II International Symposium of Oncological, Aesthetic

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II International Symposium of Oncological, Aesthetic

II International Symposium of Oncological, Aesthetic, and Reconstructive Breast Surgery. New Perspectives1


FACULTYOfficial languages Spanish, Portuguese and EnglishThe conference will be simultaneously translated inSpanish/Portuguese/ EnglishConference ChairsEduardo González – ArgentinaPaulo Leal - BrazilConference Co-ChairsMaurizio Nava – ItalyAlberto Rancati – ArgentinaMauricio Magalaes Costa – BrazilScientific CommitteePatrick Maxwell – USARicardo Kirchuk - ArgentinaCarlos Cresta Morgado - ArgentinaDaniel Allemand - ArgentinaJuan L. Uriburu - ArgentinaIgnacio McLean- ArgentinaHugo Loustau - ArgentinaCristina Noblia - ArgentinaInvited SpeakersPatrick Maxwell – USAPeter Cordeiro - USAGino Rigotti – ItalyMelissa Crosby – USARogerio Izar Neves – USARoger Khouri – USAFernando Magallanes – MéxicoGail Lebovic – USAMaurizio Nava – ItalyPat Whitworth - USABerta Roth - ArgentinaJosé Kogut – BrazilCarlos Frederico Lima – BrazilAlexandre Munhoz – BrazilCicero Urban – BrazilCarlos Manuel Araujo – BrazilRubén Rosati – ArgentinaOrganizing SecretariatPilar Ponce de LeónII International Symposium of Oncological, Aesthetic, and Reconstructive Breast Surgery. New Perspectives2


THURSDAY 5TH NOVEMBER 200911.15-12.00 CONTROVERSIES I:Breast Conservative Treatment vs.Nipple Sparing Mastectomy in Very Young PatientsChairman: P.M. Soares (Brazil)Commenter: J. Novelli (Argentina)Secretary: M. Ipiña (Argentina)11.15-11.30 M. Nava (Italy). Yes11.30-11.45 P. Whitworth (USA): No11.45-12.00 Discussion (Chairman and Commenter)12.00-13.00 VIDEO SURGERY SESSION IAesthetic SurgeryChairman: O. Ventura (Argentina)Commenter: A. Mottura (Argentina)Secretary: L. Tessari (Argentina)12.00-12.45 F. Magallanes (Mexico): Asymmetries (planning and surgicaltricks) (6´)M. Nava (Italy): Breast augmentation with Anatomical implants:how to choose them? (6´)M. Nava (Italy): Skin reducing mastectomy with ImmediateAnatomical implant insertion (6´)J. Cárdenas (Argentina) : Breast augmentation (axilar approach)(6´)A. Rancati (Argentina): Mastoplasty with autoprotesis- Inferiorpedicle (6´)E. Gagliardi (Argentina): Breast Reduction with supero-Internalpedicle (6´)12.45-13.00 Discussion (Chairman and Commenter)13.00-13.15 LECTURE 2R Khouri (USA):Breast Augmentation by External Expansion and FatGraftingChairman: J. Dávalos Michel (Argentina)Commenter: A. Rancati (Argentina)Secretary: L. Vidal (Argentina)13.15-13.30 Discussion (Chairman and Commenter)13.30-14.30 LUNCH14.30-14.45 LECTURE 3F Magallanes (Mexico):Breast implants in Aesthetic and Reconstructive Surgery ofthe Breast (Getting Specific Objectives)Chairman: P. Leal (Brazil)Commenter: G. Flaherty (Argentina)II International Symposium of Oncological, Aesthetic, and Reconstructive Breast Surgery. New Perspectives4


