News Update from the Department of Surgery
THE STONY BROOK CENTER FOR
AMBULATORY SURGERY CENTER MINIMALLY INVASIVE SURGERY
PROVIDES THESE MINIMALLY
OPENING SOON INVASIVE LAPAROSCOPIC
• Adrenalectomy (removal of one or both
• Anti-reflux fundoplication (Nissen and
Toupet procedures; treatment of
gastroesophageal reflux disease)
• Appendectomy (removal of appendix)
• Cholecystectomy (removal of gallbladder)
• Colectomy (removal of part or all of the colon)
• Common bile duct exploration (identification
and removal of bile duct stones)
• Feeding jejunostomy (insertion of feeding tube
in small intestine, as well as cancer staging)
cheduled to open in January 2001, the new Ambulatory Surgery Center
at Stony Brook will be located on Loop Road at the south entrance to • Inguinal hernia repair (treatment of
University Hospital and Medical Center. The spacious, state-of-the-art groin hernia)
facility (32,000 square feet) is designed to create a comfortable, stress-free outpa- • Liver biopsy (diagnosis of liver disease)
tient surgery experience for both adult and pediatric patients.
• Myotomy (Heller procedure; treatment
The Center will have six operating rooms and two minor procedure of achalasia)
rooms—all with the latest equipment and monitors.
• Paraesophageal hernia repair (treatment of
Consistent with the latest concepts in ambulatory surgery, the recovery
area will be divided into two stages. The first-stage room will be a conventional
recovery area and set up for those patients requiring more frequent observation. • Peritoneal dialysis catheter placement
But many patients will go directly to a second-stage room where they can (abdominal catheter for dialysis)
be fed, enjoy their families, and relax before going home—thanks to new short- • Small bowel resection (removal of part
acting anesthetics, combined with minimally invasive surgical techniques, that of intestine)
are allowing more and more patients to bypass the conventional recovery pro- • Splenectomy (removal of spleen)
cess with minimal, if any, pain or nausea.
• Ventral hernia repair (treatment of
The Center's planners have paid particular attention to the needs of chil-
abdominal wall hernia)
dren and their families. There will be pediatric play areas with specially de-
signed furniture for children, as part of our effort to make their experience as
Note: As the range of different laparoscopic op-
pleasant as possible.
erations continues to expand, more minimally
Easy accessibility for both patients and surgeons is a high priority of the
invasive options will be available in the future.
Center. Parking will be easy, plentiful, and free of charge.
The Center will also house the preoperative testing area for inpatient sur-
For appointments/consultations with a surgeon of
gery. This area will allow patients to have their inpatient preoperative lab tests, the Stony Brook Center for Minimally Invasive
EKGs, chest x-rays, and history/physicals all CENTER • UNIVERSITY AT STONY
DEPARTMENT OF SURGERY • UNIVERSITY HOSPITAL AND MEDICAL done in one easy visit. BROOK Surgery, please call (631) 444-4545. —1 —
INTRODUCING OUR NEW PLASTIC THE STONY BROOK
SURGEON AND DIVISION CHIEF LEG AND FOOT ULCER
In November, Alexander B. Dagum, MD, A multidisciplinary team of
joined our faculty as associate professor of wound care specialists in
surgery and chief of plastic and reconstructive East Setauket
surgery. He comes to us from Lakeridge
Health Oshawa (formerly Oshawa General
• Comprehensive patient care
Hospital) in Oshawa, Ontario, Canada, where
he has been chief of plastic surgery. He re- • Early intervention
ceived his MD (magna cum laude/gold med- • Improved healing rates
alist) from the University of Ottawa in 1987, • Reduced hospitalization
and he subsequently completed his training in
• Reduced amputations
plastic surgery at the University of Toronto in
1993. That year he was awarded certification • Reduced disability
Dr. Alexander B. Dagum in plastic surgery from the Royal College of • Community outreach
Physicians and Surgeons of Canada.
Dr. Dagum then completed two years of fellowship training in For consultations/appointments, please call
hand surgery and microsurgery, the first at the University of Toronto
(St. Michael’s Hospital), and the second here at Stony Brook in the or-
thopaedics department. Following this training, he returned to Canada
where he became a lecturer at the University of Toronto.
Since 1994, Dr. Dagum has been a fellow of the Royal College of
Surgeons of Canada (FRCSC), and since 1999, a fellow of the American
College of Surgeons (FACS).
His special clinical interests include hand and microsurgery, breast POST-OP is published by the
reconstruction, craniofacial surgery, and cutaneous oncology. During Department of Surgery
University Hospital and Medical Center
the past year he was the cutaneous oncology resource physician for State University of New York
at Stony Brook
Cancer Care Ontario, the province of Ontario’s healthcare agency dedi- Stony Brook, New York
cated to providing cancer care.
An active researcher, Dr. Dagum recently served for three years as John J. Ricotta, MD
the joint director of research in the hand program at the University of Writer/Editor
Toronto. His current research interests include evidence-based and clini- Jonathan Cohen, PhD
cal outcomes studies and biomechanics. Advisory Board
Collin E.M. Brathwaite, MD
Dr. Dagum has published numerous peer-reviewed articles in jour- Alexander B. Dagum, MD
nals, book chapters, and research abstracts. Also active in professional Peter J. Garlick, PhD
Fabio Giron, MD, PhD
organizations, he recently served as president of the Ontario Society of Arnold E. Katz, MD
Plastic Surgeons and as chair of the Ontario Medical M. Margaret Kemeny, MD
Irvin B. Krukenkamp, MD
Association’s Section of Plastic Surgery. Cedric J. Priebe, Jr., MD
Harry S. Soroff, MD
For consultations/appointments with Dr. Dagum,
please call (631) 444-4545.
All correspondence should be sent to:
Dr. Jonathan Cohen
Department of Surgery/HSC T19
University Hospital and Medical Center
Stony Brook, NY 11794-8191, USA
—2 — DEPARTMENT OF SURGERY • UNIVERSITY HOSPITAL AND MEDICAL CENTER • UNIVERSITY AT STONY BROOK
FROM STONY BROOK
which laid the scientific foundation (he served as the society’s president
for human organ transplantation, Dr. from 1978 to 1980), Dr. Rapaport has
Dausset was awarded the 1980 Nobel been its permanent international sec-
Prize for Medicine and Physiology. retary and historian since 1990, and
will continue to serve in this capacity.
