
elsewhere in Ontario. Hopefully, we could always manage to have our patients
operated in Ottawa. The reputation of our center makes our community very
reluctant to have surgery elsewhere. More often, patients from other places in
Ontario would rather request to be transferred to Ottawa to have a specific
surgery not done elsewhere with the same level of success, such as complex
mitral valve repair, minimally invasive bypass surgery, rotary blood pump
implantation, and all kinds of higher risk surgery rejected from other centers in
Ontario. We continue to have a large number of patients deemed too high risk
or requesting specific expertise (complex valve repair, minimally invasive
surgery).
We have been very actively involved in developing percutaneous aortic valve
replacement program in conjunction with our colleagues from interventional
cardiology (Dr. Ruel collaborating with Dr. Labinaz). This program had been
initiated as pilot study and increased in pace gradually, placing our centre in a
leadership position in this innovative field. Our unique relationship with
Interventional Cardiology has been key to this initiative. This relationship cardiac
surgery/cardiology is quite unique and cited as an example in this quickly
developing field. We have performed so far over 50 cases with excellent results,
becoming a training center for percutaneous valve implantation (TAVI). First
cases of transapical approach through a mini left thoracotomy are planned for
the fall. Main issues for future development of TAVI will be related to funding of
these expensive procedures, which are not funded by the Ministry of Health
although a very established procedure now for selected patients and performed
also in Toronto and Hamilton. A large provincial initiative is underway but new
money still needs to be found and dedicated to 2 or 3 Ontario centers
The OR renovation program completed in 2008 has allowed us to work in a
much better OR facility. However, it is obvious that the UOHI would need to
build within a very near future a Hybrid OR to expand minimally invasive
coronary/valve/arrhythmia surgery and new programs such as percutaneous
valve or thoracic aorta replacement. This should allow us to continue to operate
and grow while waiting for further overall UOHI building developments proposed
recently for the 5-year master plan. Finally, in the event of acquisition of Robotic
instrumentation, there is no doubt that it would benefit cardiac surgery as well
as other surgical specialties
43
Summary of Highlights and Awards
Dr. Marc Ruel has been appointed as Full Professor
Dr. Khanh Lam has been appointed as Associate Professor
This year, Dr. David Adams, a US surgeon, world expert in mitral valve surgery,
was the Visiting Professor of the Endowed Cardiac Surgery Foustanellas Lecture
in February.
Dr. Niv Ad, Head of Cardiac Surgery, at Washington University also came as
Visiting Professor for Arrhythmia Surgery
Dr. Magdi Yacoub from England, an iconic surgeon, probably one of the top 5 in
cardiac surgery history, was invited to give the Keon Lecture in June. This was a
memorable day for The UOHI.
UOHI Cardiac Surgeons have been involved in the organization of national and
international meetings (Canadian Cardiovascular Society, American Heart
Association Annual Meeting).
The UOHI organizes Research Seminars every Monday and Grand Rounds
lectures most Wednesdays. Many lectures were given by our members (Dr.
Mesana, Dr. Ruel, Dr. Rubens, Dr. Lam, Dr. Hendry, Dr. Suuronen) on various
subjects (mitral valve surgery, coronary surgery, regenerative surgical therapy,
atrial fibrillation surgery, heart failure surgery, PTE surgery, transplant surgery)
We are also extremely involved in fund raising events through the UOHI
Foundation. The Division of Cardiac Surgery has been very actively involved in
the UOHI annual Telethon with presence in the media.
We have a growing fellowship program in Cardiac Surgery with Endowed
Fellowship ($1,000,000 donation), which will be dedicated to basic research,
valve surgery fellowship, and two other clinical fellow positions. We have fellows
coming from Europe, Japan, China, and India.
Research
The Division of Cardiac Surgery has intense research activities, both basic
science and clinical science.
For basic science research, Drs. Ruel and Suuronen are established
internationally in the field of regenerative myocardial therapy and a growing
international reputation.
44
We have close to one million dollar annual funding for the Cardiac Research
Laboratory, out of 8 separate grants (CIHR, HSF, ORF). Dr. Ruel is holding an
endowed Cardiac Research Chair (two million endowment).
The lab has 10 presentations at the upcoming CCS meeting (Oct 2010), and 2 at
AHA (Nov 2010), in addition to our clinical presentations at CCC, AHA and STS.
Dr. Suuronen supervises 13 Masters or PhD students in the lab. We have 6
scholarships and 7 awards in various societies and events in 2010 granted to our
research students.
For clinical research, the division has several important research initiatives
articulated around valve surgery and coronary surgery. In particular, we have
the Valve Clinic Research Unit, for patients going through valve surgery and
requiring long-term follow-up. More than 7000 patients are entered into a
massive database. This has led to very productive research and many important
papers as listed below. Funding source comes from industry granting, the
Division of Cardiac Surgery, as well as Cardiac Surgery Leadership Chair held by
Dr. Mesana.
Dr. Mesana has created a specific database for mitral valve surgery and repair,
in particular, which already includes close to1000 patients with longitudinal
follow-up. We are now developing with our new recruit, Dr Boodhwani, a
thoracic aorta and aortic valve repair initiative with a dedicated clinic, and
database.
In November 2009 Dr. Mesana published a very important paper in the New
England Journal of Medicine (impact factor 39) as a world recognized expert in
mitral valve repair, which constitutes a landmark paper for the division and the
UOHI.
Publications
Our team has presented one or several papers in each important meeting for
Cardio Thoracic Surgeons (AATS, EACTS, AHA, CCS, STS).
We have been Section Editor for 4 Issues of Opinion in Cardiology in 2009-2010
(Dr. Mesana, Valve Surgery and Coronary Surgery).
Our surgeons have been invited to present lectures nationally and internationally
(Dr. Ruel, Dr. Rubens, Dr. Lam, Dr. Mesana)
Below is the list of publications as presented in Pubmed On line, where various
members of our division have been involved in 2009-2010:
45
1. CHAN V, JAMIESON WR, LAM BK, RUEL M, LING H, FRADET G,
MESANA TG. Influence of the On-X mechanical prosthesis on
intermediate-term major thromboembolism and hemorrhage: A
prospective multicenter study. J Thorac Cardiovasc Surg. 2010 May
21. [Epub ahead of print]PMID: 20546795 [PubMed - as supplied by
publisher]
2. SCHUSSLER O, CHACHQUES JC, MESANA TG, SUURONEN EJ,
LECARPENTIER Y, RUEL M. ASIAN 3-dimensional structures to enhance
cell therapy and engineer contractile tissue. Cardiovasc Thorac Ann.
2010 Feb;18(2):188-98. Review.PMID: 20304859 [PubMed - indexed
for MEDLINE]
3. CHOW BJ, ABUNASSAR JG, ASCAH K, DEKEMP R, DASILVA J, MESANA
T, BEANLANDS RS, RUDDY TD. Effects of mitral valve surgery on
myocardial energetics in patients with severe mitral regurgitation. Circ
Cardiovasc Imaging. 2010 May;3(3):308-13. Epub 2010 Mar 1.PMID:
20194635 [PubMed - indexed for MEDLINE]
4. BOODHWANI M, HAMILTON A, DE VARENNES B, MESANA T, WILLIAMS
K, WELLS GA, NATHAN H, DUPUIS JY, BABAEV A, WELLS P, RUBENS
FD. A multicenter randomized controlled trial to assess the feasibility
of testing modified ultrafiltration as a blood conservation technology in
cardiac surgery. J Thorac Cardiovasc Surg. 2010 Mar;139(3):7016.PMID: 20176212 [PubMed - indexed for MEDLINE]
5. ZHANG Y, WONG S, LAFLÈCHE J, CROWE S, MESANA TG, SUURONEN
EJ, RUEL M In vitro functional comparison of therapeutically relevant
human vasculogenic progenitor cells used for cardiac cell therapy.. J
Thorac Cardiovasc Surg. 2010 Jul;140(1):216-24, 224.e1-4. Epub
2010 Feb 18.PMID: 20167338
6. SUURONEN EJ, HAZRA S, ZHANG P, VINCENT R, KUMARATHASAN P,
ZHANG Y, PRICE J, CHAN V, SELLKE FW, MESANA TG, VEINOT JP,
RUEL M. Impairment of human cell-based vasculogenesis in rats by
hypercholesterolemia-induced endothelial dysfunction and rescue with
L-arginine supplementation. J Thorac Cardiovasc Surg. 2010
Jan;139(1):209-216.e2.PMID: 20106366
7. CHACHQUES JC, JEGADEN O, MESANA T, GLOCK Y, GRANDJEAN PA,
CARPENTIER AF Cardiac bioassist: results of the French multicenter
cardiomyoplasty study.; French Cardiomyoplasty Investigators. Asian
Cardiovasc Thorac Ann. 2009 Dec;17(6):573-80
8. VERMA S, MESANA TG. Mitral-valve repair for mitral-valve prolapse. N
Engl J Med. 2009 Dec 3;361(23):2261-9. Review. No abstract
available. PMID: 19955526 [PubMed - indexed for MEDLINE]
46
9. MCGINN JT JR, USMAN S, LAPIERRE H, POTHULA VR, MESANA TG,
RUEL M Minimally invasive coronary artery bypass grafting: dualcenter experience in 450 consecutive patients.. Circulation. 2009 Sep
15;120(11 Suppl):S78-84.PMID: 19752390 [PubMed - indexed for
MEDLINE
10.CHAN V, BURWASH IG, LAM BK, AUYEUNG T, TRAN A, MESANA TG,
RUEL M. Clinical and echocardiographic impact of functional tricuspid
regurgitation repair at the time of mitral valve replacement. Ann
Thorac Surg. 2009 Oct;88(4):1209-15.PMID: 19766809 [PubMed indexed for MEDLINE
11.PRICE J, LAPIERRE H, RESSLER L, LAM BK, MESANA TG, RUEL M.
Prosthesis-patient mismatch is less frequent and more clinically
indolent in patients operated for aortic insufficiency. J Thorac
Cardiovasc Surg. 2009 Sep;138(3):639-45. Epub 2009 Mar 26.PMID:
19698850 [PubMed - indexed for MEDLINE]
12.SHERRARD H, STRUTHERS C, KEARNS SA, WELLS G, CHEN L, MESANA
T. Using technology to create a medication safety net for cardiac
surgery patients: a nurse-led randomized control trial. Can J
Cardiovasc Nurs. 2009;19(3):9-15.PMID: 19694112 [PubMed indexed for MEDLINE]
13.KULIK A, MASTERS RG, BÉDARD P, HENDRY PJ, LAM BK, RUBENS FD,
MESANA TG, RUEL M. Postoperative lipid-lowering therapy and
bioprosthesis structural valve deterioration: justification for a
randomized trial? Eur J Cardiothorac Surg. 2010 Jan;37(1):139-44.
Epub 2009 Aug 11.PMID: 19674916 [PubMed - in process]
14.LABROSSE MR, BELLER CJ, MESANA T, VEINOT JP. Mechanical
behavior of human aortas: Experiments, material constants and 3-D
finite element modeling including residual stress. J Biomech. 2009 May
29;42(8):996-1004. Epub 2009 Apr 3.PMID: 19345356 [PubMed indexed for MEDLINE]
15.CHAN V, GRISOLI D, RUEL M, VEINOT J, MESANA T.Surgical approach
to repair of ruptured chordae tendineae causing tricuspid regurgitation.
J Thorac Cardiovasc Surg. 2009 Jan;137(1):e30-2. Epub 2008 May 2.
No abstract available. PMID: 19154874 [PubMed - indexed for
MEDLINE]
47
16.SUURONEN EJ, ZHANG P, KURAITIS D, CAO X, MELHUISH A, MCKEE
D, LI F, MESANA TG, VEINOT JP, RUEL M. An acellular matrix-bound
ligand enhances the mobilization, recruitment and therapeutic effects
of circulating progenitor cells in a hindlimb ischemia model. FASEB J.
2009 May;23(5):1447-58. Epub 2009 Jan 9.PMID: 19136616 [PubMed
- indexed for MEDLINE]
17.TENG AC, KURAITIS D, DEEKE SA, AHMADI A, DUGAN SG, CHENG BL,
CROWSON MG, BURGON PG, SUURONEN EJ, CHEN HH, IRF2BP2 is a
skeletal and cardiac muscle-enriched ischemia-inducible activator of
VEGFA expression. Stewart AF. FASEB J. 2010 Aug 23. [Epub ahead of
print]PMID: 20702774 [PubMed - as supplied by publisher]
18.DENG C, ZHANG P, VULESEVIC B, KURAITIS D, LI F, YANG AF,
GRIFFITH M, RUEL M, SUURONEN EJ. A Collagen-Chitosan Hydrogel for
Endothelial Differentiation and Angiogenesis. Tissue Eng Part A. 2010
Jun 29. [Epub ahead of print]PMID: 20586613 [PubMed - as supplied
by publisher]
19.DENG C, LI F, GRIFFITH M, RUEL M, SUURONEN EJ. Application of
chitosan-based biomaterials for blood vessel regeneration. Macromol
Symp in press
20.KURAITIS D, SUURONEN EJ, SELKE FW, RUEL M. The future of
regenerating the myocardium. Current Opin Cardiol in press
21.KURAITIS D, ZHANG P, MCEWAN K, ZHANG J, MCKEE D,
SOFRENOVIC T, GRIFFITH M, CAO X, RUEL M, SUURONEN EJ.
Controlled release of stromal cell-derived factor-1 for enhanced
progenitor response in ischemia J Control Release in press
22.DENG C, VULESEVIC B, ELLIS C, KORBUTT GS, SUURONEN EJ.
Vascularization of collagen-chitosan scaffolds with circulating
progenitor cells as potential site for islet transplantation J Control
Release in press
48
DIVISION OF ORAL
AND MAXIOFACIAL SURGERY
49
DIVISION OF ORAL AND MAXIOFACIAL SURGERY
General Overview
Dr. Kevin Butterfield
Faculty / Staff
Dr. Harry Amos
Dr. Richard Biewald
Dr. Stephen Caples
Dr. Gary Cousens
Dr. John Cox
Dr. Mario Dumas
Dr. Margaret Galanter-Mosielski
Dr. Hassan Ghaderi Moghadam
Dr. Gerald Glantz
Dr. Michael Hamilton
Dr. Brent Johnson
Dr. Cameron Jones
Dr. Samuel Kucey
Dr. Taylor McGuire - New Staff
Member
Dr. Jack Newton
Dr. Eleni Vichos
Dr. William Wayne
Dr. Andrea Wiseman
Dr. Ed Zeligman
A general overview of academia and clinical activities and programs
The Division of Dentistry has been actively involved in both academic and clinical
training of Residents in both the Otolaryngology and the new Plastic and
Reconstructive Surgery Residency training programs.
Dr. Butterfield has opened a joint Obstructive Sleep Apnea Surgical Clinic with
Dr. Laurie McLean of Otolaryngology at the Civic Campus Division. Members
continue to travel to Iqaluit approximately 4 times per year to service Oral and
Maxillofacial Surgical needs of the local population.
The Division is in the planning stages to open a Dental Clinic in the newly
renovated Cancer Clinic at the General Campus, to improve access and care of
Cancer patients. The Division is actively recruiting a second full-time clinician to
help staff the new Cancer Center Dental Clinic, and the existing Civic clinic.
50
The Division continues to treat
o
o
o
o
o
o
o
o
craniofacial congenital abnormalities
craniofacial trauma
benign head and neck pathology
head and neck reconstruction
severely medically compromised patients requiring
dental care
patients prior to initiation of chemotherapy / head and
neck radiation therapy
patients prior to cardiac valve surgery
developmentally delayed individuals
51
DIVISION OF
GENERAL SURGERY
52
DIVISION OF GENERAL SURGERY
General Overview
Dr. Joseph Mamazza,
Associate Professor and Chair
Faculty Members
General Campus
Dr. Rebecca Auer
Dr. Robin Paul Boushey
Research Director, General Surgery
Dr. Audley Bodurtha
Dr. Martin Friedlich
Dr. John Lorimer
Dr. Dennis Pitt
Program Director, Division General Surgery
Dr. Shaheer Tadros
Civic Campus
Dr.
Dr.
Dr.
Dr.
Dr.
Dr.
Dr.
Dr.
Dr.
Dr.
Dr.
Fady Balaa
Christopher Chadwick
Robin Fairfull Smith
Richard Mimeault
Husein Moloo
Vijay B Moonje
Husein Moloo
Giuseppe Pagliarello
Alfred Stedman
Jean-Denis Yelle
James Watters
Children’s’ Hospital of Eastern Ontario
Dr. Shirley Chou
Dr. Juan Bass
Dr. Marcos Bettolli
Fellows and Fellowships
Dr.
Dr.
Dr.
Dr.
Dr.
Abdulrahim Alawashez
Jamal Al-Sharif
George Rabbat
Isabelle Raiche
Lara William
MIS
HPB
Trauma
MIS
Colorectal
53
Summary
Dr. Steven Rubin – Paediatric Surgeon – Dr. Rubin formally retired on March 31,
2010.
Dr. Brian Sweeney, Paediatric Surgeon – Dr. Sweeney now permanently resides
and works in his homeland of Dublin Ireland. Dr. Sweeney’s last day at CHEO
was May 28th, 2010.
We have plans to recruit an additional MIS hepatobiliary surgeon, a MIS surgeon
and a trauma surgeon in the next five years.
The hepato-pancreatico-biliary surgeons are now consolidated at the Civic
Campus where the HPB unit has been established.
Three of our residents, Dr. Beverly Chan, Dr. Reilly Musselman and Dr. Rashmi
Seth, are currently enrolled in a Surgeon Scientist Program.
The Bariatric Surgery program began in September, 2009 under the codirectorship of Dr. JD Yelle and Dr. J Mamazza.
Dr. R. Fairfull-Smith continues to volunteer his time and expertise in developing countries.
Visiting Professors
This year for the general surgery Research Day, Dr. Lee Swanstrom was our
visiting professor. He made a grand round presentation to the department of
Surgery on “NOTES: What is real, what is myth and what is important? “.
Awards
Dr. Husein Moloo was nominated for Best Masters Thesis in August 2009.
Dr. James Watters was awarded the “Quality Award” for the implementation of a
Corporate Vascular Access Program at the 4th Annual Quality and Innovation
Awards of the Cancer Quality Council of Ontario, Cancer Care Ontario and the
Canadian Cancer Society in December 2009.
In May 2010 Dr. Husein Moloo received “The Midwest Society of Colon and
Rectal Surgeons William C. Bernstern” Award in Minneapolis, USA.
In June 2010, Dr. Fady Balaa was the recipient of the “Audley Bodurtha
Teaching Award for Excellence in Resident Teaching”.
Rashmi Seth (PGY2) won third prize at the Biochemistry, Microbiology and
Immunology Graduate Student Research Day held on May 20th, 2010.
54
Lara Williams (MIS Fellow) was awarded best paper submitted at the American
Society of Colon and Rectal Surgery meeting in Minneapolis. There were over
650 submissions from across North America, Europe, and Asia.
At the Department of surgery, Collins Day - Guillaume Martel (PGY4) won the
Graeme Barber prize for Best Clinical Paper and also won one of the 3 Best
Resident Teacher awards.
Summary Division of Paediatric General Surgery
Dr. Kyle Cowan, Paediatric Surgical Trainee who has a PhD as well as a
postdoctoral degree, has accepted a staff position as a Paediatric General
Surgeon in our Division commencing July 2011. Dr. Cowan will also be involved
in research activities with the CHEO Research Institute.
We are not expecting a Research Fellow for July 2010 but are still actively
searching. Our next Research Fellow will be working with Dr. Cowan on various
research projects. Dr. Ramanath Haricharan will be our next Paediatric Surgical
Trainee as of July 2011.
We have to ensure that the research is sustainable. Therefore, we must strive
to maintain our contacts with other faculties to continue our research. We have
to think about recruitment. We have to make the Division of Paediatric Surgery
attractive for others to seek employment. We therefore have to maintain our
teaching and research to be able to attract new recruits. This indirectly affects
the Program since the teaching staff is very important in maintaining a strong
Program.
Clinical Functions of the Division
Clinically, the surgeons work together. As a result of Dr. Sweeney’s departure,
Dr. Bass, Dr. Bettolli and Dr. Chou are sharing Dr. Sweeney’s clinical workload
and on-call schedule responsibilities equally until another full-time paediatric
general surgeon is hired. Patients still are discussed pre-operatively, intraoperatively and post-operatively, guaranteeing optimal clinical management.
Evidence based medicine forms the basis of clinical practice in the Division.
Reviews of morbidities and mortalities within our Division are conducted
regularly. All of the above is reflected clinically by the fact that we are a
standard of practice surgical unit as regards Neonatology, Trauma, Oncology,
minimally invasive techniques in surgery etc.
The Division has strong relationships with other Divisions in Surgery. This is
specifically notable by our sharing of operative procedures.
Urology, Cardiac Surgery, ENT Surgery and Urology have welcomed our
Resident’s and Fellow’s participating in their clinical activities. Electives in their
specialties are available to our residents and fellows.
