Considerations for Transgender Patients Perioperatively

Tollinche, Luis; Rooyen, Christian Van; Afonso, Anoushka M.; Fischer, Gregory W.; Yeoh, Cindy

doi:10.1016/j.anclin.2020.01.009

Cited by 22 publications

(24 citation statements)

References 51 publications

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“…This has led some surgeons and anaesthesiologists to recommend holding hormone therapy for weeks leading up to surgery. Both of the above authors have argued that due to the lack of consistent evidence of a causal relationship between oestrogen (or testosterone) with an increased risk of VTE, it is well tolerated to continue hormone therapy in the perioperative setting [34,35,38]. This is especially important in preventing unwanted side effects of stopping hormone therapy (e.g.…”

Section: Improving the Quality And Safety Of Perioperative Care For L...mentioning

confidence: 99%

LGBTQ+ health and anaesthesia for obstetric and gynaecological procedures

Ejiogu¹

2022

Current Opinion in Anaesthesiology

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Purpose of reviewPeople who self-identify as lesbian, gay, bisexual, transgender, queer, two-spirited and intersex (LGBTQ2SI) make up approximately 10% of the US population. Black, Native American and Latino/a/x communities are known to have a higher percentage of people who self-identify as LGBTQ2SI than white communities. Despite growing acceptance of LGBTQ2SI communities in the USA, these populations continue to experience health inequities. This review article will provide a narrative review of recent publications that discuss topics of LGBTQ2SI health and anaesthetic care during obstetric and gynaecological procedures. Recent findingsOf the articles reviewed for this study, there were four main themes that emerged: inclusion of LGBTQ2SI health topics in curriculum and provider training materials; social determinants of LGBTQ2SI reproductive and overall health; improving the quality and safety of perioperative care for LGBTQ2SI communities; and disparities in perinatal anaesthetic care for LGTBQ2SI communities.

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Section: Improving the Quality And Safety Of Perioperative Care For L...mentioning

confidence: 99%

LGBTQ+ health and anaesthesia for obstetric and gynaecological procedures

Ejiogu¹

2022

Current Opinion in Anaesthesiology

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“…Similar to binding, tucking or packing help relieve dysphoria non-surgically. 114 Tucking in transfeminine individuals involves placing testes upwards, close to the inguinal canal, and securing external genitalia between the legs to flatten the lower pelvis. 114 , 115 70% of transfeminine patients report tucking, with 28%, 21%, and 12% experiencing itch, rash, and skin infection respectively.…”

Section: Dermatologic Impacts Of Chest Binding Tucking and Packingmentioning

confidence: 99%

“… 114 Tucking in transfeminine individuals involves placing testes upwards, close to the inguinal canal, and securing external genitalia between the legs to flatten the lower pelvis. 114 , 115 70% of transfeminine patients report tucking, with 28%, 21%, and 12% experiencing itch, rash, and skin infection respectively. 115 In a survey of 79 transfeminine adults, itching, rash, and testicular pain were the most commonly reported health effects.…”

Section: Dermatologic Impacts Of Chest Binding Tucking and Packingmentioning

confidence: 99%

“… 112 Transmasculine patients may also “pack” or use “packers” in the underwear to give the appearance of a bulge. 114 , 118 This may cause irritation of tissue in the area. 118 Further research is needed to inform clinicians on how to address dermatologic effects of tucking or packing.…”

Section: Dermatologic Impacts Of Chest Binding Tucking and Packingmentioning

confidence: 99%

See 1 more Smart Citation

Managing Dermatologic Effects of Gender-Affirming Therapy in Transgender Adolescents

Huang¹,

Gold²,

Radi³

et al. 2022

AHMT

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Transgender adolescents seek gender-affirming medical care to address gender identity and incongruence. Improved understanding of the dermatologic impact of gender-affirming medical care such as pubertal suppression, hormone therapy, and surgeries can enhance patient outcome. Pubertal suppression treats dysphoria associated with development of secondary sex characteristics, including androgen-driven acne. Gender-affirming hormone therapy influences acne and hair development in transgender adolescents. Dermatologists can help manage skin effects associated with chest binding and gender-affirming hormone therapy and surgery. Provision of patient-centered gender-affirming care in dermatologic and multidisciplinary settings is essential to improve skin and overall outcomes of gender-affirming therapy.

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“…d. Se debe informar al equipo de salud y personal administrati-vo del trato respetuoso a las personas trans, el que comienza en la recepción administrativa del paciente. 10 6.-Sugerencias para el anestesiólogo A. El paciente trans puede requerir otro tipo de cirugía, ejemplo colecistectomía, al estar bajo terapia hormonal es recomendable contactar al tratante. La terapia hormonal especialmente estradiol, 15 días antes de cualquier cirugía debe ser suspendida por el riego de trombosis, se reinicia cuando el paciente deje el reposo en cama y esté en plena movilidad y en alta quirúrgica [9], [10].…”

Section: Feminizar Administrando Estrógenos (Figura 2)unclassified