Advanced Oncoplastic Surgery Skills Course
With Mastotrainer Lab
12:30 PM–4:30 PM
Course Description:
This course focuses on teaching participants advanced oncoplastic breast surgical techniques including volume replacement using chest wall perforator flap techniques (eg, Lateral Intercostal Artery Perforator Flap [LICAP], Anterior Intercostal Artery Perforator Flap [AICAP], etc), and advanced mammoplasty techniques including wise-pattern with complex glandular tissue rearrangement / significant transposition and rotation, with a focus on extended pedicles and secondary pedicle techniques. The course will also focus on oncoplastic techniques for central sector / retroareolar tumours including the Grisotti flap technique. Finally, the course will provide instruction on nipple reconstruction techniques.
Attendees will be required to review pre-recorded didactics prior to the course. On site, each attendee will be assigned to a station, led by a workshop faculty member, to perform the following procedures:
- Mark-up for LICAP / AICAP / Mammoplasty on live models
- Mark up for Central Sector Oncoplastic techniques on live models
- Chest wall perforator flap using LICAP / LTAP on Mastotrainer
- Chest wall perforator flap using AICAP on Mastotrainer
- Therapeutic Mammoplasty with extended / secondary pedicle on Mastotrainer
- Central Sector Oncoplastic Reduction using Grisotti flap technique on Mastotrainer
- Nipple reconstruction techniques
Course Objectives:
At the conclusion of this course, participants should be able to:
- Explain the role of chest wall perforator flaps in extending the boundaries of breast-conserving surgery, and critically evaluate flap choice based on defect location, resection pattern, and tissue characteristics.
- Apply pre-operative planning principles to accurately mark up and understand the steps involved in safely performing chest wall perforator flap reconstructions, including LICAP and AICAP techniques.
- Demonstrate understanding of central sector oncoplastic approaches, with particular emphasis on appropriate patient and case selection
- Plan and execute central sector oncoplastic reconstructions, including the Grisotti flap, using sound reconstructive and aesthetic principles
- Identify and justify the indications for extended and secondary pedicle techniques within therapeutic mammoplasty, integrating oncological safety with reconstructive outcomes
- Design and perform Wise-pattern therapeutic mammoplasty procedures incorporating secondary or extended pedicles, with attention to surgical sequencing and complication avoidance
- Describe and compare the range of nipple reconstruction techniques, appreciating their indications, limitations, and expected outcomes
CME Credit Information:
This other activity (enduring material activity and live activity) has been approved for AMA PRA Category 1 Credit™. Check back for credit designation updates.
Pre-recorded Didactic Agenda:
The following pre-recorded didactics will be available to attendees prior to the course.
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Oncoplastic Approach to Central Sector Resection
Daniel Leff, FRCS, MS (Hons), PhD
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Partial Breast Reconstruction With Chest Wall Perforator Flaps — An Overview
Janie Grumley, MD
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Partial Breast Reconstruction With LICAP Flap
Paul Thiruchelvam, MD, PhD, FRCS
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Partial Breast Reconstruction With AICAP Flap
Daniel Leff, FRCS, MS (Hons), PhD
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Wise Pattern Mammoplasty With Secondary Pedicle
Paul Thiruchelvam, MD, PhD, FRCS
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Advanced Mammoplasty Oncoplastic Techniques and Nipple Selection
Benjamin Moosavi, MD
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Mammoplasty Techniques for Extreme Oncoplasty
Ashley DiPasquale MD
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Split Reduction Mammoplasty
Nirav Savalia, MD
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Nipple Reconstruction Techniques
Risal Djohan, MD
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Nipple Reconstruction Techniques
Gabriel Kaufman, MD
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Management of Complications
Risal Djohan, MD
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Onsite Agenda:
| 12:00 PM | Lunch
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| 12:30 PM | Pre-recorded Didactic Q&A
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| 1:00 PM | Wise-Pattern Therapeutic Mammoplasty With Extended Pedicle/Secondary Pedicle
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| 2:00 PM | Oncoplastic Techniques for Central Sector Resections
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| 3:00 PM | Break
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| 3:15 PM | LICAP/AICAP/MICAP Practice of Mastotrainers
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| 4:15 PM | Nipple Graft/Nipple Reconstruction
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| 4:30 PM | Adjourn
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