oncoplastic breast meeting...16.50 engineered fat breast reconstruction. what long term follow up...

Milan • 201911th / 14th December

ONCOPLASTIC BREAST MEETING

#MBN2019

PresidentsMaurizio Bruno Nava, Alberto Rancati

Scientific CommitteeGiuseppe Catanuto, Nicola Rocco

congress.maurizionava.it

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The feedback that we get after our yearly conferences is always very helpful. As usual, I am following suggestions and indications that were sent to me to create the 2019 event.

The Conference will be ever increasingly centred around: Science, Art, Technology and Innovations.“Be like Leonardo” is our new statment and together with “Never Stop Learning” has become the basis on which we create the event.

This year the MBN Conference would like to follow Leonardo Da Vinci’s teachings and thoughts in honor of this great man. In addition to classic Masterclasses, Workshops, Keynotes lectures and Live Surgery, as well as Guest Lecturers on Art and Science, we decided to also add Surgical Technique sessions, limited to 30/40 people in a parallel room. Hoping to have interpreted your wishes and your needs, I would be pleased to welcome all of you to Milano and to celebrate the Italian Master Leonardo Da Vinci after 500 years from his death during the congress.

Join us in Milano, the city of Art, Science, Techniques and Innovations.

Maurizio Bruno Nava

Welcome!

#NeverStopLearning#BeLikeLeonardo

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Invited FacultyClaudio ANGRIGIANI (Argentina)Werner AUDRETSCH (Germany) Yoav BARNEA (Israel)Mitchell BROWN (Canada)Claudio CALABRESE (Italy)Antonella CAMPANALE (Italy) Donato CASELLA (Italy)Peter CORDEIRO (USA)Giuseppe CURIGLIANO (Italy)Arcangela DE NICOLO (Italy) Roy DE VITA (Italy)Rosa DI MICCO (Italy) Marie Anne DURAND (UK) Jian FARHADI (UK)Secondo FOLLI (Italy)Allen GABRIEL (USA)Viviana GALIMBERTI (Italy)Carlos GARCIA-ETIENNE (Italy)Eduardo GONZALEZ (Argentina)Dael GOVREEN-SEGAL (Istrael) Bahadir GULLUOGLU (Turkey)Emma HANSSON (Sweden)James HARVEY (UK)Joerg HEIL (Germany)Andreas KARAKATSANIS Tibor KOVACS (UK)Steven KRONOWITZ (USA)Henry KUERER (USA)Laura LOZZA (Italy)Jaume MASIA (Spain)Patrick MAXWELL (USA)Rachel O’ CONNELL (UK)Serena OLIVIERI (Italy)Loredana PAU (Italy) Giancarlo PRUNERI (Italy) Gino RIGOTTI (Italy)Alessandro RIVOLIN (Italy) Marzia SALGARELLO (Italy) Joao Carlos SAMPAIO GOES (Brazil) Eric SANTAMARIA (Mexico)Benjamin SARFATI (France)Gianfranco SCAPERROTTA (Italy)Michael SCHEFLAN (Israel) Marc THILL (Germany)Achilleas THOMA (Canada)Frederieke VAN DUIJNHOVEN (Netherlands)Joachim von FINCKENSTEIN (Germany)Walter WEBER (Switzerland) Rebecca WILSON (USA)Zoe WINTERS (UK)

Main TopicsDe-escalation of breast and axillary surgery

The impact of neoadjuvant treatments on breast and axillary Surgery

Management of low-risk DCIS

Randomized controlled trials in breast surgery

Standardised outcome assessment in breast surgery

The impact of radiotherapy on breast reconstruction

The impact of neoadjuvant chemio on breast reconstruction

ADM-assisted direct-to-implant breast reconstruction

Pre-pectoral breast reconstruction

Two stages according to anatomical features

Hybrid reconstruction

Autologous tissue

Fat grafting

Conference presidentsMaurizio Bruno Nava (Italy)Alberto Rancati (Argentina)

Scientific CommitteeGiuseppe Catanuto (Italy)Nicola Rocco (Italy)

Organizing CommitteeGianfranco Tunesi (Italy)Valentina Visintini (Italy)

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WEDNESDAY11th December 201908.00 REGISTRATION

