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Milan • 201911th / 14th December
ONCOPLASTIC BREAST MEETING
#MBN2019
PresidentsMaurizio Bruno Nava, Alberto Rancati
Scientific CommitteeGiuseppe Catanuto, Nicola Rocco
congress.maurizionava.it
#NeverStopLearning#BeLikeLeonardo
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The feedback that we get after our yearly conferences is always very helpful. As usual, I am following suggestions and indications that were sent to me to create the 2019 event.
The Conference will be ever increasingly centred around: Science, Art, Technology and Innovations.“Be like Leonardo” is our new statment and together with “Never Stop Learning” has become the basis on which we create the event.
This year the MBN Conference would like to follow Leonardo Da Vinci’s teachings and thoughts in honor of this great man. In addition to classic Masterclasses, Workshops, Keynotes lectures and Live Surgery, as well as Guest Lecturers on Art and Science, we decided to also add Surgical Technique sessions, limited to 30/40 people in a parallel room. Hoping to have interpreted your wishes and your needs, I would be pleased to welcome all of you to Milano and to celebrate the Italian Master Leonardo Da Vinci after 500 years from his death during the congress.
Join us in Milano, the city of Art, Science, Techniques and Innovations.
Maurizio Bruno Nava
Welcome!
Invited FacultyClaudio ANGRIGIANI (Argentina)Werner AUDRETSCH (Germany) Yoav BARNEA (Israel)Mitchell BROWN (Canada)Claudio CALABRESE (Italy)Antonella CAMPANALE (Italy) Donato CASELLA (Italy)Paolo CHIODINI (Italy)Peter CORDEIRO (USA)Arcangela DE NICOLO (Italy) Roy DE VITA (Italy)Rosa DI MICCO (Italy) Marie Anne DURAND (UK) Jian FARHADI (UK)Pietro FERRANDO (Italy)Secondo FOLLI (Italy)Allen GABRIEL (USA)Viviana GALIMBERTI (Italy)Carlos GARCIA-ETIENNE (Italy)Eduardo GONZALEZ (Argentina)Dael GOVREEN-SEGAL (Istrael) Bahadir GULLUOGLU (Turkey)Emma HANSSON (Sweden)James HARVEY (UK)Joerg HEIL (Germany)Andreas KARAKATSANIS Tibor KOVACS (UK)Steven KRONOWITZ (USA)Henry KUERER (USA)Laura LOZZA (Italy)Jaume MASIA (Spain)Patrick MAXWELL (USA)Federico MAYO (Spain)Rachel O’ CONNELL (UK)Serena OLIVIERI (Italy)Loredana PAU (Italy) Giancarlo PRUNERI (Italy) Gino RIGOTTI (Italy)Alessandro RIVOLIN (Italy) Marzia SALGARELLO (Italy) Joao Carlos SAMPAIO GOES (Brazil) Eric SANTAMARIA (Mexico)Benjamin SARFATI (France)Gianfranco SCAPERROTTA (Italy)Michael SCHEFLAN (Israel) Marc THILL (Germany)Achilleas THOMA (Canada)Frederieke VAN DUIJNHOVEN (Netherlands)Joachim von FINCKENSTEIN (Germany)Walter WEBER (Switzerland) Rebecca WILSON (USA)Zoe WINTERS (UK)
Conference presidentsMaurizio Bruno Nava (Italy)Alberto Rancati (Argentina)
Scientific CommitteeGiuseppe Catanuto (Italy)Nicola Rocco (Italy)
Organizing CommitteeGianfranco Tunesi (Italy)Valentina Visintini (Italy)
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Main TopicsDe-escalation of breast and axillary surgery
The impact of neoadjuvant treatments on breast and axillary Surgery
Management of low-risk DCIS
Randomized controlled trials in breast surgery
Standardised outcome assessment in breast surgery
The impact of radiotherapy on breast reconstruction
The impact of neoadjuvant chemio on breast reconstruction
ADM-assisted direct-to-implant breast reconstruction
Pre-pectoral breast reconstruction
Two stages according to anatomical features
Hybrid reconstruction
Autologous tissue
Fat grafting
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WEDNESDAY11th December 201908.00 REGISTRATION
