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Programma Breast Surgery 2014.Indd ROME BREAST SURGERY SYMPOSIUM RECONSTRUCTION AND AESTHETIC: OBTAINING SAFETY AND RESULTS Roy de Vita, M.D. Stefano Pompei, M.D. Rome, Sheraton Golf Parco de’ Medici June 4-5-6, 2014 Under the Patronage of SICPRE Organizing Secretariat and CME Provider Organizing Secretariat Event Manager: Michela Scarani - 0039 06 87757099 Project Manager: Patrizia Serenella - 0039 06 87756028 [email protected] www.alfafcm.com Italian CME ACCREDITATION INFORMATION Nr. 3282 - 93162 Nr. 10,5 CME Credits The Congress is intended for the following figures (maximum 200 registrations) MEDICAL DOCTORS Disciplines: General Surgery; Oncology; Radiotherapist; Plastic and Reconstructive Surgery; Obstetrics & Gynecology; Thoracic Surgery; Dermatology and Venereology. NURSES In order to obtain CME Credits, participants must: • Attend 100 % of the Sessions indicated in the Program • Fill in the personal data form, the form evaluating the event, and the learning questionnaire, and give them back to the Organizing Secretariat at the end of the Congress The CME certificate will be sent by certified e-mail after the Congress to the e-mail address given on the personal data form CONTENTS Faculty 5 Pre-Congress Courses Program 6 Congress Program 8 Practical Information 28 Useful Numbers 29 Visit Rome 30 Sponsor 36 2 Scientifi c Program ROME BREAST SURGERY SYMPOSIUM RECONSTRUCTION AND AESTHETIC: OBTAINING SAFETY AND RESULTS Scientifi c Committee Roy de Vita, M.D. Stefano Pompei, M.D. Scientifi c Secretariat Ornella Abate Alfredo Altieri Floriana Arelli Ernesto Buccheri Guido Caravelli Maurizio Costantini Maria Chiara Drago Stefano Feliciano Lara Labardi Pierpaolo Gullo Fabio Marcasciano Massimo Panimolle Marcello Pozzi Antonio Varanese Giovanni Zoccali 3 Dear Friends, Restoration of breast shape and morphology has been integrated in the breast cancer treatment regimens since many decades. Since breast reconstruction is considered to be an important therapeutic intervention as radiother- apy, chemotherapy, and tumor excision therapy the evolution of this fi eld was inevitable. The continuous improvement of breast reconstruction guidelines and surgical techniques, as well as the increasing availability of diff erent types of implants and biological or synthetic aids, justifi ably resulted in various combinations of instructions and opinions on Breast Reconstruction. There is, however, a shared consensus: The “multidisciplinary approach” ensures the best results in breast cancer treatment as well as breast reconstruction. A successful breast reconstruction includes, of course, the aesthetic result, and the parameters of an aesthetically appealing breast remain the same as in Cosmetic Surgery. We believe the benefi t of knowledge sharing is tremendous and therefore International Opinion Leaders in the fi eld of “Senology” are gathered in this meeting to present their experience and re- search results. This Symposium includes not only presentations but also constructive discussions and videoconfer- ences from experts around the globe about indications, results and complications. Attention is equally given to reconstructive as well as aesthetic breast surgery since the two fi elds are interdependent. Opinion-leaders will participate in special “boxe-ring” sessions that will consist in debates and critical discussion of crucial topics. We would like to welcome you here and we hope you enjoy the conference as much as you enjoy Rome in June. Roy de Vita Stefano Pompei 4 5 FACULTY Scientific Committee Roy de Vita Stefano Pompei International Faculty Italian Faculty Claudia Albornoz, New York - USA Pietro Berrino, Genoa Eric Auclair, Paris - France Luigi Cataliotti, Florence Ricardo Baroudi, Campinas - Brasil Valerio Cervelli, Rome Antonio Roberto Bozola, San José de Rio Preto - Brasil​​ Flori Degrassi, Rome Karl Heinz Breuing, Essen - Germany Franco Di Filippo, Rome Mitch Brown, Toronto - Canada Stefano Drago, Rome Peter Gabriel Cordeiro, New York - USA Lucio Fortunato, Rome José Luis MartÍn Del Yerro Coca, Madrid - Spain Giovanni Battista Grassi, Rome Michael Douek, Londra - UK Andrea Grisotti, Milan Jian Farhadi, Londra - UK Riccardo Masetti, Rome Luiz Fernando Frascino, San José de Rio Preto - Brasil Paolo Persichetti, Rome Clifford Hudis, New York - USA Enrico Robotti, Bergamo Steven Kronowitz, Houston - USA Marzia Salgarello, Rome Douglas Macmillan, Nottingham - UK Pierluigi Santi, Genoa Patrick Mallucci, London - UK Maurizio Valeriani, Rome Ricardo Marujo, São Paulo - Brasil Michele Zocchi, Milan Jaume Masià, Barcelona - Spain Colleen McCarthy, New York - USA Stephen McCulley, Nottingham - UK Babak J. Mehara, New York - USA José Mendes Junior, Sorocaba - Brasil Virgilio Sacchini, New York - USA 6 PRE-CONGRESS COURSES PROGRAM June 4th 08.00 - 08.30 REGISTRATION 08.30 - 10.30 NEW TRENDS AND REFINEMENTS IN BR Discussants: M. Douek, J. Masià • Prevention and management of early complications in BR - J. Farhadi • Autologous or implant based immediate BR? - D. Macmillan • ADM + implant based reconstruction - M. Brown • Actual role of two stages reconstruction - P. Cordeiro • Reshaping of residual breasts after BCT - D. Macmillan • Impact of RT on implant based and autologour reconstruction - S. Kronowitz Discussion and “take home concepts” 10.30 - 11.00 COFFEE BREAK 11.00 - 13.00 HOT TOPICS IN BREAST ENLARGEMENT Discussants: E. Robotti, J. Mendes • Fat and/or implant for breast enlargement - E. Auclair • The access choice - L.F. Frascino • The choice of the implant shape: my personal criteria for different cases - J.L. M. Del Yerro Coca; P. Mallucci • Revisional breast augmentation - R. Marujo Discussion and “take home concepts” 7 YOUR NOTES 8 CONGRESS PROGRAM June 4th 13.00 - 13.45 REGISTRATION 13.45 - 14.00 OPENING AND WELCOME - R. DE VITA, S. POMPEI GREETING SESSION - R. MAZZOLA 14.00 - 15.15 VIDEOCONFERENCE SESSION FROM MEMORIAL SLOAN KETTERING CANCER CENTER, NEW YORK Coordinator in Rome: P. Cordeiro • Current State of Breast Surgery - V. Sacchini • New developments in adjuvant therapy - C. Hudis • Understanding lymphedema: what is the best approach to treatment? - B. Mehrara • Quality of life and patient satisfaction after breast reconstruction-what do our patients really think? - C. McCarthy • Do high volume breast centers provide better outcome in autologous reconstruction? - C. Albornoz Discussion and “take home concepts” 15.15 - 15.40 OPENING LECTURES • Quality control in breast cancer surgery - L. Cataliotti • Local treatment of Breast Cancer: where are we today? - R. Masetti • The role of the “Breast Unit” and volunteer associations - F. Degrassi 9 YOUR NOTES 10 June 4th 15.40 - 16.40 FOCUS ON BCS WITH PARTIAL RESECTIONS Discussants: S. Kronowitz, P. Persichetti • Oncological features in BCT - M. Douek • Consideration of the outcome in BCS - D. Macmillan • Superior and inferior pedicle flaps after BCS - S. McCulley • Local perforator flaps for partial defect in BR - J. Masià Discussion and “take home concepts” 16.40 - 17.10 COFFEE BREAK 17.10 - 18.10 CRITICAL CHOICES IN BR Discussants: G.B. Grassi, M. Salgarello • Risk factors for mastectomy flap necrosis and strategies to manage them - L. Fortunato • Optimal incisions in SSM and NSM for implant breast reconstruction - F. Di Filippo • Choosing the right prosthesis in one stage implant reconstruction - K. Breuing • Treatment proposals in breast carcinoma in genetically predisposed patients - S. Drago • Therapeutic Mammaplasty for BCS in smaller breasts - D. Macmillan Discussion and “take home concepts” 11 YOUR NOTES 12 June 4th 18.10 - 19.00 BR AND RT Discussants: M.Douek , J. Farhadi • “Immediate-delayed” BR and RT - S. Kronowitz • Polyurethane implants: defining their role and their long term outcome in BR with and no RT S. Pompei • Effect of RT on autologous tissue - S. McCulley • ADM and implant reconstruction with RT - M. Brown Discussion and “take home concepts” 19.00 - 19.15 CLOSING REMARKS 13 YOUR NOTES 14 June 5th 08.30 - 09.30 THE ADM ERA Discussants: S. McCulley, P. Santi • The learning curve in ADM use - J. Farhadi • The M.D. Anderson experience with ADM - S. Kronowitz • Alloplastic Meshes: an effective alternative to ADM ? - K. Breuing • Experience with different kinds of ADM - M. Douek • ADM and Meshes: do they have a future? - R. de Vita Discussion and “take home concepts” 09.30 - 10.20 BR: PRESENT AND FUTURE TRENDS Discussants: M. Douek, A. Grisotti • The fat grafting in BR : technique and outcome - P.L. Santi • Oncoplastic approach in extremes ages - G.B. Grassi • Adipose-derived Stem Cell (ADSC): present and future - V. Cervelli • Management of breast edema: limphonode transfer - J. Masià Discussion and “take home concepts” 10.20 - 11.00 COFFEE BREAK 15 YOUR NOTES 16 June 5th 11.00 - 12.00 AUTOLOGOUS BR: DEFINING A REALISTIC ROLE Discussants: P. Cordeiro, P. Santi • Indications for non abdominal free flaps - J. Masià • Tips and tricks for DIEP flap reconstruction - S. McCulley • Impact of RT on immediate autologous BR - S. Kronowitz • Extended LD flap: a realistic alternative to implants - E. Robotti Discussion and “take home concepts” 12.00 - 12.55 THE BOXING RING CONTROVERSIAL TOPICS ON RECONSTRUCTIVE SURGERY Referees: D. Macmillan, S. Kronowitz • BR with ADM: Does it have a realistic future? - J. Farhadi vs P. Cordeiro • Fat grafting and oncological safety - P. Cordeiro vs M. Zocchi Discussion and “take home concepts” 12.55 - 14.00 LUNCH 17 YOUR NOTES 18 June 5th 14.00 - 15.00 THE ABSTRACTS’ CHALLENGE RESULTS AND STABILITY OVER TIME HAVING THE COMMON DENOMINATOR OF BR AND AESTHETIC SURGERY
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