Until Dr. Rapaport’s arrival Over the years, in recognition of
at Stony Brook in 1977, his professional achievements and
Long Islanders in need of a contributions, Dr. Rapaport has re-
lifesaving kidney transplant ceived numerous high honors.
were forced to seek services in Among them—to mention just a
Dr. Felix T. Rapaport
New York City. few—are the Transplantation
Society’s Medawar Prize, regarded as
Dr. Rapaport did not limit his the ultimate accolade of world trans-
In October, Felix T. Rapaport,
achievements to the transplant field. plantation; the first Founders Award
MD, SUNY distinguished professor
He provided the original demonstra- of the International Society for Organ
(now emeritus) and founder of our
tion of the loss of cellular immunity in Sharing; the decorations of France’s
Division of Transplantation, retired
severe trauma and burns and in ma- Legion of Honor and Argentina’s Or-
after 23 years of service. A special
lignant disease. He was also the first der of May; and the first Samuel L.
convocation, planned for early De-
to uncover immunological cross-reac- Kountz Award of the Howard Uni-
cember, will honor him for his diverse
tivity between mammalian histocom- versity Transplant Center and the Na-
contributions to the University at
patibility antigens and bacterial cell tional Institutes of Health-National
Stony Brook as a physician, teacher,
membrane antigens—a finding of Institute of Diabetes and Digestive
administrator, and scholar.
great potential importance in the field and Kidney Diseases.
Until Dr. Rapaport’s arrival at
of xenotransplantation. Dr. Rapaport’s distinguished
Stony Brook in 1977, Long Islanders in
Still another contribution of ma- career began at New York University
need of a lifesaving kidney transplant
jor import was Dr. Rapaport’s demon- where he graduated in 1954, did his
were forced to seek services in New
stration that host resistance to thermal surgical residency and subsequently
York City. More than 400 transplants
and radiation injury is genetically joined the faculty, rising to the rank
were performed here during his ten-
controlled and sex-linked. of professor and director of the
ure as chief of the transplantation ser-
transplantation and immunology di-
vision in the surgery department
Dr. Rapaport has long been rec- A DISTINGUISHED CAREER
there. He then joined our surgical
ognized as a leading force in the field Dr. Rapaport has published 20
faculty at Stony Brook in 1977, and
of organ transplantation. Among his books and more than 500 scientific ar-
established the transplantation pro-
many academic accomplishments is ticles. As editor-in-chief of Transplan-
the historic first demonstration of tis- tation Proceedings, one of the most
In 1995, Dr. Rapaport was ap-
sue types in man, based upon skin influential journals in surgery, he has
pointed to a SUNY distinguished
grafting studies in which he character- been for the past three decades—and
professorship—the highest academic
ized immunological responses to skin in his retirement will continue to be—
rank in the State University of New
allografts. a key factor in fostering the timely
York, and the first at this rank in the
In the following 17 years, work- dissemination and sharing worldwide
clinical sciences at Stony Brook.
ing along with Dr. Jean Dausset of the of new scientific advances in trans-
University of Paris, he helped develop plantation.
the human leukocyte antigen (HLA) A founding officer of the Trans-
system, and the definition of the bio- plantation Society, the world’s lead-
logical laws which govern transplan- ing organization of experts in
tation in man. For this discovery transplantation biology and medicine
DEPARTMENT OF SURGERY • UNIVERSITY HOSPITAL AND MEDICAL CENTER • UNIVERSITY AT STONY BROOK —3 —
CONTRIBUTING TO THE NEW LUNG SCREENINGS
CANCER EVALUATION CENTER
Offering Patients the Benefits The Stony Brook Vascular Center will
provide free-of-charge comprehensive
Of Multidisciplinary Care
vascular screenings—in East Setauket
and in Hampton Bays—to evaluate
This fall the Cancer Institute of Long Island at Stony Brook established a
members of the community for:
new program in comprehensive patient care called the Lung Cancer Evaluation
Center. The clinical program brings together all the different specialists needed • Stroke risk
to care for patients with known or suspected lung cancer, as well as those indi- • Peripheral vascular disease
viduals at special risk of developing lung cancer.
Our thoracic surgeons—Thomas V. Bilfinger, MD, ScD, clinical professor • High cholesterol
of surgery; Allison J. McLarty, MD, assistant professor of surgery; and Adam E. • Diabetes
Saltman, MD, PhD, assistant professor of surgery—will be active members of
• Abdominal aortic aneurysm
the Center’s multidisciplinary team.
To qualify for these screenings, one must
Now patients who have x-ray abnormalities that might be over 60 years old and have at least ONE
represent lung cancer, or patients who have a known diagnosis of the following conditions/risk factors:
of cancer, can undergo evaluation by all of the physicians
• High blood pressure
involved in the diagnosis and treatment of lung cancer.
Sharona Sachs, MD, assistant professor of clinical medicine, is the pro- • Previous stroke or mini-stroke
gram director and principal pulmonologist. John J. Fiore, MD, associate profes-
sor of clinical medicine, is the principal oncologist in the new program.
• Current or past smoker
Now at Stony Brook, patients who have x-ray abnormalities that might • High cholesterol
represent lung cancer, or patients who have a known diagnosis of cancer, can • History of heart attack or angina
undergo evaluation by all of the physicians involved in the diagnosis and
treatment of lung cancer—lung specialists, cancer specialists, thoracic • Family history of abdominal
surgeons, and radiation therapy specialists, all with particular interest and
expertise in lung cancer. • Family history of cardiovascular disease
At the conclusion of the initial visit, each patient’s case has been reviewed
by all of these different specialists. A plan for diagnosis or treatment is then for- EAST SETAUKET
mulated based on their combined expert opinion. Patients and their families When:
have an opportunity to discuss their questions about lung cancer and all of the Saturday, November 11, 2000
options for diagnosing and treating it with the physician who specializes in the Saturday, December 16, 2000
particular option that is recommended for them. 9:00 AM to 5:00 PM
At that same visit, all diagnostic tests that are required for treatment are Where:
scheduled, and all follow-up arrangements for care are made by our program Stony Brook Surgical Care Center
coordinator. 37 Research Way
THE BENEFITS OF HAMPTON BAYS
MULTIDISCIPLINARY CARE When:
The multidisciplinary approach to medical care means simultaneous as- Saturday, December 2, 2000
sessment by all of the specialists whose expertise is required to offer the best so- Saturday, January 6, 2001
lution to a problem. In the case of known or suspected lung cancer, there are 9:00 AM to 5:00 PM
several ways to approach diagnosis and treatment, depending on the appear- Where:
ance and location of the x-ray abnormalities and on the health and preferences Stony Brook Outpatient Services Center
of each individual patient. 225 West Montauk Highway
Diagnosis might involve participation from pulmonologists, radiologists,
These screenings are made possible by grants from
or thoracic surgeons. Treatment might involve any combination of chemo- the Bristol-Myers Squibb Company and Sanofi
therapy, surgery, and/or radiation. Pharmaceuticals, Inc. To make an appointment,
(Continued on Page 8) please call (631) 444-4393.