10.00 Introducing the Meeting “FOLLOWING DA VINCI’S THOUGHTS” OPENING M. B. Nava - A. Rancati 10.10 LeonardoDaVinci,thefirstbionicscientist-J. Graf von Finckenstein 10.25 What does really mean Innovation: the point of view of an engineer - D. Govreen-Segal

10.40 Science and Surgery - A. Thoma WORKSHOP: RISK REDUCING SURGERY Chairmen: A. De Nicolo - S. Folli

11.00 Braca 1/2 gene variants: challenges and opportunities for precision medicine - A. De Nicolo11.15 Bilateral Risk Reducing Mastectomy and reconstruction: planning a safety NAC sparing mastectomy according to breast size and shape and “fat thickness”- E. Gonzalez

11.27 Contralateral mastectomy after breast cancer: correct indication - R. O’ Connell

11.39 Why a careful counseling is mandatory - S. Olivieri 11.51 Q&A DISCUSSION

WORKSHOP: DCIS Chairmen: E. Gonzalez - F. Van Duijnhoven

12.00 NAC Sparing Mastectomy and Oncoplastic Breast Conserving Surgery for DCI - E. Gonzalez

12.15 The SentiNOT trial - A. Karakatsanis

12.27 Selective Management of DCIS: UPDATE of Ongoing Trials - F. Van Duijnhoven

12.39 Is there a place for de-escalation of RT? - L. Lozza

12.51 Q&A DISCUSSION

13.00 Brunch

BREAST IMPLANTS ASSOCIATED TO ALCL Chairmen: R. De Vita - M.B. Nava - A. Rancati - N. Rocco 13.40 HowthemediaaremanagingthescientificInformation-M.B. Nava 13.55 The opinion of the Ministry of Health in Italy and the Italian Registry - A. Campanale 14.10 The opinion of Superior Council of Health (IARC - WHO) - G. Curigliano 14.25 Women Association Perception - Europa Donna

14.40 ALCL: will there be an impact on breast reconstruction choices in the future? - P. Cordeiro


15.15 ATTENDEES MEET THE COMPANIES Open debate with all the speakers and attendees involved Question and answers led by the chairmen on: what the companies know related to BI associated to ALCL and they are doing to prevent it

15.40 - 17.10 SURGICAL TECHNIQUES COURSES ONCOPLASTIC SURGERY Chairmen: W. Audretsch - T. Kovacs

15.40 Surgical decision pathway according to cancer features, breast shape and size and patients wishes - G. Catanuto 15.55 Lumpectomy vs Oncoplastic Breast Surgery. Pros and Cons - T. Kovacs 16.10 Reshaping of the breast: same surgical approach in immediate and delayed? - B. Sarfati 16.25 How to plan the best approach of BCT and reshaping: the point of view of a vertical surgeon - E. Gonzalez 16.40 Multidisciplinary approach to BCT - W. Audretsch 16.55 Q&A DISCUSSION

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SPARING MASTECTOMIES AND IMPLANT BASED BREAST RECONSTRUCTION Chairmen: A. Gabriel - H. Kuerer 15.40 BCT vs Sparing Mastectomies: today perspectives - H. Kuerer 15.55 Delayed NAC Sparing Mastectomy - S. Folli 16.07 Patients and surgical techniques selections - A. Rancati 16.20 Pre-Pectoral implant Positioning - R. De Vita 16.32 Pre-Pectoral implant Positioning - D. Casella 16.45 Dual Plane Positioning - M.B. Nava


AUTOLOGOUS TISSUE WITH OR WITHOUT IMPLANTS Chairmen: J. Farhadi - M. Scheflan

15.40 Freeflapstodayperspectives-J. Farhadi 15.55 TheroleofpedicleTRAMflap-M. Brown 16.10 LDflapbreastreconstruction-B. Sarfati 16.25 Perforatorflaps:selection,indicationsandlimits-C. Angrigiani 16.40 Fat grafting and breast reconstruction - Y. Barnea 16.50 Engineered fat breast reconstruction. What long term follow up teaches - C. Calabrese 17.00 Q&A DISCUSSION