10.00 Introducing the Meeting “FOLLOWING DA VINCI’S THOUGHTS” OPENING M. B. Nava - A. Rancati 10.10 LeonardoDaVinci,thefirstbionicscientist-J. Graf von Finckenstein 10.25 What does really mean Innovation: the point of view of an engineer - D. Govreen-Segal
10.40 Science and Surgery - A. Thoma WORKSHOP: RISK REDUCING SURGERY Chairmen: A. De Nicolo - S. Folli
11.00 Braca 1/2 gene variants: challenges and opportunities for precision medicine - A. De Nicolo11.15 Bilateral Risk Reducing Mastectomy and reconstruction: planning a safety NAC sparing mastectomy according to breast size and shape and “fat thickness”- E. Gonzalez
11.27 Contralateral mastectomy after breast cancer: correct indication - R. O’ Connell
11.39 Why a careful counseling is mandatory - S. Olivieri 11.51 Q&A DISCUSSION
WORKSHOP: DCIS Chairmen: E. Gonzalez - F. Van Duijnhoven
12.00 NAC Sparing Mastectomy and Oncoplastic Breast Conserving Surgery for DCI - E. Gonzalez
12.15 The SentiNOT trial - A. Karakatsanis
12.27 Selective Management of DCIS: UPDATE of Ongoing Trials - F. Van Duijnhoven
12.39 Is there a place for de-escalation of RT? - L. Lozza
12.51 Q&A DISCUSSION
13.00 Brunch
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5 BREAST IMPLANTS ASSOCIATED TO ALCL Chairmen: R. De Vita - M.B. Nava - A. Rancati - N. Rocco 13.40 HowthemediaaremanagingthescientificInformation-M.B. Nava 13.55 The opinion of the Ministry of Health in Italy and the Italian Registry - A. Campanale 14.10 The opinion of Superior Council of Health - R. De Vita 14.20 The opinion of a statistician - P. Chiodini
14.30 Women Association Perception - Europa Donna
14.40 ALCL: will there be an impact on breast reconstruction choices in the future? - P. Cordeiro
15.05 Q&A DISCUSSION
15.15 ATTENDEES MEET THE COMPANIES Open debate with all the speakers and attendees involved Question and answers led by the chairmen on: what the companies know related to BI associated to ALCL and they are doing to prevent it
15.40 - 17.10 SURGICAL TECHNIQUES COURSES ONCOPLASTIC SURGERY Chairmen: N. Rocco - T. Kovacs
15.40 Surgical decision pathway according to cancer features, breast shape and size and patients wishes - G. Catanuto 15.55 Lumpectomy vs Oncoplastic Breast Surgery. Pros and Cons - T. Kovacs 16.10 Reshaping of the breast: same surgical approach in immediate and delayed? - B. Sarfati 16.25 How to plan the best approach of BCT and reshaping: the point of view of a vertical surgeon - E. Gonzalez 16.40 Multidisciplinary approach to BCT - N. Rocco 16.55 Q&A DISCUSSION
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SPARING MASTECTOMIES AND IMPLANT BASED BREAST RECONSTRUCTION Chairmen: A. Gabriel - H. Kuerer 15.40 BCT vs Sparing Mastectomies: today perspectives - H. Kuerer 15.55 Delayed NAC Sparing Mastectomy - S. Folli 16.07 Patients and surgical techniques selections - A. Rancati 16.20 Pre-Pectoral implant Positioning - R. De Vita 16.32 Pre-Pectoral implant Positioning - D. Casella 16.45 Dual Plane Positioning - M.B. Nava
17.00 Q&A DISCUSSION
AUTOLOGOUS TISSUE WITH OR WITHOUT IMPLANTS Chairmen: J. Farhadi - M. Scheflan
15.40 Freeflapstodayperspectives-J. Farhadi 15.55 TheroleofpedicleTRAMflap-M. Brown 16.10 LDflapbreastreconstruction-B. Sarfati 16.25 Perforatorflaps:selection,indicationsandlimits-C. Angrigiani 16.40 Fat grafting and breast reconstruction - Y. Barnea 16.50 Engineered fat breast reconstruction. What long term follow up teaches - C. Calabrese 17.00 Q&A DISCUSSION 17.10 COFFEE BREAK
WORKSHOP: ELIMINATING SURGERY Chairmen: G. Catanuto - N. Rocco
17.30 Will surgery be part of breast cancer treatment in the future? - H. Kuerer
17.42 LORD trial - F. Van Duijnhoven
17.54 RESPONDER ans SENTINA Trial - J. Heil
18.06 Q&A DISCUSSION
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08.00 - 08.30 MASTER CLASSES