—4 — DEPARTMENT OF SURGERY • UNIVERSITY HOSPITAL AND MEDICAL CENTER • UNIVERSITY AT STONY BROOK
Research Focus Carotid Endarterectomy
New Multi-Center Study and Stroke Prevention
Of Carotid Endarterectomy
Well established as a measure to prevent
In Coronary Bypass Surgery
stroke, carotid endarterectomy is a vascular
In April, John J. Ricotta, MD, professor and chairman of surgery, was awarded operation in which the surgeon removes an
a $1 million grant from the National Institutes of Health to conduct a multi-center pi- obstruction in the carotid (neck) artery caused
lot study to test his hypothesis that carotid endarterectomy (CEA) reduces the risk of by atherosclerosis, commonly known as
perioperative stroke in at-risk patients undergoing heart surgery for coronary artery hardening of the arteries.
bypass grafting (CABG). Stroke is the most serious non-cardiac complication of
CABG surgery. The problem corrected by this operation is due
Called the CABEST study (Coronary Artery Bypass and Endarterectomy Stag- to arterial disease. As we age, our arteries
ing Trial), this clinical research will take three years to complete, during which time narrow. They lose their flexibility and the
Dr. Ricotta intends to collect data on 300 patients. linings crack. When the arteries in the neck
Stony Brook University Hospital and Medical Center is the coordinating center begin to narrow, blood clots may develop. The
in this study. The other participating centers are: Sentara Norfolk General Hospital in
carotid artery may become completely blocked
Norfolk, VA (affiliated with the University of Virginia); New England Heart Institute
or a piece of clot may break off and travel to
at the Catholic Medical Center in Manchester, NH; Indiana University Medical Cen-
the brain. In both cases a stroke may result.
ter in Indianapolis, IN; and the University of Arkansas for Medical Sciences Medical
Center in Little Rock, AR.
Risk of stroke increases as the artery becomes
When is it best to perform carotid endarterectomy in order to more and more narrow. The risk is particularly
reduce the risk of stroke during/after coronary bypass surgery? high after the artery is blocked more than
70%. The amount of blockage may be
Patients are being randomized into one of four assignments. If the patient is determined by a simple painless test called a
symptomatic, he/she will be randomized into either a staged procedure with CEA “carotid Doppler” or “carotid ultrasound.”
performed first, followed by CABG, or into a combined CEA/CABG procedure. As-
ymptomatic patients will be randomized into either a staged procedure with CABG People at greatest risk for carotid artery
first, followed by CEA, or into a combined CEA/CABG procedure. narrowing are those over age 65 (particularly
At present, there is disagreement on the optimal way to treat patients who re- smokers) and those who already have poor
quire both CABG and CEA. Some surgeons do both operations under the same anes- circulation in the legs or their heart. Patients
thetic, while others do each operation separately. Published experience in the medical
who have temporary loss of vision or speech
literature has not shown a clear benefit for any one method of treatment.
and/or weakening of an arm or leg may have
Dr. Ricotta hopes to show that one of the methods is safer than the others, resulting
had a “mini-stroke” and should see their
in fewer strokes, heart attacks and deaths. When this pilot study is completed, he plans to
go on to do an even larger study, involving more than 20 different medical centers. doctor.
For more information, please call the CABEST coordinator at (631) 444-2017.
Carotid endarterectomy by an experienced
surgeon is a very effective way to reduce the
risk of stroke. People who are considering
carotid endarterectomy should ask their
potential surgeon about his/her experience
and results. In general, the chance of
complication occurring during surgery should
be less than 4% in stable patients.
Carotid disease is only one of several types of
hardening of the arteries. Our vascular surgeons
perform a broad range of operations including
carotid endarterectomy to correct arterial
DEPARTMENT OF SURGERY • UNIVERSITY HOSPITAL AND MEDICAL CENTER • UNIVERSITY AT STONY BROOK —5 —
Our fully accredited five-year nonpyramidal residency program fulfills the
standards for professional excellence adopted by the American Board of Surgery,
and leads to Board eligibility. Our residents receive a broad-based surgical
education, which includes not only the clinical but the biological aspects of
surgery as well, and provides the foundation for a successful career in private
practice, research, or academic surgery. Five surgical residents are selected each
year through the National Resident Matching Program.
Dr. John Ricotta (left) and Dr. Eugene Mohan (right) with our 2000 Our graduating otolaryngology resident (center), Dr. Louis
graduating chief residents (from left to right), Drs. Luis Angarita, Jaroslaw Sobol, with Dr. John Ricotta (left) and Dr. Arnold Katz (right).
Bilaniuk, Daniel Char, Hassan Reda, and Gustavo Torres, at the graduation
banquet held on June 4.
2000 Graduating Chief Residents
Name Medical School (Grad. Year) Career Direction
Luis Angarita, MD Central U of Venezuela (’92) Colorectal Surgery Fellowship at Baylor University
Jaroslaw Bilaniuk, MD SUNY-Stony Brook (’95) Critical Care Fellowship at SUNY-Stony Brook
Daniel Char, MD SUNY-Stony Brook (’95) Vascular Surgery Fellowship at SUNY-Stony Brook
Hassan Reda, MD American U of Beirut (’95) Cardiothoracic Surgery Fellowship at U of Texas (Galveston)
Gustavo Torres, MD Francisco Marroquin U (’93) Vascular Surgery Fellowship at U of Southern California
New Chief Residents
Name Medical School (Grad. Year)
Behdad Aryavand, MD Ross U (’95)
Chad Caldwell, MD Medical College of Pennsylvania (’96)
Jonas DeMuro, MD SUNY-Stony Brook (’96)
Hector Dourron, MD U of Buenos Aires (’94)
James Vosswinkel, MD SUNY-Syracuse (’95)
Incoming Residents/All Categorical PGY-1*
Name Medical School (Grad. Year)
Robert Bernstein, MD NY Medical College (’00)
Vincent Campasano, MD SUNY-Brooklyn (’00)
Solomon David, MD SUNY-Albany (’00)
Mark Gelfand, MD SUNY-Syracuse (’00)
Roger Kim, MD Northwestern U (’00)
* As of July 1, 2000.