17.10 COFFEE BREAK

WORKSHOP: ELIMINATING SURGERY Chairmen: G. Catanuto - N. Rocco

17.30 Will surgery be part of breast cancer treatment in the future? - H. Kuerer

17.42 LORD trial - F. Van Duijnhoven

17.54 RESPONDER ans SENTINA Trial - J. Heil


08.00 - 08.30 MASTER CLASSES

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THURSDAY12th December 2019

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Optimizing Autologous Breast Reconstruction J. Masia - Y. Barnea

The use of ADM in DTI Breast Reconstruction A. Gabriel - J. Harvey

GREEN ROOM C PLENARY ROOM

Breast reshaping after BCT and extended Oncoplastic Breast SurgeryJ.C. Sampaio Goes - W. Audretsch

How to deal with complications in Breast Reconstruction: Implant based and autologous. J. Farhadi - R. De Vita

08.30 BREAKFAST WITH THE COMPANIES

09.00 Leonardo da Vinci and drawing: innovation and technology, science and art C. Giorgione (Leonardo da Vinci’s Science Museum, Milan)

09.20 GUEST LECTURE Evolution of breast surgery and the bioengineered concept - P. Maxwell PL

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HOT TOPICS Chairman: G. Catanuto

18.15 The impact of Neoadjuvant treatments on breast surgery - A. Karakatsanis 18.30 Management of locally recurrent breast cancer: re-lumpectomy, re-sentinel node biopsy, re-radiation (In-breast recurrences: is re-lumpectomy adequate? - W. Audretsch 18.45 The Kronowitz Immediate Oncoplastic Surgical Technique Algorithm - S. Kronowitz

19.00 Breast Surgery and Randomized Controlled Trials - A. Thoma

19.15 COCKTAIL MINGLE SESSION meet and chat with the KOL

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PLENARY ROOM

WORKSHOP: NEO-ADJUVANT THERAPIES AND BREAST SURGERYChairmen: E. Gonzalez - B. Gulluoglu

Updating on Neoadjuvant Treatments A. De Nicolo Imaging before and after Neoadjuvant G. Scaperrotta

Surgical management of the breast after NEO-A - E. Gonzalez

Nipple sparing mastectomies and locally advanced cancer - H. Kuerer

Axillary preservation in EUROPE C. Garcia-Etienne

Sentinel node biopsy post neo-adjuvant chemotherapy Italian experience R. Di Micco

What is the role of immediate Breast reconstruction? - W. Weber

Q&A DISCUSSION

HOT TOPICS Chairman: C. Garcia-Etienne

Sentinel node detection - V. Galimberti

TAXIS trial - W. Weber

What is the role of BCS for multi centric breast cancer? - Z. Winters

Elderly patients - B. Gulluoglu

LUNCH

INTRODUCING LECTUREThe pathway for a shared decision making with patients M.A. Durand

GREEN ROOM A PLENARY ROOM

NATURAL SHAPE AFTER BCTChairmen: S. Kronovitz - J.C. Sampaio Goes

Fat grafting the breast: science and safety S. Krononowitz Reduction pattern and augmentation pattern - Y. Barnea

Small breast: BCT or NAC Sparing? Is it only an aesthetic issue? - J.C. Sampaio Goes

Does Flaps play a role in breast reshaping after BCT? - W. Audretsch

New Trends in oncoplastic breast surgery B. Sarfati

Q&A DISCUSSION

TIPS AND TRICKSChairman: Y. Barnea RefinementinLDflapreconstructionB. Sarfati

Oncoplastic reconstruction after central QUAD - Y. Barnea

Breast sharing technique: when and how J. Masia

COFFEE BREAK WORKSHOP: CONSERVATIVE MASTECTOMIESChairmen: J Sampaio Goes - W. Weber Planning the Mastectomy and DTI according to digital mammography, breast size and shape and patients wishes A. Rancati

GREEN ROOM A

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3D SIMULATOR - HANDS ON FOR MASTECTOMIES AND IMPLANT BASED BREAST RECONSTRUCTION

AUTOLOGOUS BREAST RECONSTRUCTION

LD for Breast Reconstruction - B. Sarfati

Tram Flap - E. Gonzalez

DIEP Flap - J. Masia

Q&A DISCUSSION

LUNCH

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Perforatorflaps:Identification-Drawing- Harvesting - How to use them for breast Reconstruction - C. Angrigiani IMPLANT BASED BREAST RECONSTRUCTION

