KOCAELİ MEME HASTALIKLARI ARAŞTIRMA VE TEDAVİ DERNEĞİ KOCAELI SOCIETY OF RESEARCH & TREATMENT FOR BREAST DISEASES

LEVEL III MASTERCLASS on ONCOPLASTIC BREAST SURGERY 7 – 8 June 2013 MARMA Congress Center, Maltepe, Istanbul, TURKEY

In association with SENATURK ROYAL COLLEGE OF SURGEONS (RCS) OF ENGLAND ASSOCIATION OF BREAST SURGEONS (ABS) BRITISH ASSOCIATION OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGEONS (BAPRAS) MALTEPE UNIVERSITY SCHOOL OF MEDICINE

WELCOME It is our pleasure to welcome you to this first SENATURK Masterclass on Oncoplastic Breast Surgery, which is a joint initiative in partnership with the Association of Breast Surgery (ABS), the British Association of Plastic Reconstructive and Aesthetic Surgeons (BAPRAS) and the Royal College of Surgeons of England (RCS) London. The innovative programme provides an introduction to the practical aspects of oncoplastic breast reconstruction, and is aimed at experienced surgical oncologists with a major interest in breast cancer management. Your faculty includes leading breast and plastic surgeons, and an eminent human anatomist. Together they will focus on teaching the key principles of safe oncoplastic surgery, with a range of short talks, anatomical demonstrations, markups, video clips and ‘hands on’ workshops. The course is based around small groups to encourage interactive discussion and debate. Faculty will focus on the key aspects of ‘best practice’- information and choice, case and technique selection, preoperative planning and preparation, and the avoidance and management of complications. We do hope you enjoy the course, and that you will return to your practice with a better understanding of the expanding role of oncoplastic surgery in breast cancer management today. Course Convenors

Bahadir M. Gulluoglu

Dick Rainsbury 2

MEETING VENUE Meeting will be held at MARMA Kongre Merkezi, Maltepe Universitesi, Marmara Eğitim Köyü , 34857, Maltepe, ISTANBUL, TURKEY. Map is shown below:

e-mail: [email protected] Web Site: http://www.marmakongremerkezi.com

CME CREDIT CME  credits  w ill  be  given  by  Turkish  Medical  Association  to  participants.    

3

PROGRAM June 7th Friday DAY 1

13:00 Opening N. Zafer Canturk & Richard Rainsbury 13:15 Critical Appraisal of Timing and Types of Reconstruction Richard Rainsbury 14:00 Patient Assessment and Information Provision Simon Cawthorn 14:20 Offering Choice and Taking Consent Anne Tansley 14:40 Reducing Preoperative and Intraoperative Risk / Theatre Behaviour Anne Tansley

15:00 Coffee Break

15:30 Postoperative Monitoring and Infection / Pain Control Chris Khoo 15:50 Setting Up A Breast Reconstruction Unit Omar Youssef 16:10 Principles of Ultrasonography and Image-Guided Breast Biopsy Simon Cawthorn 16:30 USG Guided Biopsy – Hands-on Procedures Simon Cawthorn

18:30 End Of The Day

4

PROGRAM June 8th Saturday DAY 2

09:00 Warm up & Description of the Course Richard Rainsbury 09:15 Pre-course Exam Bahadir M. Gulluoglu 09:30 Module 60 mins Gr A è M1; Gr B è M2; Gr C è M3; Gr D è M4; Gr E è M5; Gr F è M6 10:40 Module 60 mins Gr A è M2; Gr B è M3; Gr C è M4; Gr D è M5; Gr E è M6; Gr F è M1 11:50 Module 60 mins Gr A è M3; Gr B è M4; Gr C è M5; Gr D è M6; Gr E è M1; Gr F è M2

12:50 Lunch

14:00 Module 60 mins Gr A è M4; Gr B è M5; Gr C è M6; Gr D è M1; Gr E è M2; Gr F è M3 15:10 Module 60 mins Gr A è M5; Gr B è M6; Gr C è M1; Gr D è M2; Gr E è M3; Gr F è M4 16:20 Module 60 mins Gr A è M6; Gr B è M1; Gr C è M2; Gr D è M3; Gr E è M4; Gr F è M5 17:30 Post-course Exam Bahadir M. Gulluoglu