Our graduating vascular surgery resident (second from left), Dr. Michael
Klyachkin, with our vascular faculty (left to right), Drs. John Ricotta,
Fabio Giron, David Gitlitz, Rishad Faruqi, and Paul van Bemmelen.
—6 — DEPARTMENT OF SURGERY • UNIVERSITY HOSPITAL AND MEDICAL CENTER • UNIVERSITY AT STONY BROOK
FIRST ANNUAL DAVID J. KREIS, JR., AWARD
FOR EXCELLENCE IN TRAUMA SURGERY
At the graduation banquet held on June 4, trauma nurse coordinator
Jane E. McCormack, RN, made the following presentation:
“ I am here tonight to announce a
new annual resident award, created
and funded by the Division of Trauma
down to earth—a regular guy.
Dave Kreis was the ultimate
team player. He knew each and every
On behalf of the Division of
Trauma and Surgical Critical Care, I
am pleased to announce the first re-
and Surgical Critical Care in honor of member of the trauma team, from the cipient of the David J. Kreis, Jr.,
Dr. David Kreis, Jr. Many of you did sub-specialty attendings to the house- Award for Excellence in Trauma Sur-
not have the opportunity to know him, keepers. He made sure we all did our gery. For the year 2000, the recipient is
but I did, and I am pleased tonight to
tell you a little bit about him and this
best. He held us to high standards,
provided instruction if we needed it,
and set us straight if we needed to be
Dr. James Vosswinkel.
David Kreis was the first chief in set straight. He led by example and
the Division of Trauma. He came to never asked of us what he himself was Dr. James A.
Stony Brook in 1986 with a simple mis- not willing to do. He was an unparal- Vosswinkel, a
sion—to build a world-class trauma leled leader. chief resident
center. He was well on his way to that Dave was a man who balanced since July 2000, re-
end when his life was cut short by can- the demands of his many roles and ceived his MD in
cer and he passed away in 1989. made it look easy. I think, more im- 1995 from SUNY-
portantly, he made it look like fun. He Syracuse, and
loved to operate. He loved his family. then entered our
He loved to teach. He loved a good residency training
lively discussion. He loved the Grate- program in gen-
ful Dead. He loved a challenge. Per- eral surgery. He Dr. James A. Vosswinkel
haps Dave’s greatest gift was that he quickly gained the
got other people—particularly resi- respect of the entire surgical faculty
dents—to share his passion for trauma for his clinical and academic excel-
Dr. Kreis was an important fig- Also an impressive young
ure in trauma surgery both nationally scholar, Dr. Vosswinkel has published
and locally. It is fitting that we honor five peer-reviewed articles during the
his contributions to our community course of his residency, three of which
and to our Department with this are in the field of trauma/surgical
award. In addition to this plaque to- critical care:
Dr. David J. Kreis, Jr., (right) with residents on night, the recipient will receive funds
teaching rounds. • Vosswinkel JA, Bilfinger TV. Cardiac nail gun
to attend the annual meeting of the injuries: lessons learned. J Trauma
Dr. Kreis left behind the Eastern Association for the Surgery of 1999;47:588-90.
• Vosswinkel JA, McCormack JE, Brathwaite CE,
foundation upon which the trauma Trauma. Geller ER. Critical analysis of injuries sustained
center at Stony Brook rests today. The David J. Kreis, Jr., Award for in the TWA Flight 800 midair disaster. J
He was the force behind the Medivac Excellence in Trauma Surgery recog- • Vosswinkel JA, Brathwaite CE, Smith TR,
Ferber JM, Casella G, Garlick PJ. Hyperventila-
helicopter in the county. He created nizes the unique characteristics that tion increases muscle protein synthesis in
the trauma research laboratory. He make a trauma surgeon—the charac- critically ill trauma patients. J Surg Res
brought the ATLS [Advanced Trauma teristics Dave Kreis personified: integ-
Life Support] course to the region. He rity, educational acumen, leadership, At present, Dr. Vosswinkel in-
had a hand in many other programs and excellence both in clinical practice tends to pursue fellowship training in
too numerous to mention. and medical research. All together, the trauma/surgical critical care after
Even with these many accom- certain “something” that makes a completing his residency training at
plishments, Dave Kreis remained trauma surgeon. Stony Brook.
DEPARTMENT OF SURGERY • UNIVERSITY HOSPITAL AND MEDICAL CENTER • UNIVERSITY AT STONY BROOK —7 —
OUR ELECTRONIC Some Recent Publications*
PHYSICIAN DIRECTORY Bilfinger TV, Reda H, Giron F, Seifert FC,
Ricotta JJ. Coronary and carotid operations
under prospective standardized conditions:
incidence and outcome. Ann Thorac Surg
T he Department provides a physician directory as part of its website—please
visit us at the following address to find information about our individual
surgeons (see sample page below), as well as our programs in patient care,
Bilfinger TV, Stefano GB. Human aortocoronary
grafts and nitric oxide release: relationship to
pulsatile pressure. Ann Thorac Surg
education, research, and community service: 2000;69:480-5.
Bilfinger TV, Vosswinkel JA, Rialas CM,
www.uhmc.sunysb.edu/surgery Krukenkamp IB, Stefano GB. Functional
assessment of disease-free saphenous vein
MD: Washington University (1967). grafts at redo coronary artery bypass grafting.
Ann Thorac Surg 2000;69:1183-7.
Residency Training: General Surgery, St. John’s Mercy Medical
Center, St. Louis, MO; Otolaryngology, University of Iowa Brink PR, Ricotta J, Christ GJ. Biophysical
characteristics of gap junctions in vascular
Hospital and Clinic. wall cells: implications for vascular biology
Board Certification: Otolaryngology. and disease. Braz J Med Biol Res
Specialties: Management of diseases of the ear, nose and
Cadet P, Bilfinger TV, Fimiani C, Peter D,
throat; repair of cleft palate and other congenital facial Stefano GB. Human vascular and cardiac
abnormalities; head and neck cancers; facial reconstruction. endothelia express mu opiate receptor
transcripts. Endothelium 2000;7:185-91.
Dr. Arnold E. Katz Additional: Chief of Otolaryngology-Head and Neck
Caiati JM, Kaplan D, Gitlitz D, Hollier LH, Marin
Surgery; Fellow, American College of Surgeons (FACS); ML. The value of the oblique groin incision for
see selected recent publications. femoral artery access during endovascular
procedures. Ann Vasc Surg 2000;14:248-53.