55
Daily resident and student teaching are continuous. This is in addition to the
weekly academic half day every Wednesday morning. Three hours of
presentations and discussions by the Resident staff in the presence of all
General Surgery faculties occurs. Digital copies of all presentations are kept on
file in the Division. This library is available to all CHEO residents and medical
personnel. Morbidities and Mortality meetings as well as Journal Rounds
sometimes replace the weekly presentation. Copies of these formal
presentations are kept in the files of the Divisional Office.
Elective students and/or residents join us in the clinic. We have six
clinics/week. In addition there are four operating days/week and the residents
are present and take part in all operating room procedures. After hours and
weekend coverage always includes a resident or a fellow and an attending staff.
Teaching in these emergency situations is an essential part of Paediatric General
Surgical training.
Publications
1. AUER RC, WHITE RR, KEMENY N, JARNAGIN W, DEMATTEO RP, FONG Y,
BLUMGART LH, D'ANGELICA M. Predictors of a true complete response
among disappearing lesions following chemotherapy for colorectal liver
metastases. Cancer. 2010 Mar 15;116(6):1502-9
2. LE BOEUF F, DIALLO JS, MCCART JA, THORNE S, FALLS T, STANFORD M,
KANJI F, AUER R, BROWN CW, LICHTY BD, PARATO K, ATKINS H, KIRN D,
BELL JC. Synergistic interaction between oncolytic viruses augments
tumor killing. Mol Ther. 2010 May;18(5):888-95. Epub 2010 Mar 16.
3. HP HUYNH, DC TROTTIER, CM SOTO, R AUER, EC POULIN, J MAMAZZA,
RP BOUSHEY, H MOLOO. Plastic Freezer Bags: A Cost-Effective Method to
Protect Extraction Sites in Laparoscopic Colorectal Procedures? submitted
to Surgical Endoscopy (May 2010)
4. YAROM N, MAROUN JA, , BIRNBOIM HC, ASMIS T, MOYANA T,
MARGINEAN EC, TEO I, GORN I MARGINEAN H, JONKER DJ. EGFR
expression variance in paired colorectal cancer primary and metastatic
tumours. Accepted for publication in Cancer Biology & Therapy (June
2010)
5. ASMIS T, BALAA F, SCULLY L, PAPADATOS D, MARGINEAN C, FASIH N,
SHAW-STIFFEL T, GOEL R. Diagnosis and management of hepatocellular
carcinoma: results of a consensus meeting of The Ottawa Hospital Cancer
Centre. Curr Oncol. 2010 Apr;17(2):6-12
6. BASS J; WILLIS B; GUERRA L. Effects of alternate payment plan on
pediatric surgical practice in an academic setting: the role of corporate
indicators. Healthcare Quarterly Vol. 13 No.1 2010
56
7. ELYAS RG, GUERRA LA, PIKE J, DECARLI C, BETTOLLI M, BASS J, CHOU
S, SWEENEY B, RUBIN S, BARROWMAN N, MOHER D, LEONARD M. Is
Staging Beneficial for Fowler-Stephens Orchiopexy? A Systematic
Review. J. Urology , May 2010 Vol 183, Issue 5, 2019
8. DE CARLI C, LEONARD M, BETTOLLI M, GUERRA L. Laparoscopic
maneuver for orchidopexy in high intra-abdominal testes when
cremasteric artery is present: A technical report. Journal of Pediatric
Urology 2010 Feb 6(1):2 – 5
9. MAYER JP, BETTOLLI M, KOLBERG-SCHWERDT A, LEMPE M,
SCHLESINGER F, HAYEK I, SCHAARSCHMIDT K. Laparoscopic approach
to ovarian mass in children and adolescents: Already a standard in
therapy. J Laparoendosc Adv Surg Tech A. 2009;19 Suppl 1:S111-5.
10.ZOLFAGHARI S, GAUTHIER JC, JARMUSKE MB, BOUSHEY RP.
Panniculectomy: An Alternative Approach to the Revision of a Difficult
Stoma. Colorectal Disease.
11.HUYNH H, TROTTIER D, SOTO C, MOLOO H, POULIN EC, MAMAZZA J,
BOUSHEY RP. Laparoscopic Colostomy Reversal Following Hartmann's
Procedure: A Prospective Series, Literature Review and an Argument
Against Laparotomy as a Primary Approach. Canadian Journal of Surgery
12.MARTEL G, BOUSHEY RP. Review of Baxter NN, Goldwasser MA, Paszat
LF, et al. Association of colonoscopy and death from colorectal cancer.
Ann Int Med 2009;150:1-8 for Evidence Based Reviews in Surgery for
2009-2010. Canadian Journal of Surgery and Journal of the American
College of Surgeons
13.MOLOO H, HAGGAR F, MARTEL G, GRIMSHAW J, COYLE D, GRAHAM ID,
SABRI E, POULIN EC, MAMAZZA J, BALAA F, BOUSHEY RP. The Adoption
of Laparoscopic Colorectal Surgery: A National Survey of General
Surgeons. Can J Surg 2009 December, 52(6): 455-462
14.ALSHARIF J, MARTEL G, BOUCHARD A, SABRI E, RAMSAY CR, MAMAZZA
J, POULIN EC, BOUSHEY RP. Impact of Age on the Short-Term Outcomes
of Laparoscopic Colorectal Surgery: Implications for Clinical Pathways.
Diseases of the Colon and Rectum 2009;52:81
15.PINSK I, SEPPALA R, FRIEDLICH M. Anography: a technique for
determining the location of the internal opening in perianal fistula.
Colorectal Disease 2010, 12, 896–900 897
16.MARTEL G, BOUCHARD A, SOTO CM, POULIN EC, MAMAZZA J, BOUSHEY
RP. Laparoscopic colectomy for complex diverticular disease: a justifiable
choice? Surg Endosc vol 24, number 3, Pg 499- 503
57
17.SCHEER A, MARTEL G, MOLOO H, SABRI E, POULIN EC, MAMAZZA J,
BOUSHEY RP.Laparoscopic colon surgery: does operative time matter?
Dis Colon Rectum. 2009 Oct;52(10):1746-52
18.MOLOO H, HAGGAR F, DUHAIME S, MAMAZZA J, POULIN EC, BOUSHEY
RP, COYLE D, GRIMSHAW J. Hand assisted laparoscopic surgery versus
conventional laparoscopy for colorectal surgery. Submitted to Cochrane.
19.HAMEED SM, BRENNEMAN FD, BALL CG, PAGLIARELLO J, RAZEK T, PARRY
N, WIDDER S, MINOR S, BUCZKOWSKI A, MACPHERSON C, JOHNER A,
JENKIN D, WOOD L, MCLOUGHLIN K, ANDERSON I, DAVEY D,
ZABOLOTNY B, SAADIA R, BRACKEN J, NATHENS A, AHMED N, PANTON
O, WARNOCK GL: Canadian Association of General Surgery committee on
Acute Surgery and Critical Care. General Surgery 2.0: the emergence of
acute care surgery in Canada. Can J Surg 2010 Apr;53(2):79-83.
20.MOHAMMAD WM, FROST I, MOONJE V. Outpatient Laparoscopic
Adrenalectomy - A Canadian Experience. Surgical Laparoscopic Endoscopy
and Percutaneous Techniques, August 2009, Vol. 19, No. 4
21.KUMAR A, ZARYCHANSKI R, PINTO R, COOK DJ, MARSHALL J, LACROIX J,
STELFOX T, BAGSHAW S, CHOONG K, LAMONTAGNE F, TURGEON AF,
LAPINSKY S, AHERN SP, SMITH O, SIDDIQUI F, JOUVET P, KHWAJA K,
MCINTYRE L, MENON K, HUTCHISON J, HORNSTEIN D, JOFFE A, LAUZIER
F, SINGH J, KARACHI T, WIEBE K, OLAFSON K, RAMSEY C, SHARMA S,
DODEK P, MEADE M, HALL R, FOWLER RA, PAGLIARELLO G. Canadian
Critical Care Trials Group H1N1 Collaborative. Critically ill patients with
2009 influenza A(H1N1) infection in Canada. JAMA. 2009 Nov
4;302(17):1872-9. Epub 2009 Oct 12.
22.CHAN B, MARTEL G, POULIN EC, MAMAZZA J, BOUSHEY RP. Resident
Training in Minimally Invasive Surgery: A Survey of Canadian Department
and Division Chairs. Surg Endosc 2010;24(3):499-503.
23.BOUCHARD A, MARTEL G, SABRI E, MAMAZZA J, POULIN EC, BOUSHEY
RP. Impact of Incision Length on the Short Term Outcomes of
Laparoscopic Colon Surgery Surg Endosc 2009, 23:2314-2320
24.NEWGARD CD, SCHMICKER R, HEDGES JR, TRIKETT JP, DAVIS DP,
BULGER M, AUFDERHEIDE TP, MINEI JP,HATA JS, GUBLER KD, BROWN
TB, YELLE JD, BARDARSON B, GRAHAM N. Emergency Medical Services
Time Intervals and Survival in Trauma: Assessment of the "Golden Hour"
in a North American Prospective Cohort. Annals of Emergency Medicine
Vol 55, Issue 3 PP 235-246.
58
25.HAMADANI F, MOROZ P., FAIRFULL SMITH R. Proposal to Improve the
Surgical Skills of Canadian Medical School Graduates: The experience of a
Medical Student and Staff Surgeon with the Essential Surgical Skills
Course in Kilimanjaro, Tanzania. Can J Surg Vol 53 1 Feb 2010.
Book Chapter / Article Review
1. BOUSHEY RP. Colorectal Cancer. Clinics in Colon and Rectal Surgery.
2009 vol. 22(4) pg 187-189.
2. SCHEER A., AUER RC. Surveillance After Curative Resection of Colorectal
Cancer. In “Clinics in Colon and Rectal Surgery”, Vol 22 (4), Boushey, R.P.
(ed), Thyme, November 2009.
3. VERMA S., AUER R.A.C., HURLBUT D. Second Eastern Ontario Conference
on the Management of GIST Frontline Gastrointestinal Oncology, Nov
2009.
4. MOLOO H, BOUSHEY RP. Miscellaneous Neoplasms ASCRS Textbook,
Springer Inc.
5. POULIN EC, MAMAZZA J, SCHLACHTA CM. Splenectomy, Chapter 25.
Section 4 Alimentary Tract and Abdomen. ACS Principles and Practice,
Souba WW, Fink MP, Jurkovicch GH et a Eds. BC Decker Inc., Hamilton,
Ontario, Canada.
6. TROTTIER DC, MARTEL G, BOUSHEY RP. Complications in Laparoscopic
Intestinal Surgery: Prevention and Management. Minerva Chirurgica,
2009;64:339-54.
Published Abstracts
1. DE CARLI C, LEONARD M, BETTOLLI M, GUERRA L. Laparoscopic
cremasteric artery is present: A technical report.Abstract ID: 24341 IPEG
2009 meeting.
2. COWAN D, DE CARLI C, CHOU S, BETTOLLI M. Laparoscopic evaluation
and management of perineal impalement trauma in children. IPEG 19th
Annual Congress for Endoscopy in ChildrenIPEG June 2010 Hawaii
Abstract No. 26663.
3. SLIJPER N, BETTOLLI M, MOGILNER J, MATTER I. Initial experience in
single incision laparoscopic appendectomies in a single small centre.
IPEG 19th Annual Congress for Endoscopy in Children. IPEG June 2010
Hawaii.
59
4. SLIJPER N AND BETTOLLI M. Old device, new application - a snake liver
retractor used to manipulate a mediastinal mass. 19th IPEG June 2010
Hawaii.
5. WANG XY, HUIZINGA J, DE CARLI C, KRANTIS A, STAINES W, LIU L,
JOLIN-DAHEL K, BETTOLLI M. Synaptic innervation of pacemaker
interstitial cells of Cajal occurs within myenteric ganglia in the pediatric
intestine and colon. Canadian Digestive Diseases Week (CDDW) Meeting,
Toronto Feb 2010.
6. CARRIER M, BOUSHEY RP, ASMIS T, WELLS P, JONKER D, AUER R. The
Use of Extended Perioperative Low Molecular Weight Heparin to Improve
Disease-Free Survival Following Surgical resection of Colon Cancer: a Pilot
Randomized Controlled Trial. Thrombosis Research 2010;125(2): S184.
7. CHAN B, MARTEL G, POULIN EC, MAMAZZA J, BOUSHEY RP. Resident
Training in Minimally Invasive Surgery: A Survey of Canadian Department
and Division Chairs.Surgical Endoscopy
8. HUYNH H, TROTTIER M, MOLOO H, POULIN E, MAMAZZA J, FRIEDLCIH M,
STERN H, BOUSHEY R. Can a rectal tube be an alternative to a diverting
stoma following pouch surgery? Can J Surg Vol 52 Aug 2009.
9. MARTEL G, BOUCHARD A, SOTO CM, POULIN EC, MAMAZZA J, BOUSHEY
RP. Laparoscopic colectomy for complex diverticular disease: a justifiable
choice? Surg Endosc. 2010 Feb 26. [Epub ahead of print].
10.ZOLFAGHARI S, AUER R, MOLOO H, MAMAZZA J, FRIEDLICH M, POULIN
E, STERN H, BOUSHEY R. Surgical Outcome of Mid and Distal T4 rectal
cancer in the neoadjuvant rad (P103) Dis Colon & Rectum
2010;53(4):97.
11.BARNES A, LIANG S, MOLOO H, AUER R, MAMAZZA J, POULIN E,
BOUSHEY R. Outcomes of Laparoscopic Surgery for Colorectal Cancer:
Does Gender Matter? Dis Colon & Rectum 2010:53(4):158.
12.WILLIAMS L, MORASH R, SHIN S, SMYLIE J, MOLOO H, AUER R, POULIN
E, MAMAZZA J, WATTERS J, FUNG-KEE-FUNG M, BOUSHEY R. Successful
Implementation of a Communities of Practice (COP) Model to Facilitate
Quality Improvement Initiatives in Colorectal Cancer Surgery Dis Colon &
Rectum 2010;53 (4):177.
13.MARGINEAN EC, ASMIS TR., AUER R, SOULIERES D, VERMA S.
Development of a comprehensive registry of gastrointestinal stromal
tumors (GIST) patients in eastern OntarioJ Clin Oncol 28, 2010 (suppl;
abstr e12049).
60
14.AUER RA, SCHEER AS, MCSPARRON J.I., SCHULMAN AR, TUORTO S,
GONEN M, GONSALVES J., FONG Y. Use of postoperative venous
thromboembolism to predict disease-specific survival in cancer patients.
Journal of Clinical Oncology, 2010 ASCO Annual Meeting Proceedings, Vol
28, No 15_suppl (May 20 Supplement), 2010: 9032.
15.MOHAMMAD W, MIMEAULT R, FAIRFULL-SMITH R, AUER R, BALAA F.
Resectability of Colorectal Liver Metastases: An Imaging Based Survey of
Concordance Between Hepatic Surgeons in Canada. HPB 12 (Suppl.
1):30. April 2010.
16.HUYNH HP, TROTTIER DC, SOTO CM, AUER R, POULIN EC, MAMAZZA J,
BOUSHEY RP, MOLOO H. Plastic Freezer Bags: A Cost-Effective Method
to Protect Extraction Sites in Laparoscopic Colorectal Procedures?
Canadian Journal of Surgery, Vol 52, Suppl. August 2009.
17.ZOLFAGHARI S, AUER R, MOLOO H, MAMAZZA J, FRIEDLICH M, POULIN
E, STERN H, BOUSHEY R. Surgical outcome of mid and distal T4 rectal
cancer in the neoadjuvant era. The American Society of Colon and Rectal
Surgeons Annual Scientific Meeting Program Guide (May 2010).
18.BARNES A, LIANG S, MOLOO H, AUER R, MAMAZZA J, POULIN E,
BOUSHEY R. Outcomesof laparoscopic surgery for colorectal cancer: Does
gender matter? The American Society of Colon and Rectal Surgeons
Annual Scientific Meeting Program Guide (May 2010).
19.WILLIAMS L, MORASH R, SHIN S, SMYLIE J, MOLOO H, AUER R, POULIN
E, MAMAZZA J, WATTERS J, FUNG-KEE-FUNG M, BOUSHEY R. Successful
implementation of a communities of practice (COP) model to facilitate
quality improvement initiatives in colorectal cancer surgery.The American
Society of Colon and Rectal Surgeons Annual Scientific Meeting Program
Guide (May 2010).
20.AUER, R. SETH, L. MACKENZIE, J. BELL, H. ATKINS, R. BOUSHEY, M.
CARRIER. Surgical stress promotes the development of metastatic
disease by a coagulation-dependent mechanismThrombosis Research.
Volume 125, Supplement 2 (April 2010):S170-S171.
21.MOHAMMAD W.; TROTTIER D., NADOLNY J., LABROSSE M., TARDIOLI K.,
POULIN E., MAMAZZA J., FAIRFULL-SMITH R, MIMEAULT R, MOLOO H,
BALAA F. Application of Global Operative Assessment of Laparoscopic
Skills in a Trainer Box Setting. (Ref. No. 2053722) 9th World Congress of
the International Hepato-Pancreato-Biliary Association, IHPBA 2010.
22.MOHAMMAD W, TROTTIER D, NADOLNY J, LABROSSE M, TARDIOLI K,
POULIN E, MAMAZZA J, FAIRFULL-SMITH R, MIMEAULT R, MOLOO H,
BALAA, F. Acute Care Surgery Services: Does it Affect the Management of
61
Acute Cholecystitis? (Ref. No. 7800196) 9th World Congress of the
International Hepato-Pancreato-Biliary Association, IHPBA 2010.
23.DE CARLI C, BETTOLLI M. An unusual case of recurrent abdominal pain in
a 17 year-old girl: Extraluminal lymphangiectasis of the cecum managed
by laparoscopy. IPEG 2009 meeting.
24.SLIJPER M, STAINES W, KRANTIS A, BETTOLLI M. "Expression of
neuropeptides in the appendix vermiform during and after inflammation".
EUPSA Meeting June 2010.
25.LAPIERRE S, MOHAMMAD W, BALAA J, AKIL M, MIMEAULT R, FAIRFULL
SMITH R. Acute Care Surgical Services: does it affect the management of
acute cholecystitis? HPB 12 ( Suppl. 1) p458.
26.FUNG SS, SCHEER A, CHILONGA K, ASANO TK, MOROZ P, FAIRFULL
SMITH R. Evaluating the impact of the Essential Surgical Skills (ESS)
course in Tanzania. Can J Surg Vol 52 Aug 2009.
27.MOHAMMAD W.; TROTTIER D., NADOLNY J., LABROSSE M., TARDIOLI K.,
POULIN E., MAMAZZA J., FAIRFULL-SMITH R, MIMEAULT R, MOLOO H,
BALAA F. Application of Global Operative Assessment of Laparoscopic
Skills in A Trainer Box Setting. HPB 12 (suppl. 1) p410 # P-743.
28.MARTEL G., MOLOO H., PICCIANO G. ,BOUSHEY R.P. , POULIN E.C.
MAMAZZA J. Financial Impact of Laparoscopic Surgery at a High-Volume
Academic Center. Surgical Endoscopy. Supplement 1 to Volume 24 2010,
pages S10-S11.
29.SCHEER A, MARTEL G, MOLOO H, SABRI E, POULIN EC, MAMAZZA J,
BOUSHEY RP. Laparoscopic colon surgery: does operative time matter?
PMID: 19966608.
30.MARTEL G, MOLOO H, PICCIANO G, BOUSHEY RP, POULIN EC, MAMAZZA
J Financial impact of laparoscopic surgery at a high- volume academic
centre. Canadian Journal of Surgery, Vol 52, Suppl. August 2009
31.TROTTIER DC, DOUCETTE S, HUYNH H, SOTO CM, POULIN EC, MAMAZZA
J, BOUSHEY RP Predictors of mortality in laparoscopic foregut, hindgut
and end-organ surgery. Canadian Journal of Surgery, Vol 52, Suppl.
August 2009.
32.HUYNH PH, TROTTIER DC, SOTO C, MOLOO H, POULIN EC, MAMAZZA J,
BOUSHEY RP Adverse events associated with laparoscopic colostomy
reversal following Hartmann procedure: a Multi-institutional study.
62
33.TROTTIER DC, HUYNH H, SABRI E, SOTO C, SCHEER A, ZOLFAGHARI S,
MOLOO H, MAMAZZA J, POULIN EC, BOUSHEY RP. A comparison of open
and laparoscopic resections for rectal cancer based on the proposed
Clinical Outcomes of Surgical Therapy Study group (COST II) outcome
measures. Canadian Journal of Surgery, Vol 52, Suppl. August 2009.
34.ALSHARIF J, MARTEL G, BOUCHARD A, SABRI E, RAMSAY CR, MAMAZZA
J, POULIN EC, BOUSHEY RP. Impact of age on the short-term outcomes of
laparoscopic colorectal surgery: implications for clinical pathways.
