title: Oncoplastic breast surgery in Australia and New Zealand-2014 and beyond.
abstract: Oncoplastic breast surgery (OBS) is an established field of surgery bringing together oncological and reconstructive principles to the surgical management of breast disease, which is yet to make inroads into some areas of Australia and New Zealand (A&NZ). Both patients and medical fraternity are supportive of these approaches and improved quality of life and aesthetic outcomes resulting from their application. Oncological outcomes have been shown to be no different when these oncoplastic approaches are utilised. There is a broad interest amongst breast surgeons regarding OBS and development of their own skills. However a new and improved method of training the current and the next generation of breast surgeons is required. This has already begun in some countries such as the UK, but is slower in A&NZ region. Some of the obstacles in training of OBS to the next generation of surgeons are discussed and highlighted.This year first steps in formalised training approaches are being made. The future of breast surgery is likely to involve OBS as part of mainstream surgical management of breast disease.
authors.affiliation: 1 Charles Gairdner Hosptial, Perth, Australia ; 2 Port Macquarie Hospital, Australia.
authors.forename: Michael
authors.initials: M
authors.lastname: Yunaev
authors.affiliation: 1 Charles Gairdner Hosptial, Perth, Australia ; 2 Port Macquarie Hospital, Australia.
authors.forename: Guy
authors.initials: G
authors.lastname: Hingston
keywords: Breast reconstruction; oncoplastic surgery; training
references.citation: Breast. 2010 Dec;19(6):538-40
references.pmid: 20417100
references.citation: J Int Med Res. 2009 Jan-Feb;37(1):182-8
references.pmid: 19215689
references.citation: World J Surg. 2008 Dec;32(12):2570-7
references.pmid: 18581169
references.citation: Eur J Cancer. 2007 Mar;43(4):660-75
references.pmid: 17276672
references.citation: Eur J Surg. 1993 May;159(5):259-62
references.pmid: 8103358
references.citation: ANZ J Surg. 2008 Apr;78(4):269-72
references.pmid: 18366399
references.citation: Plast Reconstr Surg. 2010 Feb;125(2):454-462
references.pmid: 20124831
references.citation: Plast Reconstr Surg. 2012 Feb;129(2):382e-383e
references.pmid: 22286475
references.citation: Int J Surg. 2012;10(5):265-9
references.pmid: 22446087
references.citation: Plast Reconstr Surg. 2009 Jul;124(1):9-17
references.pmid: 19568039
references.citation: Eur J Surg Oncol. 2007 Aug;33 Suppl 1:S1-23
references.pmid: 17604938
references.citation: ANZ J Surg. 2013 Apr;83(4):200-1
references.pmid: 23675599