Honors: One of the “Doctors of Excellence” featured in past editions and the latest
edition (2000) of the Castle Connolly Guide, How to Find the Best Doctors—New York Caso G, Scalfi L, Marra M, Covino A, Muscaritoli
M, McNurlan MA, Garlick PJ, Contaldo F.
Metro Area. Albumin synthesis is diminished in men
consuming a predominantly vegetarian diet.
Language Spoken: English. J Nutr 2000;130:528-33.
Cersosimo E, Garlick P, Ferretti J. Regulation of
Email (to contact Dr. Katz directly): email@example.com splanchnic and renal substrate supply by
insulin in humans. Metabolism 2000;49:
Lung Cancer Evaluation Center Cersosimo E, Garlick P, Ferretti J. Renal substrate
(Continued from Page 4) metabolism and gluconeogenesis during
hypoglycemia in humans. Diabetes
When patients with possible lung cancer are evaluated outside of a 2000;49:1186-93.
multidisciplinary program, they often see a number of different doctors on
Chuter TA, Lukaszewicz GC, Reilly LM, Kerlan RK,
many different days. This process usually allows for gathering of all of the Faruqi R, Sawhney R, Wall SD, Canto C,
opinions required to deliver appropriate care, but is inconvenient and anxiety LaBerge JM, Gordon RL, Messina LM.
Endovascular repair of a presumed
provoking. aortoenteric fistula: late failure due to
recurrent infection. J Endovascular Ther
When a patient is seen at the Lung Cancer Evaluation Center, his or her 2000;7:240-4.
case is reviewed by a pulmonologist, a thoracic surgeon, an oncologist, and a ra-
Chuter TA, Reilly LM, Faruqi RM, Kerlan RB,
diation oncologist, so that a comprehensive plan is generated from just one visit. Sawhney R, Canto CJ, LaBerge JM, Wilson
MW, Gordon RL, Wall SD, Rapp J, Messina
In this way, anxiety, delay, and inconvenience are minimized. Communi- LM. Endovascular aneurysm repair in high-risk
cation among all of the specialists involved is ensured as well, and patients can patients. J Vasc Surg 2000;31(1 Part 1):122-
directly address their questions and concerns to the principal specialist involved
in their care. Chuter TA, Reilly LM, Kerlan RB, Faruqi RM,
Sawhney R, Wall SD, Canto CJ, LaBerge JM,
The multidisciplinary approach also facilitates access to all of the latest Gordon RL, Messina LM. Endovascular repair
of a presumed aorto-enteric fistula. Late
developments in each of the specialties—oncology, pulmonary medicine, Failure due to recurrent infection. J Endovasc
radiation, and surgery—touching upon cancer care. Ther 2000;7:240-4.
Dvali LT, Dagum AB, Pang CY, Kerluke LD,
Catton P, Pennock P, Mahoney JL. Effect of
OFFERING A FULL radiation on skin expansion and skin flap
RANGE OF CARE viability in pigs. Plast Reconstr Surg
The Lung Cancer Evaluation Center is meant to be a resource for patients
(Continued on Page 10)
who have chest x-ray abnormalities that might be lung cancer, for patients who
have an established diagnosis of lung cancer, or for individuals who are at spe- * The names of faculty authors appear
cial risk of developing lung cancer because of family history, occupational in boldface
(Continued on Page 11)
—8 — DEPARTMENT OF SURGERY • UNIVERSITY HOSPITAL AND MEDICAL CENTER • UNIVERSITY AT STONY BROOK
Dr. Madariaga is currently the prin-
Alumni News cipal investigator of a randomized,
singled-blind standard treatment con-
Since the class of 1975 entered the profession of surgery, 144 trolled, parallel group multicenter study
physicians have completed their residency training in general of the efficacy of Octacol F15 (Quixil) in
surgery at Stony Brook. The alumni of our residency program reducing the time required to achieve he-
mostasis during liver resection.
now practice surgery throughout the United States, as well as Dr. Frank L. Ross (’90) is pleased
in numerous other countries around the world. to report that he and his wife just had
their first baby, Justin Michael Ross,
Dr. Juan R. Madariaga (’79), an plantation and donor availability. He
who was born on September 1.
associate professor of surgery at the is studying the effects of growth fac-
Dr. Jonathan P. Yunis (’90) is cur-
University of Pittsburgh and a mem- tors in liver regeneration, in the labo-
rently in private practice as a general
ber of the transplant team of the Tho- ratory as well as in the clinical
and vascular surgeon in Sarasota, FL;
mas E. Starzl Transplantation practice, with the hope that small liver
he is a member of a four-man group
Institute, has gained recognition as a grafts can eventually be used for
practice called Vascular and Surgery
leading international expert in liver re- larger recipients. This approach could
Associates (VASA). After completing
sections and also the surgical treat- increase the number of grafts available
his fellowship in vascular surgery at
ment of hepatobiliary diseases and for transplantation, effectively increas-
Stony Brook, he had moved to St. Pe-
bile duct tumors. He is an active liver ing the donor pool. He is also conduct-
tersburg, FL, where he practiced as a
transplant surgeon, and has per- ing experimental studies in liver
general surgeon and as the sole vascu-
formed more than 500 resections and preservation, as another way to help
lar surgeon for a 40-member
liver transplants. increase donor organ availability.
multispecialty group. While in St. Pe-
Dr. Madariaga’s clinical interests To date, Dr. Madariaga has
tersburg, he served on the Medical Eth-
center on the surgical management of authored 60 articles and 30 abstracts,
ics committee and as the chairman of
liver and biliary tumors as well as bil- and has co-edited (with Renzo
the Surgical Quality Assurance Com-
iary complications, liver transplanta- Dionigi) one book, New Technologies
mittee at St. Anthony’s Hospital.
tion as treatment for end-stage liver for Liver Resections (Karger, 1997).
In 1995, Dr. Yunis moved to
disease and for primary and meta- This year’s journal publications include:
• Madariaga JR, Fung J, Gutierrez J, Bueno J, Sarasota. He brought a large clinical ex-
static liver tumors, transplantation of
Iwatsuki S. Liver resection combined with perience to VASA. His clinical results in
living-related donor livers, and experi- excision of vena cava. J Am Coll Surg
2000;191:244-250. carotid, aneurysm, and extremity by-
mental studies in liver regeneration. • Madariaga JR, Reyes J, Mazariegos G, Fung
JJ, Starzl TE, Abu-Elmagd K. The long-term
pass surgery are superior to many re-
His research interests reflect cur-
efficacy of multivisceral transplantation. ported series from major medical
rent critical problems in liver trans- Transplant Proc 2000;32:1219-20.