35.MOHAMMAD W, MIMEAULT R, FAIRFULL-SMITH R, AUER R, BALAA, F.
Resectability of Colorectal liver metastases: an imagine based survey of
concordance between hepatic surgeons in Canada. (Ref # 3316656).
IHPBA 2010.MOLOO H, BLEIER J, GOLDBERG SM. The LIFT procedure - a
new approach to complex anal Fistulas. Canadian Journal of Surgery –
Vol 52, August, 2009.
36.DI VALENTIN T. ASMIS TR, AUER. The treatment of metastatic rectal
cancer (MRC) : A review of the multidisciplinary approach at The Ottawa
Hospital Cancer Centre (TOHCCC). J Clin On 2010, Vol 28 No 15 suppl
(e14132).
63
DIVISION
OF NEUROSURGERY
64
DIVISION OF NEUROSURGERY
General Overview
Dr. Richard Moulton,
Faculty Members
Dr. Charles Agbi
Dr. Brien Benoit
Dr. Vasco DaSilva
Dr. Howard Lesiuk
Dr. John Sinclair, Program Director
Dr. Enrique Ventureyra, Head
Paediatric Division
Dr. Michael Vassilyadi
Dr. Munyao Nzau
Dr. Eve Tsai
Dr. Michael Richard, Clinical Research
Fellows
Dr. Moutasem Azzubi,
Dr. Ikhlass Altweijri
Summary of Highlights
Publications
Journal Articles
1.
MCMILLAN, HJ, KEENE, DL, VENTURERYA, ECG, NZAU M, VASSILYADI, M.
Brainstem compression: a predictor for post-operative cerebellar mutism.
Child’s Nervous System, (June 2009), 25(6): 677-81.
2.
STEINBOK P, GAN P, CONNOLLY M, CARMANT L, SINCLAIR B, RUTKA J,
GRIEBEL R, ARONYK K, HADER W, VENTUREYRA ECG. Epilepsy Surgery
in the first 3 years of life: A Canadian Survey. Epilepsia, (June 2009)
50(6): 1442-9.
3.
MEHROTRA N, SHAMJI MF, VASSILYADI M, VENTUREYRA ECG.
Intacranial Tumors in first year of life: The Cheo Experience.
Child’s
Nervous System, 2009 (25): 1563-1569. (June 2009) PMID: 199551387
(PubMed).
65
4.
KULKARNI AV, DRAKE JM, MALLUCCI CL, SGOUROS S, ROTH J,
CONSTANTINI S, DIRKS PB, RUTKA JT, VAN DER STOEL A, VELTMAN I,
BENI-ADANI L, COCHRANE DD, STEINBOK P, ARONYK K, MEHTA V,
ATKINSON J, FARMER JP, MONTES J, HADER W, HAMILTON M,
VASSILYADI M, VENTUREYRA ECG, Ranger A, McDonald PJ, Howes W,
McNeely PD, Walling SA. Endoscopic third ventriculostomy In the
treatment of childhood hydrocephalus. Canadian Pediatric Neurosurgery
Study Group. J Pediatr (Aug 2009) 155(2): 254-9.
5.
VASSILYADI M, TATARYN Z, SHAMJI MF, VENTUREYRA ECG. Functional
Outcomes among Premature Infants with Intraventricular Hemorrhage.
Pediatric Neurosurgery, (September 2009) , Vol 45, No.4, 2009.
6.
SHAMJI MF, VASSILYADI M, LAM C, MONTES JF, FARMER JP. Congenital
tumors of the central nervous system: The MCH experience. Pediatr
Neurosurg 45:368-374, 2009.
7.
VASSILYADI M, MEHROTRA N, SHAMJI MF, MICHAUD J. Pediatric
traumatic dural arteriovenous fistula. Can J Neurol Sci 36:751-756,
2009.
8.
VASSILYADI M, DUQUETTE C, SHAMJI MF, ORDERS S , DAGENAIS S.
Evaluation of ThinkFirst for Kids injury prevention curriculum for grades
7/8. Can J Neuro 36: 761-768, 2009.
9.
VASSILYADI M. Ottawa pilot study on Navigators. In Brain Waves.
Special Issue, 2009.
10.
VASSILYADI M, SHAMJI MJ, TATARYN Z, KEENE DL, VENTUREYRA ECGV.
Postoperative Surveillance Magnetic Resonance Imaging for Cerebellar
Astrocytoma. Can J Neurol Sci. 2009 Nov: 36(6): 707-12.
11.
MUZUMDAR D, VENTUREYRA ECG. Treatment of Posterior Fossa Tumors
in Children. Expert Review of Neurother. 2010 Apr;10(4): 525-46.
12.
EDRISSI H, RUBAB F, HAKIM A, NZAU M, THOMPSON C. Blood Brain
Barriere Permeability in a Rodent model of Chronic Cerebral
Hypoperfusion. Abstract/ M. Vassilyadi. First annual meeting of the
Canadian Stroke Congress, Quebec City, Quebec. June 2010.
ABSTRACTS:
1.
KIM C, VASSILYADI M, MOROZ PJ: Traumatic spinal injuries in children.
Can J Neurol Sci 37 (Suppl 1); S68, 2010.
66
2.
SHAMJI MF, VASSILYADI M, MERCHANT P, FRIC-SHAMJI EC, VENTUREYRA
ECG: Treatment of positional palgiocephaly- survey of cosmetic and
cognitive outcomes. Can J Neurol Sci 37 (Suppl 1); S35, 2010.
3.
VASSILYADI M, SHAMJI MF, MERCHANT P, FRIC-SHAMJI EC, DUBE K,
Long-term outcomes of occipital positional
VENTUREYRA ECG:
plagiocephaly management. J Neurosurg: Pediatrics 5; A321, 2010.
4.
VASSILYADI M, SHAMJI MF, KEENE D, TATARYN Z, VENTUREYRA E:
Postoperative surveillance magnetic resonance imaging for pediatric brain
tumors. Can J Neurol Sci 36 (Suppl 1);S80, 2009.
5.
VASSILYADI M, SHAMJI MF, KEENE D, TATARYN Z, VENTUREYRA E:
Postoperative surveillance magnetic resonance imaging for low-grade
posterior fossa astrocytic tumors. Can J Neurol Sci 36 (Suppl 1);S80,
2009.
6.
MEHROTRA N, SHAMJI MF, VASSILYADI M, VENTUREYRA EC: Brain
Tumors in the first year of life: The CHEO Experience. Can J Neurol Sci
36 (Suppl 1);S79, 2009.
7.
DUQUETTE C, VASSILYADI M, SHAMJI MF: A pilot program evaluation of
the ThinkFirst For Kids injury prevention educational curriculum for grades
7 and 8. Can J Neurol Sci 36 (Suppl 1);S12-13, 2009.
67
DIVISION OF
ORTHOPAEDIC SURGERY
68
DIVISION OF ORTHOPAEDID SURGERY
General Overview Dr. Geoffrey Dervin
Faculty Members
General Campus
Dr. Paul Beaulé
Dr. Jacques Brunet
Dr. Geoff Dervin
Dr. Jean Pierre Desjardins
Dr. Robert Feibel
Dr. Alan Giachino
Dr. Paul Kim
Dr. Karl-Andre Lalonde
Dr. Peter Lapner
Dr. J Pollock
Dr. Peter Thurston
Dr. Joel Werier
Extremity
Civic Campus
Dr.
Dr.
Dr.
Dr.
Dr.
Dr.
Dr.
Dr.
Dr.
Dr.
Dr.
Dr.
Dr.
Donald Chow
Kathleen Gartke
Wade Gofton
Donald Johnson
Garth Johnson
Stephen Kingwwell
Allan Liew
Pat Murnaghan
Joseph O’Neil
Steven Papp
Oliver Portner
Eugene Wai
Ross Wilkinson
CHEO
Dr.
Dr.
Dr.
Dr.
Dr.
James Jarvis
Ken Kontio
Louis Lawton
Paul Moroz
Baxter Willis
Adult Reconstruction
Foot and Ankle
Knee reconstruction
General Orthopaedics
Hand &Wrist, Adult Reconstruction
Foot and Ankle
Shoulder
Shoulder, Elbow
Orthopaedic Oncology, Upper
Spine
Foot and Ankle
Trauma, Adult Reconstruction
Sports Medicine
Spine
Spine
Trauma, Sports Medicine
Shoulder, Adult Reconstruction
Spine, Adult Reconstruction
Trauma, Upper extremity
Sports Medicine
Spine
Sports Medicine
Paediatric
Paediatric
Paediatric
Paediatric
Paediatric
Orthopaedics
Orthopaedics
Orthopaedics
Orthopaedics
Orthopaedics
69
Fellowships and Fellows for the Past Year
Dr.
Dr.
Dr.
Dr.
Dr.
Dr.
Dr.
Hesham Abdelbary
Greg Firth
Joshua Lee
Toru Niskiwaki
Milton Parai
Hani Zamil
Ray Chaudry
Oncology
Paediatrics
Athroplasty
Arthroplasty
Comprehensive Knee
Trauma
Shoulder
Summary of Highlights Clinical Activities
As the academic year concluded, the Division of Orthopaedic Surgery boasted
among the highest number of poster and podium presentations at the annual
Canadian Orthopaedic Association meeting as well as strong representation on a
number of clinical symposia.
The specific academic activities of all of the sub-specialties within the Division of
Orthopaedics follow these general remarks and speak to a very engaged,
energetic and effective group of clinicians providing world class care while at the
same time advancing orthopaedic knowledge through intense biomechanical and
clinical based study. We have adopted the culture promoted by the University
that scholarship really does begin with dissemination of all that we do and all
members have been encouraged to see all of the fruits of their research
promoted as much at national meetings and in leading orthopaedic journals.
Our Division has been significantly strengthened with the addition of Dr.
Stephen Kingwell who completed his Fellowships in British Columbia and is now
a full-time Assistant Professor with concentration in spinal disorders with a
significant positive impact in terms of quality care for our patients. At the same
time, we bid farewell with great thanks to Dr. Pat Murnaghan whose career at
the original Ottawa Civic Hospital and then subsequently The Ottawa Hospital
has been consistently marked by excellence in patient care noted by the dozens
of appreciative letters from grateful patients over that time frame.
Dr. Murnaghan also had a passion for teaching, particularly at the
undergraduate level and his assistance with that was greatly appreciated and
will be sorely missed.
Many of the Division faculty and residents continue to provide service abroad,
particularly in paediatric orthopaedics as described below. On the adult side,
Dr. Chris Carruthers and Dr. Sasha Carsen completed an expedition to Nairobi,
Kenya where several arthroplasty procedures were performed and a leadership
conference was also provided to that country’s elite physician workforce.
Our Postgraduate Residency Program is the life blood of the academic
environment for the Division Program and we are happy to report that the
Program was strongly endorsed and recommended by the Accreditation
Committee of the Royal College of the Physicians & Surgeons. They remarked
70
that there was good compliance with the new Can Meds objectives with great
initiative in a number of educational programs that were strongly beneficial to
the residents and fellows. We are fortunate to have several members in the
Division with postgraduate training in education which significantly enhances the
capacity of the Program to deliver superb training for our residents. Our
departing residents left a terrific impression on the Program and we wish all the
professional success and satisfaction for Drs. David Simon, Mark Steeves, Ali
Mahmoudi, Hesham Abdelbary, Chris Brown and a special thanks to Dr. Shawn
Garbedian for his leadership and administration in the role as Chief Resident.
The clinical load continues to be significant in orthopaedics with a constant
stream of non-elective trauma cases, with an emphasis in level 1 high level
trauma care at the Civic Campus. In addition, significant wait lists exist in
multiple areas of elective orthopaedics, some of which do have additional
priority funding but many of which are still deficient in the latter. Specific
reports from sub-specialty leaders are provided below to highlight some of the
past year’s accomplishments and re-iterate the strong commitment to the
highest level of sub-specialty care that is expected from a tertiary care academic
hospital.
ADULT RECONSTRUCTION SERVICE
(submitted by Dr. P. Beaulé)
Again this year has been a very dynamic and productive year from all members
of our group. The continued development of our biomaterials and biomechanics
research is evolving and growing at a fast pace with Dr. Isabelle Catelas. We
now have a well established failed joint implant retrieval program with three
master's students working on both in vitro and in vivo cell tissue cultures in
order to be better understand the pathomechanism of implant failures.
Dr. Paul Beaulé as principal investigator of his CIHR grant has further solidified
the multidisciplinary collaborations: Dr. Hanspeter Frei is supervising Andrew
Speirs for his PhD studies on the understanding of the biomechanics of femoral
acetabular impingement. We have expanded and continued our collaborations
with the School of Human Kinetics with Dr. Mario Lamontagne with several
publications on hip joint kinematics after total hip replacement as well as in the
presence of femoral acetabular impingement and as well as an initiated project
on the kinematics after knee replacement surgery.
Finally our continued collaboration with the Department of Radiology with Drs.
Mark Schweitzer, Kawan Rakhra, Gina DiPrimio, Adnan Scheik and Ian Cameron
in better developing cartilage imaging protocol as well as imaging of painful total
joint replacement.
Some of the individual highlights follow. Dr. Geoff Dervin was awarded a
TOHAMO grant for a study which aims to look at the feasibility of 24 hour day
surgery for knee replacement.
71
Dr. Robert Feibel has initiated the collaboration with the endocrinology division
with Dr. Erin Keeley in regards to the impact of untreated diabetes in
complications post total joint arthroplasty. He also served as lead author on a
publication in regards to major complications associated with femoral nerve
blocks and total knee replacement.
Dr. Paul Kim has continued activities in postgraduate continuing professional
education with two courses involving the hip with both Stryker and Wright
Medical Technologies focusing on the anterior approach as well as revision
arthroplasty.
Dr. Paul Beaule chaired the successful (Eighth) Annual Symposium on Joint
Preserving Minimally Invasive Surgery in June. The meeting was accredited and
organized by the University of Ottawa CME office with over 100 attendees and
30 international faculty including Australia, Brazil, Europe, Argentina and all over
North America. A Gala dinner was held at the Art Gallery attended by all
participants as well as members of the Department of Surgery.
Faculty photo taken at the
Chateau Laurier.
Dr. Paul Beaulé centre
outside the National
Gallery (Eighth) Annual
Symposium on Joint
Preserving Minimally
Invasive Surgery in June
72
In regards to other activities we had our second annual Adult Reconstruction
visiting professor which was Dr. David Murray from Oxford who gave two talks
one on metal on metal adverse tissue reactions as well as the history of the
Oxford unicondylar knee arthroplasty at Department of Surgery Grand Rounds.
Finally at this year’s Canadian Orthopaedic Association meeting our Adult
Reconstruction Group was extremely well represented with 18 original scientific
presentations.
FOOT AND ANKLE
(submitted by Dr. K.A. Lalonde)
The Foot and Ankle group continues to provide excellent clinical care while
developing its research program and maintaining its educational mission.
On the clinical front, the group provides a comprehensive tertiary level program
for Foot and Ankle pathologies ranging from forefoot deformities to neuropathic
ankle fractures. The ankle arthroplasty program is growing and attracting
patients from all across Ontario. The role of ankle arthroscopy has also been
evolving and our group continues to offer this expertise to the community. The
demand for our services in the Eastern Ontario region is sustained and timely
care of patients with foot and ankle pathology continues to be a challenge, both
locally and nationally.
On the research front, Dr. Gartke is investigating the role of popliteal fossa
blocks in the day surgery setting. Dr. Brunet has been involved in wound care
education at a regional level. Dr. Lalonde continues to collaborate with the
Canadian Orthopaedic Foot and Ankle Surgeons (COFAS) in prospectively
studying patients undergoing ankle arthroplasty and ankle fusion as part of a
national database. Studies are also ongoing comparing iliac crest bone graft and
platelet–derived growth factor for hindfoot fusions. Another randomized
controlled study is examining the role of opening wedge ostetomy for correction
of high 1-2 intermetatarsal angles. Finally, Dr Steeves presented at the
Canadian Orthopaedic Association 2010 the results of his resident research
project looking at injuries to the spring ligament complex in association with
rotational ankle fractures.
Resident education continues to be a focus for the group. Monthly Foot and
Ankle conferences are held at the General Campus. The group also contributes
to the half-day academic sessions and runs a successful journal club with the
residents. This year, the resident group awarded the “Teacher of the Year “
award to Dr. Lalonde. On the national stage, Dr. Lalonde continues his
involvement as a Royal College Examiner and Dr. Brunet participated as faculty
at the Canadian Orthopaedic Research Forum in Calgary. The group has been
represented as invited speakers at various educational meetings across Canada.
Dr. Lalonde continues to pursue post-graduate studies in medical education and
is also involved in a study examining the quality of newly introduced online intraining evaluations.
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Overall, the group has noted an increasing interest in Foot and Ankle surgery
amongst the resident group, with many finishing residents now seeking
fellowship opportunities in this area.
MUSCULOSKELETAL ONCOLOGY
(submitted by Dr. J Werier)
The Musculoskeletal Oncology Unit at the University of Ottawa provides
comprehensive tertiary care for patients with sarcoma and related
musculoskeletal tumors from Ottawa and Eastern Ontario, including the
paediatric population at the Children’s Hospital of Eastern Ontario. The program
is involved with teaching at the graduate and undergraduate level and has
fostered academic research collaborations with other Canadian oncology centers
as well as the Departments of Diagnostic Imaging and Medical Oncology at the
Ottawa Hospital.
An active collaborative basic science research program continues with the
Ottawa Hospital Research Institute and the lab of Dr. John Bell investigating the
role of oncolytic virus for the treatment of musculoskeletal neoplasm.
The Musculoskeletal Oncology Program continues to maintain a prospective
database of functional and oncological outcomes on all sarcoma patients. A
dedicated sarcoma tumour-banking program maintains tumour samples on all
sarcoma patients to complement the database.
From an educational perspective there are weekly teleconferenced sarcoma
teaching rounds as well as biweekly multidisciplinary sarcoma conferences and
biweekly paediatric tumour review boards. There is an annual MSK oncology
journal club for orthopaedic residents as well as multidisciplinary journal clubs.
Residents are exposed to multidisciplinary clinics at the Ottawa Hospital Cancer
Centre and the Children’s Hospital of Easter Ontario.
An orthopaedic oncology fellowship program has been a very positive addition to
the unit and to the experience of the residents. We have had the privilege and
pleasure of training superb fellows over the last several years and select fellows
will be joining the program in subsequent years.
Dr. Werier is Chair of the University of Ottawa Musculoskeletal Oncology Unit
(Sarcoma site Group), Co-PI of the Ottawa Hospital tumour banking program,
secretary of the Canadian Orthopaedic Oncology Society ( CANOOS), a member
of Cancer Care Ontario’s sarcoma clinical guidelines group and sits on Cancer
Care Ontario’s expert panel for provincial sarcoma care delivery. He is also an
invited lecturer for the annual Canadian Orthopaedic Review Forum for Chief
residents.
74
PAEDIATRIC ORTHOPAEDICS (CHEO)
(submitted by Dr. J. Jarvis)
International
All members are involved with International Outreach in developing countries
including both teaching and operating. Dr. Baxter Willis as President of the
Paediatric Orthopaedic Society of North America has toured the globe
representing the world’s leading paediatric orthopaedic society. Dr. Paul Moroz,
has visited Bhutan and Kenya. Dr. Kontio has visited India and Bangladesh with
the Paediatric Orthopaedic Society of North America while Dr. Jarvis & Dr.
Lawton have visited Quito, Ecuador with the Canadian Association of Medical
Teams Abroad.
Programs
Dr. Kontio has initiated a dedicated Clubfoot Clinic with concomitant
opportunities for resident teaching and research. The VEPTR program, under
Dr. Paul Moroz has expanded and provides care for the young child with
asphyxiating thoracic dystrophy obviating transfer to other centres. Dr. Lou
Lawton has developed a Paediatric Shoulder program which provides shoulder
arthroscopy & repair for the skeletally immature.
Teaching
All five members of the Division remain dedicated to resident and student
teaching with three members on the Resident Training Committee. In
particular; Dr. Kontio is involved in a number of educational research projects
including the 360 evaluation system in conjunction with his Masters of Education
program. He is actively involved in the educational content at Specialty Society
meetings and Inter Professional education scenarios.
Research and Publications
The Paediatric Division remains active in research with recent publications on pin
placement in supracondylar fractures, nerve intrapment in elbow injuries,
surgery for clubfoot as well as several textbook chapters. The Division is
involved in a number of multi-centre studies including the use of the E-Health
for scoliosis pre-op teaching.
SPINE
(submitted by Dr. E. Wai)
The combined orthopaedic and neurosurgical spine program at the University of
Ottawa is pleased to report that one of our members, Dr. Eve Tsai, was selected
as one of Canada’s Top 40 under 40 and is becoming an international leader in
basic science research in spinal cord injury. On the clinical research side,
75
Dr. Eugene Wai is investigating the role of physical activity as a cause and a
treatment in the chronic low back pain, and is developing tools to better manage
the flow of patients referred for assessment.