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THURSDAY12th December 2019
GREEN ROOM A GREEN ROOM B
Optimizing Autologous Breast Reconstruction J. Masia - Y. Barnea
The use of ADM in DTI Breast Reconstruction A. Gabriel - J. Harvey
GREEN ROOM C PLENARY ROOM
Breast reshaping after BCT and extended Oncoplastic Breast SurgeryJ.C. Sampaio Goes - A. Rancati
How to deal with complications in Breast Reconstruction: Implant based and autologous. J. Farhadi - R. De Vita
08.30 BREAKFAST WITH THE COMPANIES
09.00 Leonardo da Vinci and drawing: innovation and technology, science and art C. Giorgione (Leonardo da Vinci’s Science Museum, Milan)
09.20 GUEST LECTURE Evolution of breast surgery and the bioengineered concept - P. Maxwell PL
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HOT TOPICS Chairman: G. Catanuto
18.15 The impact of Neoadjuvant treatments on breast surgery - A. Karakatsanis 18.30 Management of locally recurrent breast cancer: re-lumpectomy, re-sentinel node biopsy, re-radiation (In-breast recurrences: is re-lumpectomy adequate? - H. Kuerer 18.45 The Kronowitz Immediate Oncoplastic Surgical Technique Algorithm - S. Kronowitz
19.00 Breast Surgery and Randomized Controlled Trials - A. Thoma
19.15 COCKTAIL MINGLE SESSION meet and chat with the KOL
PLENARY ROOM
WORKSHOP: NEO-ADJUVANT THERAPIES AND BREAST SURGERYChairmen: E. Gonzalez - B. Gulluoglu
Updating on Neoadjuvant Treatments A. De Nicolo Imaging before and after Neoadjuvant G. Scaperrotta
Surgical management of the breast after NEO-A - E. Gonzalez
Nipple sparing mastectomies and locally advanced cancer - H. Kuerer
Axillary preservation in EUROPE C. Garcia-Etienne
Sentinel node biopsy post neo-adjuvant chemotherapy Italian experience R. Di Micco
What is the role of immediate Breast reconstruction? - W. Weber
Q&A DISCUSSION
HOT TOPICS Chairman: C. Garcia-Etienne
Sentinel node detection - V. Galimberti
TAXIS trial - W. Weber
What is the role of BCS for multi centric breast cancer? - Z. Winters
Elderly patients - B. Gulluoglu
LUNCH
INTRODUCING LECTUREThe pathway for a shared decision making with patients M.A. Durand
GREEN ROOM A
10.00
10.12
10.24
10.36
10.48
10.56
11.08
11.20
11.30
11.45
12.00
12.15
12.30
13.30
3D SIMULATOR - HANDS ON FOR MASTECTOMIES AND IMPLANT BASED BREAST RECONSTRUCTION
AUTOLOGOUS BREAST RECONSTRUCTION
LD for Breast Reconstruction - B. Sarfati
Tram Flap - E. Gonzalez
DIEP Flap - J. Masia
Q&A DISCUSSION
LUNCH
10.00
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11.30
12.00
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12.40
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PLENARY ROOM
NATURAL SHAPE AFTER BCTChairmen: S. Kronovitz - J.C. Sampaio Goes
Fat grafting the breast: science and safety S. Kronowitz Reduction pattern and augmentation pattern - Y. Barnea
Small breast: BCT or NAC Sparing? Is it only an aesthetic issue? - J.C. Sampaio Goes
Does Flaps play a role in breast reshaping after BCT? - W. Audretsch
New Trends in oncoplastic breast surgery B. Sarfati
Q&A DISCUSSION
TIPS AND TRICKSChairman: Y. Barnea RefinementinLDflapreconstructionB. Sarfati
Oncoplastic reconstruction after central QUAD - Y. Barnea
Breast sharing technique: when and how J. Masia
COFFEE BREAK WORKSHOP: CONSERVATIVE MASTECTOMIESChairmen: J Sampaio Goes - W. Weber Planning the Mastectomy and DTI according to digital mammography, breast size and shape and patients wishes A. Rancati
GREEN ROOM A
13.50
14.02
14.14
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14.38
14.50
15.00
15.10
15.20
15.30
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Perforatorflaps:Identification-Drawing- Harvesting - How to use them for breast Reconstruction - C. Angrigiani IMPLANT BASED BREAST RECONSTRUCTION
