The development of an Oncoplastic Training Center – OTC

Matthes, Ângelo Gustavo Zucca; Viera, Rene Aloísio da Costa; Michelli, Rodrigo Augusto Depieri; Ribeiro, Gustavo Henrique Fabri Pereira; Bailão, Antônio; Haikel, Raphael Luiz; Matthes, Ângelo do Carmo Silva

doi:10.1016/j.ijsu.2012.03.009

Cited by 32 publications

(36 citation statements)

References 19 publications

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“…Breast surgeons should be well trained and competent in all aspects of breast oncology and have broad understanding of breast defects and all their reconstructive requirements, as well as being proficient in prevention and providing care for all potential complications. This is the challenge for present and future mentoring of breast surgeons [3][4][5][6][7][8][9][10][11][12][13][14][15][16] . Adequate local control of disease and quality of life are both deeply related to surgical decisions and skills at the moment of breast cancer diagnosis and treatment.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, some controversies remain in many countries about whether it is better to have breast surgeons and plastic surgeons working together, or a breast specialist doing everything in most, or indeed in all, cases. Also, surgical mentoring is a significant challenge for all specialties [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] . The delivery of qualified OP and reconstructive training is expected to be tailored as to meet educational needs and to be recognized internationally.…”

Section: Introductionmentioning

confidence: 99%

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Trends and attitudes toward oncoplastics training in Mastology in Brazil

Úrban¹,

Júnior²,

Pires³

et al. 2017

Rev. Bras. Mastol. (Impr.)

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Introdução: Existe um interesse e uma demanda crescente de treinamento oncoplástico (OP) e cirurgia reconstrutiva por cirurgiões de mama. No entanto, até agora tem faltado um modelo específico de treinamento neste campo na maioria dos países, sem dados com relação à curva de aprendizado. A Mastologia tem sido uma especialidade médica no Brasil desde 1978. É totalmente dedicada a estudar, prevenir, diagnosticar e gerenciar todas as doenças da mama. A incorporação de OP e cirurgia reconstrutiva na Mastologia apresenta uma série de desafios, e há algumas questões controversas a serem superadas. Objetivo: O objetivo deste estudo, portanto, foi analisar como a OP e as técnicas reconstrutivas estão sendo incorporadas no treinamento cirúrgico em Mastologia no Brasil. Métodos: uma pesquisa específica foi projetada para cobrir todos os residentes cirúrgicos que concluíram seu programa regular em Mastologia no Brasil em 2015 e 2016. Resultados: Foram incluídos 124 residentes de 49 unidades mamárias, com a maioria treinada durante todos os 2 anos de residência, conforme recomendado pela Sociedade Brasileira de Mastologia. Além disso, a maioria dos entrevistados foi capaz de realizar reconstruções e reconstruções mamárias parciais usando expansores e implantes. Mas ainda 20% deles apresentaram falta de treinamento específico nestas técnicas. Conclusão: uma vez que o controle local adequado da doença e da qualidade de vida está relacionado às decisões cirúrgicas, espera-se que os cirurgiões de mama ampliem seus limites e responsabilidades para melhorar a realidade da maioria dos pacientes com câncer de mama. PALAVRAS-CHAVE:Reconstrução mamária; cirurgia oncoplástica; educação médica; neoplasias de mama. RESUMO ABSTRACTIntroduction: There is a growing interest in, and an increasing demand for, oncoplastic (OP) and reconstructive surgery training by breast surgeons. However, until now there has been a lack of a specific model for training in this field in most countries and no data with respect to learning curves. Mastology has been a medical specialty in Brazil since 1978. It is fully dedicated to studying, preventing, diagnosing, and managing all diseases of the breast. Incorporation of OP and reconstructive surgery in Mastology presents a number of challenges, and there are some controversial issues to overcome. Objective: The purpose of this study, therefore, was to analyze how OP and reconstructive techniques are being incorporated into surgical training in Mastology in Brazil. Methods: A specific survey was designed to cover all surgical residents who concluded their regular program in Mastology in Brazil in 2015 and 2016. Results: One hundred twenty-four residents from 49 breast units were included, with the majority having their training for all 2 years of their residence, as recommended by the Brazilian Society of Mastology. In addition, most of the respondents were able to perform partial breast reconstructions and reconstructions using expanders and implants, but 20% of them had a lack of specific training in these...

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Trends and attitudes toward oncoplastics training in Mastology in Brazil

Úrban¹,

Júnior²,

Pires³

et al. 2017

Rev. Bras. Mastol. (Impr.)

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“…In 2009, an oncoplastic training centre was established with the approval of the Brazilian Society of Mastology. The training centre has offered a 21-module course that takes place on one weekend per month and that targets practicing breast surgeons rather than recent surgical graduates 11 .…”

Section: International Ops Trainingmentioning

confidence: 99%

Training Oncoplastic Breast Surgeons: The Canadian Fellowship Experience

et al. 2017

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“…Currently, breast surgeons dealing with breast cancer surgery are performing most OBS. It has been demonstrated that surgeons can perform many OBS applications without the need for a plastic surgeon, by learning basic plastic techniques (57). Surgeons may correct most breast defects by learning the required techniques in plastic surgery during breast cancer surgery that they have already been doing.…”

Section: Disadvantagesmentioning

confidence: 99%

The Role of Oncoplastic Breast Surgery in Breast Cancer Treatment

Emiroğlu¹,

Sert²,

Inal

2015

J Breasth Health

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The aim of this study is to discuss indications, advantages, disadvantages, oncologic and aesthetic results of Oncoplastic Surgery (OBS). Pubmed and Medline database were searched for articles published between 1998 and 2014 for keywords: oncoplastic breast surgery, therapeutic mammoplasty, oncoplastic breast reduction, synchrenous reconstructions. Role of OBS in breast cancer surgery, its aspects to be considered, its value and results have been interpreted. This technique has advantages by providing more extensive tumourectomy, yielding better aesthetic results compared with breast conserving surgery, allowing oncoplastic reduction in breast cancer patients with macromastia, with higher patient satisfaction and quality of life and by being inexpensive due to single session practice. As for its disadvantages are: re-excision is more difficult, risk for mastectomy is higher, it is depent on the Surgeron's experience, it has a risk for delay in adjuvant therapies and its requirement for additional imaging studies during management. Main indications are patients with small tumour / breast volume, macromastia, multifocality, procedures which can disrupt breast cosmesis such as surgeries for upper inner breas tquadrient tumours. Contraindications are positive margin problems after wide excision, diffuse malign microcalsifications, inflammatory breast cancer, history of radiotherapy and patients' preferences. Despite low evidence level, Oncoplastic Breast Surgery seems to be both reliable and acceptable in terms of oncologic and aesthetic aspects. Oncoplastic Breast Surgery increase the application rate of breast conserving surgery by obviating practical limitations and improve the results of breast conserving surgery. Correct patient and technique choice in OBS is vital for optimization of post surgical

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The development of an Oncoplastic Training Center – OTC

Abstract: Organized oncoplastic training centers can enable breast surgeons to undertake reconstructive breast procedures without the assistance of a plastic surgeon.

Cited by 32 publications

References 19 publications

Trends and attitudes toward oncoplastics training in Mastology in Brazil

Trends and attitudes toward oncoplastics training in Mastology in Brazil

Training Oncoplastic Breast Surgeons: The Canadian Fellowship Experience

The Role of Oncoplastic Breast Surgery in Breast Cancer Treatment

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