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Flap and Graft

ACCO'S INTENSE 4 DAY FLAP AND GRAFT WORKSHOP

This course attracts the 4-day rural surgery grant for eligible rural GP proceduralists. This amounts to $2,000 per day or $8,000 to attend this course. Apply through either RACGP  or ACRRM

This program includes daily lunch, morning and afternoon tea as well as all equipment.

On-line module 1

3 week prior to face to face workshop

Saturday - 10:AM to Noon

Nerve blocks arround the face for skin surgery •

Danger zone on the face •

Skin surgery in the elderly and children •

Current management of sBCC and SCC in situ •

Cost effectiveness of the routine skin cancer check •

On-line module 2

2 week prior to face to face workshop

Saturday - 10:00 AM to Noon

  • Primary cutaneous melanoma Update
  • Margins 
  • Follow Up
  • Investigations
  • Role of melanoma units
  • Sentinel node biopsy
  • COVID 19 impact on melanoma
On-line module 3

1 week prior to face to face workshop

Saturday - 10:AM to Noon

  • Metastatic melanoma management update
  • In transit melanoma
  • Limb infusion / perfusion chemotherapy
  • BRAF inhibitors: - Vemurafenib / Dabrafenib, etc
  • MEK inhibitors: - Trametinib, Cobimetinib, etc
  • PD1 drugs: - Ipilimumab / Pembrolizumab, etc
  • Newer drugs
  • Multi combination therapy
  • Rarer skin cancers
Day 1: Beginning skin flap surgery day

8:00 - 8:30 AM Arrival and induction

8:30 - 10:00 AM

  • Welcome and Introduction
  • Equipment needed for skin surgery
  • Principles of Random pattern skin flaps
  • 1stskin flap: Rhomboid flap SKILLS SESSION
Morning Tea 10:00 - 10:30 AM

10:30 - 12:00 PM

  • 2nd skin flap: Twin advancement flap SKILLS SESSION
  • Role of Radiation Oncology in managing skin cancer
Lunch 12:00 – 1:30 PM

1:30 - 3:00 PM

  • 3rd skin flap: O-Z flap – SKILLS SESSION
  • 4th Skin flap: O-S flap – SKILLS SESSION
  • Role of nicotinamide and Vitamin D supplements in skin cancer management
Afternoon Tea 3:00 – 3:30 PM

3:30 - 5:00 PM

  • Welding and skin cancer
  • 5th skin flap: Harry Potter type forehead flap SKILLS SESSION
  • Role of imiquimod in managing non melanoma skin cancer

5:00 PM to 6:00 PM

Welcome drinks and nibbles immediately following session

Day 2: Transposition flap family day

8.30 – 10:00 AM

  • 6th Skin flap: Transposition flap – SKILLS SESSION
  • Using Skin lesion item numbers
Morning Tea 10:00 - 10:30 AM

10:30 AM – 12:00 Noon

  • Dermatopathology session with Dr. Alex Nirenberg

(Session time may be swapped to meet Dr. Nirenberg's schedule)

 

 

 

Lunch 12:00 – 1:30 PM

1:30 – 3:00 PM

  • 7th flap: Bilobed flap – SKILLS SESSION
  • Hydrochlorothiazide and skin cancer
Afternoon Tea 3:00 – 3:30 PM

3:30 – 5:00 PM

  • 8th skin flap: A to T flaps - SKILLS SESSION
  • 5 flurouracil & diclofenac in skin cancer management
Conference Dinner - Casual Dress
6:00 pm for a 6:30 pm dinner
Day 3: More complex flaps day

8:30 - 10:00 AM

Managing skin cancer below the knee •

9th flap: ROM flap – SKILLS SESSION •

Morning Tea 10:00 - 10:30 AM

10:30 AM – 12:00 PM

  • 10th skin flap: Rotation flaps - SKILLS SESSION
  • Epidemiology of melanoma and skin cancer prevention 
Lunch 12:00 - 1:30 PM

1:30 PM - 3:00 PM

Island type skin flaps •

11th flap: Island pedicle flap – SKILLS SESSION •

Management of Skin Cancer when margins are not clear •

Afternoon Tea 3:00 - 3:30 PM

3:30 PM - 5:00 PM

  • 12th Flap: Multi rhomboid flap. – SKILLS SESSION 
  • Ingenol mebutate and its role (very limited role) in skin cancer 
Day 4: Graft day

8:00 - 09:30 AM

13th Flap: Multi transposition flap – SKILLS SESSION •

Myths of skin cancer surgery – which are true? - Part1 •

Morning Tea 09:30 - 10:00 AM

10:00 - 11:30 AM

  • 14th procedure: Full thickness skin grafts - SKILLS SESSION
  • Myths of skin cancer surgery - which are true? – Part 2 
Lunch 11:30 – 1:00 PM

1:00 - 2:30 PM

15th procedure: Partial Thickness skin graft - SKILLS SESSION •

Photodynamic therapy and its role (limited role) skin cancer management •

Afternoon Tea 2:30 – 3:00 PM

Meeting concludes

Prof Anthony Dixon

Professor Dixon and Dr Nirenberg
Dr Nirenberg leads our education of dermatopathology, including the correlations between pathology and dermoscopy of skin lesions.
Professor Dixon leads our education of skin lesion dermatology, skin surgery and dermoscopy. All the practical sessions with skin models is overseen by Professor Dixon

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Dr. Nirenberg