Two stages - P. Cordeiro DTI: Pre Pectoral vs Dual Plane M.B. Nava

COFFEE BREAK

IMPLANT BASED BREAST RECONSTRUCTION Pre Pectoral with ADM - J. Harvey

Pre-Pectoral with synthetic Mesh - D. Casella/E. Hansson

Pre Pectoral without Meshes or ADM -R. De Vita/A.Rancati

Delayed reconstruction with Implants J.C. Sampaio Goes

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GREEN ROOM A GREEN ROOM B

Surgical Techniques to optimize the outcome in Oncoplastic Surgery of the BreastA. Rancati - E. Gonzalez

CommonmistakeswithperforatorflapsforbreastReconstruction and how to prevent them - E. Santamaria - C. Angrigiani


Implant reconstruction and radiation M. Brown - L. Lozza

Step by Step pre pectoral implant based breast reconstruction R. De Vita - A. Gabriel

PLENARY ROOM GREEN ROOM A

Surgical procedures to avoid NAC and skin damages and how to check intra-op S. Folli Pre Pectoral - W. Weber

Sub-pectoral vs. pre-pectoral ADM-assisted - J.C. Sampaio Goes

Q&A DISCUSSION

KEYNOTE LECTURESChairman: J Sampaio Goes

DTI and Pre-pectoral implant positioning with meshes - J. Harvey

Are therapeutic mammaplasties a safe and effective alternative to mastectomy with or without immediate breast reconstruction? (iBRA-2 and TeaM multicentre prospective cohort studies) - R. O’Connell Tissue engineering for breast reconstruction - A. Gabriel

FRIDAY13th December 201916.12

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GREEN ROOM A GREEN ROOM B

Optimal management of the radiated breast in ALL clinical settings J. Masia - S. Kronowitz

Are Pedicled perforator flaps (LICAP, MICAP)safe and economical alternatives to mastectomy and complex reconstruction in a selected group of patients? - E. Santamaria - C. Angrigiani


How to avoid complication in Implant based reconstructionB. Sarfati - A. Rancati

Management of recurrence cancer in regard of reconstructionJ. Farhadi - E. Gonzalez


BREAKFAST WITH THE COMPANIES

CONSENSUS CONFERENCE Senior LectureFat grafting after QUART or mastectomy plus radiotherapy: the only procedure that reconstructs the breast and repairs the actinic - G. Rigotti

Oncoplastic Lectures

Oncoplastic breast conserving surgery: oncological safety - W. Audretsch

Oncoplastic breast conserving surgery: the timing of adjuvant treatmentsR. O’Connell

Oncoplastic breast conserving surgery: is there an impact on the planning and delivery of radiotherapy? - L. Lozza

PLENARY ROOM

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ABSTRACTS DISCUSSION

EBM AND MESHESChairmen: N. Rocco - P. Cordeiro Implants and soft tissue interaction: do Meshes work as like as a barrier? J. Harvey

Biological or a synthetic mesh in immediate breast reconstruction? A cohort-study of long-term Health related Quality of Life (HrQoL) - E. Hansson

Synthetic titanized mesh. DTI with “pocket” implant coverage - M. Thill

Long-term outcomes in ADM-assisted breast reconstruction compared to a submuscular technique, the results of the BROWSE multi-centre cohort study - R. Wilson

Long-term outcomes in ADM assisted breast pre-pectoral breast reconstruction with a total implant coverage. - M. Salgarello QUALITY OF LIFE AFTER ONCOPLASTIC BREAST SURGERY

What I expect from my breast surgeon L. Pau Quality of life after breast reconstruction (Autologous/Implants) J.C. Sampaio Goes

Quality of life after breast conserving surgery - Z. Winters Quality of life after breast in carrier patients and RRM - S. Olivieri


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BCS and RESHAPING Oncoplastic reconstruction in central NAC tumors - Y. Barnea

Different pedicle for different “Quadrants” A. Rancati

Flaps to restore extended breast resection J. Farhadi

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Controversies in margin managementG. Pruneri Oncoplastic breast conserving surgery: is there an impact on post-operative surveillance? - G. Scaperrotta