THURSDAY 5TH NOVEMBER 2009Secretary: M. Irigo (Argentina)14.45-15.00 Discussion (Chairman and Commenter)15.00-16.00 WORKSHOP 2:Oncoplastic Breast SurgeryChairman: R. Abed (Paraguay)Commenter: M. Bou (Argentina)Secretary: L. Cogorno (Argentina)15.00-15.10 E. González (Argentina): Oncoplastic Breast Surgery: CurrentAspects and Perspectives to determine the time and thetechnique15.10-15.25 G Lebovic (USA): The Use of Breast Reduction in OncoplasticSurgery15.25-15.35 A. Munhoz (Brazil): Oncoplastic surgery in BCT15.35-15.45 A. Mottura (Argentina): Surgical Management ofGigantomastias15.45-16.00 Discussion (Chairman and Commenter)16.00-16.15 LECTURE 4P. Whitworth (USA):SLN & micrometastasis. Axillary dissection is necessary?Chairman: J. Loza (Argentina)Commenter: A. Benitez Gil (Argentina)Secretary: G. Horton (Argentina)16.15-16.30 Discussion (Chairman and Commenter)16.30-16.45 COFFEE BREAK16.45-17.45 WORKSHOP 3:Current management of the patient HER 2 +Chairman: E. Korbenfeld (Argentina)Commenter: E. Gago (Argentina)Secretary: C. Barciocco (Argentina)16.45-17.00 J. Nadal (Argentina): Herceptin & Breast Cancer – NeoadyuvantTailoring Systemic Therapy17.00-17.15 E. Diaz Cantón (Argentina): Optimizing AdjuvantChemotherapy. Guidelines in EBC HER2+: Where are we now?17.15-17.30 R. Kirchuk (Argentina): New protocols in adjuvant andneoadjuvant treatment17.30-17.45 Discussion (Chairman and Commenter)17.45-18.45 WORKSHOP 4:Locally Advanced Breast CancerChairman:Commenter: R. Castaño (Argentina)Secretary: M. Bensadón (Argentina)17.45-17.55 M. Viniegra (Argentina): Breast Cancer. Current status ofAdjuvant Hormonotherapy.II International Symposium of Oncological, Aesthetic, and Reconstructive Breast Surgery. New Perspectives5


THURSDAY 5TH NOVEMBER 200917.55-18.05 G. Amorim (Brazil) Breast Cancer. Current status ofNeoadyuvant Chemotherapy.18.05-18.15 D. Vuoto (Argentina): Post-induction Surgery: when?, isPossible Immediate Breast Reconstruction?18.15-18.25 L. Barbera (Argentina): SLN and neoadyuvant systemictherapy. when,How and why?18.25-18.35 M. Azar (Argentina): PET and Breast Cancer: when, Why?18.35-18.45 Discussion (Chairman and Commenter)18.45-19.00 LECTURE 5M. Crosby (USA):Treatment and outcome of patients with chest wallrecurrence after mastectomy or locally advanced breastcancer and breast reconstructionChairman: J. Martín (Argentina)Commenter: O. Silva (Argentina)Secretary: C. Albuixech (Argentina)19.00-19.15 Discussion (Chairman and Commenter)19.30 OPENING CEREMONY AND COCKTAILII International Symposium of Oncological, Aesthetic, and Reconstructive Breast Surgery. New Perspectives6


FRIDAY 6TH NOVEMBER 20098.00-9.00 RESEARCH FORUM II:Aesthetic and Oncoplastic SurgeryPrize: “Dr J.A. Pinotti”Chairman: O. Zimman (Argentina)Secretary: B. Peralta (Argentina)Forum Committee: J. Kogut (Brazil)O. Bernabó (Argentina)L. Heredia (Argentina)J. Cianflone (Argentina)9.00-10.00 WORKSHOP 5:Strategies for High Risk PatientsChairman: J. Gori (Argentina)Commenter: R. Elizalde (Argentina)Secretary: B. Gonzalez Saldivar (Paraguay)9.00-9.15 M. Viniegra (Argentina): Identification of High-Risk Patients –BRCA 1 and BRCA 2 gene mutations9.15-9.30 A. Nuñez De Pierro (Argentina): Chemoprophylaxis9.30-9.50 LECTURE 6P. Whitworth (USA): Therapeutic and risk reducing NippleSparing Mastectomy - Current indications and Surgicaltechniques9.50-10.00 Discussion (Chairman and Commenter)10.00-10.35 LECTURE 7G. Rigotti (Italy):Regenerative medicine applied to the reconstructive andaesthetic surgery of the breastChairman: A. Rancati (Argentina)Commenter: R. Khouri (USA)Secretary: F. Flaherty (Argentina)10.35-10.45 Discussion (Chairman and Commenter)10.45-11.00 COFFEE BREAK11.00-12.00 VIDEO SURGERY SESSION IIOncologic and Reconstructive SurgeryChairman: L. Ripetta (Argentina)Commenter: C. Nocito (Argentina)Secretary: JL Soplan (Argentina)11.00-11.45 P. Whitworth – P. Maxwell (USA): Nipple Sparing MastectomyE. González (Argentina): Delayed expander insertion (6´)E. González (Argentina): SSM + SLN with Immediate expanderInsertion (6´)M. Nava (Italy): II Step expander reconstruction (6´)J. Biazus (Brazil) Breast Reconstruction with implant (6´)II International Symposium of Oncological, Aesthetic, and Reconstructive Breast Surgery. New Perspectives7


