Cambridge Chest Wall Perforator Flap and Breast Reconstruction Course

The Cambridge chest wall perforator flap and breast reconstruction course took place in the state of art Evelyn Cambridge surgical training centre between 20th and 21st April.

The course was led by Mr Amit Agrawal, consultant oncoplastic breast surgeon at Cambridge University Hospitals. We also had excellent faculty including Ms Caroline Mortimer, Mr Tuabin Rasheed, Ms Pankaj Roy, and Ms Alexandra Tenovoci. The delegates included UK consultant oncoplastic breast surgeons, senior breast trainees, as well as consultant oncoplastic breast surgeons who travelled all the way from Australia and India. 

The morning of the first day was filled by excellent lectures and video clips highlighting the anatomy of perforator flaps (LICAP/LTAP/TDAP), patient selection, marking of the perforators, designing the flaps, and techniques to preserve the perforators during wide local excision and node dissection. The technical tips and the case examples shared by the highly experienced faculty was invaluable. We then proceeded the perform perforator flap dissection and flap insetting on fresh frozen cadavers which were of excellent quality. This provided highly invaluable learning opportunity for the delegates. With the high faculty to delegate ratio, all delegates had opportunity to perform perforator dissection and gain tips from the enthusiastic faculty. The first day was completed by the faculty sharing their experience with regards to post-operative patient care and the positive experiences gained by patients. 

The second day focused on pre- and sub-pectoral implant reconstruction with acellular dermal matrix. The faculty shared their experience in terms of patient and implant selection, technical tips especially with regards to skin sparing mastectomy, and how to manage complications. We were given excellent demonstration in wrapping of the Braxon acellular dermal matrix around implant to perform pre-pectoral implant reconstruction. Again the excellently preserved cadavers gave delegates opportunities to perform skin and nipple sparing mastectomies and inset the Braxon wrapped implant for optimal aesthetic outcome. 

Overall, the course comes highly recommended for senior breast trainees and the technical tips shared by the faculty as well as the opportunity to perform dissection on fresh frozen cadaver provided excellent learning opportunities.