• Bueno J, Abu-Elmagd K, Mazariegos G, centers. Moreover, his knowledge and
Madariaga J, Fung J, Reyes J. Composite skills have resulted in several requests
liver—small bowel allografts with preservation
In Memory Of of donor duodenum and hepatic biliary for television appearances and newspa-
Iman Karimpour, MD system in children. J Pediatr Surg
2000;35:291-6. per commentaries.
1966-2000 • Iwatsuki S, Dvorchik I, Marsh JW, Madariaga Dr. Yunis has continued his edu-
JR, Carr B, Fung JJ, Starzl TE. Liver transplan-
tation for hepatocellular carcinoma: a cation with extensive training in
Dr. Iman Karimpour (’99), proposal of a prognostic scoring system. J Am endovascular skills including
who was pursuing fellowship Coll Surg 2000;191:389-94.
• Grazioli L, Federle MP, Ichikawa T, Balzano E, endovascular aortic aneurysm repair.
training in cardiothoracic surgery Nalesnik M, Madariaga J. Liver adenomato-
at SUNY-Downstate Medical Center, sis: clinical, histopathologic, and imaging Other achievements include perfor-
findings in 15 patients. Radiology mance of the first laparoscopic ventral
died on July 1. 2000;216:395-402.
• Reyes J, Gerber D, Mazariegos GV, Casavilla hernia repair in the Sarasota area. He
A, Sindhi R, Bueno J, Madariaga J, Fung JJ.
Born in Iran, Iman had originally Split-liver transplantation: a comparison of ex has recently spent time at the Univer-
been motivated to become a physician vivo and in situ techniques. J Pediatr Surg sity of Chicago Medical School, the
because of his experience as a teenaged 2000;35:283-90.
• Jain A, Reyes J, Kashyap R, Dodson F, Shouldice Hernia Clinic in Toronto,
volunteer in the ER of a Tehran hospital Demetris AJ, Ruppert K, Abu-Elmagd K, and the Miami Hernia Center in his ef-
during the Iran-Iraq war. He subsequently Marsh W, Madariaga J, Mazariegos G, Geller
received his MD from George Washington D, Bonham CA, Gayowski T, Cacciarelli T, fort to provide a state-of-the-art ap-
Fontes P, Starzl TE, Fung JJ. Long-term survival
University in 1994, and graduated from after liver transplantation in 4,000 consecu- proach to the management of hernias.
our residency program last year. tive patients at a single center. Ann Surg
2000;232:490-8. (Continued on Page 11)
DEPARTMENT OF SURGERY • UNIVERSITY HOSPITAL AND MEDICAL CENTER • UNIVERSITY AT STONY BROOK —9 —
(Continued from Page 8) Division Briefs Surgical Oncology
Dr. M. Margaret Kemeny, pro-
fessor of surgery (interim) and chief of
Faruqi RM, Chuter TA, Reilly LM, Sawhney R,
surgical oncology, in October pre-
Wall S, Canto C, Messina LM. Endovascular Dr. Adam E. Saltman, assistant
repair of abdominal aortic aneurysm using a sented the Second Annual Daniel M.
pararenal fenestrated stent-graft. J Endovasc professor of surgery and physiology/
Surg 1999;6:354-8. Miller, M.D., Distinguished Lecture in
biophysics, in June completed a training
Surgical Oncology at the University of
Fimiani C, Magazine H, Welters ID, Bilfinger TV, course in laser transmyocardial
Salsano F, Tonnesen E, Stefano GB. Nebraska Medical Center in Omaha.
Antagonism of LPS and IFN-gamma induced
revascularization (TMR), and can now
The title of her lecture was “Regional
iNOS expression in human atrial endothelia by perform laser revascularization of the
morphine, anandamide, and estrogen. Acta Treatment of Liver Metastases from
Pharmacol Sin 2000;21:405-9. heart. Also in June, he became a Diplo-
Colon Cancer.” In November, Dr.
mate of the American Board of Thoracic
Gamrin L, Essen P, Hultman E, McNurlan MA, Kemeny was elected to the Board of
Garlick PJ, Wernerman J. Protein-sparing Surgery.
effect in skeletal muscle of growth hormone Governors of the American College of
treatment in critically ill patients. Ann Surg
Surgeons as a Specialty Society Gover-
2000;231:577-86. Education nor from the Association of Women
Gaudette GR, Krukenkamp IB, Saltman AE, Dr. Joseph J. Sorrento, Jr., assis-
Horimoto H, Levitsky S. Preconditioning with Surgeons; her term will end in 2003.
PKC and the ATP-sensitive potassium tant professor of surgery and head of
channels: a codependent relationship. the education division, received an
Ann Thorac Surg 2000;70:602-8.
Aesculapius Award for Excellence in
Trauma/Surgical Critical Care
Godil MA, Galvin-Parton P, Monte D, Zerah M, Dr. Subir R. Maitra, research as-
Purandare A, Lane AH, Wilson TA. Congenital
Teaching in June. This award was
sociate professor of surgery and emer-
nasal pyriform aperture stenosis associated given to only three faculty members in
with central diabetes insipidus. J Pediatr gency medicine, last May at the 2000
2000;137:260-2. the entire medical school.
Annual Meeting of the Society for Aca-
Horimoto H, Gaudette GR, Saltman AE, demic Emergency Medicine, held in San
Krukenkamp IB. The role of nitric oxide, K- General/Gastrointestinal Francisco, presented his basic science
ATP(+) channels, and cGMP in the precondi-
tioning response of the rabbit. J Surg Res Surgery study titled “Alterations in Hepatic Glu-
2000;92:56-63. In October, the Center for Mini-
cose Output and Signal Transduction
Januszkiewicz A, Essen P, McNurlan MA, mally Invasive Surgery was high-
Ringden O, Wernerman J, Garlick PJ. In vivo Pathways in Late Hemorrhage/Resusci-
protein synthesis of circulating human T lighted in the Long Island section of the
lymphocytes does not respond to a cortisol
tation” (authors: Maitra SR, Aksehirli T,
New York Times.
challenge within 24 h. Acta Anaesthesiol Khan T, Henry MC).
In June, he presented two addi-
Kemeny MM. The use and outcomes of Otolaryngology-Head and tional studies at the 23rd Annual Con-
outpatient mastectomy in Florida [editorial].
Am J Surg 2000;179:259.
