Surgery Education - Our Residents & Fellows
Megan Steigelman, MD
General Surgery Resident
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Education:
Master's of Science in Clinical Investigation, UTHSCSA, San Antonio, TX, 2008
Uniformed Services University of the Health Sciences F. Edward Hebert School of Medicine in Bethesda, MD - 2003
Other Postgraduate Training:
Internship, San Antonio Uniformed Services Health Education Consortium (SAUSHEC), 2004
Research Fellowship 2006-2007 General Surgery, completion date 2008
General Surgery Residency, SAUSHEC, completion date 2010
Ressearch:
The Use of AlloDerm in Immediate Breast Reconstruction Tissue Expanders. A retrospective review of patients undergoing immediate tissue expansion for breast reconstruction using AlloDerm for expander coverage. Manuscript written, awaiting patient follow up and accrual.
Aesthetic Outcomes in Breast Conservation Therapy. A retrospective review of cosmetic outcomes of breast cancer patients undergoing lumpectomy with radiation after one year or greater. Manuscript with University of Texas data currently being reviewed for publication. Also currently enrolling Wilford Hall Medical Center patients for larger patient assessement.
The Usefulness of a MRI of the Cervical Spine to a Negative CT Scan of the Cervical Spine in a Patient Who Cannot Have the Spine Cleared by Physical Exam. A retrospective review of trauma patients obtaining both CT and MRI for clearance of cervical spine injury, IRB approved.
Use of near infrared spectroscopy (NIRS) in free flap monitoring. IRB approved, currently enrolling patients.
Pulmonary Effects of Negative Pressure Therapy on Sternotomy Wounds in an Animal Model. Animal research complete, currently writing manuscript. Abstract submitted to Society of Thoracic Surgeons for Presentation in February 2008.
Wound Healing effect of sNAG membranes in the rabbit model. The use of a hemostatic sterile alginate dressing as an adjunct to wound healing on split thickness skin grafts on full thickness wounds in rabbits. IACUC approved, funded by the USAF, animal research ongoing.
Real-Time, Quantitative PCR to Assess Cerebral Oxidative Stress and Inflammation After Hypothermic Circulatory Arrest: New Data Raises New Questions. and Selective Cerebral Perfusion attenuates changes in energy substrates and ischemic metabolites during hypothermic circulatory arrest at both 18∞C and 25∞C in a porcine model. Abstracts submitted to American Academy of Pediatrics and Society of Thoracic Surgeons for Presentation in 2008. IACUC approved, animal research and data collection ongoing.
The use of GFP labeling by lentiviral vector-mediated transduction to monitor ASC tissue engineered bone formation in rats. IACUC approval pending.
Induction of osteocytes and endothelial cells from adipose stem cells for tissue engineered bone and blood vessel formation in critical rat calvarial defects. IACUC approval pending.
Publications:
Wang Q, Steigelman MB, Walker JA, Chen S, Hornsby PJ, Bohnenblust ME, Wang HT.
InVitro osteogenic differentiation of adipose stem cells after lentiviral
transduction with green fluorescent protein.
Journal of Craniofacial Surgery.
In Press. 2009.
Steigelman MB, Norbury KC, Kilpadi DV, McNeil JD. Cardiopulmonary effects of continuous negative pressure wound therapy (NPWT) in swine. Annals of Thoracic Surgery. In Press. 2009
Salazar JD, Coleman RD, Griffith S, McNeil JD, Steigelman M, Young H, Hensler B, Dixon P, Calhoon J, Serrano F, DiGeronimo R. Selective cerebral perfusion: real-time evidence of brain oxygen and energy metabolism preservation. Ann Thorac Surg. 2009 Jul;88(1):162-9.
Bohnenblust ME, Steigelman MB, Wang Q, Walker JA, Wang HT. An experimental design to study Adipocyte stem cells for reconstruction of calvarial defects. Journal of Craniofacial Surgery. 20(2):340-346, 2009.
Steigelman MB, Lopez PP, Dent D, Myers J, Corneille M, Stewart R, Cohn S. Screening cervical spine MRI after normal cervical spine CT scans in patients in whom cervical spine injury cannot be excluded by physical examination. American Journal of Surgery. 196(6):857-862, 2008.
Wang HT, Barone CM, Steigelman MB, Kahlenberg M, Rousseau D, Berger J, Daum A, Ortegon DP. Aesthetic Outcomes in Breast Conservation Therapy. Aesthetic Surgery Journal. 28(6): 1-6, 2008
Corneille MG, Steigelman MB, Myers JG, Jundt J, Dent DL, Lopez PP, Cohn SM, Stewart RM. Laparoscopic appendectomy is superior to open appendectomy in obese patients. American Journal of Surgery 194 (2007) 877-881.
Presentations:
June 2008, J. Bradley Aust Surgical Society Annual Meeting, San Antonio, TX. 3rd place, oral presentation, basic science.
Laparoscopic appendectomy is superior to open appendectomy in obese patients. Presented at the 59th Annual Meeting of the Southwestern Surgical Congress, Rancho Mirage, CA, March 2007.
Hemodynamic Effects of Negative Pressure Therapy on Sternal Wounds in an Animal Model. Presented at the Bradley J Aust Society Resident Research Meeting, June 2007, San Antonio, TX.
Laparoscopic vs Open Appendectomy in Obese Patients. Presented at the Southwest Surgical Congress Annual Meeting, February 2007, Palm Springs, CA. Manuscript under review for publication.
Honors and Awards:
2009 Texas Society of Plastic Surgeons, First place, Scientific Award, "In vitro
osteogenic differentiation of adipose stem cells after lentiviral transduction with green fluorescent protein."
Aust Society Research Presentation 2008 - 3rd Place Clinical Research Award
Professional organizations:
American Medical Association - Medical Student/Intern/Resident
American College of Surgeons - Intern/Resident
Society of Air Force Clinical Surgeons - Intern/Resident
Bexar County Medical Society - Intern/Resident
Biosketch: Dr. Steigelman was born in Alaska and raised in Pennsylvania and Maryland. She went to high school in Annapolis, Maryland, where she was captain of both indoor and outdoor track teams. She attended Towson University outside of Baltimore, Maryland, and went to medical school in the Air Force at USUHS, graduating in 2003. She has been at UTHSCSA since then completing a residency in General Surgery. In her off time, Megan likes to exercise and spend time outdoors with her son, Alex, and her husband, Dan.
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