Two stages - P. Cordeiro DTI: Pre Pectoral vs Dual Plane M.B. Nava
COFFEE BREAK
IMPLANT BASED BREAST RECONSTRUCTION Pre Pectoral with ADM - J. Harvey
Pre-Pectoral with synthetic Mesh - D. Casella/E. Hansson
Pre Pectoral without Meshes or ADM -R. De Vita/A.Rancati
Delayed reconstruction with Implants J.C. Sampaio Goes
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15.10
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16.00
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17.00
17.30
GREEN ROOM A GREEN ROOM B
Surgical Techniques to optimize the outcome in Oncoplastic Surgery of the BreastA. Rancati - E. Gonzalez
CommonmistakeswithperforatorflapsforbreastReconstruction and how to prevent them - E. Santamaria - C. Angrigiani
GREEN ROOM C PLENARY ROOM
Implant reconstruction and radiation M. Brown - L. Lozza
Step by Step pre pectoral implant based breast reconstruction R. De Vita - A. Rancati
PLENARY ROOM GREEN ROOM A
Surgical procedures to avoid NAC and skin damages and how to check intra-op S. Folli
Pre Pectoral - W. Weber
Sub-pectoral vs. pre-pectoral ADM-assisted - J.C. Sampaio Goes
Q&A DISCUSSION
KEYNOTE LECTURESChairman: J.C. Sampaio Goes
DTI and Pre-pectoral implant positioning with meshes - J. Harvey
Are therapeutic mammaplasties a safe and effective alternative to mastectomy with or without immediate breast reconstruction? (iBRA-2 and TeaM multicentre prospective cohort studies) - R. O’Connell Tissue engineering for breast reconstruction - A. Gabriel
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17.00
17.15
17.45
18.00 - 18.30 MASTER CLASSES
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FRIDAY13th December 2019
GREEN ROOM A GREEN ROOM B
Optimal management of the radiated breast in ALL clinical settings J. Masia - S. Kronowitz
Are Pedicled perforator flaps (LICAP, MICAP)safe and economical alternatives to mastectomy and complex reconstruction in a selected group of patients? - E. Santamaria - C. Angrigiani
GREEN ROOM C PLENARY ROOM
How to avoid complication in Implant based reconstructionB. Sarfati - A. Rancati
Management of recurrence cancer in regard of reconstructionJ. Farhadi - E. Gonzalez
08.00 - 08.30 MASTER CLASSES
BREAKFAST WITH THE COMPANIES
CONSENSUS CONFERENCE Senior LecturesFat grafting after QUART or mastectomy plus radiotherapy: the only procedure that reconstructs the breast and repairs the actinic damage - G. Rigotti
Oncoplastic Primary Radio Therapy (PRT), perspectives of tghe operability for breast cancer - W. Audretsch
Oncoplastic Lectures
Worldly perspective on oncoplastic surgery W. Audretsch
Oncoplastic breast conserving surgery: the timing of adjuvant treatmentsR. O’Connell
PLENARY ROOM
08.30
08.50
09.10
09.30
09.47
PLENARY ROOM GREEN ROOM A
Oncoplastic breast conserving surgery: is there an impact on the planning and delivery of radiotherapy? - L. Lozza
Controversies in margin managementG. Pruneri Oncoplastic breast conserving surgery: is there an impact on post-operative surveillance? - G. Scaperrotta
Consensusconferenceworkflow- N. Rocco
Statements presentation, vote and discussionM.B. Nava - N. Rocco
EDUCATION and TEACHING (The Vertical Surgeon) - M.B. Nava - T. Kovacs
“The BRESSO project” - T. Kovacs Panelists: R. O’Connell - J.Heil - W. Weber - E. Gonzalez - M. Brown - S. Folli - B. Sarfati - A. Gabriel - J.C. Sampaio Goes - J. Masia LUNCH
WORKSHOP: IMPLANT Based vs Autologous Breast ReconstructionChairmen: P. Cordeiro - M. Salgarello
Autologous vs Bioengineered implants based breast reconstruction - E. Santamaria - M. Salgarello Smooth anatomical Implants. Does it make any sense?