The expansion of minimally invasive spinal surgery has allowed for more outpatient spinal surgical procedures, helping cope with the occupancy pressures
for inpatient surgery at the Ottawa Hospital. A pilot program incorporating
physiotherapists in triaging of consults has been initiated with good initial
success.
SPORTS MEDICINE
(Submitted by Dr. Dervin)
Historically, Sport Medicine has encompassed soft tissue and arthroscopic
reconstruction of most joints in addition to the conservative treatment of soft
tissue injuries, many in the pursuit of athletic endeavors. As the complexity of
reconstructive procedures has advanced, it has become difficult for a single
individual to be expert in the global arena of Sport Medicine. Our philosophy
has been to promote and encourage the development of joint specific surgeons
who retain an expertise in all manners of soft tissue and ultimately prosthetic
reconstruction of joints in addition to being facile with soft tissue
reconstructions. As such, members of all sub-specialties treat the sports injured
patient and a few individuals concentrated most of their efforts in arthroscopic
reconstruction namely Drs. Don Johnson (who retains a strong leadership
position within the international arthroscopic community) and Ross Wilkinson for
the treatment of local high level athletes. Several others in the Division
continue to perform this as an adjunct to their practice which may also include
bony and prosthetic reconstruction. The residency exposure and academic
productivity of these areas is encompassed within the other joint specific
subspecialty areas and we certainly value these advances in an ever important
concept of joint preservations.
UPPER EXTREMITY SERVICE
(Submitted by Dr. P Lapner)
The Upper Extremity Service provides a multispecialty approach to the care. In
2009, members of the Upper Extremity Service had approximately 5500 patient
visits and performed more than 650 surgical procedures. In addition, members
of our Service treat a significant number of patients with complex upper
extremity trauma as referred to our Service within the Champlain LHIN. With
this volume of cases, we have been able to acquire a significant amount of
information on the outcomes of surgical procedures; information that is being
used to improve techniques. This effort is being further advanced as data is
now being collected prospectively on procedures related to the rotator cuff,
instability surgery, and shoulder arthroplasty as well as acromio-clavicular joint
procedures. In a subset of patients, functional outcomes were used to
determine radiographic prognostic factors that now help to better define
prognosis for patients with advanced rotator cuff disease.
76
The anatomy of the biceps tendon is currently under investigation, as it applies
to repair of distal biceps ruptures. A simulator for the shoulder has been
created, and has now been modified to work as an elbow simulator as well, for
the assessment of kinematics of the shoulder and elbow. The optimal method of
rehabilitation following shoulder arthroplasty, given the limitations of a fresh
tendon repair, is also currently under investigation.
Research is a productive component of the Upper Extremity Service. In 2009,
the Service continued its effort with in depth controlled outcome studies in
rotator cuff surgery and shoulder arthroplasty.
In the area of basic science research, the Service actively collaborates with the
Orthopaedics Biomechanics Laboratory, where the optimal surgical exposure for
open elbow procedures is currently being investigated. With the support of a
$90,000 PSI research grant, our Service has investigated the optimal method of
tendon repair (now nearing completion) following shoulder replacement. In a
new collaboration with kinesiologist Dr. Mario Lamontagne, investigations will
soon be underway to determine differences in shoulder kinematics in patients
with varying types of shoulder instability. As well, investigations are also
underway to determine the relationship between Smith’s distal radial fractures,
and carpal instability.
From an educational perspective, the service continues to train residents and
fellows with a comprehensive schedule that includes weekly specialty-specific
teaching rounds in addition to other regular clinical activities.
ORTHOPAEDIC TRAUMA
(Submitted by Dr. A Liew)
The Orthopaedic Trauma Service continues its mandate as a centre of excellence
in the treatment of traumatic musculoskeletal injuries with multiple areas of
activity.
With a grant from the Department of Surgery, the second phase of the study on
VAC treatment of fasciotomy wounds in compartment syndrome in a porcine
model continues. The group is also involved in several randomized clinical trials
in conjunction with the Canadian Orthopaedic Trauma Society (COTS), including
operative vs non-operative treatment of AC joint injuries, intramedullary vs
extramedullary treatment of intertrochanteric hip fractures, DHS vs cannulated
screws for femoral neck fractures, operative fixation methods for distal radius
fractures, the FLOW study for open fractures, and operative vs non-operative
treatment of humerus fractures. The addition of Julia Foxall as research
assistant has helped keep these studies on track. and she has managed the
trauma database well. The group has also authored book chapters on techniques
of treatment for pilon and subtrochanteric femur fractures, as well as evidence
based treatment of subtrochanteric femur fractures.
77
Brad Slagel successfully completed his trauma fellowship, and is now a welcome
addition to the orthopaedic group in Sault Ste Marie. The fellowship now has
international exposure with the current fellow, Hani Zamil from Saudi Arabia.
The staff members have been actively involved as teaching faculty at national
and international courses, as well as presenting symposiums at trauma society
meetings.
The “Walking Wounded” program has been successfully implemented at all 3
campuses, providing ambulatory fracture treatment for an increasing number of
patients, simultaneously improving patient satisfaction with their care while
improving hospital patient flow through. The development of the hip fracture
care path is nearing completion; while the provincial mandate of expedient
treatment of hip fractures is not only being met the completion rate is above the
provincial average.
Publications
1. KROELL A, BEAULÉ P, KRISMER M, BEHENSKY H, STOECKL B,
BIEDERMANN R. .Aseptic stem loosening in primary THA: migration
analysis of cemented and cementless fixation. Int Orthop. 2009
Dec;33(6):1501-5. Epub 2008 Dec 6.
2. KENNEDY MJ, LAMONTAGNE M, BEAULÉ PE. Femoroacetabular
impingement alters hip and pelvic biomechanics during gait Walking
biomechanics of FAI. Gait Posture. 2009 Jul;30(1):41-4.
3. BEAULIEU ML, LAMONTAGNE M, BEAULÉ PE. Lower limb biomechanics
during gait do not return to normal following total hip arthroplasty. Gait
Posture. 2010 Jun;32(2):269-73. Epub 2010 Jun 11.
4. VENDITTOLI PA, LAVIGNE MJ, BEAULÉ PE. Re: Metal on metal: is it worth
the risk? J Arthroplasty. 2010 Jun;25(4):662-4; author reply 664-5. No
abstract available.
5. BEAULÉ PE, MUSSETT SA, MEDLEY JB. Metal-on-Metal Bearings in Total
Hip Arthroplasty. Instr Course Lect. 2010;59:17-25.
6. BEAULÉ PE, RAKHRA K. Cam-type FAI: is the alpha angle the best MR
arthrography has to offer? (Skeletal Radiol 2009;38(9):855-62). Skeletal
Radiol. 2010 Feb;39(2):201-2. Epub 2009 Dec 1. No abstract available.
7. BIN NASSER A, BEAULÉ PE, O'NEILL M, KIM PR, FAZEKAS A. Incidence of
groin pain after metal-on-metal hip resurfacing. Clin Orthop Relat Res.
2010 Feb;468(2):392-9.
78
8. BEAULÉ PE. A modified anterior exposure to the acetabulum for
treatment of difficult anterior acetabular fractures. J Orthop Trauma.
2009 Nov-Dec;23(10):749; author reply 749-50. No abstract available.
9. VAIL TP, MONT MA, MCGRATH MS, ZYWIEL MG, BEAULÉ PE, CAPELLO
WN. Hip resurfacing: patient and treatment options. J Bone Joint Surg
Am. 2009 Aug;91 Suppl 5:2-4. No abstract available.
10.O'NEILL M, BEAULE PE, BIN NASSER A, GARBUZ D, LAVIGNE M, DUNCAN
C, KIM PR, SCHEMITSCH E. Canadian academic experience with metalon-metal hip resurfacing. Bull NYU Hosp Jt Dis. 2009;67(2):128-31.
11.LAMONTAGNE M, BEAULIEU ML, VARIN D, BEAULÉ PE. Gait and motion
analysis of the lower extremity after total hip arthroplasty: what the
orthopaedic surgeon should know. Orthop Clin North Am. 2009
Jul;40(3):397-405.
12.BARTON C, BANGA K, BEAULÉ PE. Anterior Hueter approach in the
treatment of femoro-acetabular impingement: rationale and technique.
Orthop Clin North Am. 2009 Jul;40(3):389-95.
13.BEAULÉ PE. The anterior approach for hip reconstruction. Preface.
Orthop Clin North Am. 2009 Jul;40(3):xiii. No abstract available.
14.BEAULÉ PE, SHIM P, BANGA K. Clinical experience of Ganz surgical
dislocation approach for metal-on-metal hip resurfacing. J Arthroplasty.
2009 Sep;24(6 Suppl):127-31. Epub 2009 Jun 24.
15.BEAULÉ PE, ALLEN DJ, CLOHISY JC, SCHOENECKER PL, LEUNIG M. The
young adult with hip impingement: deciding on the optimal intervention.
Instr Course Lect. 2009;58:213-22.
16.WITJES S, SMOLDERS JM, BEAULÉ PE, PASKER P, VAN SUSANTE JL.
Learning from the learning curve in total hip resurfacing: a radiographic
analysis. Arch Orthop Trauma Surg. 2009 Oct;129(10):1293-9. Epub
2009 Apr 21.
17.KASSAM F, DAMJI KF, KIAGE D, CARRUTHERS C, KOLLMANN KH. The
Sandwich fellowship: a subspecialty training model for the developing
world. Acad Med. 2009 Aug;84(8):1152-60.
18.DARE EV, GRIFFITH M, POITRAS P, WANG T, DERVIN G, GIULIVI A,
HINCKE MT. Fibrin Sealants from Fresh or Fresh/Frozen Plasma as
Scaffolds for In Vitro Articular Cartilage Regeneration. Tisue
Engineering:part A 2009 Aug;15(8):2285-97.
79
19.FEIBEL RJ, DERVIN GF, KIM PR, BEAULÉ PE. Major complications
associated with femoral nerve catheters for knee arthroplasty: a word of
caution. J Arthroplasty. 2009 Sep;24(6 Suppl):132-7. Epub 2009 Jun 24.
20.BENOIT B, GOFTON W, BEAULÉ PE. Hueter anterior approach for hip
resurfacing: assessment of the learning curve. Orthop Clin North Am.
2009 Jul;40(3):357-63.
21.GOFTON W, LIEW A. Distal radius fractures: nonoperative and
percutaneous pinning treatment options. Hand Clin. 2010 Feb;26(1):4353.
22.LOPEZ-VIDRIERO E, GOULDING KA, SIMON DA, SANCHEZ M, JOHNSON
DH The use of platelet-rich plasma in arthroscopy and sports medicine:
optimizing the healing environment. Arthroscopy. 2010 Feb;26(2):26978.
23.FADALE PD, JOHNSON DH. Controversies in ACL reconstruction. Sports
Med Arthrosc. 2009 Dec;17(4):209. No abstract available.
24.ROY L, LAFLAMME GY, CARRIER M, KIM PR, LEDUC S. A randomised
clinical trial comparing minimally invasive surgery to conventional
approach for endoprosthesis in elderly patients with hip fractures.
Injury. 2010 Apr;41(4):365-9. Epub 2009 Nov 1.
25.BARTON C, KIM PR. Complications of the direct anterior approach for
total hip arthroplasty. Orthop Clin North Am. 2009 Jul;40(3):371-5.
26.HAMDI A, POITRAS P, LOUATI H, DAGENAIS S, MASQUIJO JJ, KONTIO K.
Biomechanical analysis of lateral pin placements for pediatric
supracondylar humerus fractures. J Pediatr Orthop. 2010 Mar;30(2):1359.
27.SIMON D, MASQUIJO JJ, DUNCAN MJ, KONTIO K. Intra-articular median
nerve incarceration after spontaneous reduction of a pediatric elbow
dislocation: case report and review of the literature.
J Pediatr Orthop. 2010 Mar;30(2):125-9. Review.
28.SPEIRS A, SIMON D, LAPNER P. Evaluation of a new femoral fixation
device in a simulated anterior cruciate ligament reconstruction.
Arthroscopy. 2010 Mar;26(3):351-7. Epub 2010 Jan 25.
29.POITRAS P, KINGWELL SP, RAMADAN O, RUSSELL DL, UHTHOFF HK,
LAPNER P. The effect of posterior capsular tightening on peak
subacromial contact pressure during simulated active abduction in the
scapular plane. J Shoulder Elbow Surg. 2010 Apr;19(3):406-13. Epub
2009 Dec 11.
80
30.HAMADANI F, MOROZ PJ, FAIRFULL-SMITH R. Proposal to improve the
surgical skills of Canadian medical school graduates: the experiences of a
medical student and staff surgeon with the Essential Surgical Skills Course
in Kilimanjaro, Tanzania.
Can J Surg. 2010 Feb;53(1):E5-6. No abstract available.
31.SIMON D, COYLE M, DAGENAIS S, O'NEIL J, WAI EK. Potential triaging of
referrals for lumbar spinal surgery consultation: a comparison of referral
accuracy from pain specialists, findings from advanced imaging and a 3item questionnaire.
Can J Surg. 2009 Dec;52(6):473-80.
32.YOUNG D, PAPP S, GIACHINO A. Physical examination of the wrist. Hand
Clin. 2010 Feb;26(1):21-36.
33.PAPP S. Carpal bone fractures. Hand Clin. 2010 Feb;26(1):119-27.
34.PAPP S. Wrist trauma. Preface. Hand Clin. 2010 Feb;26(1):ix. No
abstract available.
35.POLLOCK JW, BROWNHILL J, FERREIRA L, MCDONALD CP, JOHNSON J,
KING G. The effect of anteromedial facet fractures of the coronoid and
lateral collateral ligament injury on elbow stability and kinematics.
J Bone Joint Surg Am. 2009 Jun;91(6):1448-58.
36.POLLOCK JW, PICHORA J, BROWNHILL J, FERREIRA LM, MCDONALD CP,
JOHNSON JA, KING GJ. The influence of type II coronoid fractures,
collateral ligament injuries, and surgical repair on the kinematics and
stability of the elbow: an in vitro biomechanical study.
J Shoulder Elbow Surg. 2009 May-Jun;18(3):408-17.
37.WAI EK, ROFFEY DM, BISHOP P, KWON BK, DAGENAIS S. Causal
assessment of occupational lifting and low back pain: results of a
systematic review. Spine J. 2010 Jun;10(6):554-66. Review.
38.ROFFEY DM, WAI EK, BISHOP P, KWON BK, DAGENAIS S. Causal
assessment of occupational pushing or pulling and low back pain: results
of a systematic review. Spine J. 2010 Jun;10(6):544-53. Review.
assessment of occupational carrying and low back pain: results of a
systematic review. Spine J. 2010 Jul;10(7):628-38. Epub 2010 May 5.
assessment of occupational standing or walking and low back pain: results
of a systematic review. Spine J. 2010 Mar;10(3):262-72. Review.
81
assessment of occupational sitting and low back pain: results of a
systematic review. Spine J. 2010 Mar;10(3):252-61. Epub 2010 Jan 25.
42.WAI EK, SATHIASEELAN S, O'NEIL J, SIMCHISON BL. Local
administration of morphine for analgesia after autogenous anterior or
posterior iliac crest bone graft harvest for spinal fusion: a prospective,
randomized, double-blind, placebo-controlled study.
Anesth Analg. 2010 Mar 1;110(3):928-33. Epub 2009 Dec 30.
assessment of awkward occupational postures and low back pain: results
of a systematic review. Spine J. 2010 Jan;10(1):89-99. Epub 2009 Nov
11. Review.
44.DAGENAIS S, ROFFEY DM, WAI EK, HALDEMAN S, CARO J. Can cost
utility evaluations inform decision making about interventions for low back
pain? Spine J. 2009 Nov;9(11):944-57. Epub 2009 Sep 12. Review.
assessment of occupational bending or twisting and low back pain: results
of a systematic review. Spine J. 2010 Jan;10(1):76-88. Epub 2009 Jul
23. Review.
46.DODD A, SIMON D, WILKINSON R. Arthroscopically assisted transfibular
talar dome fixation with a headless screw. Arthroscopy. 2009
Jul;25(7):806-9.
82
DIVISION OF
PLASTIC SURGERY
83
DIVISION OF PLASTIC SURGERY
General Overview
Dr. Mario Jarmuske
Assistant Professor and Chair
Faculty Members
Dr. Murray Allen
Dr. Michael Bell
Dr. Paul Benoit
Dr. Mary Jean Duncan
Chief, Plastic & Reconstructive
Paediatric Plastic Surgery
Program Director
Dr. Nicholas Guay
Dr. Daniel Peters
Dr. Gloria Rockwell
Dr. Hugo St Amand
Dr. Lloyd van Wyck
Dr. Gary Gross (Montfort Hospital)
The Division of Plastic Surgery continues to make to make great strides!
Dr. Mary Jean Duncan is the Program Director of our new Plastic Surgery
Residency training program at the University of Ottawa. She chairs regular
Program Committee meetings, which precede our Divisional meetings. Dr.
Daniel Peters modified a corporate human resource interview technique, which
we used during our interviews – for residence assessments and selections. On
Saturday, January 30th, 2010, we conducted our inaugural CaRMS interviews.
Drs Paul Benoit and Mike Bell welcomed all of the student applicants prior to
their interviews, while Plastic Surgeons from the Ottawa Hospital as well as from
the community met with candidates during their lunch break. As a result of the
CaRMS process, we acquired our first resident – Dr. Jennifer Klok. She is a
graduate from UBC, and started as a PGY1 on July 1st, 2010.
We reviewed dozens of IMG applicants, before interviewing 3 candidates on
Febuary 8th and 9th, 2010. We did not rank any of the IMG candidates. Entering
the second iteration of the CaRMS match we acquired our second resident – Dr.
Justyn Lufty-Lapierre, a graduate of the McGill program. He joins Jennifer as a
PGY1.
84
On February 9th we also interviewed a number of residents, from other
programs and a number of schools, interested in transferring into our Plastic
Surgery program. From this, we offered a position to Dr. Ashley Ignatiuk, who
was completing his 2nd year in Orthopaedics at Western University. He is joined
us July 1st as a PGY3.
Ashley Ignatiuk (PGY3), Justyn Lufty-Lapierre (PGY1) and Jennifer Klok (PGY1)
Dr. M J Duncan and her husband Mike welcomed the new residents, their
partners, and the Division staff to the first Annual Summer Welcome Party – at
their cottage on July 4th.
Dr. Murray Allen continues as the Undergraduate Program Director, and has
done a splendid job of managing the students in an orderly fashion. With the
creation of our program, this has become a busy portfolio. In an effort to keep
residents optimally organized at all sites, we have created two Post-Graduate
positions: with Dr. Gloria Rockwell handling things at the General Campus, and
Dr. Danny Peters functioning as the coordinator at the Civic Campus.
Dr. Nicolas Guay continues as the Plastic Surgery Fellowship Director. He has
progressively matured and developed the Microsurgery and Breast
Reconstruction Fellowship. It has evolved from national to international in
profile. In July, 2009, the Johnson & Johnson Corporation recognized the quality
of this program - in offering a $75,000.00 annual award, supporting fellowship
bursaries, continuing education and research. Dr. Kirsty Boyd, a graduate from
Western was our Fellow from July – December, 2009. She produced two papers
based on this experience, which were presented at the 64th Annual Canadian
Society meeting in Halifax in June 2010. Dr. Kayvan Shokrollahi, from the UK,
was the Fellow from February to August, 2010. He will be followed by Dr. Perry
Gdalevitch, who has been offered a 12 month fellowship. She is a Montreal
native, with Plastic Surgery training both in Dallas Texas and Montreal.
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Drs Yvonne Ying and Danny Peters are the Co-Chairs of the Canadian National
Chief Resident Review Course. The inaugural course was hosted at the Lord
Elgin in February, 2009. The second course went without a hitch again, at the
same site, in February of 2010. Danny and Yvonne have acquired “hands free”
corporate sponsorship for this annual event. With these monies, they can
provide free travel and accommodations for all attending senior residents, as
well as out-of-town staff. The course includes a Royal Collage caliber written
exam followed by two sets of mock oral exams (available in both official
languages). This is complimented by a broad and comprehensive lecture series.
Local staff has been very supportive, with many volunteering to give lectures
and/or examinations. Attendance has been superb, and feedback
overwhelmingly positive from both residents and their host programs from
across the country.
As a Division, we are progressing with our conversion from community to
hospital-based staff. Two years ago, no one from our Division was entirely
Hospital-base....how times have changed! I moved my office to the General
Campus in September, 2008. In January 2009 Dr. Yvonne Ying came on as a
GFT at CHEO. One month later Dr. Nicolas Guay became a GFT, based at the
Civic Campus. Since my last report, Dr. Hugo St-Amand has acquired an office
at the General Campus and Dr. Danny Peters is located at the Civic Campus,
and was joined by Dr. Murray Allen in July of this year. In addition, Dr. M J
Duncan is now also full time at CHEO, joining Yvonne. From zero to seven GFTs
in less than 2 years...only possible with a buy-in from all parties.
