{"title":"Anesthesia for gender-affirming surgery: a practical review.","authors":"Kyle Sanchez, Luis Tollinche, Travis Reece-Nguyen","doi":"10.1097/ACO.0000000000001366","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose of review: </strong>Gender-affirming surgery (GAS) is an effective, well studied, and often necessary component of gender-affirming care and mitigation of gender dysphoria for transgender and gender-diverse (TGD) individuals. GAS is categorized as chest surgeries, genitourinary surgeries, facial feminization/masculinization, and vocal phonosurgery. Despite increased incidence of GAS during recent years, there is a gap in knowledge and training on perioperative care for TGD patients.</p><p><strong>Recent findings: </strong>Our review discusses the relevant anesthetic considerations for the most common GAS, which often involve highly specialized surgical techniques that have unique implications for the anesthesia professional.</p><p><strong>Summary: </strong>Anesthesiology professionals must attend to the surgical and anesthetic nuances of various GAS procedures. However, as many considerations are based on common practice, research is warranted on anesthetic implications and outcomes of GAS.</p>","PeriodicalId":50609,"journal":{"name":"Current Opinion in Anesthesiology","volume":null,"pages":null},"PeriodicalIF":2.3000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Current Opinion in Anesthesiology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/ACO.0000000000001366","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/2/21 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"ANESTHESIOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose of review: Gender-affirming surgery (GAS) is an effective, well studied, and often necessary component of gender-affirming care and mitigation of gender dysphoria for transgender and gender-diverse (TGD) individuals. GAS is categorized as chest surgeries, genitourinary surgeries, facial feminization/masculinization, and vocal phonosurgery. Despite increased incidence of GAS during recent years, there is a gap in knowledge and training on perioperative care for TGD patients.
Recent findings: Our review discusses the relevant anesthetic considerations for the most common GAS, which often involve highly specialized surgical techniques that have unique implications for the anesthesia professional.
Summary: Anesthesiology professionals must attend to the surgical and anesthetic nuances of various GAS procedures. However, as many considerations are based on common practice, research is warranted on anesthetic implications and outcomes of GAS.
审查目的：性别确认手术（GAS）是一种有效的、经过充分研究的、通常也是变性人和性别多样化（TGD）人性别确认护理和减轻性别焦虑症的必要组成部分。GAS 可分为胸部手术、泌尿生殖系统手术、面部女性化/男性化手术和声带手术。尽管近年来 GAS 的发病率有所上升，但有关 TGD 患者围手术期护理的知识和培训仍是空白：我们的综述讨论了最常见的 GAS 的相关麻醉注意事项，这些注意事项通常涉及高度专业化的手术技术，对麻醉专业人员有独特的影响。摘要：麻醉学专业人员必须注意各种 GAS 手术在手术和麻醉方面的细微差别。然而，由于许多注意事项都是基于常见的实践，因此有必要对 GAS 的麻醉影响和结果进行研究。
期刊介绍：
Published bimonthly and offering a unique and wide ranging perspective on the key developments in the field, each issue of Current Opinion in Anesthesiology features hand-picked review articles from our team of expert editors. With fifteen disciplines published across the year – including cardiovascular anesthesiology, neuroanesthesia and pain medicine – every issue also contains annotated references detailing the merits of the most important papers.
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