In 2016, the latest research of Dr. Bauer, Dr. Gorfine, Dr. Popowich and Dr. Chessin was presented at internationally attended conferences, including at the American Society of Colon and Rectal Surgeons Annual Scientific Meeting in Los Angeles, the Society for Surgery of the Alimentary Tract Annual Meeting in San Diego, and at the Society of Pelvic Surgeons Annual Meeting in St. Louis. The topics presented included an analysis of a new type of minimally invasive surgery, an assessment of complications after loop ileostomy closure, a study of an imaging technology that can help intestinal surgeon’s provide safer operations for their patients, and a comprehensive study of the need for a temporary, diverting ileostomy bag during restorative proctocolectomy procedure when creating a “J-Pouch” for patients requiring the removal of the colon.
Minimal Invasive Study: Manhattan Surgical Associates has been leading the way in making surgery less invasive for our patients. In this study, it was found that using only 2 incisions to remove a colon and create a J-pouch may lead to better outcomes for patients who require these types of surgeries when compared to more laparoscopic incisions or an open surgery. These improved outcomes include a lower rate of post-operative complications and less complicated healing process when compared to traditional surgical methods.
Blood flow imaging study: Dr. Bauer studied a non-radioactive and safe dye called indocyanine green that is injected into a patient’s IV during surgery and illuminated using a fluorescent camera. This allows surgeons see where a patient’s blood is flowing and aids in making decisions in the operating room. This technology has helped heart and plastic surgeons for many years, and Dr. Bauer believed that it could help intestinal surgeons too. Therefore, in 50 patients he compared the results of the imaging technology with surgeons’ traditional estimations of blood flow. He found that the imaging technology provided a more accurate assessment of blood flow than traditional assessments. This study was presented at the Society of Pelvic Surgeons annual meeting in St. Louis—a very elite society with under 80 active practicing surgeons world-wide. New and innovative reports are often presented at this meeting so that the membership can critique the presenter and make suggestions. Because of Dr. Bauer’s initial work with this technology, the Mount Sinai Hospital is participating in a very large, multi-site clinical trial assessing if this technology helps improve outcomes in many patients.
Complications after Ileostomy Closures: Loop ileostomies are often used to help patients heal after intestinal surgery. While the closure of loop ileostomies is generally quick and considered a low-risk operation, there are some risks associated with closing a loop ileostomy. There has been growing interest in identifying if there is a way to predict these rare complications after loop ileostomy closure. The surgeons at Manhattan Surgical Associates reviewed their extensive experiences with loop ileostomies to identify which type of patients may be at higher risk for complications. Our findings were presented at the Society for Surgery of the Alimentary Tract—an internationally attended meeting of surgeons and physicians who are interested in intestinal disorders and diseases.
Restorative Proctocolectomy Study: Manhattan Surgical Associates has performed well over 1,200 restorative proctocolectomies since 1981. In over 700 carefully selected patients who received this procedure, the patients were not given an ileostomy during the creation of their J-pouch. It was found that the carefully selected patients who had a J-pouch created without a temporary ileostomy had equal, and potentially better outcomes than those who were given a temporary ileostomy.
All of these studies represent Manhattan Surgical Associates relentless commitment to improving patient care and contributing to the field of colorectal surgery while mentoring the next generation of surgeons.
In the picture to left to right: Mount Sinai Resident Maria Widmar, MD, senior partner Joel Bauer, MD, and research assistant Jordan Munger at the American Society of Colon and Rectal Surgeons Annual Scientific Meeting in Los Angeles, California in May, 2016.