Neck Surgery ference on Shock held in Snowbird,
Dr. Eric E. Smouha, associate pro- UT: “Regulation of Glucose-6-Phos-
Kovalev S, Mateen A, Zaika AI, O’Hea BJ, Moll
UM. Lack of defective expression of the ATM fessor of surgery and neurological sur- phatase Gene Expression in Sepsis”
gene in sporadic breast cancer tissues and cell gery, gave two lectures in May at
lines. Int J Oncol 2000;16:825-31. (authors: Maitra SR, El-Maghrabi MR,
professional meetings: “Management of Brathwaite CE) and “Alterations in
Madoff DC, Brathwaite CE, Manzione JV,
Bilaniuk JW, Giron F, Char D, Choi J, Positional Vertigo” at the Connecticut Glucose-6-Phosphatase Gene Expres-
Bilfinger TV. Coexistent rupture of the State ENT Society Meeting, held in
proximal right subclavian and internal sion in Late Hemorrhage/Resuscita-
mammary arteries after blunt chest trauma. Cromwell, CT; and “Computer-Aided tion” (authors: Aksehirli T, Khan T,
J Trauma 2000;48:521-4. Surgical Planning for Congenital Aural Barrington D-S, Maitra SR).
Maitra SR, Wang SY, Brathwaite CE, El- Atresia” at the Annual Meeting of the
Maghrabi MR. Alterations in glucose-6-
phosphatase gene expression in sepsis. American Neurotology Society, held in Vascular Surgery
J Trauma 2000;49:38-42. Orlando, FL. In June, he lectured on Dr. Rishad M. Faruqi, assistant
Maitra SR, Wang SY, El-Maghrabi MR, Henry vertigo surgery at a program on the professor of surgery, has received two
MC. Regulation of liver and kidney glucose-6-
phosphatase gene expression in hemorrhage management of challenges in otology, research grants, one ($30,000) from
and resuscitation. Acad Emerg Med held at the Weill Medical College of
2000;7:731-8. SUNY-Stony Brook’s 2000 Targeted
Cornell University in New York. In Research Opportunities Program for a
Maitra SR, Wojnar MM, Lang CH. Alterations in July, at the Sixth International Confer-
tissue glucose uptake during the hyperglyce- study titled “Preoperative Planning of
mic and hypoglycemic phases of sepsis. Shock ence on Cholesteatoma and Ear Sur- Endovascular Repair of AAA,” of
gery, held in Cannes, France, he made which he is the sole investigator; and
(Continued on Page 11)
two presentations, “Cholesteatoma in the other ($80,000) from the New
the Normal-Hearing Ear” and “Cho- York State Center for Biotechnology
lesteatoma after Stapedectomy.”
—10 — DEPARTMENT OF SURGERY • UNIVERSITY HOSPITAL AND MEDICAL CENTER • UNIVERSITY AT STONY BROOK
together with Viatronix, Inc., for a Alumni News Recent Publications
study titled “3D Analysis of Aortic (Continued from Page 9) (Continued from Page 10)
Aneurysms and Stent Grafts,” on Dr. John J. Doski (’93), co-
McNurlan MA, Garlick PJ. Protein metabolism:
which he is collaborating with four founder of San Antonio Pediatric overview and turnover. In: Stipanuk MH,
other investigators. Both studies were Surgery Associates in Texas, recently editor. Biochemical and Physiological Aspects
of Human Nutrition. Philadelphia: Saunders,
started in July. received board certification in pediat- 2000: 211-33.
Dr. Paul S. van Bemmelen, as- ric surgery; last year, he completed Malinowski K, Ye H, Waltzer WC. Effect of
sistant professor of surgery, and the his pediatric surgery fellowship at different anti-rejection regimens on the
expression of differentiation and activation
team of the Leg and Foot Ulcer Treat- the University of Texas Southwestern markers on the surface of host lymphocytes.
ment Group are currently using inter- Medical Center in Dallas. Transplant Proc 2000;32:773-5.
mittent compression therapy for Dr. Kelly M. James (’93), who Saltman AE, Krukenkamp IB, Gaudette GR,
Horimoto H, Levitsky S. Pharmacological
limb-loss prevention in patients who was admitted into Fellowship of the preconditioning with the adenosine triphos-
are not good candidates for surgical American College of Surgeons in Oc- phate-sensitive potassium channel opener
pinacidil. Ann Thorac Surg 2000;70:595-601.
bypass. This involves the use of a mas- tober 1999, is now chairman of the sur-
Saltman AE, Krukenkamp IB, Gaudette GR,
sage device, which the patient uses at gery department of the Independence Levitsky S. Amrinone preconditioning in the
home. Reports from other centers us- Regional Health Center, a 366-bed isolated perfused rabbit heart. Ann Thorac
ing this method to increase circulation acute care facilty, in Independence,
in patients with limited walking have MO. Among the operations performed Sawhney R, Chuter TA, Wall SD, Reilly LM, Kerlan
RK, Canto CJ, Jean-Claude J, Faruqi RM.
been promising. by his department are open-heart, la- Aortic stent-grafts in patients with renal
transplants. J Endovasc Ther 2000;7:286-91.
ser, ultrasound, orthopedic, plastic,
Lung Cancer Center laparoscopic, and endoscopic proce- Simman R, Priebe CJ Jr, Simon M. Reconstruction
of aplasia cutis congenita of the trunk in a
(Continued from Page 8) dures. newborn infant using acellular allogenic
exposure to chemicals known to cause dermal graft and cultured epithelial
Dr. M. Dorothy Fogerty (’97) is a autografts. Ann Plast Surg 2000;44:451-4.
lung cancer, or heavy tobacco use. general surgeon in Albuquerque, NM,
Smouha EE, Sobol LL, Slepecky NB. Hearing
The combined evaluation by our and opened her own practice just over preservation after partial labyrinthectomy. In:
specialists can offer the best means of one year ago. She says: “Running the Sterkers O, Ferrary E, Dauman R, et al, editors.
