Orbs 2025

This session includes:

• Why, and for whom, is survival better after breast conserving surgery compared to mastectomy? with Jana de Boniface
• When should we be recommending a mastectomy over BCS? with Henry Cain
• Is oncoplastic surgery now a standard of care in breast conservation with Shelley Potter
• Are perforator flaps the missing link in breast conserving surgery? Lessons and outcomes over 20 years with Stephen McCulley
• Can we finally agree on margins following NAC? with Jana de Boniface
• Is extreme oncoplastic surgery still extreme? with Georgette Oni
• Oncoplastic surgery in LABC. Development of techniques, outcomes and selection with Chaitanyanand Koppiker

This session includes:

• Managing and avoiding incomplete margins in oncoplastic surgery with Marc Thill
  Supported by:
  

• Precision Meets Aesthetics: Advanced Localisation and Planning in Oncoplastic Surgery with Teresa Fernandez
  Supported by
  

Supported by:

This session includes:

• Getting started with Therapeutic mammaplasty. Understanding Anatomy, markings, pedicles and making it predictable with Stephen McCulley
• Advanced mammaplasty principles and applications with Don Hudson
• Therapeutic mammaplasty in small breasted patients with Douglas Macmillan
• Managing complications in Oncoplastic surgery. Approaches and techniques with John Murphy
• Panel discussion with Yazan Masannat, Shelley Potter, Henry Cain, Chaitanyanand Koppiker, Lisa Whisker, John Murphy, Syeda Nadia Gilani, Stephen McCulley, Marc Thill

This session includes:

• De-escalation of the axilla and future for axillary surgery with Henry Cain
• Lymphoedema of the breast. Aetiology and management with Yazan Masannat
• Microsurgical updates for avoiding and treating established lymphodema with Gemma Pons
• Non-microsurgical management of lymphoedema and new technologies in lymphoedema surgery with Dimitris Dionysiou
  Supported by Raise Healthcare
• Updates on radiotherapy regimes and impact on breast cosmesis with Anna Kirby
• Outcomes and strategies for radiotherapy with implant-based reconstruction with Jana de Boniface
• Outcomes and strategies for radiotherapy with autologous reconstruction with Stephen McCulley
• Radiotherapy induced angiosarcoma breast. Guide to diagnosis and management plans with Kathryn Steele/Sarmad Tamimy

This session includes:

• The venue of the Minimally Invasive Breast Surgery for Mastectomy with Benjamin Sarfati
• Pushing surgical boundaries; Starting a minimally invasive breast service with Celene Ng
• Strategies and techniques for NSM in differing breast sizes with Nicola Rocco
• Mastectomy and reconstruction strategies in the large ptotic breast with Marzia Salgarello
• Mastectomy for autologous reconstruction with Stephen McCulley
• Modified Goldilocks mastectomy for total breast reconstruction. Technique and outcomes with Don Hudson
• Offering contralateral prophylactic mastectomy - navigating and understanding the evidence with Lisa Whisker
• How complete are NSM and SSM... how complete does a mastectomy have to be? with Douglas Macmillan

These include:

• Industry supported symposium: Controlling the pocket in Implant reconstruction
  Microthane - Marzia Salgarello, supported by Polytech
  Mesh - Marc Thill, supported by PFM Medical
  ADM cover - Marco Bernini, supported by Raise Healthcare
  Partial ADM cover - John Murphy, supported by HC21
  Antonio Tejerina - Sutured TE, supported by Motiva

• Industry supported symposium: One or two-stage reconstruction? Products, techniques, philosophy
  Mostly single stage reconstruction - Marzia Salgarello, supported by Polytech
  Always 2-stage reconstruction - Antonio Tejerina, supported by Motiva

• Implant reconstruction workshop. Debate on plane and staging in difficult cases
  The low BMI patient, approach 1 - Douglas Macmillan
  The low BMI patient, approach 2 - Marco Bernini
  Using large implants - Marzia Salgarello
  Radiotherapy - Nicola Rocco

This session includes:

• ALCL update on aetiology and guidelines with Nicola Rocco
• Selecting the ideal method of breast reconstruction with Filip Stillaert
• Total reconstruction using fat grafting with Andrezei Piatkowski
• Reverse tissue expander and fat-based reconstruction - technique and outcome data with Filip Stillaert
• Refinements in DIEP and SIEA flaps with Jaume Masia
• Lumbar flaps. Techniques and outcomes with Filip Stillaert
• Lymphodema surgery with immediate reconstruction. What is feasible or realistic? with Dimitris Dionysiou

This sessions includes:

• Implant-based breast reconstruction in patients with breast augmentation with Marzia Salgarello
• Abdominal advancement flaps in breast reconstruction with Andrezei Piatkowski
• Subfascial techniques for implant-based reconstruction with Don Hudson
• MDT Faculty; Jaume Masia, Filip Stillaert, Marzia Salgarello, Andrezei Piatkowski, Marco Bernini, John Murphy, Georgette Oni, Don Hudson