Round implants get to acceptable outcome?- J. Farhadi
Complications of implant based reconstruction and their management P. Cordeiro Q&A DISCUSSION
09.59
10.11
10.23
10.35
10.45
12.30
13.00
14.00
14.24
14.36
14.48
15.00
SPECIAL TOPICS
Preoperative planning for breast reconstruction - E. Santamaria
Extended Latissimus Dorsi Flap - A. Rivolin
LUNCH
FAT CELLS GRAFTING Experienced way to obtain efficacy andsafety in fat grafting - C. Calabrese
Fat grafting and breast reconstruction S. Kronowitz
Personal experience - G. Rigotti
The use of fat for managing implant complications - M. Brown From breast modelling to total breast reconstruction with micro fat grafts - J. Graf von Finckenstein
12.30
13.00
13.30
14.30
14.50
15.10
15.30
15.50
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ABSTRACTS DISCUSSION
EBM AND MESHESChairmen: N. Rocco - P. Cordeiro Implants and soft tissue interaction: do Meshes work as like as a barrier? J. Harvey
Biological or a synthetic mesh in immediate breast reconstruction? A cohort-study of long-term Health related Quality of Life (HrQoL) - E. Hansson
Synthetic titanized mesh. DTI with “pocket” implant coverage - M. Thill
Long-term outcomes in ADM-assisted breast reconstruction compared to a submuscular technique, the results of the BROWSE multi-centre cohort study - R. Wilson
Long-term outcomes in ADM assisted breast pre-pectoral breast reconstruction with a total implant coverage. - M. Salgarello QUALITY OF LIFE AFTER ONCOPLASTIC BREAST SURGERY
What I expect from my breast surgeon L. Pau Quality of life after breast reconstruction (Autologous/Implants) J.C. Sampaio Goes
Quality of life after breast conserving surgery - Z. Winters Quality of life after breast in carrier patients and RRM - S. Olivieri
PLENARY ROOM GREEN ROOM A
15.10
15.40
15.52
16.04
16.16
16.28
16.40
16.50
17.00
17.10
BCS and RESHAPING Oncoplastic reconstruction in central NAC tumors - Y. Barnea
Different pedicle for different “Quadrants” A. Rancati
Flaps to restore extended breast resection J. Farhadi
16.10
16.40
17.10
COMPLICATIONS AND REVISION SURGERYChairmen: J. Sampaio Goes - B. Sarfati
Risk reduction lymphedema surgery in breast cancer - J. Masia
How to deal with a complication after NAC Sparing and DTI - B. Sarfati
Secondary surgery after BCT or recon-struction with poor outcome or complica-tions - J.C. Sampaio Goes
Failure of autologous tissue: new recon-struction pathway - J. Masia
NPWT to reduce morbidity in radiotreated patients - P. Ferrando
Q&A DISCUSSION
Leonardo da Vinci’s Science Museum VisitSocial Dinner at the Museum
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SATURDAY14th December 2019
PLENARY ROOM
17.20
17.35
17.50
18.02
18.12
18.24
19.3020.30
LIVE SURGERYSurgeons: M.B. Nava - A. Rancati - A. Spano - G. Tunesi - V. VisintiniChairman in OR: N. Rocco
Reshaping after BCT poor outcome - Fat Grafting - Hybrid and contralateral augmentation - Mastectomy DTI pre-pectoral - Secondary revision surgery Nipple reconstructionChairmen in the plenary room: Y. Barnea - G. Catanuto - B. Sarfati
Patients features and drawings
Ideas and InnovationsLite implants: preliminary resultsNew devices in Oncoplastic SurgerySmooth anatomical implants: preliminary results - F. Mayo NPWT in oncoplastic breast surgery - P. Ferrando
CLOSING & REMARKS M.B. Nava
FAREWELL CEREMONY - LUNCH
07.30
13.00
13.45
14.00
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MiCo – Milano Convention CentrePiazzale Carlo Magno, 1 – Milan
MiCo - Milano Convention Centre is right in the centre of Milan, 4 km from the Duomo and just 5 minutes from Leonardo’s Last Supper
Entrance:via Gattamelata, 5 (Gate 15)
Congress Venue
General informationSECRETARIAT
The registration desk, located at the entrance of the Congress Venue, is open as follows:
Wednesday 11th December 8.00 am - 7.30 pmThursday 12th December 7.30 am - 6.30 pmFriday 13th December 7.30 am - 6.15 pmSaturday 14th December 7.00 am - 2.00 pm
EXHIBITION
The exhibition area is located in the Congress Venue, Level -1.Participants are encouraged to visit the industry exhibition, which will be accessible for the duration of the congress.