Meniere’s Disease 1999—Update. The Hague:
determining whether a chest x-ray ab- business has been a challenge, but has Kugler, 2000: 197-204.
normality is cancerous, treating an ab- been most rewarding. Fortunately, the Stefano GB, Goumon Y, Bilfinger TV, Welters
normality that is known to be lung surgeons work very closely together, ID, Cadet P. Basal nitric oxide limits immune,
nervous and cardiovascular excitation: human
cancer, and screening patients at high which has been the key to advocating endothelia express a mu opiate receptor. Prog
risk of developing lung cancer with the for the patients and the medical com- Neurobiol 2000;60:513-30.
latest available technologies. munity in a very poor state with a lot Stefano GB, Prevot V, Beauvillain JC, Cadet P,
At the time of the initial visit, all Fimiani C, Welters I, Fricchione GL, Breton C,
of managed care. And we like the Lassalle P, Salzet M, Bilfinger TV. Cell-surface
of the tests necessary to determine the estrogen receptors mediate calcium-
weather.” dependent nitric oxide release in human
best course of care are arranged if they
Dr. Michael J. Sacca (’97) reports endothelia. Circulation 2000;101:1594-7.
have not already been completed. Once
that he is now board certified in both Subhani M, Monte DC, Roche P, Parton L.
the results of these tests are known, a Isolated bilateral submandibular abscesses in a
surgery (general) and vascular surgery;
plan of care is developed and discussed preterm infant: a case report. Int J Pediatr
at length with each patient. and that he and his wife and two chil- Otorhinolaryngol 1999;51:47-50.
If a patient has a pre-established dren have been joined by a new mem- van Bemmelen PS, Weiss-Olmanni J, Ricotta JJ.
ber of their family, Timothy Robert Rapid intermittent compression increases skin
relationship with a doctor, or is seeking circulation in chronically ischemic legs with
a second opinion, the recommenda- Sacca, who was born on July 25. infra-popliteal arterial obstruction. VASA-J
Vasc Dis 2000;29:47-52.
tions of the multidisciplinary group
of physicians are communicated to To submit alumni news online AND to find Vosswinkel JA, Brathwaite CE, Smith TR, Ferber
current mailing addresses of our alumni, JM, Casella G, Garlick PJ. Hyperventilation
the physician of the patient’s choice. please visit the Department’s website at increases muscle protein synthesis in critically
ill trauma patients. J Surg Res 2000;91:61-4.
If a patient wishes, he or she www.uhmc.sunysb.edu/surgery
may continue with the care of the Welters ID, Fimiani C, Bilfinger TV, Stefano GB.
For news about Stony Brook University NF-kappa B, nitric oxide and opiate signaling.
physicians in the program. Hospital and Medical Center, see the latest Med Hypotheses 2000;54:263-8.
For more information about edition of Medical Staff News at
the Center, please call Dr. Sachs at www.uhmc.sunysb.edu/roster/news/
(631) 444-1776. index.html
GENERAL SURGERY ALUMNI: Please send your
For consultations/appointments, please e-mail address—for inclusion in the Alumni
call the program coordinator, Karen Directory—to firstname.lastname@example.org
Sanders, RN, at (631) 444-1820.
DEPARTMENT OF SURGERY • UNIVERSITY HOSPITAL AND MEDICAL CENTER • UNIVERSITY AT STONY BROOK —11 —
STONY BROOK SURGICAL ASSOCIATES, PC
BREAST CARE OTOLARYNGOLOGY-HEAD TRAUMA/SURGICAL VASCULAR SURGERY
John S. Brebbia, MD AND NECK SURGERY (ENT) CRITICAL CARE Rishad M. Faruqi, MD
Martyn W. Burk, MD, PhD Arnold E. Katz, MD Robert D. Barraco, MD Fabio Giron, MD, PhD
M. Margaret Kemeny, MD Denise C. Monte, MD Collin E.M. Brathwaite, MD David B. Gitlitz, MD
Louis T. Merriam, MD Ghassan J. Samara, MD John S. Brebbia, MD John J. Ricotta, MD
Brian J. O’Hea, MD Maisie L. Shindo, MD J. Martin Perez, MD Paul S. van Bemmelen, MD, PhD
Vimala S. Sivaraman, MD Eric E. Smouha, MD
BURN CARE PEDIATRIC SURGERY
Collin E.M. Brathwaite, MD Jane T. Kugaczewski, MD
John S. Brebbia, MD Cedric J. Priebe, Jr., MD
Harry S. Soroff, MD
PLASTIC AND RECON-
CARDIOTHORACIC STRUCTIVE SURGERY
SURGERY Alexander B. Dagum, MD
Thomas V. Bilfinger, MD, ScD Steven M. Katz, MD
Kathleen N. Fenton, MD
Irvin B. Krukenkamp, MD SURGICAL ONCOLOGY For consultations/appointments with our physicians, please call
Allison J. McLarty, MD Martyn W. Burk, MD, PhD • (631) 444-4550 for our specialists in breast care
Adam E. Saltman, MD, PhD M. Margaret Kemeny, MD • (631) 444-1820 for our specialists in cardiothoracic surgery
Frank C. Seifert, MD Louis T. Merriam, MD • (631) 444-4545 for our specialists in general/gastrointestinal surgery
Brian J. O’Hea, MD • (631) 444-4121 for our specialists in otolaryngology-head and neck surgery (ENT)
GENERAL/ Vimala S. Sivaraman, MD • (631) 444-4538 for our specialists in pediatric surgery
GASTROINTESTINAL • (631) 444-4545 for our specialists in plastic and reconstructive surgery
SURGERY TRANSPLANTATION • (631) 444-4545 for our specialists in surgical oncology
Robert D. Barraco, MD John J. Ricotta, MD • (631) 444-2209 for our specialists in transplantation
Collin E.M. Brathwaite, MD Wayne C. Waltzer, MD • (631) 444-1045 for our specialists in trauma/surgical critical care
John S. Brebbia, MD • (631) 444-2565 for our specialists in vascular surgery
Martyn W. Burk, MD, PhD • (631) 723-5000 for our specialists at Stony Brook Outpatient Services in
Louis T. Merriam, MD Hampton Bays: breast care - general/gastrointestinal surgery - pediatric
J. Martin Perez, MD surgery - vascular surgery
Vimala S. Sivaraman, MD
The State University of New York at Stony Brook is an
equal opportunity/affirmative action educator and employer.
This publication can be made available in alternative format.
DEPARTMENT OF SURGERY
SCHOOL OF MEDICINE
STATE UNIVERSITY OF NEW YORK
AT STONY BROOK
Stony Brook, New York 11794-8191
In this issue . . .
s New Ambulatory Surgery Center
s Introducing Our New Chief of Plastic
and Reconstructive Surgery
s Rapaport Retires from Stony Brook
s CABEST: Coronary Artery Bypass
and Endarterectomy Staging Trial
s Free Vascular Screenings
s First David J. Kreis, Jr., Award for
Excellence in Trauma Surgery
s Electronic Physician Directory
s Residency Update/Alumni News
—12 —Division Briefs—And More!
s DEPARTMENT OF SURGERY • UNIVERSITY HOSPITAL AND MEDICAL CENTER • UNIVERSITY AT STONY BROOK