Breast Surgery & Body Contouring Symposium

Optional Program:
Comprehensive Microsurgical Breast Reconstruction

Saturday August 16, 2008
1:00 - 6:30 pm

Overview | Objectives | Program

Overview

The goal of this course is to provide a current, pragmatic overview of techniques and strategies that will guide clinical management and decision making in free flap breast reconstruction. This course will be directed to surgeons with all levels of experience in free flap breast reconstruction.

Specifically, we have designed the program to be of interest to surgeons considering initiating free flap techniques in their breast reconstruction practice, surgeons who use free flap techniques on a limited basis in their practice and surgeons who routinely perform free flap breast reconstruction.

The program will include a review of pertinent operative anatomy, and detailed descriptions of the surgical techniques employed for harvesting the most commonly used free flaps for breast reconstruction in clinical practice. Factors that frequently influence intraoperative decision making will also be discussed.

The faculty have broad-based knowledge in a variety of these techniques and have a willingness to share their experience, both good and bad. Panels will focus on the management of critical issues and controversies facing surgeons who perform free flap reconstructions, including avoidance and management of complications and the means for enhancing operative outcomes and efficiency. To provide for comprehensive dialogue, selected time has been allotted for faculty and audience interaction.

After completion of this program, participants will have an enhanced knowledge of the scope and application of microsurgical techniques in breast reconstruction, including the specifics of patient and flap selection, flap harvest and inset techniques, and avoidance and management of complications.

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Objectives

• Provide a thorough knowledge of the anatomy and basic techniques in free flap breast reconstruction
• Present a detailed review of each of the free flaps currently used in breast reconstruction
• Review the current strategies in free flap breast reconstruction including patient selection, flap selection, perioperative management, and the management of complications
• Allow strong participation from faculty and course participants

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Program

Saturday August 16, 2008

12:15 pm

• Registration

12:55 pm

• Introduction
  Joseph M. Serletti, MD
  Elisabeth K. Beahm, MD

1:00 pm

• 3D Vascular Anatomy of the Common Abdominal Flaps Used in Breast Reconstruction
  Michel Saint-Cyr, MD

1:15 pm

• Basics of Free Flap Breast Reconstruction: Positioning, Recipient Vessel Selection, Microsurgical Techniques
  Joseph M. Serletti, MD

1:30 pm

• The Muscle-Sparing Free TRAM Flap
  Michel Saint-Cyr, MD

1:45 pm

• The DIEP Flap
  Maurice Nahabedian, MD

2:00 pm

• The SIEA Flap
  Stephen Vega, MD

2:15 pm

• Discussion/Q&A

2:25 pm

• The Gluteal Flap
  Bernard W. Chang, MD

2:40 pm

• The Gracilis Flap
  Rudolf Buntic, MD

2:55 pm

• Bilateral Breast Reconstruction
  Elisabeth K. Beahm, MD

3:10 pm

• Discussion/Q&A

3:20 pm

• Break

3:35 pm

• Panel: Surgeons’ Perspectives on Current Issues in Free Flap Breast Reconstruction –
  Patient selection, flap selection, perioperative management, issues with radiation therapy, and avoiding/managing complications.
  Joseph M. Serletti, MD and Faculty

4:55 pm

• Panel: Management of Partial Flap Loss /Fat Necrosis –
  This panel will overview current strategies for the avoidance of fat necrosis and novel techniques for the management of fat necrosis and partial flap loss.
  Elisabeth K. Beahm, MD and Faculty

6:10 pm

• Discussion/Q&A

6: 30 pm

• Adjourn

Program subject to change.

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