Gender-Affirming Surgery: Perioperative Medical Care

被引:8
作者
Shin, Sangyoon Jason [1 ,2 ]
Kumar, Anish [1 ,2 ]
Safer, Joshua D. [1 ,2 ]
机构
[1] Mt Sinai Ctr Transgender Med & Surg, 275 7th Ave,15th Floor, New York, NY 10001 USA
[2] Icahn Sch Med Mt Sinai, New York, NY 10029 USA
关键词
transgender; perioperative care; postoperative care; vaginoplasty; mastectomy; phalloplasty; CARDIAC RISK; COMPLICATIONS; PREDICTION; VALIDATION; INDEX;
D O I
10.1016/j.eprac.2022.02.007
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective: Gender-affirming surgeries are becoming increasingly common in the United States. For many transgender and gender-diverse patients, gender-affirming surgery is a critical aspect of their overall health and wellness and has a significant impact on their social functioning. Although often the role of the primary care provider, endocrinology specialists may also need to counsel their patients and collaborate with surgical teams.Methods: This narrative review provides an overview of the preoperative assessment and perioperative management for the most common gender-affirming surgeries.Results: Preoperative assessment prior to gender-affirming surgeries can resemble assessment for other surgeries.Conclusion: In the absence of data specific to gender-affirming surgeries, risk stratification and amelioration must use surrogate data from other populations.(c) 2022 AACE. Published by Elsevier Inc. All rights reserved.
引用
收藏
页码:420 / 424
页数:5
相关论文
共 24 条
[1]   A review of gender affirmation surgery: What we know, and what we need to know [J].
Akhavan, Arya Andre ;
Sandhu, Shabaaz ;
Ndem, Idorenyin ;
Ogunleye, Adeyemi A. .
SURGERY, 2021, 170 (01) :336-340
[2]   Genitourinary Complications of Gender-Affirming Surgery [J].
Bryson, Campbell ;
Honig, Stanton C. .
CURRENT UROLOGY REPORTS, 2019, 20 (06)
[3]   Prediction of Postoperative Pulmonary Complications in a Population-based Surgical Cohort [J].
Canet, Jaume ;
Gallart, Lluis ;
Gomar, Carmen ;
Paluzie, Guillem ;
Valles, Jordi ;
Castillo, Jordi ;
Sabate, Sergi ;
Mazo, Valentin ;
Briones, Zahara ;
Sanchis, Joaquin .
ANESTHESIOLOGY, 2010, 113 (06) :1338-1350
[4]   STOP questionnaire - A tool to screen patients for obstructive sleep apnea [J].
Chung, Frances ;
Yegneswaran, Balaji ;
Liao, Pu ;
Chung, Sharon A. ;
Vairavanathan, Santhira ;
Islam, Sazzadul ;
Khajehdehi, Ali ;
Shapiro, Colin M. .
ANESTHESIOLOGY, 2008, 108 (05) :812-821
[5]   Comparison of 4 Cardiac Risk Calculators in Predicting Postoperative Cardiac Complications After Noncardiac Operations [J].
Cohn, Steven L. ;
Fernandez Ros, Nerea .
AMERICAN JOURNAL OF CARDIOLOGY, 2018, 121 (01) :125-130
[6]  
Fleisher LA, 2014, J AM COLL CARDIOL, V64, P2373, DOI [10.1016/j.jacc.2014.07.945, 10.1016/j.jacc.2014.07.944]
[7]   The Association between Smoking and Plastic Surgery Outcomes in 40,465 Patients: An Analysis of the American College of Surgeons National Surgical Quality Improvement Program Data Sets [J].
Goltsman, David ;
Munabi, Naikhoba C. O. ;
Ascherman, Jeffrey A. .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2017, 139 (02) :503-511
[8]   Prevention of VTE in Nonorthopedic Surgical Patients Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines [J].
Gould, Michael K. ;
Garcia, David A. ;
Wren, Sherry M. ;
Karanicolas, Paul J. ;
Arcelus, Juan I. ;
Heit, John A. ;
Samama, Charles M. .
CHEST, 2012, 141 (02) :E227S-E277S
[9]  
Greenwald P., 2021, AACE CLIN CASE REP, V8, P19
[10]   Development and Validation of a Risk Calculator Predicting Postoperative Respiratory Failure [J].
Gupta, Himani ;
Gupta, Prateek K. ;
Fang, Xiang ;
Miller, Weldon J. ;
Cemaj, Samuel ;
Forse, R. Armour ;
Morrow, Lee E. .
CHEST, 2011, 140 (05) :1207-1215