Our ultimate goal is to have an integration of our staff at both sites. This is
evolving more quickly at the Civic Campus, with the availability of office and
clinic space at the old Cancer Clinic. Once the new office building is erected at
the General Campus, we hope to follow with a similar merger and integration.
Since our last report, Dr. Michael Bell has retired from the Ottawa Hospital. He
satisfies his interest in research and development by maintaining his affiliation
with the Canica Corporation. To acknowledge his contributions, our Division is
initiating an annual resident award in Mike’s honour.
Dr. Stan Labow is winding down his practice. Starting this fall, he will switch to
an office-based practice, while maintaining a linkage with the University. This
will allow him to continue with his missionary work in Nicaragua, and a linkage
with local Medical students.
Dr. Paul Benoit is also easing down his practice. He maintains a private office,
and has shifted most of his clinical activity to the Riverside Campus – where he
is our Divisional site head. Paul has been cutting back his involvement at CHEO,
since the arrival of Dr. Ying. Paul continues to offer clinics and elective surgeries
for the NDMC. He quenched his thirst for 3rd world surgery with a trip to
Tanzania, with CASHA, in February, 2010.
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With Dr. Labow retiring this September, and Dr. Benoit planning to fully retire
soon, we are making our final human resources plans. Both Drs. Bell and Benoit
have had a significant focus on hand surgery. In addition, we need to enhance
our role with melanoma care and reconstruction surgery – with a particular
focus on breast cancer patients. These multi-dimensional needs should be
addressed within the next year, in order to provide the care needed for patients
in our region.
PAEDIATRIC PLASTIC SURGERY
Dr. MJ Duncan continues her role as the CHEO Chief of Paediatric Plastic
Surgery. She is an Associate Professor with the University of Ottawa, and is our
diligent Program Director. In preparation for this academic year she attended a
comprehensive international conference on residency training (September 2009)
and later specialty committees in plastic surgery. She has also been quite
involved in the Canadian Residency Review Course, held in Ottawa. Linked with
these is her involvement with the Surgical Skills Lab Committee.
Mary Jean, as always, has a particular interest in cleft lip/palate deformities,
including the chairing of monthly multidisciplinary meetings. As a loving dog
owner, she has particular insights and interests in dog bite injuries; on June 26,
2010 she attended a “Dog Bite Prevention” booth at the CHEO Teddy Bear
Picnic.
Additional service/administration responsibilities include CHEO Department
Surgery Committee, CHEO OR Committee, Paediatric Surgical Wait Times, and
Ambulatory Care Partnership Council.
As the Residency Program is now off and running, M J is in the process of
handing over her Kempville satellite Plastic Surgery clinic. This clinic, which is
well attended, focuses on out-patient hand and skin cancer cases. Mary Jean
continues to participate in the Mentor Program through the University of Ottawa
Undergraduate Medical School.
Dr. Yvonne Ying is well into her second year at CHEO, and is maintaining a
broad and busy practice. She has a particular interest in upper limb surgery,
including two brachial plexus injury cases - with encouraging early results.
Yvonne has completed her thesis for Masters of Education. She gave a Grand
Rounds at CHEO: “Teaching the Teacher” in September 2009, which offered
lively discussion. She also developed and taught the Plastic Surgery model for
general surgery residents in Georgetown Guyana later that month. Yvonne
subsequently supervised a Guyana resident doing a 3 month Plastic Surgery
rotation in Ottawa. In the past year she has attended meetings related to
research in Education, Advances in Peripheral Nerve Surgery, and Cleft Lip and
Palate & Related Craniofacial Anomalies. Along with Dr. Danny Peters, Yvonne
has developed the Canadian Senior resident Prep Course. She is doing a critical
analysis of this: “Teaching to Learn or Teaching to Pass”. Dr. Ying has been very
involved with the Divisional Program Committee, since its inception.
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As a new Assistant Professor, Dr. Danny Peters has all ready had a significant
impact at CHEO, Since his arrival he has worked in tandem with our
Neurosurgery colleges performing complex Craniofacial cases, which in years
past would have been referred on to Toronto. He reviewed these and other
cases at Grand Rounds, both at CHEO and TOH . Recognizing the significant
impact this is having, we are hoping this will translate into additional provincial
funding for this, a new and exciting service for Eastern Ontario.
Dr. M B Jarmuske continues to offer regular (Friday) outpatient clinics and
surgeries.
ADULT PLASTIC SURGERY
Dr. Murray Allen has just recently switched to GFT status, based out of the Civic
Campus. He is quite busy as the Undergraduate coordinator for our Division, a
member of our Divisional Program Committee and the Division’s AFP
representative and treasurer. He also chairs our monthly Morbidity & Mortality
rounds. Murray continues his collaboration with the ENT service at the General
Campus, with complex Onco-Plastic Head and Neck Surgeries. Dr Allen
maintains his ties with the Dermatology program, based out of the Civic
Campus. He runs an integrated clinic with Dermatology at the Parkdale clinic.
This coincides with the Mohs clinics at the same Campus, offering reconstruction
services as needed.
Dr. Paul Benoit has stopped taking call since October, 2009 while maintaining
clinics and outpatient ORs based out of the Riverside Campus. Since shifting to
the Riverside, he has taken over as Divisional site lead. Paul remains an active
member of our Division, engaged in undergraduate and postgraduate teaching.
Paul mentored a medical student this past year, resulting in a poster
presentation at the last national Society meeting. Dr. Benoit continues to give
formal lectures at the undergraduate (including PBL) and postgraduate levels
(upper extremity orthopaedic and skills lab).He also has been a lecturer and
examiner for the Senior Resident Prep Course these past two years. He has been
involved in international surgery the past two years, including Guyana and
Tanzania.
Dr. Nicolas Guay is the Division Site lead for the Civic Campus. Since 2006, Nic
has been organizing the Breast Cancer and Microsurgery Fellowship, sponsored
first by the Mentor Corporation, and now Johnson & Johnson. The Fellowship is
now international in scale and reputation. Dr. Guay’s practice has always
focused on breast reconstruction. His scholarly approach to this subject has
resulted in numerous invitations for lectures at local, national, and international
meetings. This past year he presented papers in India, the Atlantic Society
meeting in PEI, and the Canadian Society meeting in Halifax. He has had many
publications in peer-reviewed journals and books.
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Nicolas has pioneered the concept of “Single Stage” breast reconstruction
surgery, whereby patients require only one trip to the main OR. Any other
addendum procedures are done in the outpatient setting. This is a progressive
approach which has caught the attention of most in the field. In tandem with
this, he has worked hard to optimizing efficiency in the OR. This has evolved to
the point of formal analysis, using a “four-component training scheme”. An
indication that his approaches are trend-setting is the development of the
“Centre of Excellence in Single Stage Breast Reconstruction” in Ottawa.
Canadian Plastic Surgeons have been visiting the Ottawa Hospital for an
educational session and a day of live surgery. To date he has had three
Surgeons attend, including Drs Ronen Avram (Hamilton), Stephanie Olivier
(Winnipeg), and Jason Williams (Halifax). His goal is to host these sessions as
often as every two weeks.
Patient education has also been important to Dr. Guay. Early in his practice he
founded the “Breast Reconstruction Support Team”. He offers quarterly
educational seminars in public settings, during which he will give a presentation
on Breast Reconstruction. Also present are breast cancer survivors, who address
the audience from a first person perspective. Dr. Guay has morphed this group
information session into an internet 2.0 webminar, to be accessible to breast
cancer survivors. This was accepted for dissemination by the Canadian Cancer
Society in May of this year. It is undergoing a secondary survey, and will
hopefully be available in the spring of 2011.
Dr. Guay has numerous service and administrative responsibilities. In addition to
Directing the Breast Reconstruction and microsurgery Fellowship, he is a
member of the Canadian Society of Plastic surgery Nominating Committee,
member of the Wait Time Strategy for Plastic and Reconstructive surgery,
member of both the General and Plastic Surgery Resident Training Committees,
Civic OR Committee and a member of the RCPSC Principles of Surgery test
committee. He is also a reviewer for the Canadian Journal of Surgery.
Nicolas has mentored a number of students who have gone on to enter Plastic
surgery Residency training program in different centers. He has maintained his
ties with a number of them, resulting in podium presentations and publications.
Locally he has been involved with the CaRMs process, as well as the Canadian
Senior Plastic Surgery Preparatory Course – both as a lecturer and as an
examiner.
Dr. Daniel Peters is a 2002 graduate of the Queens Medical School, and did his
Post-Graduate Plastic Surgery training with the UBC program 2003-07. He
moved to Toronto in 2008 where he completed two consecutive
CranioMaxilloFacial Fellowships, first at Sick Kids then at the Sunnybrook
Hospital. During this same period he also acquired his MBA with the Rotman
School of Management University of Toronto, Dean’s List of Distinction. During
all of this he also co-developed the Canadian National Chief Plastic Surgery
resident Review Course – which started in February, 2009.
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Danny joined our staff in October of 2009 as an Assistant Professor, with active
privileges both at CHEO and the Ottawa Hospital. In June of 2010 he also
acquired a cross appointment with the Telfer School of Management University
of Ottawa. Dr. Peters has had an immediate impact in many spheres. Just as at
CHEO, he has developed ties with our Neurosurgical colleges at the Ottawa
Hospital – further widening the field of Craniofacial surgery. He was invited to
join the Plastic Surgery Program Committee shortly after his arrival and dove
right in. Danny first devised a methodology for reviewing and ranking the CaRMs
applicants. He next adapted a corporate human resources interview technique
for the residency selection process. Two streams of interviews were developed,
and applied to all candidates. Danny has been Dr. Duncan’s “right hand man”
helping to develop the Plastic Surgery Curriculum for our new program (based
on the UBC model). Dr. Peters was invited to join the Voice Recognition Steering
Committee, and more recently became the Post-Graduate Coordinator for the
Civic Campus.
Since acquiring an office at the Civic campus this January, Danny immediately
began to develop strategies for an integrated “rapid access” clinic. Many of the
Divisional members have helped to broaden the scope of this initiative; with
minor adjustments to the old Cancer Clinic, including the creation of minor
procedure rooms, which can accommodate a mini c-arm, and a centralization of
staff to one site. This will allow emergency patients needing Plastic Surgery care
to have rapid access to a new treatment facility. With a capacity to shift surgery
away from the main OR we will be able to assess the impact on wait times, cost
and quality of care. We are also looking at integration with other services,
including Vascular Surgery and ID in the management of wound care patients.
Danny has been invited to present in both local and national settings, as well as
having three publications this past year.He also has acquired a $60,000.00
Grant from Allergan Incorporated - to support the Canadian Plastic Surgery
Chief Resident Review Course.
Dr. Gloria Rockwell has been on staff at the Ottawa Hospital for 6 years now.
During the first 3 years, she coupled a full clinical practice with Masters of
Science program – based in Hamilton. She now has a Masters of Science degree
in Health Research and Methodology from McMaster University. Gloria is an
Assistant Professor with a teacher-research tract. She has supervised a series of
medical students through research projects (often via university and personalsupported “summer studentships”). Upon the start of our Plastic Surgery
Training Program, Gloria has taken on the new task of Research Coordinator.
Each resident in our program will produce at least one paper/year. These will be
presented at our Journal Club in March, and considered for Collins Day the
following month. Gloria has functioned as a judge for Collins Day in the past,
and looks forward to continue offering her expertise in this venue.
Dr Rockwell’s practice is heavily focused on breast surgery, with around 50%
dedicated to reconstruction. She is involved at all campuses, including surgeries
at the General and Civic, with outpatient clinics at both the General and
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Riverside. While Gloria is currently a VPT, she looks forward to becoming a GFT
once office space becomes available at the General Campus.
Gloria has a number of other administrative and service responsibilities. At a
Divisional level, she is an active member with our Program committee, is the
General site Post-Grad Coordinator and is an AFP trustee. She is also a CPSP
Committee member (Surgical Cosmetic Procedures Working Group), and will be
the next President of the National Capital Society of Plastic Surgeons. It is in this
latter capacity that she will be reintroducing monthly Journal Clubs, with an
active involvement of our residents. Dr. Rockwell has published a variety of
papers this past year, and has acquired another Grant through the Faculty of
Medicine for $4,000.00.
Dr. Hugo St-Amand is a graduate of the Laval/Montreal Plastic Surgery program.
Following a Hand/Wrist Fellowship at Syracuse he also joined us in October of
2010. Hugo has been developing links with our Orthopaedic colleges over the
past year. Together we have developed a comprehensive “Upper Limb” lecture
series held every Monday afternoon at the General Campus. This will broaden
the curriculum for both the Plastic and Orthopaedic training programs. Hugo is
based at the General Campus. He is an Assistant Professor, with a Teacher –
Clinician career path. He participates in our weekly “Hand Clinic” at the General
Campus, working in tandem with our nursing and therapy colleges.
Dr. St-Amand enjoys teaching at all levels. He has been an examiner for the
National Senior Resident Preparatory Course these past two years, and
mentored a Chinese surgeon this past summer, who had an interest in hand
surgery. Hugo has been invited to present at a number of meetings this past
year, with a focus on hand and wrist surgery.
Dr. Mario Jarmuske is in his third year as Division Chief. As Division Head he
chairs the monthly business meetings, as well as Divisional finance meetings. A
major focus has been on recruitment over the past two years, aiming to create a
strong integrated and comprehensive service. Tied in with this has been the goal
of becoming a hospital-based Division, which is coming to fruition. Being based
in the hospital creates greater visibility and accessibility. Working in an
academic health center, we strove to create Ottawa’s first Plastic Surgery
training program - again, mission accomplished. All ready cross-linkages with
other services are broadening via the teaching program. We now have
integrated upper limb rounds with orthopaedics. We anticipate having combined
rounds with Neurosurgery, General Surgery, ENT, Dermatology and others in the
foreseeable future.
Mario has been very engaged with the new teaching program, as an active
member of the Program Committee, including CaRMs application reviews,
interviews and selection processes. He enjoyed welcoming the new residents at
the summer weekend event, and is an active participant with the educational
lectures and teaching sessions. In addition he has attended the Senior Resident
Preparatory courses these first two years. He is also the University Supervisor
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for the Breast Reconstruction Fellowship. As Division Head Mario is involved with
OR, Perioperative, Surgical Executive and Departmental Finance Committee
meetings. Mario has always had an interest in post-bariatric surgery. Now that
we have a formal Bariatric Program in Ottawa, there should be an enhancement
in interdivisional ties. He also continues his role as an examiner for the MCCQE
part II exams.
Dr. Lloyd Van Wyck is a senior Divisional member, based at the Civic Campus.
This year he will be shifting most of his surgical activity to the Riverside
Campus, maintaining his outpatient clinic at the Civic. With a strong interest in
Aesthetic surgery, Lloyd will have a central in this part of the curriculum - which
is a core component of all Plastic Surgery training programs.
Publications
Journal Articles
1. BELL, MSG, Trigger Fingers: A Checkmark Incision. Canadian Journal of
Plastic Surgery. Autumn 2009: Vol 17, No 3, published online at
www.canjplastsurg.com (e18).
2. BELL, MSG, Saving the Failing Wound. Canadian Journal of Plastic
Surgery. Autumn 2009: Vol 1, No 3, published online at
3. BELL, MSG. Blepharoplasty Using an Attractive Assistant Canadian Journal
of Plastic Surgery. Autumn 2009: Vol 17, No 3, published online at
4. BELL, MSG. Carpal Tunnel Release in Patients on Coumadin Canadian
Journal of Plastic Surgery, Spring 2009: Vol 17, No 1, pp 29.
5. BELL, MSG; MCKEE, D. An Illuminating No-Touch Device for Breast
Augmentation. Canadian Journal of Plastic Surgery, Vol 17. No 1. Spring
2009, pp 30-31.
6. BELL, MSG. Facial Cysts-Minimizing the Scars Canadian Journal of Plastic
Surgery. Autumn 2009: Vol 17, No 3, published online at
7. BELL, MSG, External Skin Expansion Journal of Plastic and Reconstructive
Surgery. June 2009: Vol 123, Issue 6, pp 1895-1896. Letter to the Editor
8. PETERS DA, COURTEMANCHE DJ, Role of Platelet gel and Calcium-Coated
Lactosorb Membranes in Healing Critical Calvarial Defects Journal of
Craniofacial Surgery (2009) Nov;26(18): 1441-1446.
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9. MURPHY, GM ROCKWELL, A decision tree for treatment of enchondromas
of the metacarpals and phalanges Canadian Journal of Plastic Surgery,
Summer 2009; Vol 17; No. 2 Scientific Podium Presentation - BD Murphy
Canadian Society of Plastic Surgery 63rd Annual Meeting June 18, 2009.
10.R WANG, GM ROCKWELL, The effect of radiation therapy on tissue
expansion and imlant breast reconstruction Canadian Journal of Plastic
Surgery, Summer 2009; Vol 17; No. 2 General Session Poster Canadian
Society of Plastic Surgery 63rd Annual Meeting June 2009.
11.J PLATT, GM ROCKWELL, Comparison of steroid injection versus A1 pulley
release as initial treatment of trigger finger a cost analysis. Canadian
Journal of Plastic Surgery, Summer 2009; Vol 17; No. 2 Scientifica
Podium Presentation Canadian Society of Plastic Surgery 63rd Annual
Meeting June 2009.
Abstracts
1. BOYD K , GUAY N, An approach to breast microsurgery using an
established four-component training scheme that dramatically improves
efficiency 64th Annual meeting, Podium presentation, Canadian Society of
Plastic Surgery, Halifax Canada June 2010.
2. BOYD K , GUAY N, Creation of an "Internal Brassiere":nThe use of nonresorbable dermal suspension sutures to achieve consistent,
reproductible, aesthetically-pleasing breast mounds 64th Annual meeting,
Podium presentation, Canadian Society of Plastic Surgery, Halifax, June
2010.
3. GUAY N. Breast Hypoplasia Review of current trends in breast hypoplasia
treatment. August 2009.
4. GUAY N. Latissimus Dorsi with implant reconstruction. Review of current
trends in LD-implant breast reconstruction. August 2009.
5. GUAY N, Reconstruction of partial mastectomy defects Development of
classification for care of partial mastectomy defects. August 2009.
6. GUAY N, Single Stage Breast Reconstruction Description of single stage
breast reconstruction approach devised in 2000. August 2009.
7. PETERS DA, Securities and Synostosis: Two years of Craniofacial Surgery
and Biz-School Canadian Journal of Plastic Surgery. 18(2):62, 2010.
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DIVISION OF
THORACIC SURGERY
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DIVISION OF THORACIC SURGERY
General Overview
Dr. Sudhir Sundaresan
Professor and Chair
Faculty Members
Dr. Farid Shamji
Director of Undergraduate Surgical Education
Director Esophageal Function Laboratory
Site Chair of Surgery, General Campus
Dr. Donna Maziak
Program Director for Thoracic Surgery Residency
Dr. Andrew Seely
Director, Thoracic Surgical Research
Dr. Sebastien Gilbert
Director, Section of Foregut Surgery
Residents and Fellows
Dr. Ahmed Al-Hussaini
Dr. P. James Villeneuve, MD PhD
The academic year 2009-2010 was busy and productive for the thoracic surgery
division, with all the faculty members involved in high-quality patient care,
didactic and clinical teaching, and research. The underlying clinical focus of the
division continues to be in thoracic oncology, and the cancer assessment clinic
has matured into a superb unit for rapid intake and multidisciplinary assessment
and care for patients presenting with thoracic malignancies. The division also
continues to operate a busy esophageal function laboratory, for assessing
swallowing disorders in patients of our region with benign esophageal disease.
2009-10 was marked by the successful recruitment of Dr. Sebastien Gilbert to
the division of thoracic surgery. Dr. Gilbert conducted his residency in
cardiothoracic surgery at University of Pittsburgh from 2001-2003, and then
received advanced fellowship training there in minimally invasive thoracic
surgery and lung transplantation. He was recruited to Ottawa from Pittsburgh,
where he served on the Faculty of University of Pittsburgh for 5 years after
completion of his training there. He has been clinically and academically
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productive in thoracic oncology, Endobronchial ultrasound, and minimally
invasive pulmonary and esophageal surgery, and also conducted extensive
research in surgery for airway diseases. Dr. Gilbert's focus will be to establish
and direct the area of Foregut Surgery. His considerable expertise will facilitate
the organization of a multifaceted program to deal with benign and malignant
diseases of the esophagus and airways, to allow for expanded utilization of
Endobronchial ultrasound and endoscopic ultrasound, other endoscopic therapies
in foregut disease, as well as the conduct of minimally invasive esophagectomy.
In November 2009, the nursing staff of the thoracic surgery unit [6NW at the
General Campus] enjoyed tremendous success as they held the inaugural
meeting of the Thoracic Nurses Association of Canada, at the Hampton Inn in
Ottawa. This three-day conference attracted delegates from coast to coast, and
featured presentations by nurses and several members of the allied healthcare
disciplines, as well as from the thoracic faculty. This highly successful meeting
stimulated sufficient interest amongst TNAC members that the second annual
meeting is already scheduled to take place in British Columbia this fall.