SCIENTIFIC SESSIONS
AllScientificSessionswill takeplaceatLevel -1.Theconferencehoursarespecified in theprogramme.
REGISTRATION FEE
All delegates must register to attend the congress. Registration fees as follows:
Summer rate(15th Jun-22nd Sep)
Intermediate rate (23rd Sep-15th Nov)
Late rate (16th Nov-on site)
DELEGATE EUR 1.000 EUR 1.100 EUR 1.300RESIDENT EUR 550 EUR 600 EUR 700
REFUND POLICY
In case of cancellation without replacement, the fee less handling charges of 100 EURO will be refunded, provided a written request is received by MZ Congressi before 15th October 2019.No refund can be made if notice of cancellation is received after this date. Any refund will be made after the congress.
CERTIFICATES OF ATTENDANCE
Certificatesofattendancewillbesentbyemailattheendofthecongress.
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REGISTRATION PACKAGE
The conference registration package includes:• Congress bag and information package•Certificateofattendance•Attendancetothescientificsessions• Access to the exhibition area• Meals as indicated in the programme
CONGRESS KIT
The congress kit can be picked up at the Congress Kit Desk near the registration area, upon presentation of the congress-kit ticket provided with your badge.
BADGES
Participants are requested to wear their badges at all time during the conference for admission to all the conference areas. Badges have been colour-coded as follows:• Red: Faculty• Blue: Delegate Full Conference
LANGUAGE
Simultaneous translation in English/Italian is provided in the plenary room only, from 11th December till 13th December. The live surgery session on 14th December, the Masterclasses and the parallel sessions in Green rooms will not be translated. Headsets are available at the cloakroom desk.
CLOAKROOM
A cloakroom will be available for clothes and luggages for the whole duration of the congress. WI FI AUDIOVISUAL CENTER AND WIFI
The audiovisual centre for the speakers is located on Level -1, next to the Orange Room.
Wi-Fi will be available in the conference area. Network: MiCo_WiFi_GuestPassword: fmcgu3st
INTELLECTUAL PROPERTY
Duringtheconference,itisnotpermittedtofilmortakepicturesofthespeakersand/ortheirpresentations.
Housed in an early sixteenth-century Olivetan monastery, the “Leonardo da Vinci” National Museum is the largest science and technology museum in Italy and is spread over 40,000sqm.The museum collections illustrate the evolutions in science and technology starting from the era of Leonardo da Vinci.Leonardo’s drawings were not limited to design projects for new machines but were also adjustments of existing works, plus, proposals for upgrading objects and also nature studies.The beautiful Sala Colonne will host the MBN 2019 social dinner for an unforgettable night, surrounded by science and art, as well as the numerous works of the genius Leonardo da Vinci.
ADDRESS: Via San Vittore 21 - 20123 Milano
BY PUBLIC TRANSPORTMetro M2 stop S. AmbrogioBus 50, 58 stop San VittoreBus 94 stop Carducci
BY CARArriving by car you can easily park close to the Museum at Carducci Parking in via Olona
BY TRANSFER SERVICES: It is also available a bus to the event location for the guests that will leave from MiCo, Gate 15 at 7.00 p.m.
Make sure to secure your booking, as place are limited. Please ask for information at the registration desk.
SOCIAL PROGRAMME TICKETS not included in the registration feesTicket cost: Euros 80 per person
FRIDAY 13TH DECEMBERSocial Dinner at the “Leonardo da Vinci” National Museum
SAVE THE DATE!
Aesthetic Breast Meeting10th/12th December
Organising SecretariatMZ Congressi srlVia C. Farini 81, 20159 MilanoTel. +39 0266802323info@mzcongressi.com
#MBN2019 congress.maurizionava.it
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