17:45 Feedbacks All Faculty 18:00 Certification All Faculty 18:15 Adjourn Bahadir M. Gulluoglu Gr; group (all trainees will be divided into 6 groups, 4-5 trainees in each group) M; module 5

MODULES (Hands-On Sessions) Module 1 Skin-sparing mastectomy options, ‘smile’ mastectomy (Simon Cawthorn) Classification Anatomy/mark-up Indications Key steps/video Avoiding complications Module 2 Latissimus Dorsi reconstruction (Dick Rainsbury) Indications Anatomy/mark-up Key steps/video Avoiding complications Implant versus ALD? Module 3 Reduction mammoplasty and mastopexy (Anne Tansley) Technique appraisal Mark-up Key steps/video Practice on foam models Avoiding complications Module 4 Subpectoral reconstruction, augmentation (Chris Khoo) Classification Indications Mark-up Video Avoiding complications Module 5 Therapeutic mammoplasty (Stephen McCulley) Classification Indications Mark-up Video Practice on foam models Avoiding complications Module 6 Anatomy (Vishy Mahadevan)

6

COURSE CONVENORS Bahadir M Gulluoglu MD, FACS, FEBS (Hon) Prof. Gulluoglu established Breast & Endocrine Surgery Unit at Marmara University Hospital in which he still runs the unit as chair since 1998. He also held associate faculty member post at Breast & Endocrine Surgery Unit at Bergen University School of Medicine, Haukeland University Hospital, Norway in 2000 and 2008. He is currently holding the position of full surgical professorship at Marmara University School of Medicine since 2009. He is the institutional research coordinator of European Organization for Research and Treatment of Cancer (EORTC), Breast Cancer Group since 2005 and was elected to be an active Fellow of American College of Surgeons (ACS) in 2006. He was recently assigned as the Member of Faculty at European Academy of Senology (EAoS) at Dusseldorf, Germany and International Breast Ultrasound School (IBUS). He is the co-founder and currently the surgical coordinator of Marmara University Hospital Breast Center which is a member of Breast Centres Network and chairs the academic council of SENATURK (Senology Academy-Turk), as well. Prof Gulluoglu is the chairman of Breast Cancer Screening and Early Diagnosis Committee of Cancer Department at Turkish Ministry of Health and he works as the chief-consultant for Department of Health and Social Affairs at Istanbul Greater Municipality as well. He is currently a member of the court of examiners of both European Board of Surgery and European Board of Breast Surgery. Prof Gulluoglu is the co-editor-in-chief of Breast Case. Richard Rainsbury MBBS, BSc, MS, FRCS Mr Dick Rainsbury is Director of the Breast Unit at the Royal Hampshire County Hospital in Winchester, past Tutor of Breast Disease at The Royal College of Surgeons of England and now Director of Education at The Royal College of Surgeons of England. He has been a strong advocate of the model of the ‘oncoplastic’ breast surgeon, as a new type of specialist providing a comprehensive breast and reconstructive service in the context of a modern Health Service. Mr Rainsbury’s main interests include the changing configuration of breast surgery, the development of new hybrid skills in oncoplastic procedures, and increasing the recruitment into the new specialty of breast surgery. He was founder chairman of the Interface Breast Training Group of the British Association of Surgical Oncology and the British Association of Plastic Surgeons. This group negotiated an agreement with the Department of Health to finance and develop a new cross-specialty training scheme for nine senior trainees. These posts are in major oncoplastic breast units and have supported 36 fellows, many of whom are now consultant oncoplastic breast surgeons. Mr Rainsbury is also Chairman of the National Breast Reconstruction Audit.

7

FACULTY Simon Cawthorn MS, FRCS Mr Simon Cawthorn is the creator of the nationaly recognised Breast Care Center at Frenchay, now based at Southmead Hospital. Mr Cawthorn and the Breast Care team continue to provide high quality breast assessment including breast ultrasound performed by the specialist, and intereventional breast ultrasound enabling lumps where indicated to be treated in the clinic. He is an Onco-Plastic Surgeon; cancer surgery plus reconstruction. He is an honorary lecturer in Surgery Universities of Bristol and East Anglia, Breast Cancer Clinical Lead for NHS Improvement, past president of the Royal Society of Medicine, Section of Surgery between 2005-2006, Surgical Advisor for Quality in the NHS Breast Screening Programme, S West between 2000-2003, Medical Director of Avon, Somerset and Wiltshire Cancer Nerwork between 2003-2006 and Associate Medical Director North Bristol NHS Trust between 2006-2010.

