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Combined Mastectomy and Laparoscopic Hysterectomy with Salpingo-Oophorectomy in Transgender Men: a Cohort Study

There are few data on complications with gender affirming surgery. The aim of this study was to assess peri- and postoperative complications of laparoscopic hysterectomy and mastectomy performed in a single sitting in transgender men. Assessment of intra- and postoperative complications in a series...

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Detalles Bibliográficos
Autores principales: Gold, Daniela, Galvez, Marie-Christine Bertholin y, Laback, Christian, Hartleb, Riccarda, Tomasch, Gordana, Schöpfer, Stephanie, Bjelic-Radisic, Vesna, Hochstätter, Rüdiger, Pristauz-Telsnigg, Gunda, Laky, Rene, Reif, Philipp, Bader, Arnim, Tamussino, Karl
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8580897/
https://www.ncbi.nlm.nih.gov/pubmed/34611849
http://dx.doi.org/10.1007/s43032-021-00724-x
Descripción
Sumario:There are few data on complications with gender affirming surgery. The aim of this study was to assess peri- and postoperative complications of laparoscopic hysterectomy and mastectomy performed in a single sitting in transgender men. Assessment of intra- and postoperative complications in a series of 65 transgender men (mean age 27, range 18–47) undergoing concomitant mastectomy and laparoscopic hysterectomy with salpingo-oophorectomy. Mean operating time was 292 ± 47 min. Thirty-four (52%) patients experienced complications: 28 (41%) DINDO grade I, 0 DINDO grade 2, 6 (11%) DINDO grade III. The six grade 3 complications consisted of 5 hematomas requiring evacuation after mastectomy and 2 vaginal tears requiring transvaginal repair. Three patients were readmitted within 30 days, all for postoperative bleeding/hematoma. In transgender men, performing laparoscopic hysterectomy and mastectomy at a single sitting has a modest rate of perioperative complications, and may improve resource utilization. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s43032-021-00724-x.