Q & A DISCUSSION

Consensusconferenceworkflow- N. Rocco

Statements presentation, vote and discussionM.B. Nava - N. Rocco

EDUCATION and TEACHING (The Vertical Surgeon) - M.B. Nava - T. Kovacs

“The BRESSO project” - T. Kovacs Panelists: R. O’Connell - J.Heil - W. Weber - E. Gonzalez - M. Brown - S. Folli - B. Sarfati - A. Gabriel - J.C. Sampaio Goes - J. Masia SPONSORED WORKSHOPS

LUNCH

WORKSHOP: IMPLANT Based vs Autologous Breast Reconstruction

Autologous vs Bioengineered implants based breast reconstruction - E. Santamaria - M. Salgarello Smooth anatomical Implants. Does it make any sense?

Round implants get to acceptable outcome?- J. Farhadi

Complications of implant based reconstruction and their management P. Cordeiro Q&A DISCUSSION

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15.06

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SPECIAL TOPICS

Preoperative Planning for Breast Reconstruction - E. Santamaria

Extended Latissimus Dorsi Flap - A. Rivolin

LUNCH

FAT CELLS GRAFTING Experienced way to obtain efficacy andsafety in fat grafting - C. Calabrese

Fat Grafting and Breast Reconstruction S. Kronowitz

Personal experience - G. Rigotti

The use of fat for managing implant complications - M. Brown Q & A DISCUSSION

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COMPLICATIONS AND REVISION SURGERYChairmen: J. Sampaio Goes - B. Sarfati

Risk reduction lymphedema surgery in breast cancer - J. Masia

How to deal with a complication after NAC Sparing and DTI - B. Sarfati

How to reshape the breast after a BCT poor outcome or complications J.C. Sampaio Goes

Failure of autologous tissue: new recon-struction pathway - J. Masia

Q&A DISCUSSION

Leonardo da Vinci’s Science Museum VisitSocial Dinner at the Museum

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SATURDAY14th December 2019

PLENARY ROOM

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LIVE SURGERYSurgeons: M.B. Nava - A. Rancati - A. Spano - G. Tunesi - V. VisintiniChairman in OR: N. Rocco

Reshaping after BCT poor outcome - Fat Grafting - Hybrid and contralateral augmentation - Mastectomy DTI pre-pectoral - Secondary revision surgery Nipple reconstructionChairmen in the plenary room: Y. Barnea - G. Catanuto - B. Sarfati

Patients features and drawings

Ideas and InnovationsLite implants: preliminary resultsNew devices in Oncoplastic SurgerySmooth anatomical implants: preliminary results

CLOSING & REMARKS M.B. Nava

FAREWELL CEREMONY - LUNCHMINGLE SESSION meet and chat with the companies

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MiCo – Milano Convention CentrePiazzale Carlo Magno, 1 – Milan

MiCo - Milano Convention Centre is right in the centre of Milan, 4 km from the Duomo and just 5 minutes from Leonardo’s Last Supper

Entrance:via Gattamelata, 5 (Gate 15)

Congress Venue

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General informationSECRETARIAT

The registration desk, located at the entrance of the Congress Venue, is open as follows:

Wednesday 11th December 8.00 am - 7.30 pmThursday 12th December 7.30 am - 6.30 pmFriday 13th December 7.30 am - 6.15 pmSaturday 14th December 7.00 am - 2.00 pm

EXHIBITION

The exhibition area is located in the Congress Venue, Level -1.Participants are encouraged to visit the industry exhibition, which will be accessible for the duration of the congress.

SCIENTIFIC SESSIONS

AllScientificSessionswill takeplaceatLevel -1.Theconferencehoursarespecified in theprogramme.

REGISTRATION FEE

All delegates must register to attend the congress. Registration fees as follows:

Summer rate(15th Jun-22nd Sep)

Intermediate rate (23rd Sep-15th Nov)

Late rate (16th Nov-on site)

DELEGATE EUR 1.000 EUR 1.100 EUR 1.300RESIDENT EUR 550 EUR 600 EUR 700

REFUND POLICY

In case of cancellation without replacement, the fee less handling charges of 100 EURO will be refunded, provided a written request is received by MZ Congressi before 15th October 2019.No refund can be made if notice of cancellation is received after this date. Any refund will be made after the congress.