Chris Khoo FRCS Mr Chris Khoo received his medical education at Cambridge and St. Mary’s Hospital, London. He is now in independent practice after 25 years as a consultant plastic surgeon at Stoke Mandeville Hospital, Aylesbury and Wexham Park Hospital, Slough, with main interests in hand surgery and breast surgery. He is a former president of BAPRAS (then BAPS), and was Chair of the Intercollegiate Board in Plastic Surgery. He chaired the BASO/BAPRAS Interface Committee in Breast Surgery, and remains involved with the JCST Training Interface Groups in the Breast and Reconstructive Cosmetic Surgery Advanced Training Fellowships. He is on the Executive Committee of the European Board of Plastic Surgery and is an examiner for the EBOPRAS examination. He is Chair of the organising committee for the 12th European Congress of ESPRAS, to be held in Edinburgh in 2014. He is Chairman of ABCP, the Academy of British Cosmetic Practice. Mr Khoo has always been committed to teaching and training, is glad to be able to continue his involvement with the Advanced Courses.

8

FACULTY Vishy Mahadevan PhD, FRCS Prof Vishy Mahadevan is the Barbers’ Company Reader in Anatomy at the Royal College of Surgeons of England, and Professor of Surgical Anatomy. In this capacity he heads the Anatomy teaching programme in the College’s superbly equipped Anatomy facility, the Wolfson Surgical Skills Centre. He also possesses an honorary affiliation to the Academic Department of Surgery at the Royal Free Hospital, London. A general surgeon and research scientist by background, his principal role at the College is the provision of instruction in postgraduate surgical anatomy across the range of surgical specialties. He has a particular interest and considerable experience in conducting ‘handson’ cadaver dissection workshops. He has written extensively on various aspects of surgical anatomy, and is co-author with Professor Harold Ellis of the popular textbook Clinical Anatomy. He is also one of the Section Editors of the current edition of Gray’s Anatomy. Prof Mahadevan is a longstanding member of the Court of Examiners of the Royal College of Surgeons of England.

Stephen McCulley FRCS (Plast) Mr Stephen McCulley specializes in all aspects of Cosmetic, Oncoplastic and Microvascular Breast Surgery. He has been a leading figure in the development of Breast-Conserving Oncoplastic techniques in the UK over the last 10 years. As part of the Nottingham team he has helped to develop and refine the use of MRA pre-operative assessment for DIEP flaps and continues to develop processes to improve the efficiency and outcomes in DIEP flap reconstruction. He is co-founder of the ORBS (Oncoplastic Breast Reconstructive Surgery) International meeting in Nottingham.

9

FACULTY Anne Tansley MB, ChB, FRCS (Ed), FRCS Miss Anne Tansley has been a Specialist Consultant Breast Surgeon at The Royal Liverpool University Hospital since 2006. She qualified in 1992 at the Liverpool Medical School and completed her training in the Mersey Region until taking up specialist breast practice as a consultant surgeon. During her training she worked in Concord Hospital Sydney, Australia. She was later appointed to the National Oncoplastic Fellowship Training program in 2004 and spent a year working in the Whiston NHS Plastics Unit and the Royal Liverpool University Hospital as the Breast Fellow working out of the Linda McCartney Breast Unit. She has always had a strong interest in teaching and as the RCS Breast Tutor is involved in organising a successful National Teaching Program for surgeons and trainees.

Omar Z Youssef MD Dr Youssef is currently working at National Institute of Cancer in Cairo, Egypt as an associate professor, breast surgeon and surgical oncologist. His area of specialty is breast diseases and breast reconstruction. He is currently the secretary of Euro-Arab School of Oncology (EASO) and Breast Surgery International (BSI). Dr. Youssef is the course director of annual Euro-Arab Breast Reconstruction Course and BSI Breast Surgery Workshop at International Surgical Week 2013 in Helsinki, Finland.

10

We thank to our sponsors *

* Sponsors only provide support for obtaining training tools. No grants for trainees are given by sponsors.

11

Further Information Sertaç Ata Güler MD Chief Operating Officer SENATURK e-mail: [email protected]

www.sena-turk.org [email protected]