The New Year was celebrated by an event hosted by TOH on January 5, to
celebrate the formal opening of the Ottawa Hospital Chest Diseases Center. The
Chest Diseases Centre is the first of its kind in Canada.This event was attended
by several dignitaries including the Hon. Herb Gray and Dr. Griff Pearson
(Member of the Order of Canada and Professor Emeritus of Thoracic Surgery at
University of Toronto) and attracted considerable media attention from local
newspapers and television stations in Ottawa and Western Québec. The Chest
Diseases Center emphasizes the importance and value of a clinical service line,
as it incorporates the thoracic surgery and Respirology inpatient and outpatient
services in one physical unit. Patients receive world-class care in an integrated
manner, involving input from physicians of these two specialties, as well as
specialized nursing, physical therapy, respiratory therapy, nutritionist support,
social work and expertise from all the members of the allied healthcare team.
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Bringing all of these experts together in one central location will help to deliver
excellent care to patients and encourage knowledge sharing and collaboration
among team members. It will enhance clinical teaching at both the
undergraduate and graduate levels by allowing students to access many
different kinds of experts in one place. Clinical research opportunities will
increase with the enhanced collaboration among team members.
The past year has also been significant in terms of the growth of the research
enterprise of Dr. Andrew Seely, director of research for the thoracic surgery
division. Under his leadership, several grants have been funded to support
ongoing research activities [summarized separately]. The division is actively
involved in a number of clinical trials, and a team of superb individuals have
been recruited to run and support these activities. Dr Seely also serves as the
Director of Research for the Canadian Association of Thoracic Surgeons (CATS).
Publications
1. AHMAD S, RAMSAY T, HUEBSCH L, FLANAGAN S, MCDIARMID S,
BATKIN I, MCINTYRE L, SUNDARESAN RS, MAZIAK DE, SHAMJI FM,
HEBERT P, FERGUSSON D, TINMOUTH A, SEELY AJE. Continuous multiparameter heart rate variability analysis heralds onset of sepsis in
adults. PLOS One 2009, Aug 2009: 14;4(8):e6642.
2. AHMAD S, TEJUJA A, NEWMAN K, ZACHYRANSKI R, SEELY AJE. A
Review and Analysis of Heart Rate Variability and the Diagnosis and
Prognosis of Infection, Submitted to Critical Care, Nov 2009; 13(6):232.
3. ARMSTRONG RG, SEELY AJE, KILBY D, JOURNEAY WS, KENNY GP. Acute
cardiovascular response to orthostatic stress under severe yperthermia.
Aviat Space Environ Med 2010;81: 1 – 8.
4. ASHRAFI TA, SCHUCHERT AS, ALSHEHAB MJ, SEELY AJE, SHAMJI FM,
MAZIAK DE, SUNDARESAN SR, FERSON PF, LUKETICH JD, LANDRENEAU
RJ. Risk of pneumonectomy after induction therapy for locally advanced
non-small cell lung cancer. d'Amato Annals of Thoracic Surgery.
88(4):1079-85, 2009 Oct.
5. CHAN V. SHAMJI F. SUNDARESAN SR. Carinal sleeve resection for
persistent bronchopleural fistula after completion right pneumonectomy.
Annals of Thoracic Surgery. 89(4):1266-8, 2010 Apr.
6. CHONG PC, GRECO EF, STOTHART D, MAZIAK DE, SUNDARESAN RS,
SHAMJI FM, NEILIPOVITZ D, MCINTYRE L, HEBERT P, SEELY AJE.
Significant Variation Of Both Opinions And Practice Regarding
Perioperative Fluid Resuscitation In A Single Tertiary Care Institution.
Canadian Journal of Surgery 2009, 52:207.
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7. D’AMATO TA, ASHRAFI AS, SCHUBERT MJ, ALSHEHAB DSA, SEELY AJE,
SHAMJI FM, SUNDARESAN RS, PERSON PF, LUKETICH JD, LANDRENEAU
RJ. Risk of Pneumonectomy Following Induction Therapy for Locally
Advanced Non-Small Cell Lung Cancer. Annals of Thoracic Surgery,
2009; 88(4):1079.
8. GILBERT S, WILSON DO, CHRISTIE NA, LUKETICH JD, LANDRENEAU RJ,
CLOSE JM, SCHUCHERT MJ.Should Endobronchial Ultrasonography be
part of the Thoracic Surgeon’s Armamentarium? J Thorac Cardiovasc
Surg, Feb 2009; 137(2):413-8.
9. GILBERT S, WILSON DO, CHRISTIE NA, PENNATHUR A, LUKETICH JD,
LANDRENEAU RJ, CLOSE JM, SCHUCHERT MJ.Endobronchial Ultrasound
as a Diagnostic Tool in Patients with Mediastinal Lymphadenopathy. Ann
Thorac Surg. 2009 Sep;88(3):896-900; discussion 901-2.
10.KILIC A, SCHUCHERT MJ, PENNATHUR A, GILBERT S, LANDRENEAU RJ,
LUKETICH JD.Long-term Outcomes of Laparoscopic Heller Myotomy for
Achalasia. Surgery. 2009 Oct;146(4):826-31; discussion 831-3.
11.KILIC A, SCHUCHERT MJ, YAEGER K, PRASANNA V, LUKETICH JD,
GILBERT S.The Impact of Obesity on Perioperative Outcomes of
Minimally Invasive Esophagectomy. Annals of Thoracic Surgery, Feb
2009; 87(2): 412-5.
12.KILIC A, SCIURBA FC, LUKETICH JD, GILBERT S.Spontaneous
Bronchopleural Fistula Following Lung Volume Reduction Surgery for
Emphysema. Interactive Cardiovascular and Thoracic Surgery. April
2009; 8(4): 442-3
13.KONISHI K, GIBSON K, LINDELL K, RICHARDS T, ZHANG Y, DHIR R,
BICEGLIA M, YOUSEM S, GILBERT S, ET AL.Gene Expression Profiles of
Acute Exacerbations of Idiopathic Pulmonary Fibrosis. Am J Respir Crit
Care Med. 2009 Jul 15;180(2):167-75. Erratum in: Am J Respir Crit
Care Med. 2009 Aug 15;180(4):380.
14.LEDUC F. THIPPHAVONG S. MATZINGER F. DENNIE C. SUNDARESAN S.
Unusual presentation of a complication after pulmonary wedge resection
for coccidioma. Annals of Thoracic Surgery. 88(6):2011-3, 2009 Dec.
15.MACKLEM P, SEELY AJE. Towards a Definition of Life, Perspective in
Biology and Medicine, 53(3):330,2010.
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16.PENNATHUR A, ABBAS G, GOODING WE, SCHUCHERT MJ, GILBERT S,
CHRISTIE NA, LANDRENEAU RJ, LUKETICH JD. Image-Guided
Radiofrequency Ablation of Lung Neoplasm in 100 Consecutive Patients
by a Thoracic Surgical Service. Ann Thorac Surg. 2009 Nov;88(5):16016; discussion 1607-8.
17.PENNATHUR A, ABBAS G, QURESHI I, SCHUCHERT MJ, WANG Y,
GILBERT S, LANDRENEAU RJ, LUKETICH JD. Radiofrequency Ablation for
the Treatment of Pulmonary Metastases. Ann Thorac Surg. 2009
Apr;87(4):1030-6; discussion 1036-9.
18.PENNATHUR A, LUKETICH JD, HERON DE, SCHUCHERT MJ, BURTON S,
ABBAS G, GOODING WE, FERSON PF, OZHASOGLU C, GILBERT S,
LANDRENEAU RJ, CHRISTIE NA.Stereotactic Radiosurgery for the
Treatment of Lung Neoplasm: Experience in 100 Consecutive
Patients. Ann Thorac Surg. 2009 Nov;88(5):1594-600; discussion 1600.
19.PETTIFORD BL, SCHUCHERT MJ, ABBAS G, PENNATHUR A, GILBERT S,
KILIC A, LANDRENEAU JR, JACK R, LANDRENEAU JP, WILSON DO,
LUKETICH JD, LANDRENEAU RJ.Anterior Minithoracotomy: a Direct
Approach to the Difficult Hilum for Upper Lobectomy, Pneumonectomy,
and Sleeve Lobectomy. Ann Surg Oncol. 2010 Jan;17(1):123-8. Jan,
2010.
20.REMLINGER NT, CZAJKA CA, JUHAS ME, VORP DA, STOLZ DB, BADYLAK
SF, GILBERT S, GILBERT. TW.Hydrated xenogeneic decellularized
tracheal matrix as a scaffold for tracheal reconstruction. Biomaterials.
2010 May;31(13):3520-6. May, 2010.
21.SCHUCHERT MJ, LUKETICH JD, LANDRENEAU RJ, KILIC A, WANG Y,
ALVELO-RIVERA M, CHRISTIE NA, GILBERT S, PENNATHUR A. Minimally
Invasive Surgical Treatment of Sigmoidal Esophagus in Achalasia. J
Gastrointest Surg. 2009 Jun;13(6):1029-35; discussion 1035-6.
22.VILLENEUVE PJ, SUNDARESAN RS. Pulmonary Resection in Metastatic
Colorectal Cancer. Current Oncology 17(3): 72, 2010.
23.VILLENEUVE PJ, SUNDARESAN RS. Surgical management of colorectal
lung metastasis. Clinics in Colon and Rectal Surgery 22(4): 233-241,
2009.
Book Chapter
1. TSAI W, KILIC A, SCHUCHERT MJ, LUKETICH JD, GILBERT S. Treatment
Options for Locally Recurrent Esophageal Cancer. In: Esophageal Tumors:
Principles and Practice Eds. Jobe, et al. 2009; 92: 1050.
99
2. GILBERT S, PEITZMAN A, FERSON P. Late Sequelae of Thoracic Injury.
Pearson’s Thoracic Surgery 3rd Edition , G. Alexander Patterson Editor.
Publisher: Philadelphia: Churchill Livingstone/Elsevier, Philadelphia 2008.
3. VILLENEUVE PJ, SUNDARESAN S. 1 Dysphagia: 4 Thorax. In: Ashley, SA,
editor. ACS Surgery [online]. Hamilton (ON): BC Decker Inc; October
2008. Available at: http://www.acssurgery.com. DOI: 10.2310/7800.
S04C01.
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DIVISION OF
UROLOGY
101
DIVISION OF UROLOGY
General Overview
Dr. Ronald Gerridzen,
Professor and Chair, Division of Urology
Faculty Members
Civic Campus
Dr.
Dr.
Dr.
Dr.
Dr.
Dr.
Dr.
Dr.
Anthony J. Bella
Ilias Cagiannos
John P. Collins
Filemon DeJesus
Ronald G. Gerridzen (Division Chair)
Matthew Roberts
Christopher G. L. Morash
M. Eric Saltel
General Campus
Dr.
Dr.
Dr.
Dr.
Dr.
Brian D. M. Blew
John E. Mahoney
J. Stuart Oake (Site chief and Program Director)
Jeffrey Warren
James Watterson (Undergrad Director)
CHEO
Dr. Luis A. Guerra
Dr. Michael P. Leonard
Dr. Ihsan Yousef (Fellow, Paediatric Urology)
FELLOWS
Dr. Fadi Kamal - Clinical Fellow
Dr. Antonio Baltazar – Paediatric Fellow – CHEO
Dr. Rany Shamloul – Clinical Fellow
102
Summary and Highlights
Retirement of Dr. John P. Collins
Dr. John Collins retired from the Division of Urology at TOH June 30, 2010. Dr.
Collins has been at The Ottawa Civic Hospital and subsequently The Ottawa
Hospital for 35 years and has had a fulfilling and enviable academic career. To
summarize briefly, he has served in numerous administrative positions including
as Urology Program Director, Executive Secretary of the Royal College of
Physicians and Surgeons of Canada Test Committee and Examination Board in
Urology, Secretary of the Canadian Urological Association and as President of
both the Canadian Andrology Society and the Canadian Urological Association.
He served as Chair of the Division of Urology at the University of Ottawa and
Chief of Urology from 1991 – 2004. For the past six years he chaired the
Department of Surgery Finance Committee. He guided our Division effortlessly
through regional hospital restructuring and oversaw reorganization of the
Division with amalgamation of the Grace and Riverside Hospitals into The
Ottawa Hospital. He took on all these tasks with dignity, humility and leadership
by example.
Dr. Collins was triply honoured at the 2010 Collins Day banquet (named after his
father, the late Dr. W. E. Collins) by receiving the Resident Teacher of the Year
Award, having the award for the best basic science paper at Collins Day named
the “John P. Collins Award”, and lastly received a Department of Surgery Life
Achievement Award from Dr. Éric Poulin. Dr. Collins has been a friend and
mentor to countless urology residents & urologists and his presence, leadership
and great skill in story-telling will be missed. The Division hosted a retirement
party for John on June 11 at The Delta Hotel. Many retired urologists came as
well. The Division wishes John & Judy Collins the very best for a happy and
healthy retirement.
John & Judy Collin
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Other Honours & Awards
Dr. Anthony Bella was one of three members of the international Cell-Based
Therapy Clinical Design Group along with Drs. Van Cleynenbreugal (Brussels)
and Francesco Montorsi (Italy). He was elected Secretary of the Canadian Male
Sexual Health Council Executive Council, and also a founding and executive
member of the national men’s health advocacy and educational group, The
Canadian Men’s Health Initiative, chaired by Dr. Larry Goldenberg from UBC.
Dr. Brian Blew won 3 Gold Medals in the 2009 National Masters Alpine
Championship at Sun Peaks, BC. The 2014 Olympics are next!
Dr. Ron Gerridzen was named the 2009 Recipient of the Faculty of Medicine’s
Alumni Achievement Award, presented jointly by Dean Jacques Bradwejn and
retired urologist Dr. Carl Leahy at the Dean’s Annual Banquet at the Chateau
Laurier during The University of Ottawa’s Homecoming weekend in September
2009.
Dr. John Mahoney was elected President of the Medical Staff at TOH. The
Division wishes John the best in his new position, which keeps him on TOH’s
Board of Governors.
Dr. Chris Morash was awarded the John P. Collins Award as Divisional Teacher of
the Year in June, 2010. This award is given annually by all residents in the
Urology Training Program in recognition of one staff member’s exceptional
teaching abilities. Congratulations to Chris for this well-deserved achievement.
Dr. Morash was elected Member-at-large of the Executive of the Canadian
Urological Association in June 2010.
Dr. Stuart Oake received the 2009 Award for Excellence and Innovation in
Postgraduate Medical Education from the Faculty of Medicine’s Office of
Postgraduate Medical Education. Dr. Oake was appointed Director of the new
Office of Education for the Department of Surgery. The Division wishes Stuart
well in this leadership role, and congratulates him on his promotion to Associate
Professor in the Department of Surgery.
Dr. Jeffrey Warren was selected co-Chair of the QUEST national senior resident
Urology Review Course and Examination held at Queen’s University. Dr. Warren
will co-Chair this annual event with existing co-Chair, Dr. Jim Watterson.
Dr. James Watterson was runner-up for the national Undergraduate Surgical
Teacher of the Year Award at the Canadian Undergraduate Surgical Education
Committee’s (CUSEC) national meeting held in Ottawa, November 2009. Dr.
Watterson will succeed Dr. Stuart Oake as Urology Program Director July 2010.
The Division congratulates Jim on his promotion to Associate Professor in the
Department of Surgery.
104
All three residents taking their Royal College exams in June 2010 were
successful. Dr. Fadi Kamal will stay with us in Ottawa as a Fellow in Urologic
Oncology. Dr. Aaron Clark will start community practice in Courtney-Comox, BC,
and Dr. Duane Hickling is off to New York for a prestigious three-year Fellowship
at NYU Medical Centre in complex female pelvic reconstructive urology. He will
simultaneously do basic science research and is enrolled in NYU’s Masters of
Science in Clinical Investigation program. It is planned to recruit Duane back to
TOH in summer 2013.
At Collins Day in May, Dr. Neal Rowe (PGY3) was recipient of a Department of
Surgery Resident Teacher of the Year Award, and Dr. Luke Lavallee (PGY2) was
awarded the prize for the best poster presentation.
Dr. Mark Preston (PGY4) was accepted into a three week IVU-Med (International
Volunteers in Urology) travelling urology program, which is administered in Salt
Lake City. Mark travelled to Vietnam with surgical mentors from the United
States to provide surgical services in underprivileged areas of that country. This
is the first time Ottawa has been involved in an IVU-Med program.
Paediatric Urology
Dr. Luis Guerra became Chief of the Division of Paediatric Urology at CHEO in
January 2010. Luis replaces Dr. Michael Leonard who has held that position for
many years (see below). In June 2010, he founded and initiated a “Canadian
Working Group for Urologists in Clinical Epidemiology”. This is an independent
national endeavour in collaboration with the Dept. of Epidemiology and
Community Medicine at the University of Ottawa and the Office of Education of
the Canadian Urological Association (CUA).
Dr. Michael Leonard left his positions as Chief of Paediatric Urology and Chief-ofStaff at CHEO March 12, 2010, to pursue a full time position as a Medical Officer
at CMPA. Mike will still do one clinic weekly and one OR day per month and will
remain involved in the postgraduate teaching program. The Division will miss
Mike’s full-time presence at CHEO and thanks him for his many years of clinical
excellence, teaching, research and administrative leadership. We wish him well
in his new career at CMPA.
Dr. Luis Guerra was a member of the Scientific Committee for the annual
meeting of the Canadian Urological Association in Charlottetown, PEI, in June
2010. Luis received an award for “Best paediatric urology reviewer of 2009”
from the Journal of Urology which is the official Journal of the American
Urological Association. This award was presented during a ceremony at the 2010
AUA meeting in San Francisco. Only two Canadians were on the short list of
awarded Paediatric Urologists.
105
Visiting Professors
Dr Bryce Weber, Paediatric Urology Fellow at The Hospital for Sick Children in
Toronto, was an invited speaker for CHEO Dept of Surgery Grand Rounds on
March 31st, 2010. His talk was on his work for Master thesis in Education at the
Wilson Institute in Toronto. It is anticipated that Dr. Weber will join the Division
of Paediatric Urology at CHEO in 2011.
Dr. Patrick Luke, Chief of the Multi-organ Transplant service at the University of
Western Ontario and the 2010 recipient of the American Urological Association’s
Gold Cystoscope Award (the most prestigious international award for a urologist
who has distinguished himself in the first 13 years of his/her career) was our
Visiting Professor for the Division’s annual Resident Research Day April 14,
2010. Dr. Luke gave an inspirational address on the future of transplantation.
Dr. Eric Klein, Head of the Urologic Oncology service at The Cleveland Clinic
Foundation, was set to come to Ottawa October 4 2009, but unfortunately had
to cancel his trip at the last minute due to a family emergency.
Undergraduate Education
Dr. Jim Watterson steps down as Director of Undergraduate Education for the
Division June 2010, after a very successful six year term in which Jim was
instrumental in re-vamping the curriculum, involved in web-casting, distributed
medical education, and attracted record numbers of elective students from
across Canada allowing the program to see numerous great candidates for each
annual CaRMS match.
Dr. Brian Blew has been selected to replace Dr. Watterson in this position
effective July 2010. The Division thanks Jim for his leadership and success in
that position.
Postgraduate Education
The Urology program was reviewed by the Royal College and on June 25, 2010
the Program Director was informed of full approval with regular external review
in 2016. The approval was given “with accolades”. This speaks to the
commitment and dedication of Program Director Dr. Stuart Oake, who steppeddown as program director June 30, 2010, to be replaced by Dr. Jim Watterson.
Jim takes over on solid footing and has been functioning the past 6 months as
“program director-elect”, learning the position from Dr. Oake. The Division has a
fully functional Office of Education with an administrative assistant, Beth
Balharrie. This position has been funded by the Division members through the
Urology Practice Plan attesting to the commitment of Division members to have
such an office, which has proved invaluable to both undergraduate &
postgraduate urology teaching. The Department of Surgery has recently
developed an Office of Education this year, with Beth being an integral part of
the infrastructure and Dr. Oake taking on the role of Director of the
106
Departmental Office of Education. The Division thanks Dr. Oake for his excellent
leadership and outstanding success during his tenure as Program Director.
Resident Research
Dr. Ilias Cagiannos continues as Director of Resident Research with energy and
enthusiasm. This has dramatically increased the research output from residents
and has led to a record number of national and international presentations at
various scholarly meetings the past year including the CanadianUrological
Association, American Urological Association (AUA), Northeastern Section of the
AUA, World Congress of Endourology, American Academy of Paediatrics, Sexual
Medicine Society of North America, and the International/European Society of
Sexual Medicine. All staff is to be congratulated for their involvement and
collaboration and with Ilias’ infectious leadership, Dr. Bella’s position as basic
science research director plus the addition of two new staff in summer 2010 with
Master’s degrees, the research future for the Division of Urology is flourishing.