CERTIFICATES OF ATTENDANCE

Certificatesofattendancewillbesentbyemailattheendofthecongress.

REGISTRATION PACKAGE

The conference registration package includes:• Congress bag and information package•Certificateofattendance•Attendancetothescientificsessions• Access to the exhibition area• Meals as indicated in the programme

CONGRESS KIT

The congress kit can be picked up at the Congress Kit Desk near the registration area, upon presentation of the congress-kit ticket provided with your badge.

BADGES

Participants are requested to wear their badges at all time during the conference for admission to all the conference areas. Badges have been colour-coded as follows:• Red: Faculty• Blue: Delegate Full Conference

LANGUAGE

Simultaneous translation in English/Italian is provided in the plenary room only, from 11th December till 13th December. The live surgery session on 14th December, the Masterclasses and the parallel sessions in Green rooms will not be translated. Headsets are available at the cloakroom desk.

CLOAKROOM

A cloakroom will be available for clothes and luggages for the whole duration of the congress. WI FI AUDIOVISUAL CENTER AND WIFI

The audiovisual centre for the speakers is located on Level -1, next to the Orange Room.

Wi-Fi will be available in the conference area. Network: MiCo_WiFi_GuestPassword: fmcgu3st

INTELLECTUAL PROPERTY

Duringtheconference,itisnotpermittedtofilmortakepicturesofthespeakersand/ortheirpresentations.

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Housed in an early sixteenth-century Olivetan monastery, the “Leonardo da Vinci” National Museum is the largest science and technology museum in Italy and is spread over 40,000sqm.The museum collections illustrate the evolutions in science and technology starting from the era of Leonardo da Vinci.Leonardo’s drawings were not limited to design projects for new machines but were also adjustments of existing works, plus, proposals for upgrading objects and also nature studies.The beautiful Sala Colonne will host the MBN 2019 social dinner for an unforgettable night, surrounded by science and art, as well as the numerous works of the genius Leonardo da Vinci.

ADDRESS: Via San Vittore 21 - 20123 Milano

BY PUBLIC TRANSPORTMetro M2 stop S. AmbrogioBus 50, 58 stop San VittoreBus 94 stop Carducci

BY CARArriving by car you can easily park close to the Museum at Carducci Parking in via Olona

BY TRANSFER SERVICES: It is also available a bus to the event location for the guests that will leave from MiCo, Gate 15 at 7.00 p.m.

Make sure to secure your booking, as place are limited. Please ask for information at the registration desk.

SOCIAL PROGRAMME TICKETS not included in the registration feesTicket cost: Euros 80 per person

FRIDAY 13TH DECEMBERSocial Dinner at the “Leonardo da Vinci” National Museum

Educational credits (ECM) are provided to the Italian attendees only.

Si ricorda che per ottenere il rilascio dei crediti formativi ECM attribuiti alla giornata formativa, ogni partecipante deve:

frequentare il 90% dell’impegno orario previsto, documentato dal foglio firmegiornaliero;

compilareobbligatoriamentelaschedaanagraficainognisuocampo(instampatellooincalligrafialeggibile), icuidatisarannoutilizzatiesclusivamenteaifiniECM;leschede incomplete o illeggibili rendono impossibile l’assegnazione dei crediti ECM;

compilare il questionario di gradimento dell’evento.

Si informa che l’attestato di partecipazione ECM non costituisce titolo abilitante per l’esercizio delle attività trattate.

Educational credits

MZ Congressi (ID 966)

Medico Chirurgo(specializzazioni: Chirurgia Generale - Chirurgia Plastica e Ricostruttiva)

Contenuti tecnico-professionali (conoscenze e competenze) specifici di ciascunaprofessione, di ciascuna specializzazione e di ciascuna attività ultraspecialistica. Malattie rare.

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Acknowledgements

SAVE THE DATE!

Aesthetic Breast Meeting10th/12th December

Organising SecretariatMZ Congressi srlVia C. Farini 81, 20159 MilanoTel. +39 [email protected]

#MBN2019 congress.maurizionava.it

oncoplastic breast meeting...16.50 engineered fat breast reconstruction. what long term follow up...

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