Oncoplastic Partnership Hands-on Skills Course

By the end of the didactic sessions’ participants will be able to:

  • Analyze a range of oncoplastic breast surgical techniques and their indications in order to select the most appropriate procedure for individual patients.
  • Identify the anatomy and principles of oncoplastic surgery and select the right patient population.
  • Apply clinical tips and techniques for managing tumours in every location of the breast.
  • Recognize how to manage potential complications arising from oncoplastic procedures.
  • Demonstrate novel techniques for performing good oncoplastic mastectomies when breast conservation is not possible.
  • Recall tips and strategies to incorporate oncoplastic surgery in a highly efficient breast surgical practice.

By the end of the simulation sessions participants will be able to:

  • Demonstrate patient assessment, markings, de-epithelialization and nipple recentralization.
  • Show Glandular and Dermoglandular tissue mobilization and approximation, Crescent, Round Block, Racquet, VJ Mammoplasty techniques and Superior / Inferior Flap Reduction Mammoplasty techniques.

Agenda

7:00-7:30

Breakfast and Registration
7:30-7:40

Opening Remarks
Dr. Muriel Brackstone
7:40-8:30

Introduction to Oncoplastics and Level 1
Dr. Marianna Kapala

By the end of the session, participants will be able to

  • Recognize types of oncoplastic techniques and identify incision and indications/patient selection for Level 1 dual plane mobilization
8:30-9:00

HANDS-ON PART 1

Crescent Mastopexy-De-Epithelialization and Level 1 Defect Closure
Drs. Brackstone, Hanrahan, Kapala, Richardson

By the end of the session, participants will be able to

  • Practice level one oncoplastic techniques on breast simulators
9:00-9:20

Level 2 Round Block
Dr. Jeannie Richardson

By the end of the session, participants will be able to

  • Identify incision and indications/patient selection for Round Block mammoplasty and nipple recentralization aspects of this technique
9:20-9:40

Level 2 – Racquet
Dr. Jeannie Richardson

By the end of the session, participants will be able to

  • Identify incision and indications/patient selection for Racquet mammoplasty and nipple recentralization aspects of this technique
9:40-10:00 BREAK
10:00-10:45

HANDS-ON PART 2

Round Block and Racquet

Drs. Brackstone, Hanrahan, Kapala, Richardson

By the end of the session, participants will be able to

  • Demonstrate incisions for these Level Two Oncoplastic techniques
  • and practice recentralizing nipple and closing gland appropriately
10:45-11:15

V and J Mammoplasty Techniques
Dr. Muriel Brackstone

By the end of the session, participants will be able to

  • Identify incisions and indications/patient selection for these two lower mammoplasty techniques and now to manage inframammary fold discrepancy
11:15-11:45

HANDS-ON PART 3

V-J Mammoplasty
Drs. Brackstone, Hanrahan, Kapala, Richardson

By the end of the session, participants will be able to

  • Practice VJ mammoplasty techniques on breast simulator including optimizing glandular closure and managing the nipple location
11:45-12:25 LUNCH
12:25-12:45

Markings for Level 3 Reduction Mammoplasty
Dr. Renee Hanrahan

By the end of session, the participants will be able to

  • Practice determining ideal and symmetric nipple location on breast simulator
12:45-1:15

Level 3 Reduction Mammoplasty – Superior Pedicle
Dr. Renee Hanrahan

By the end of the session, participants will be able to

  • Apply advanced methods of oncoplastic surgery including reduction mammoplasties and appropriate patient selection
1:15-1:45

Level 3 Reduction Mammoplasty – Inferior Pedicle
Dr. Renee Hanrahan

By the end of the session, participants will be able to

  • Apply advanced methods of oncoplastic surgery including reduction mammoplasties and appropriate patient selection
1:45-2:30

HANDS-ON PART 4

Level 3 – Superior and Inferior Pole Reduction Mammoplasty
Drs. Brackstone, Hanrahan, Kapala, Richardson

By the end of the session, participants will be able to

  • Practice breast marking techniques and both pedicle procedures on breast simulator including optimizing glandular closure and managing the nipple location
2:30-2:45 BREAK
2:45-3:00

Complications
Dr. Muriel Brackstone

By the end of the session, participants will be able to

  • Outline complications of oncoplastic surgery and how to manage them, including hematoma, lymphedema, flap necrosis and nipple necrosis
3:00-3:15

The Aesthetic Mastectomy
Dr. Marianna Kapala

By the end of the session, participants will be able to

  • Apply techniques to improve cosmetic outcomes when performing a Mastectomy
3:15-3:45

Small Group Case Discussions
Drs. Brackstone, Hanrahan, Kapala, Richardson

Participants to bring cases for discussion
3:45-4:00

Closing Remarks
Dr. Muriel Brackstone
4:00-4:15

Learners will complete the program evaluation and feedback