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Keynote Speakers

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Dr. Jesse Selber is a Professor in the Department of Plastic Surgery and the Director of Clinical Research, at the University of Texas MD Anderson Cancer Center in Houston, Texas.

Dr. Selber earned his undergraduate degree in studio art at Brown University, his MD at the University of Rochester, Masters of Public Health at Harvard and completed plastic surgery training at the University of Pennsylvania. After a 1-year microvascular fellowship at MD Anderson Cancer Center, he has remained as a faculty member since 2009.

Dr. Selber’s clinic practice is exclusively complex cancer reconstruction. He is a surgical innovator, developing numerous techniques, including all the existing robotic applications in plastic surgery. He is the Founder and Executive Board Member of the Robotic Assisted Microsurgical and Endoscopy Society (RAMSES). He is director of the Composite Tissue Allotransplantation in the Texas Medical Center and recently performed the world’s first scalp, skull, kidney and pancreas transplant, and the world’s first identical twin transplantation for large scale cancer reconstruction.

Dr. Selber is an accomplished clinical researcher and writer. He has authored over 100 peerreviewed publications, numerous book chapters and other publications, given over 350 national and international presentations and serves on three editorial boards and is an editor for 7 peerreviewed journals. He currently serves as the Plastic Surgery Foundation’s Clinic Study Section
Chair.

Dr. Selber has participated in Doctors Without Borders (MSF) and Operation Smile, is a Founding Member of United to Cure a non-profit to extend pediatric oncology care to underserved, vulnerable populations, and is an Executive Board Member of the Schwartz Foundation, a philanthropic group focusing on a diverse set of priorities in underserved children.

ABSTRACT:

Role of robotic surgery for reconstruction and current state of Robotic breast surgery in US

Robotic breast reconstruction began in 2012 when I started performing the Latissimus dorsi muscle-only flap for breast reconstruction. Since that time, I have performed close to 75 of these procedures for specific indications. The advantage is that when a skin island is unnecessary, it prevents an incision on the patient’s back. In the last few months before the beginning of this conference, I have begun to perform robotic assisted DIEP reconstructions. The advantage of this is limiting the fascial incision to only what is required to dissect the perforator, allowing for maximum pedicle length while minimizing fascial incisions. Robotic breast surgery in the US in general has drawn much media attention because of concern about oncologic safety. The reasons for these concerns and their validity will also be addressed.

Future of breast reconstruction in the minimal invasive/access surgery era

The robotic DIEP, or RoboDIEP, is the newest addition to minimally invasive autologous breast reconstruction. For many years, the DIEP has been the standard of care, but in spite of advances in technique, large fascial incisions still result in a steady baseline level of morbidity. The RoboDIEP changes that dynamic by, for the first time, allowing a maximum pedicle dissection with a very small fascial incision. This is the first major advance in DIEP breast reconstruction since perforator mapping. I addition, the actual microsurgical part of DIEP breast reconstruction can be performed robotically. The advantages and future of robotic microsurgery will also be discussed in this presentation.

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