FRIDAY 6TH NOVEMBER 2009G. Rigotti (Italy): Fat Injection for Breast Reconstruction postBreast Conservative Treatment (6´)11.45-12.00 Discussion (Chairman and Commenter)12.00-13.00 ROUND TABLE 1:Oncoplastic Surgery – What is the limit betweenMastology and Plastic Surgery?Chairmen: C. Menke (Brazil) - A. Rancati (Argentina)Secretary: A. Sempertegui (Brazil)Panelist: M. Nava (Italy)E. Gagliardi (Argentina)G. Lebovic (USA)E. González (Argentina)P. Leal (Brasil)13.00-14.00 LUNCH13.00-14.00 SILIMED SATELLITE SYMPOSIUMBreast Aumengtation and Breast Reconstruction withPoliuretan ImplantsChairman: C. Mira Blanco (Argentina)Commenter: J. Pedro (Argentina)Secretary: W. Giustozzi (Argentina)13.00-13.15 G. Vazquez (Argentina): Selecting patients for primary breastAugmentation with polyurethane implants13.15-13.30 C. Jaimovich (Brazil): Revision surgery for capsular contracturewith polyurethane implants13.30-13.45 S. Carreirao (Brazil): Breast reconstruction and polyurethaneimplants13.45-14.00 Discussion (Chairman and Commenter)14.00-14.15 LECTURE 8M. Nava (Italy):Past, present and future of the reconstructive surgeryof the breastChairman: J. Uriburu (Argentina)Commenter: J. Patané (Argentina)Secretary: S. Sepúlveda (Chile)14.15-14.30 Discussion (Chairman and Commenter)14.30-14.45 LECTURE 9P. Cordeiro (USA):Two Stage Expander Implant Reconstruction.Technique and OutcomesChairman: G. Mûller Perier (Argentina)Commenter: J. Nociti (Argentina)Secretary: F. Marin (Argentina)14.45-15.00 Discussion (Chairman and Commenter)II International Symposium of Oncological, Aesthetic, and Reconstructive Breast Surgery. New Perspectives8


FRIDAY 6TH NOVEMBER 200915.00-16.00 WORKSHOP 6:SSM and NSM - BR with Expandres and ImplantsChairman: C. Urban (Brazil)Commenter: J. Biazus (Brazil)Secretary: M. Picó (Argentina)15.00-15.15 G Lebovic (USA): Oncoplastic Techniques for Skin SparingMastectomy15.15-15.30 E. González (Argentina): NSM - A safe procedure? OncologicalAnd technical considerations15.30-15.40 J. Mosto (Argentina) : Intraoperative and delayedhistopathological study of the Nipple areola complex15.40-15.50 M. Nava (Italy): Skin sparing vs. skin reducing and immediatereconstruction in relation to breast size and shape15.50-16.00 Discussion (Chairman and Commenter)16.00-16.15 LECTURE 10R. Izar Neves (Brazil-USA):Acellular Dermis Assisted Implant BreastReconstruction versus Complete SubmuscularChairman: H. Loustau (Argentina)Commenter: M. Nava (Italy)Secretary: J. Letzkus (Chile)16.15-16.30 Discussion (Chairman and Commenter)16.30-17.30 WORKSHOP 7:BR with Expandres and ImplantsChairman: I. Mc Lean (Argentina)Commenter: J. Tariki (Brazil)Secretary: V. Depetris (Argentina)16.30-16.40 E. Moretti (Argentina): Current status of breast implants. Whatwe should know the Breast and the Plastic Surgeon?16.40-16.55 F. Magallanes (Mexico): Approach and implant positioning inPost Mastectomy Breast Reconstruction16.55-17.05 H. Loustau (Argentina): Pocket work for optimising outcomes inprosthetic breast reconstruction17.05-17.15 G. Ordoñez (Colombia): Immediate Single-StageReconstruction with Permanent Expanders17.15-17.30 Discussion (Chairman and Commenter)17.30-17.45 COFFEE BREAK17.45-18.45 WORKSHOP 8:Controversies in Surgical Treatment, Radiotherapy andReconstructionChairman: A. Munhoz (Brazil)Commenter: C. M. Araujo (Brazil)Secretary: F. Terrier (Argentina)II International Symposium of Oncological, Aesthetic, and Reconstructive Breast Surgery. New Perspectives9


