This week is Plastic Surgery The Meeting in Los Angeles, and the Plastic Surgery Education Network (PSEN) will have our own booth space in the ASPS Resource Center in the Exhibit Hall from Saturday-Monday afternoon. While the Exhibit Hall is open, we’ll be demo-ing all of the resources available on the site. If you haven’t visited PSEN in awhile, please stop by and let us show you what’s new.
We will also be holding a raffle at the PSEN booth to win a GoPro Hero 4 camera! The drawing will be held at lunchtime on Monday, so stop by before then to enter.
Next month PSEN will be launching a new Member Video section on the site, where all plastic surgeons will be able to upload their own operative videos, demonstrating their own “pearls of practice” to a member-submitted PSEN video library. To celebrate the new section, we’ll be equipping someone this weekend to capture their own surgeries with a surgeon’s-eye view of the procedure. And hopefully… some of the footage from that camera will end up on PSEN in the future!
So if you’re attending the annual meeting this weekend, stop by the ASPS Resource Center and visit PSEN. We’ll show you how to access the hundreds of free videos, lectures, case reports, literature reviews and more on the site… and you can fill out your card for the drawing!
This month, PSEN published a new free CME course by Mark Clemens, MD, covering The Essentials of Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL).
Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is a distinct clinical entity that can present in patients receiving either reconstructive or cosmetic breast implants. This is a CME course meant to provide an overview of recent peer-reviewed manuscripts and the essential principles of the disease while trying not to provide a single practitioner viewpoint. The three-part lecture includes government authority guidelines, a review of diagnosis and etiology theories, and treatment outcomes. Pathological diagnosis, staging, and surgical treatment is detailed. Pertinent aspects of informed consent and society recommendations for reporting of confirmed cases are included.
Dr. Clemens is on the Plastic Surgery faculty of MD Anderson Cancer Center, University of Texas in Houston and has lectured internationally and written more than 50 peer-reviewed articles and 30 book chapters. He leads a multidisciplinary research team and tissue repository focused on the study of breast implant-associated anaplastic large-cell lymphoma (BI-ALCL). Dr. Clemens serves as an American Society of Plastic Surgeons (ASPS) society liaison to the US Food and Drug Administration, and chairs a subcommittee for ASPS overseeing national research and education efforts for BI-ALCL.
PSEN Co-Editor Raman Mahabir, MD, notes “This is such an important issue for all plastic surgeons. There is new information all the time and Mark has really put it all together in one cohesive, comprehensive package.”
The Learning Objectives for the course state that upon completion, surgeons should be able to:
- Identify diagnostic tools for the identification of suspected breast implant-associated ALCL.
- Explain disease course and oncologic progression of breast implant ALCL.
- Describe current first line and second line treatment modalities and reported outcomes.
- Describe current FDA recommendations regarding breast-implant associated ALCL.
Patricia McGuire, MD, an ASPS member practicing in St. Louis, took the course upon release and noted, “I just took the PSEN ALCL course that you did. It was fantastic. Very clearly presented and extremely informative. All plastic surgeons should be required to take it.”
To review the ALCL course, visit the Online Courses area of PSEN.
TOUR THE REDESIGN AND MORE. PSEN will provide demos of its plastic surgery educational resources, including PSEN app for iPad/iPhone® at the Breast Surgery and Body Contouring Symposium on August 7-9 in Santa Fe, New Mexico. Stop by the booth outside the Exhibit Hall to learn how PSEN can serve as your ultimate resource for self-directed education.
While at the booth, pre-order access to recordings of the general sessions from the three-day symposium. This ASPS symposium features a focused, comprehensive educational program giving you access to industry-leading faculty whose experience and research will help improve your understanding of the complex and evolving landscape of breast surgery and body contouring. Content includes useful information such as procedural techniques applied in body contouring, surgical device selection, preoperative planning and tips on how to manage problems and complications in your practice.
For more information on the symposium and the full schedule, click here.
IN THE JULY SURGERY SPOTLIGHT, Greg Borschel, MD, and Ronald Zuker, MD, perform a Segmental Gracilis Muscle Transplant on a 15-year-old boy who has right unilateral acquired facial palsy due to a brain tumor. In preparation for this surgery, the boy has previously had a cross-face sural nerve graft placed.
In this eight-hour case, two teams work simultaneously. One team harvests and prepares the segment of the gracilis muscle, while the second team works at the recipient site, preparing the facial artery and vein for anastomosis, and preparing the previously placed cross-face sural nerve graft for coaptation from the motor nerve to the gracilis muscle.
At the donor site, Dr. Borschel explains the importance and the process of de-bulking and splitting the gracilis muscle and presents a detailed diagram that demonstrates how the graft will be modeled and placed. At the recipient site, Dr. Zuker demonstrates the movement of the facial muscles in creating a smile before measuring the anatomy inside the face so that the gracilis graft can be appropriately sized. He then prepares the distal stump of the previously placed sural nerve graft for connection to the new graft.
Dr. Borschel notes that while different teams utilize running sutures and GI staplers to anchor the gracilis transfer, his team’s approach is to use reinforcing mattress sutures and anchoring sutures in an figure 8 pattern in order to create a secure fixation at the level of the oral commissure. After blood supply to the flap is established, Drs. Borschel and Zuker anchor the graft at the commissure, fan out the muscle to achieve an appropriate level of tension, and the distal end is then sutured in place before closure.
Past Surgery Spotlight programs remain freely available to view on PSEN. Hard copies of these programs can also be purchased from the PSEN DVD Library. Surgery Spotlight is a video-based product line produced by the Plastic Surgery Education Network (PSEN).
JUST RELEASED, Surgery Spotlight: Breast Compilation, Vol. 1 on Blu-ray. The 2-disc compilation features six popular videos from the Surgery Spotlight library. They include:
Dennis Hammond, MD
Breast Reduction with Medial Pedicle Wise Pattern
Scot Bradley Glasberg, MD
Arthur Salibian, MD and Jay Harness, MD
SIEA Flap Breast Reconstruction
David Song, MD
DIEP Flap Breast Reconstruction
Maurice Nahabedian, MD
Fat Grafting Reconstruction with BRAVA
Peter Neligan, MD
Purchase the Blu-ray for $99. The Compilation is also available on DVD for $79.
Surgery Spotlight is a monthly series of surgical videos produced and hosted on PSEN that aim to put you in the operating room with the demonstrating surgeon. A new program featuring a different surgical technique launches every month, and can be streamed freely on PSEN or viewed at a charged within a PSEN CME course.