Renal Transplantation
The Division welcomed Dr. Jeff Warren on staff at the General Campus August
2009 following a two-year Transplantation Fellowship at the University of
Western Ontario under the leadership of Dr. Patrick Luke. Renal transplantation
has been recognized as a surgical program of excellence at TOH and Dr. John
Mahoney was selected by search committee as its first surgical Director. The
surgical aspects of the transplantation program have been integrated entirely
into the Division of Urology, with three surgeons from Urology providing surgical
transplant services including Drs. Brian Blew, John Mahoney & Jeff Warren.
These surgeons were involved in the first domino-transplant which received first
place recognition from TOH for innovation, and they are also pursuing donors
from cardiac death (rather than the usual brain death) as a new and novel way
to increase the cadaveric organ donor pool.
Urologic Oncology
Dr. Chris Morash continues leading Communities of Practice in prostate cancer
which have proved invaluable in mentoring health professionals in the
Champlain LHIN in the management of localized prostate cancer and have been
modelled at other cancer centres in Ontario. Chris has garnered praise for this
work from Cancer Care Ontario. Divisional wait times for prostate cancer surgery
are now within provincial targets as well. Chris is also Medical Director of the
Prostate Cancer Assessment Centre and site-Lead for GU Oncology.
Dr. Ilias Cagiannos is director of the urologic oncology Fellowship program and
currently Dr. Fadi Kamal is the Fellow with Drs. Cagiannos & Morash for two
years.
107
Dr. Rodney Breau will be joining the Division in August 2010 after a two-year
Fellowship in Urologic Oncology at The Mayo Clinic. Rod will bring specialization
in minimally-invasive / robotic surgery and a Masters Degree in Clinical
Investigation and will be an Associate Scientist at OHRI with protected time
supported by the Division for outcomes research.
Research Chair and Robots
It is with pride I report that the campaign toward an endowed Chair in Men’s
Health Research was realized January 7, 2010, with 1.5 Million dollars raised. It
is hoped that with additional funds the Chair will eventually be named in tribute
to a major donor. The purpose of the Chair is to support world-class
international research into Men’s health issues. The Division wishes to thank Ron
and Gayle Zambonini for being honorary co-chairs of this successful campaign,
Susan Doyle and The Ottawa Hospital Foundation and her staff (especially
Jennifer Van Noort) for their expertise and hard work in realizing this goal. The
Division also thanks Dr. Éric Poulin for his support and encouragement. This is
only the fourth endowed Research Chair in Men’s Health internationally and the
first in Canada and we are distinctly proud to have the first national Chair held in
Ottawa.
The drive to raise funds for a Da Vinci Robot, the primary use of which is
robotic-assisted laparoscopic radical prostatectomy, is strongly underway with
the great help of The Ottawa Hospital Foundation. Members of the Division of
Urology are actively engaged in fund-raising in many ways, including individual
patient recruitment, demonstration sessions, speaking engagements &
attendance at fund-raisers. It is hoped to have robotic surgery available in
Ottawa in 2011.
Publications
Journal Articles
1. CHRISTINE B, BELLA AJ, KNOLL LD. Clinical outcomes at 18 months for
salvage of artificial urinary sphincter failure in post-radical prostatectomy
patients with addition of the Advance male transobturator sling. J Urol
181(4): 618 (abstract 1714), 2009.
2. CHRISTINE B, WILSON SK, BELLA AJ. Combined inflatable penile
prosthesis and Advance Male Sling: Safety and Technical considerations
from cadaveric and patient experience. J Sex Med 6(1)S2: 51
(abstract18), 2009 .
3. BELLA AJ, LIN G, FANDEL TM, BANIE L, LIN C-S, LUE TF. Non cell-line
induce autologous adult adipose tissue derived stem cells (ADSCs)
enhance neurite outgrowth from the major pelvic ganglion and cavernous
nerve of young and aged rats. J Sex Med 6(1)S2: 53(abstract 23), 2009.
108
4. CHRISTINE B, WILSON SK, BELLA AJ. Improvements in sexual function
after placement of the Advance Male Sling for incontinence following
radical prostatectomy. J Sex Med 6(1)S2: 59 (abstract 41), 2009.
5. BELLA AJ, LIN G, FANDEL TM, NIN H, LIN C-S, LUE TF. Non cell-line
induced adipose derived stem cells enhance cavernous nerve function
following bilateral cavernous nerve crush injury in the rat. J Sex Med
6(1)S2: 98 (abstract MP059), 2009.
6. HICKLING DR, GERRIDZEN RG, BROCK GB, BELLA AJ. ED and Endothelial
dysfunction: contemporary physician practice analysis (2005-2008) of
1644 Canadian men emphasizes continued evolution of sexual health care
education and delivery. J Sex Med 6(1)S2: 162 (abstract UP145), 2009.
7. BELLA AJ, FANDEL T, PHONSOMBAT S, LIN C-S, BRANT WO, LUE TF. Noncell line induced autologous adult adipose tissue derived stem cells
enhance recovery of erectile function in the rat following bilateral
cavernous nerve crush injury. J Sex Med 6(1)S1: 6(abstract 7), 2009.
8. BELLA AJ, BRANT WO, BROCK GB, LUE TF. Neurotransmitters in the
corpus cavernosum: nitric oxide and beyond. In Textbook of Erectile
Dysfunction 2nd Edition, eds. Carson, Kirby and Goldstein. Informa UK,
Chpt 11 pg 83-90, 2009
9. BELLA AJ, BRANT WO, LUE TF. Microscopic anatomy of erectile function.
In Textbook of Erectile Dysfunction 2nd Edition, eds. Carson, Kirby and
Goldstein. Informa UK, Chpt 5, pg. 28-35, 2009.
10.BELLA AJ, BROCK GB. Tadalafil: the long-acting PDE5 inhibitor. In
Textbook of Erectile Dysfunction 2nd Edition, eds. arson, Kirby and
Goldstein. Informa UK, Chpt 31, pp. 237-256, 2009.
11.BRANT WO, BELLA AJ, LUE TF. Anatomy of erectile function. In Textbook
of Erectile Dysfunction 2nd Edition, eds. Carson, Kirby and Goldstein.
Informa UK Chpt 4 pp 25-27, 2009.
12.BROCK GB, BELLA AJ. Penile blood flow determination: Doppler studies.
In Textbook of Erectile Dysfunction 2nd Edition, eds. Carson, Kirby and
Goldstein. Informa UK, Chpt 20, pp 159-164, 2009.
13.BELLA AJ, BRANT WO, LUE TF. Future Therapies Applicable To PostRadical Pelvic Surgery Patients. In: Sexual Function In The Prostate
Cancer Patient. Mulhall JP ed, New Jersey: Humana Press, Chpt. 16, pp.
245, 2009.
109
14.ANTHONY J. BELLA MD1,2*, GUITING LIN MD PHD3*, CHING-SHWUN LIN
PHD3, DUANE R HICKLING MD2, CHRISTOPHER MORASH MD2, AND TOM
F LUE MD3 Nerve Growth Factors and Modulation of the Cavernous Nerve
Response to Injury J Sex Med 2009;6(suppl 3):347-352.
15.BELLA AJ, LIN G, FANDEL T, GARCIA MM, BRANT WO, LUE TF. Adult
adipose tissue derived stem cells (non-cell line induced) enhance neurite
outgrowth from the major pelvic ganglion of young and aged rats. J Sex
Med 6(1)S1: 9(abstract 9), 2009.
16.CHRISTINE B, BELLA AJ. Improvement in sexual function for men
undergoing placement of Advance Male Sling for Incontinence following
radical prostatectomy. J Sex Med 6(1)S1: 35 (abstract 97), 2009.
17.CHRISTINE B, BELLA AJ. Safety and technical considerations for combined
inflatable penile prosthesis and Advance Male Sling placement: results
from cadaveric studies and patient experience. J Sex Med 6(1)S1: 34
(abstract 93), 2009.
18.BRANT WO, GARCIA MM, BELLA AJ, CHI T, LUE TF. T-shaped shunt and
intracavernous tunneling for prolonged ischemic priapism with >9 month
follow-up. J Sex Med 6(1)S1: 34 (abstract 92), 2009.
19.TSERTSVADZE A, FINK HA, YAZDI F, MACDONALD R, BELLA AJ, ANSARI
MT, GARRITTY C, SOARES-WEISER K, DANIEL R, SAMPSON M, FOX S,
MOHER D, WILT TJ. Oral phosphodiesterase-5 inhibitors and hormonal
treatments for erectile dysfunction: a systematic review and metaanalysis. Ann Intern Med 151(9):650-61, 2009.
20.TSERTSVADZE A, YAZDI F, FINK HA, MACDONALD R, WILT TJ, SOARESWEISER K, BELLA AJ, DEFORGE D, GARRITTY C, ANSARI M, SAMPSON M,
DANIEL R, MOHER D. Diagnosis and Treatment of Erectile Dysfunction
Evidence Report/Technology Assessment No. 171 (Prepared by the
University of Ottawa Evidence-based Practice Centre (UO-EPC) under
Contract No 290-02-0021). AHRQ Publication No 08(09)-E016, Rockville,
MD: Agency for Healthcare Research and Quality May 2009.
21.PERMPONGKOSOL S, BELLA AJ, TANTARAWONGSA U, STOLLER ML.
Laparoscopic extravesical ureteral reimplantation for iatrogenic distal
ureteral stricture. J Med Assoc Thai 92(10): 1380-1386, 2009.
22.SHAMLOUL R, EL-SAKKA A, BELLA AJ. Sexual selection and genital
evolution: an overview. J Sex Med 7(5): 1734-1740, 2010.
23.MULHALL JM, BELLA AJ, BRIGANTI A, MCCULLOUGH A, BROCK G. Erectile
Function Rehabilitation in the Radical Prostatectomy Patient. J Sex Med
7(4), 1687-1698, 2010.
110
24.DE YOUNG LX, BELLA AJ, O'GORMAN DB, GAN BS, LIM KB, BROCK GB.
Protein biomarker analysis of primary Peyronie's disease cells. J Sex Med
7(1 Pt 1):99-106, 2010.
25.HENRY G, BELLA A. Paradigm Shift in Inflatable Penile Prosthesis Sizing?
Single Surgeon Outcome Analysis and Nationwide Database Analysis
Evaluating Contemporary Surgical Trends. CUAJ 4(S1): S6, 2010.
26.HICKLING D, BROCK G, GREENSPAN M, CAGIANNOS I, MORASH C,
GERRIDZEN R, BELLA A. Men’s Health, Endothelial Dysfunction and
erectile Dysfunction: 2005-2008 Canadian Physician Practice Patterns for
1644 Men Identifies Continued Need for Development of Health Care
Delivery Strategies. CUAJ 4(S1): S6, 2010.
27.CHRISTINE B, WILSON S, SHAMLOUL R, BELLA A. Two-Year Efficacy and
Safety of Simultaneous Placement of an Inflatable Penile Prosthesis and
Advance Male Sling for Erectile Dysfunction and Incontinence. CUAJ
4(S1): S7, 2010.
28.PAYNE R, PLUNET W, CODERRE E, RENAUD L, CARSON J, SHAMLOUL R,
CAGIANNOS I, TETZLAFF W, BELLA A. Intermittend Caloric Restriction
Facilitates Erectile Recovery after Bilateral Cavernous Nerve Crush Injury
in the Rat. CUAJ 4(S1): S19, 2010.
29.SHAMLOUL R, ZAPPAVIGNA C, CAGIANNOS I, BELLA A. Single Center
Results for 400 Consecutive Canadian Men Evaluated for Peyronie’s
Disease (2008-2009) Do Not Support Incident Traumatic Event as
Underlying Etiology. CUAJ 4(S1): S43, 2010.
30.ZAPPAVIGNA C, SHAMLOUL R, CAGIANNOS I, GERRIDZEN R, BELLA A.
Changes in the Primary Care Delivery of Men’s Helath Care in Ontario:
Nurse Practitioner Needs Assessment nad Pilot Targeted Education for
Erectile Dysfunction, Peyronie’s Disease, and Low
Testosterone/Hypogonadism. CUAJ 4(S1): S43, 2010.
31.GREENSPAN M, SHAMLOUL R, BELLA A. Initial experience with the New
American Medical Systems Spectra Malleable Penile Implant. CUAJ 4(S1):
S83, 2010.
32.ZAPPAVIGNA C, SHAMLOUL R, SALTEL M, CAGIANNOS I, MORASH C,
BELLA A. Efficacy of Intranasal Oxytocin Administered During Coitus for
Treatment-Resistant Male Anorgasmia. CUAJ 4(S1): S83, 2010.
33.KIM B, SHAMLOUL R, CAGIANNOS I, SALTEL M, GERRIDZEN R, MORASH
C, BELLA A. Enhancing Men’s Health Care: Needs Assessment for PracticeSpecific Web-Based Password-Protected Information Prior to Consultation
and for Surgeon-Specific Treatments/Procedures. CUAJ 4(S1): S83, 2010.
111
34.CHRISTINE B, BELLA A. Use of the “Deep Scrotal Retractor” Improves
Visualization and Cuff Placement During Transverse Scrotal Placement of
an Artificial Urinary Sphincter. CUAJ 4(S1): S91, 2010.
35.CHRISTINE B, BELLA A, WILSON S. Concurrent Placement of the Advance
Male Sling and Three-Piece Inflatable Penile Prosthesis. CUAJ 4(S1): S93,
2010.
36.CHRISTINE B, BELLA A, WILSON S. Simultaneous Placement of the
Advance Male Sling and an Inflatable Penile Prosthesis. Eur Urol 9(2S):
183, 2010.
37.DECARLI C, LEONARD MP, BETTOLI M, JAUREGUR E, AND GUERRA L.
Laparoscopic maneuver for orchidopexy in high intra-abdominal testes
when cremasteric artery is present. J Ped Urol, 2009.
38.CLARK ATD, GUERRA L, LEONARD MP. Deflux implant calcification
mimicking distal ureteral calculi on ultrasound. Urology, 2009.
39.MORASH C, CAGIANNOS I. High-risk clinical stage I NSGCT: the case for
RPLND World J Urol 2009 Aug;27(4):449-53.
40.BREAU R, KARNES J, LEIBOVICH B, FARMER S, MORASH C, CAGIANNOS
I, BLUTE M, FRANK I. Progression to Muscle Invasion During Surveillance
of Urothelial Carcinoma is Associated with Poor Prognosis. J Urol 2010
April; 183(4), Suppl. e566-e567.
41.SMITH MR, EGERDIE B, HERNÁNDEZ TORIZ N, FELDMAN R, TAMMELA TL,
SAAD F, HERACEK J, SZWEDOWSKI M, KE C, KUPIC A, LEDER BZ,
GOESSL C; DENOSUMAB HALT PROSTATE CANCER STUDY GROUP
(MORASH C – COLLABORATOR).Denosumab in men receiving androgendeprivation therapy for prostate cancer. N Engl J Med. 2009 Aug
20;361(8):745-55.
42.M. ERIC SALTEL, RONALD G GERRIDZEN, AND ANTHONY J BELLA. Impact
of Advance Male Sling on Post-Radical Prostatectomy Climacturia: Robust
Prospective Cohort Results at One-Year Follow-up Canadian Journal of
Urology, June 2010, Volume 4(3 suppl 1), POD-02.04.
43.LUKE PPW, NGUAN CY, HOROVITZ D, GREGOR L, WARREN J, HOUSE AA
Immunosuppression without calcineurin inhibition: optimization of renal
function in expanded criteria renal transplantation. Clinical
Transplantation. 2009. 23: 9-15.
44.BREAU RH, GABOURY I, SCALES CD JR, FESPERMAN SF, WATTERSON JD,
DAHM P. Reporting of harm in randomized controlled trials published in
the urological literature. J Urol. 2010 May;183(5):1693-7.
112
Journal Article - Editorial
1. SHAMLOUL R, BELLA A. Traumatic etiology is not supported as the
incident event for Peyronie’s disease: single-center results for 400
consecutive men evaluated in 2008-2009. J Urol 183(4)S: e418-419,
2010.
Book Chapters
1. BELLA AJ, LIN G, FANDEL TM, NING H, LIN C-S, BRANT WO, LUE TF. Noncell line induced adult adipose-tissue derived stem cells promote in vitro
neurite outgrowth and in vivo recovery of erectile function after bilateral
cavernous nerve crush injury in the rat. J Urol 181(4): 239(abstract 665).
2. HICKLING DR, BROCK GB, GREENSPAN MB, CAGIANNOS I, GERRIDZEN
RG, BELLA AJ. Endothelial dysfunction and erectile dysfunction: Analysis
of physician practice patterns for 1644 Canadian men from 2005-2008
emphasizes continued need for development of education and health care
delivery strategies. J Urol 181(4): 160 (abstract 445).
3. FANDEL T, AJ BELLA, SHINDEL AW, LIN G, GARCIA MM, LIN C-S, LUE TF.
The effect of adipose tissue-derived stem cells in the preservation of
erectile function after cavernous nerve crush injury in aged rats. J Urol
181(4): 44 (abstract 122), 2009.
4. BRANT WO, GARCIA MM, BELLA AJ, CHI T, LUE TF. T-shaped shunt and
intracavernous tunneling for prolonged ischemic priapism with >9 month
followup. J Urol 181(4): 447 (abstract 1255), 2009.
5. CHRISTINE B, MULHALL JP, WILSON SK, BELLA AJ. Improvement in
sexual and erectile function parameters for men treated with the Advance
Male Sling for incontinence following radical prostatectomy. J Urol 181(4):
447 (abstract 1256), 2009.
6. HENRY GD, WILSON SK, CARSON CC, GREENFIELD J, LENTZ AC,
CONNORS W, RAMPERSAUD EN, BELLA AJ, DONATUCCI CF. Infection
retardant coating versus non-coated penile prosthesis cultures during
revision surgery: a multicenter study. J Urol 181(4): 448 (abstract 1260),
2009.
Peer-reviewed commentary
1. DEYOUNG L, BELLA A, O’GORMAN D, GAN BS, CHUNG E, BROCK G.
Protein biomarker analysis of primary Peyronie’s disease cells. J Urol
183(4)S: 419-420, 2010.
113
2. PAYNE R, CODERRE E, PLUNET WT, CARSON JJL, RENAUD LP, TETZLAFF
W, SHAMLOUL R, BELLA AJ. Intermittent caloric restriction modifies
neurobiological response to bilateral cavernous nerve crush injury in the
rat and facilitates recovery of erectile function. J Urol 183(4)S: e348-349,
2010.
3. CHRISTINE B, BELLA A, WILSON S. Concurrent placement of the Advance
Male Sling and an inflatable penile prosthesis. J Urol 183(4)S: 130-131,
2010.
Published Abstracts
1. CHISTINE B, WILSON SK, SHAMLOUL R, BELLA AJ.Simultaneous
placement of an inflatable penile prosthesis and Advance Male Sling for
erectile dysfunction and incontinence: robust efficacy and safety data at 2
year follow-up. J Urol 183(4)S: 490, 2010.
2. SHAMLOUL R, ADAMS M, BELLA A. Sexual selection and genital evolution.
J Sex Med 7(S1):27, 2010.
3. FANDEL TM, BELLA AJ, LIN G, LIN C-S, LUE TF. Non-cell line induced adult
adipose-tissue derived stem cells promote erectile function after bilateral
cavernous nerve crush injury in aged rats. Program No. 507.21/B4.
Neuroscience Meeting Planner. Chicago, IL: Society for Neuroscience,
2009 Online.
4. KIM ED, EARLEY I, MCCARTHY BW, SAND M, NELSON C, MINER MM,
SINDEL AW, LUE TF, GLINA S, WANG R, VARDI Y, GRUENWALD I, BELLA
AJ, SHAMLOUL R, BALON R. Comments on Considerations for Diagnostic
Criteria for Erectile Dysfunction in DSM-V. J Sex Med 7 (2pt1): 661-671,
2010.
5. MORALES A, ZARGOOSHI J, JERN P, MCCULLOUGH A, HELLSTROM W,
SHAMLOUL R, BELLA AJ, BECHER EF, RUBIO-AURIOLES, PERELMAN MA,
PALLMER N, ROTHMAN M. Comments on Considerations for an EvidenceBased Definition of Premature Ejaculation in the DSM-V. J Sex Med 7
(2pt1); 679-689, 2010.
6. PERMPONGKOSOL S, BELLA AJ, SUNTISEVEE S, LEENANUPUNTH C,
STOLLER ML. Laparoscopic excision of urachal cysts in elderly men and
woman following pregnancy. J Med Assoc Thai 2010 Jan;93(1):132-6.
7. HARVEY D, CAGIANNOS I, MORASH C, BELLA A, FERGUSON D. Predictors
of upgrading prostate biopsy Gleason sum 6. CUAJ 3(Suppl 1): S77,
2009.
114
8. BRANT WO, GARCIA MM, BELLA AJ, CHI T, LUE TF. T-shaped shunt and
intracavernous tunneling for prolonged ischemic priapism. J Urol. 2009
Apr;181(4):1699-705. Epub 2009 Feb 23.