FRIDAY 6TH NOVEMBER 200917.45-18.00 M. Crosby (USA): Current concepts of breast reconstructionAnd Postmastectomy Radiotherapy18.00-18.10 C. Urban (Brazil): The Mastologist´s View18.10-18.20 V. Alume (Argentina): The Radiotherapist´s View18.20-18.30 M. Picasso (Argentina): Influence of Technologic Advances(IMRT and 3D CT-based planning) on Outcomes in Patients WithImmediate breast reconstruction18.30-18.45 Discussion (Chairman and Commenter)18.45-19.00 LECTURE 11P. Cordeiro (USA):Chest Wall Irradiation after ImplantReconstruction-Algorithm for Treatment and OutcomesChairman: B. Roth (Argentina)Commenter:Secretary: F. Diaz Vazquez (Argentina)19.00-19.15 Discussion (Chairman and Commenter)20.30 DINNER10II International Symposium of Oncological, Aesthetic, and Reconstructive Breast Surgery. New Perspectives


SATURDAY 7TH NOVEMBER 20098.00-8.15 LECTURE 12M. Crosby (USA):Breast Reconstruction with free flaps: Free Tram, DIEP,SIEAChairman: J. C. Ortega (Argentina)Commenter: M. Colombo (Argentina)Secretary: M. Barbero (Argentina)8.15-8.30 Discussion (Chairman and Commenter)8.30-8.45 LECTURE 13R. Khouri (USA):Minimally Invasive Autologous Mastectomy Incisionless(MIAMI) ReconstructionChairman: O. García Allende (Argentina)Commenter: C.R. Chagas (Brazil)Secretary: F. Garzón (Argentina)8.45-9.00 Discussion (Chairman and Commenter)9.00-10.00 WORKSHOP 9:Breast Reconstruction with Autologous TissueChairman: E. Gallo (Argentina)Commenter: M. Ibáñez (Chile)Secretary: A. Azurduy (Bolivia)9.00-9.10 J. Tariki (Brazil): Breast Reconstruction with latissimus dorsiflap9.10-9.20 H. Paredes (Chile): Breast Reconstruction with pedicled TramFlap9.20-9.30 I. Mc Lean (Argentina): The opposite breast in breastreconstruction9.30-9.45 R. Khouri (USA): Fat Grafting the Breast: General Principlesand Specific Applications.9.45-10.00 Discussion (Chairman and Commenter)10.00-11.00 VIDEO SURGERY SESSION IIIOncologic and Reconstructive SurgeryChairman: R. Rosati (Argentina)Commenter: C. Angrigiani (Argentina)Secretary: S. Quildrian (Argentina)10.00-10.45 R. Khouri (USA): Fat injection for Breast Reconstruction andRadiotherapy-Brava System (6´)I. Mc Lean (Argentina): Pedicled Tram Flap (6´)R. Adam (Argentina): DIEP (6´)J. Sbalchiero (Brazil) : Turbocharging (6´)J. Uriburu (Argentina):: Breast Reconstruction with latissimusdorsi flap with expander” (6´)A. Munhoz (Brazil): Oncoplastic surgery in BCT-breast reduction(6´)10.45-11.00 Discussion (Chairman and Commenter)11II International Symposium of Oncological, Aesthetic, and Reconstructive Breast Surgery. New Perspectives


11.00-11.15 COFFEE BREAKSATURDAY 7TH NOVEMBER 200911.15-11.30 LECTURE 14P. Cordeiro (USA):Mangement of Early and Late Complications of ImplantChairman: J. Vera Cucchiaro (Argentina)Commenter: S. Filiciani (Argentina)Secretary: Marcelo Donzi (Argentina)11.30-11.45 Discussion (Chairman and Commenter)11.45-12.45 WORKSHOP 10:ComplicationsChairman: J. JuriCommenter: G. Ibáñez (Chile)Secretary: M. Murias Pettinari (Argentina)11.45-12.00 R. Izar Neves (Brazil-USA): Aesthetic Outcomes andComplications of Immediate Breast Reconstruction after Nipple-Sparing Mastectomy12.00-12.15 P. Leal (Brazil) : Mangement of Early and Late Complications ofPedicle and Free Flaps12.15-12.30 F. Magallanes (Mexico): Mangement and Prevention of theComplications in Irradiated Patients12.30-12.45 Discussion (Chairman and Commenter)12.45-13.00 LECTURE 15P. Maxwell (USA):A Critical Review of 20 years of Anatomical Expander inBreast ReconstructionChairman: E. Elena (Argentina)Commenter: C. Pestalardo (Argentina)Secretary: J. Dorr (Argentina)Discussion (Chairman and Commenter)13.15-13.30 CLOSING CEREMONY12II International Symposium of Oncological, Aesthetic, and Reconstructive Breast Surgery. New Perspectives

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