ORBS 2015 Programme

21st - 23rd September 2015

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ORBS 2015 Programme

Monday 21st September

Registration

  • 0800

    Registration and Coffee

  • 0920

    Welcome

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Session 1 – Oncoplastic Breast Conserving Surgery

Chair— Mike Dixon

  • Info

    Henry Kuerer

    0930

    What predicts local recurrence these days?

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    Douglas Macmillan, Krishna Clough and Mario Rietjens

    0945

    Long-term oncological outcomes in Oncoplastic surgery in Nottingham, Paris and Milan.

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    Alexandre Munhoz

    1015

    Oncoplastic breast-conserving surgery for locally advanced disease

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    Krishna Clough

    1030

    Use on oncoplastic techniques in France

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    K Clough, D Macmillan, H Kuerer, A Munhoz, M Rietjens

    1045

    Panel discussion

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  • 1100

    Coffee

Session 2 – Oncoplastic Breast Conserving Algorithms

Chair— Douglas Macmillan / Stephen McCulley

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    Alexandre Munhoz

    1130

    Focus on Medial and Superiorally sited tumours

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    Krishna Clough

    1140

    Focus on Inferior and Lateral sited tumours

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    Mario Rietjens

    1150

    Focus on Centrally sited tumours

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    Mike Dixon

    1200

    Breast conserving surgery and immediate fat grafting

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    K Clough, M Dixon, H Kuerer, A Munhoz, M Rietjens

    1210

    “What would be your approach with this cancer?” Panel Discussion

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  • 1300

    Lunch

Afternoon session

Session 3 – Risk reducing surgery

Chair— K Clough

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    Steven Narod

    1400

    Plenary lecture – Genetic breast cancer; The facts, the figures, the future

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  • Info

    Andrew Baildam

    1430

    Outcome of risk-reducing surgery

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    Alexandre Munhoz

    1445

    Nipple sparing mastectomy and implant reconstruction; following previous cosmetic breast surgery

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    Mike Dixon

    1500

    Nipple sparing mastectomy with prior reduction and fat grafting

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    A Baildam, M Dixon, A Munhoz, S Narod

    1515

    Panel discussion

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  • 1530

    Tea

Session 4 - Contralateral Mastectomy – When is it justified?

Chair— Andrew Baildam

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    Steven Narod

    1600

    The actual risk of contralateral cancer

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    Henry Kuerer

    1615

    Why are the rates of contralateral mastectomy increasing?

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    Fiona MacNeill

    1630

    Increasing rates of contralateral mastectomy - Valid indication or mutilation?

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    H Kuerer, F MacNeill, S Narod

    1645

    Panel discussion

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Submitted papers – Session A

Chair—A Munhoz Panel—K Clough, M Dixon, M Rietjens

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    Mansell. J

    1700

    The oncological safety of oncoplastic breast conservation surgery compared with standard WLE and mastectomy at 5 years

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    Ojala. K

    1710

    Aesthetic and Functional Outcome after Breast Conserving Surgery – Comparison between Conventional and Oncoplastic Resection.

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    Carstensen. L

    1720

    Bra-line perforators of clinical value in breast reconstructive surgery; an anatomical study.

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    Ogawa. T

    1730

    Oncoplastic Surgery Combining an Abdominal Advancement Flap with Volume Displacement Techniques in Breast-Conserving Surgery in Patients with Small to Medium Sized Breasts

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  • Info

    Roy. PG

    1740

    Partial Breast Reconstruction with Lateral Chest Wall Perforator Flaps: Oxford Experience.

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    Shan. U

    1750

    Winner of Best Submitted Paper: The Tennis Racquet Incision: Level 1 Oncoplastic technique for breast conserving surgery

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Evening technical workshops

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    Carolin Nestle-Kramling

    1800

    “How to do a bilateral risk reducing mastectomy and direct to implant reconstruction”

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    Douglas Macmillan / Stephen McCulley

    1800

    “Chest wall perforator flaps”

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  • 1900

    Drinks and Buffet

Tuesday 22nd September

The Gadget Show

The latest innovations you should know about...

  • 0800

    ORBS 2015 - The Gadget Show

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  • Info

    Human Med / Colin Pyne

    0830

    The Humanmed Bodyjet EVA and Lipocollector Three

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    Acelity / Emma Wright

    0835

    Introducing REVOLVE(TM), a novel fat processing system; PREVENA(TM) Incision Management System

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    DAAX / Trevor Mitchell

    0845

    Disposable sentinel node probe

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    Endomag / James Harvey

    0850

    Magnetic Seed Localisation – RSL without the radiation

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    Cook Medical / Paul Boden

    0855

    Improving nipple projection in reconstructive surgery and Cook Medical ‘Implantable Doppler for Free flap monitoring’

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    Mentor / TBC

    0900

    Mentor – Shaping the future

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    Advantech Surgical / Ben Sharples

    0905

    ‘Motiva – safety through innovation: From 3D printed shell Advantech Surgical surfaces to micro-transponder traceability and beyond’

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    LsBiopath / Ade Bishop

    0910

    Intra-operative assessment of excised breast tumour margins using ClearEdge device

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    Groupe Sebbin / Richard Graham

    0915

    ‘From ADM to APM – an evolution in implant breast reconstruction’

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    Elemental Healthcare / Pari Naz Mohanna

    0920

    Real-time perfusion assessment in Breast Reconstruction

Session 5 – Challenges in Mastectomy and Reconstruction

Chair—J Masia

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    Mark Schaverien

    0930

    What is the evidence for risks of reconstruction in obese patients?

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  • Info

    Jaume Masia

    0940

    Autologous options and strategies for breast reconstruction in the obese patient

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    Ruth James

    0955

    What is the evidence for outcomes and complications of reconstruction in elderly patients?