9. TSERTSVADZE A, YAZDI F, FINK HA, MACDONALD R, WILT TJ, BELLA AJ,
ANSARI MT, GARRITTY C, SOARES-WEISER K, DANIEL R, SAMPSON M,
MOHER D. Oral Sildenafil Citrate (Viagra) for Erectile Dysfunction: A
Systematic Review and Meta-analysis of Harms. Urology. 2009 Jul 8.
[Epub ahead of print] PMID: 19592078 [PubMed - as supplied by
publisher.
10.SHINDEL AW, BRANT WO, MWAMUKONDA K, BELLA AJ, LUE TF.
Transglanular Repair of Impending Penile Prosthetic Cylinder Extrusion. J
Sex Med. 2010 Apr 1. [Epub ahead of print].
11.BELLA AJ, LUE TF. Colour duplex ultrasound and simplified
corporoglanular shunting procedures with and without tunnelling in
contemporary management of priapism. Can Urol Assoc J 3(4): 312-313,
2009.
12.ZAPPAVIGNA C, OAKE S, BLEW B. Volume and Surgical Technique of
Hydrocelectomy Affect Outcomes at 3 Months CUAJ Vol 4 Iss 3 April 2010
Suppl (1) S44.
13.PRESTON M, WIESENTHAL J, ABUHJAR A, HICKLING D, WATTERSON JD,
BLEW B. Seeing the Light: Endoscopic-Assisted Laparoscopic Radical
Prostatectomy-A Novel Technique to Aid in Bladder Neck and Apical
Dissection. J Endourology Vol 23, Suppl 1 • October 2009.
14.MARK A PRESTON; JAMES D WATTERSON; BRIAN DM BLEW Simple
nephrectomy in a young woman for recurrent pyelonephritis utilizing
Laparoendoscopic Single-Site Surgery (LESS) CUAJ.
15.SURVEY OF SENIOR RESIDENT TRAINING IN UROLOGIC LAPAROSCOPY,
ROBOTICS AND ENDOUROLOGY SURGERY IN CANADA. PRESTON MA,
BLEW BD, BREAU RH, BEIKO D, OAKE SJ, WATTERSON JD. Survey of
Chief Resident Training in Urologic Laparoscopy, Robotics and
Endourology in Canada Can Urol Assoc J. 2010 Feb;4(1):42-6.
16.CAGIANNOS I, MORASH C. Surveillance strategies after definitive therapy
of invasive bladder cancer CUAJ 2009;3(Suppl4):S237-42.
17.ANDREA LANTZ, MARK E SALTEL, ILIAS CAGIANNOS. Renal and functional
outcomes following cystectomy and neobladder reconstruction. CUAJ
2010.
115
18.MORASH CG, CAGIANNOS I, BELLA AJ. Improving outcomes post-radical
prostatectomy: nerve-sparing status and urinary continence Can Urol
Assoc J. 2009;3(6):471-2.
19.ZORN KC, BHOJANI N, GAUTAM G, SHIKANOV S, JAYRAM G, KATZ MH,
CAGIANNOS I, AL-AHMADIE HA Application of Ice Cold Irrigation during
Vascular Pedicle Control of Robotic Radical Prostatectomy: EnSeal
Instrument Cooling to Reduce Collateral Thermal Tissue Damage J
EndoUrol.
20.KAMAL F, DOUCETTE S, MORASH C, BELLA A, CAGIANNOS I. Nephron
sparing surgery for renal tumors in a solitary kidney. CUAJ June 2010
4(3Suppl1), S46.
21.YAFI F, APRIKIAN A, FRADET Y, CHIN J, IZAWA J, RENDON R, ESTEY E,
FAIREY A, CAGIANNOS I, LACOMBE L, LATTOUF J, BELL D,
DRACHENBERG D, KASSOUF W. Stage-based approach to surveillance
following radical cystectomy in bladder cancer patients CUAJ June 2010
4(3Suppl1), S9.
22.KASSOUF W, CHIN J, FRADET Y, IZAWA J, ESTEY E, FAIREY A, RENDON
R, CAGIANNOS I, LACOMBE L, LATTOUF J, BELL D, DRACHENBERG D,
APRIKIAN A. Radical cystectomy for clinically muscle invasive bladder
cancer: Does prior superficial disease affect clinical outcomes? CUAJ June
2010 4(3Suppl1), S9.
23.KAMAL F, LAVALLEE L, DOUCETTE S, WATTERSON J, BLEW B, BELLA A,
MORASH C, CAGIANNOS I. Effect of renal hypothermia on post-operative
renal function in partial nephrectomy CUAJ June 2010 4(3Suppl1), S64.
24.KIM B, LAVALLEE L, FERGUSSON D, CAGIANNOS I The impact on renal
function after partial or radical nephrectomy for renal cell carcinoma: a
systematic review. CUAJ June 2010 4(3Suppl1), S66.
25.PRESTON M, KAMAL F, DOUCETTE S, MORASH C, CAGIANNOS I. Evolving
tumour characteristics and practice patterns in a contemporary Canadian
tertiary-care institution. CUAJ June 2010 4(3Suppl1), S68.
26.ANDREA LANTZ, CHRIS MORASH, ANTHONY BELLA, JAMES EASTHAM,
PETER SCARDINO, ILIAS CAGIANNOS Prostate size and risk of capsular
incision at radical prostatectomy. J. Urol 183(4) Sup 1:e364, 2010.
27.VENU CHALASANI, WASSIM KASSOUF, JONATHAN IZAWA, YVES FRADET,
ARMEN APRIKIEN, ADRIAN FAIREY, ERIC ESTEY, LOUIS LACOMBE,
RIARDON RENDON, DAVID BELL, ILIAS CAGIANNOS, DARREL
DRACHENBERG, JEAN-BAPTISTE LATTOUF, JOSEPH CHIN. Is prostatesparing radical cystectomy advisable? J. Urol 183(4) Sup 1:e400, 2010.
116
28.GURDARSHAN SANDHU, ARMEN APRIKIEN, JOE CHIN, YVES FRADET,
JONATHAN IZAWA, ERIC ESTEY, ADRIAN FAIREY, ILIAS CAGIANNOS,
LUIS LACOMBE, JEAN-BAPTISTE LATTOUF, WASSIM KASSOUF, DARREL
DRACHENBERG. Achieving pT0N0 at radical cystectomy: outcomes of 135
pT0N0 bladder cancer patients treated with radical cystectomy: the
Canadian bladder cancer network experience. J. Urol 183(4) Sup 1:e660,
2010.
29.NICHOLAS POWER, DAVID BELL, WASSIM KASSOUF, ARMEN APRIKIAN,
YVES FRADET, LOUIS LACOMBE, JOE CHIN, JONATHAN IZAWA, ERIC
ESTEY, ADRIAN FAIREY, ILIAS CAGIANNOS, JEAN-BAPTISTE LATTOUF,
DARREL DRACHENBERG, RICARDO RENDON. Outcomes for patients with
pT3-4 or pN+ bladder cancer treated with radical cystectomy: Canadian
bladder cancer network. J. Urol 183(4) Sup 1:e708-709, 2010.
30.FAYSAL A YAFI, ARMEN APRIKIEN, YVES FRADET, JOSEPH CHIN,
JONATHAN IZAWA, RICARDO RENDON, ERIC ESTEY, ADRIAN FAIREY,
LOUIS LACOMBE, JEAN-BAPTISTE LATTOUF, DAVID BELL, DARREL
DRACHENBERG, WASSIM KASSOUF. Risk stratified surveillance guidelines
following radical cystectomy for bladder cancer: The Canadian bladder
cancer network experience. J. Urol 183(4) Sup 1:e712, 2010.
31.ABUHJAR A, GERRIDZEN RG. Mantle Cell Lymphoma of the Prostate Can
Urol Assoc J 2009; 3(6): E94 – 95.
32.FEBER J, SPATENKA J, SEEMAN T, MATOUŠOVIC K, ZEMAN L, DUŠEK J,
MORÁVEK J, JANDA J, BARROWMAN NJ, GUERRA LA, LEONARD M. Urinary
tract infections in paediatric renal transplant recipients - a two center risk
factors study. Pediatr Transplant. 2009 Nov;13(7):881-6.
33.CLARK A, GUERRA LA AND LEONARD M. DefluxTM implant calcification
mimicking distal ureteral calculi on ultrasound. Urology. 2010
May;75(5):1178-9.
34.DECARLI C, GUERRA LA, BETOLLI M AND LEONARD MP. Laparoscopic
cremasteric artery is present J Ped Urol 2009 Nov (6): 2-5.
35.ELYAS R, GUERRA LA, PIKE J, DECARLI C, BETOLLI M, BASS J, CHOU S,
SWEENEY B, RUBIN S, BARROWMAN N, MOHER D, LEONARD M. Is staging
beneficial for Fowler-Stephens orchiopexy? A systematic review. J Urol.
2010 May;183(5):2012-8..
36.GUERRA LA. Editorial comment to Bush NC, Xu L, Brown BJ, Holzer MS,
Gingrich A, Schuler B, Tong L, Baker LA. Hospitalizations for paediatric
stone disease in United States, 2002-2007. J Urol. 2010 Mar;183(3):1156
117
37.GUERRA LA. Editorial comment to Routh JC, Gong EM, Nelson CP.
Paediatric urology and the internet--does an uncommon topic decrease
content quality? J Urol. 2009 Oct;182(4):1569-74. J Urol. 2009
Oct;182(4):1574.
38.BASS J, GUERRA LA AND WILLIS B. Effects of alternate payment plan on
pediatric surgical practice in an academic setting: the role of corporate
indicators Healthc Q. 2010;13(1):101-4.
39.ZAPPAVIGNA C, GUERRA LA, OAKE JS AND BLEW BDM. Do Hydrocele
Volume and Surgical Technique Affect Outcomes at 3 Months? Presented
at the Canadian Urological Association Annual Meeting, June 26-30, 2010.
Charlotettown, PEI.
40.LIN G, SHINDEL AW, FANDEL TM, BELLA AJ, LIN CS, LUE TF. Neurotrophic
effects of brain-derived neurotrophic factor and vascular endothelial
growth factor in major pelvic ganglia of young and aged rats. BJU Int
epub ahead of print June 2, 2009, published January
41.BELLA AJ, LUE TF. Optimizing sexual function outcomes after radical
prostatectomy. Can Urol Assoc J 3(1): 49, 2009.
42.BELLA AJ, LIN G, FANDEL TM, HICKLING DR, MORASH C, LUE TF. Nerve
growth factor modulation of the cavernous nerve response to injury. J Sex
Med 6 Suppl 3: 347-352, 2009.
43.LIN G, BANIE L, NING H, BELLA AJ, LIN CS, LUE TF. Potential of adiposederived stem cells for treatment of erectile dysfunction. J Sex Med 6
Suppl 3: 320-327, 2009.
44.SENER A, BELLA AJ, NGUAN C, LUKE PPW, HOUSE AA. Focal segmental
glomerular sclerosis in renal transplant recipients: predicting early disease
recurrence may prolong allograft function. Clinical Transplantation 23(1):
96-100, 2009.
45.DUST N, DABOVAL T AND GUERRA LA. Evaluation and management of
priapism in a newborn: A case report and review of the literature.
Paediatrics & Child Health (Decision on Manuscript ID CR-10-0005.R1).
46.DESANTIS D, LEONARD MP, PRESTON M, GUERRA L, BARROWMAN N.
Effectiveness of biofeedback for dysfunctional elimination syndrome in
pediatrics: a systematic review. CUAJ 4(3Suppl1): S13, 2010.
47.DECARLI C, GUERRA L, AND LEONARD MP. Bilobed testicle in children:
diagnosis and management CUAJ 2009, 3(6):E87.
118
Abstracts
1. DESANTIS DJ, LEONARD MP, PRESTON M, BARROWMAN N AND GUERRA
LA. Effectiveness of Biofeedback for Dysfunctional Elimination Syndrome
in Pediatrics: A Systematic Review. Moderated Poster Presentation at the
1st World Congress of Pediatric Urology, May 28-30, 2010 San Francisco.
2. GUERRA LA, VILLEGAS L, DECARLI C AND LEONARD M. Clinical Value of
Uroflowmetry in the Follow up of Children after Hypospadias Repair.
Presented at the 2009 Annual meeting of the Canadian Urological
Association.
3. GUERRA LA, VILLEGAS L, DECARLI C, LEONARD MP Clinical Value of
Uroflowmetry in the Follow up of Children after Hypospadias Repair
American Academy of Pediatrics. Washington DC, Delaware, United
States. Oct 17, 2009.
4. KAPOOR A, LEONARD MP, FEBER J, LALLA A, MATZINGER M, DE CARLI C,
KEAYS M, RAJU GA, NI A, GUERRA LA. Assessing the Validity of
Subdividing a Standard Ultrasound _Grading System for Hydronephrosis.
American Academy of Pediatrics - 2009 Annual meeting. Washington DC,
Delaware, United States. Oct 17, 2009.
5. GUERRA LA, LEONARD MP, DECARLI C, VILLEGAS L. Testicular tumor in
children, a single institution experience European Society of Pediatric
Urology. Amsterdam, Netherlands. May 9, 2009.
6. ELYAS R, GUERRA LA, PIKE J, DECARLI C, BETOLLI M, BASS J, CHOU S,
SWEENEY B, RUBIN S, BARROWMAN N, MOHER D, LEONARD M. Is staging
beneficial for Fowler-Stephens orchiopexy? A systematic review. J Urol.
2010 May;183(5):2012-8.
119
DIVISION OF
VASCULAR SURGERY
120
DIVISION OF VASCULAR SURGERY
General Overview
Dr. Andrew B Hill
Faculty Members
Dr. George Hajjar, Practice Plan Manager
Dr. Tim Brandys, Program Director, & Director of the Surgical
Skills Lab & CORE Surgical Program
Dr. Sudhir Nagpal, Director Vascular Diagnostic Laboratory
Dr. Prasad Jetty, Completed Master’s in
Epidemiology and Biostatistics UofO
Current Vascular Fellows
Dr. Dalibor Kubelik
Dr. Srinidhi Javaram
Dr. Khalid Alomar
Summary of Highlights
The Division of Vascular and Endovascular Surgery at the Ottawa Hospital
continues as one of the leading centers in Canada for the provision of
endovascular therapies both for aneurismal and occlusive arterial disease. We
have also introduced minimally invasive endovascular therapies for venous
disease this year.
The implementation of fenestrated and branched endovascular stent grafts at
the Ottawa Hospital this year has been a big step in the development of our
endovascular program for the management of complex aortic pathology
(thoracoabdominal aortic aneurysms, aortic dissection and perirenal abdominal
aortic aneurysms). This has positioned the Ottawa hospital in the forefront of
the provision of endovascular therapies for aortic pathology.
As part of the development of endovascular therapies at the Ottawa Hospital,
the Division of Vascular and Endovascular Surgery is leading the development of
four new operating suites at the Civic Campus of the Ottawa Hospital (initial plan
for two endovascular suites and 2 minimally invasive operating theatres). The
planning is actively underway.
February 7th to 9th Dr. Andrew Hill Co-directed an International Vascular CME
Meeting at Mont Tremblant entitled “Peripheral and Aortic Endovascular Therapy
Course for Canadian Vascular Surgeons.” The objective of the course was to
expose vascular surgeons already in practice across Canada to the basic and
advanced endovascular techniques for treating peripheral and aortic pathologies,
as well as the necessary resources and inventory required to start an
endovascular program at the surgeons’ centers.
121
Publications
1. JETTY, P, HEBERT, P, VAN WALRAVEN C. Long-term Outcomes and
Resource Utilization of Endovascular versus Open Repair of Abdominal
Aortic Aneurysms in Ontario. J Vasc Surg 2010;51:577-83.
2. CECILIAT COSTINIUK, ANTON A SHARAPOV, GREGORY W ROSE, JOHN P
VEINOT, MARC DESJARDINS, TIM M BRANDYS, KATHRYN N, Suh
Mycobacterium bovis abdominal aortic and femoral artery aneurysms
following intravesical bacillus Calmette-Guerin therapy for bladder cancer.
Cardiovasc Pathol. 2010 Mar-Apr;19(2):e29-32.
3. HILL, AB, MOORE RD, Open versus endovascular repair of popliteal artery
aneurysms. J Vasc Surg. 2010 Jan;51(1):271-6.
Lay Article
1. Jetty P Alison Palkhivala Lay Press Article Reinterventions, Resource
Utilization Dwindling for Endovascular AAA Repair Transcatheter
technology
122
DEPARTMENT OF
PAEDIATRIC SURGERY
CHILDREN'S HOSPITAL OF
EASTERN ONTARIO
123
The Department of Paediatric Surgery
Children’s Hospital of Eastern Ontario
Dr. Baxter Willis
Head, Department of Surgery
Children's Hospital of Eastern Ontario
Faculty Members
Division Cardiovascular Surgery
Dr. Gyanni Maharajh, Chief
Dr. Simon Saito
Division of Dentistry
Dr. Carol Janik, Chief
Dr. Juan Bass, Chief
Dr. Shirley Chou
Dr. Marcos Bettolli
Division of Gynecology
Dr. Natalie Fleming, Chief
Dr. Enrique Ventureyra,
Chief
Dr. Michael Vassilyadi
Dr. Munyao Nzau
Division of Otolaryngology
Dr. Johnna MacCormick,
Chief
Dr. Jean Philippe Vaccani
Dr. Matthew Bromwich
Division of Orthopaedics
Dr.
Dr.
Dr.
Dr.
Dr.
Dr. Mary Jean Duncan,
Chief
Dr. Yvonne Ying
Division of Urology
Dr. Luis Guerra, Chief
Dr. M. Leonard
James Jarvis, Chief
Baxter Willis
Lou Lawton
Ken Kontio
Paul Moroz
124
General Overview
Faculty / Staff & Fellow
We continue to attract excellent Fellows in the various Divisions of the
Department of Surgery at CHEO. The Fellows train at CHEO to obtain increased
expertise in their paediatric surgical specialty. They also participate in the
teaching of residents and medical students and as well, are important members
of the care giving team for children seeking surgical care at CHEO. We have
been fortunate to attract excellent Fellows over the past year and we are
grateful for their assistance in clinics and the operating room.
The Division of Paediatric General Surgery has seen the departure of Drs.
Steven Rubin and Dr. Brian Sweeney. Dr. Rubin has retired after 17 years of
dedicated service to the children of Eastern Ontario. We are grateful for his
many contributions over the years to both the Division of Paediatric General
Surgery and the Department of Surgery.
Dr. Brian Sweeney after 5 years at CHEO has decided to return to his home in
Ireland. Dr. Sweeney contributed immensely during his five years at CHEO to
the both clinical and academic programs of the Children’s Hospital. We wish Dr.
Sweeney all the best in his future endeavors.
It was with regret that we saw the resignation of Dr. Michael Leonard as Chief of
the Division of Paediatric Urology after 10 years of service. He was an
outstanding leader with a fair and objective overall vision of CHEO and the
Department of Surgery. Dr. Leonard decided to change his career path and has
moved into a full-time position with the Canadian Medical Protective Association.
We are grateful for his many contributions to CHEO and the children of Eastern
Ontario.
Research and Education
The Department of Surgery continues to be active in research activities and
these have been highlighted in the individual divisional reports. We have a
designated research fund with the Surgery Associates which enables access to
funds to pursue research initiatives within the Department of Surgery. Many
Divisions continue to pursue research activities in their areas of expertise. There
have also been numerous presentations at national and international meetings
along with the many peer-reviewed publications.
125
Surgical Grand Rounds
Surgical Grand Rounds are held each Wednesday from 8:00 – 9:00 a.m. and are
an integral part of the teaching program of the Department of Paediatric
Surgery. Each Division is responsible for two rounds per year and the rounds
are also used for morbidity rounds as well as, to obtain further information on
subjects given by Visiting Professors. All Paediatric Surgeons, residents, fellows
and students in the Paediatric Surgical Program attend these rounds and
critiques are filled out at the end of each round.
The following is a list of the rounds held over the preceding year. These rounds
are multi-disciplined and each Division will have their own focused rounds in
their particular specialty on a weekly basis.
New Initiatives
Perioperative Services Review
We have engaged in an important collaboration with G.E. Healthcare to perform
a Perioperative Lean Review. This executive sponsored project is essential to
address Perioperative “Patient Flow” and is one of four strategic corporate
priorities for 2010/2011. During this process we will identify and prioritize
opportunities for improvements to our present processes.
Our end goal will be to redesign Perioperative Services to increase efficiency and
reliability of the patient/family centered care we strive to deliver.
The support of the Division Heads of the Department of Surgery, as well as, the
entire membership of the Department is deeply appreciated. The entire
Department has the utmost admiration for the tremendous contributions of our
OR staff, Day Surgery Nursing staff and Administrative Assistants.
We are also grateful for the continued support of our Administration and we look
forward to continued growth and development in the future. If we continue to
work together in the future, as we have in the past, we will continue to provide
exemplary care to our patients in spite of our financial adversity.
126

Department of Surgery

Transcription

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