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    Stephen McCulley

    1005

    Treatment options and strategies for breast cancer surgery in the elderly patient

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    Mike Dixon

    1020

    Goldilocks and fat grafting

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    M Dixon, R James, J Masia, SJ McCulley, M Schaverien

    1030

    Panel discussion

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  • 1045

    Coffee

Session 6 – Radiotherapy and Reconstruction

Chair—RD Macmillan

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    Henry Kuerer

    1115

    Who needs post-mastectomy radiotherapy – a surgical oncologyperspective

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    Stephen McCulley

    1130

    ABRAR study – Final results for UK based audit of outcomes of autologous reconstruction and radiotherapy

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    Krishna Clough

    1145

    Making a case for ‘Neo-adjuvant radiotherapy’

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  • Info

    Christoph Andree

    1200

    The IDEL technique – Immediate DELayed Breast Reconstruction

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    Carolin Nestle-Kramling

    1215

    Is there a right way to approach implant reconstruction in the face of radiotherapy?

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    Isabelle Sarfarti

    1230

    Delayed implant reconstruction after radiotherapy – Can fat grafting reduce the need for flaps?

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    C Andree, K Clough, H Kuerer, SJ McCulley, C Nestle-Kremlin, I Sarfarti

    1245

    Panel discussion

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  • 1300

    Lunch

Afternoon session

Submitted papers – session A

Chair—C Andree Panel—H Kuerer, J Masia, S Wood

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    Thiruchelvam. P

    1400

    Neoadjuvant Radiotherapy Prior to Mastectomy and Immediate Autologous Reconstruction is not associated with Cutaneous Flap Complications.

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    Zaha. H

    1410

    Tips, tricks and up-dated results of oncoplastic surgery with the omental flap.

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    Leff .D.R

    1420

    National trends in immediate post-mastectomy breast reconstruction in the United Kingdom.

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Session 7 – Breast cancer invading the chest wall

Chair—A Munnoch

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    Henry Kuerer

    1430

    Outcome of multimodal tailored therapy

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    Simon Wood

    1445

    Chest wall salvage surgery – a strategy of approach and long term outcomes

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Session 8 – Lymphoedema

Chair— SJ McCulley

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    Alex Munnoch

    1500

    Liposuction management: setting up a service and long-term outcomes

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  • Info

    Jaume Masia

    1515

    Update on microvascular options for lymphodema

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    H Kuerer, J Masia, A Munnoch, S Wood

    1530

    Panel Discussion

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  • 1545

    Tea

Session 9 – Food for thought

Chair—H Kuerer

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    Jaume Masia, Mike Dixon

    1615

    When is it better to do a mastectomy than an oncoplastic BCS procedure? The view of the mastectomist / The view of the conservationist

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    Jennett Kelsall

    1645

    Oncological and patient reported outcomes in case matched series of Oncoplastic BCS vs Mastectomy and reconstruction

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    Fiona McNeill

    1700

    Training in oncoplastic surgery - Lessons learned in the UK

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    Mario Reitjens

    1715

    Fat Grafting – Is the safety question now answered?

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    Venkat Ramakrishnan

    1730

    Getting through a list and finishing on time. How it can be done?

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    Venkat Ramakrishnan

    1745

    Surgical burn out and how to avoid it

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  • 1830

    Drinks reception

  • 1945

    Conference Dinner

Wednesday 23rd September

Breakfast workshop

  • Info

    Douglas Macmillan / Stephen McCulley

    0800

    “Therapeutic mammaplasty”

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    Mike Dixon/Klaus Ueberreiter

    0800

    “Fat grafting”

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Session 10 – Revision and salvage surgery

Chair—S Wood

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    Alexandre Munhoz

    0915

    Salvage after breast conserving surgery

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    Mario Rietjens

    0945

    Correction abnormal nipple position in reconstructive breast surgery

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    C Andree, A Munhoz, M Rietjens

    1000

    Panel discussion

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  • 1015

    Coffee

Submitted papers - session B

Chair—V Ramakrishnan Panel—D Macmillan, A Munnoch

  • Info

    Bramhall. R.J

    1045

    Salvage of infected implant–based breast reconstructions with one-stage free flap procedures.

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    Rowland. M.P

    1055

    Expanding the scope of implant based reconstruction; good results can be achieved in challenging and high risk patients.

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    Henderson. J.R

    1105

    Pectoral sparing implant reconstruction

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    Rowland.MP

    1115

    Outcomes for Dermal Sling reconstruction may be superior to those using Acellular Dermal Matrix in a multi-centre cohort.

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    Hamilton-Burke WLS

    1125

    Outcomes of polypropylene mesh in implant based breast reconstruction compared to acellular dermal matrix implant based breast reconstruction – a literature review and a retrospective audit in a University Hospital.

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    Karp N

    1135

    SERI Surgical Scaffold in Two-Stage Breast Reconstruction: Investigator Satisfaction, Breast Stability, and Safety Profile Over Two Years in a Prospective Clinical Study.

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Session 11 – One-stage Implant Reconstruction

Chair—SJ McCulley

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    Douglas Macmillan

    1145

    Direct to implant breast reconstruction with SERI surgical scaffold — a multicentre audit

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    Vidya Raghavan

    1200

    Do we need to use the muscle at all with ADM reconstruction?– 100 one-stage implant reconstructions without

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    Klaus Ueberreiter

    1215

    Composite implant reconstruction

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    Isabelle Safarti

    1230

    When is the optimal time for fat grafting?

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    Chris Holcombe

    1245

    Early outcomes in the iBRA study

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    D Macmillan, V Raghaven, I Safarti, K Ueberreiter

    1300

    Panel discussion

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Close of meeting

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