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Atlas of operative techniques in gender affirmation surgery /

As transgender and gender non-binary individuals are a growing demographic, the number of patients seeking gender confirmation surgery is increasing. Atlas of Operative Techniques in Gender Affirmation Surgery is a highly illustrated and practical guide to the different types of gender affirmation s...

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Bibliographic Details
Corporate Author: ScienceDirect (Online service)
Other Authors: Purohit, Rajveer Singh (Editor), Djordjevic, Miroslav L. (Editor)
Format: eBook
Language:English
Published: Amsterdam : Academic Press, 2023.
Subjects:
Gender reassignment surgery > Atlases.
Gender-Affirming Surgery
Chirurgie de réassignation sexuelle > Atlas.
Gender reassignment surgery
Electronic books.
atlases.
Scientific atlases
Atlases.
Atlas.
Online Access:Connect to the full text of this electronic book
Table of Contents:
  • Intro
  • Atlas of Operative Techniques in Gender Affirmation Surgery
  • Copyright
  • Dedication
  • Contents
  • Contributors
  • Acknowledgments
  • Chapter 1 Developing a transgender health center of excellence: The Mount Sinai model
  • Introduction
  • Overview of services
  • Pediatric and adolescent health services
  • Adult medical services
  • Endocrinology
  • Gynecology
  • Surgical services
  • Transfeminine surgeries
  • Transmasculine surgeries
  • Peri-operative services
  • Behavioral health services
  • Ancillary support
  • Education
  • Research
  • References
  • Chapter 2 Satisfaction and outcomes after genitourinary gender affirmation surgery
  • Introduction
  • Feminizing surgery
  • Orchiectomy
  • Vulvoplasty/zero- or shallow-depth vaginoplasty
  • Full-depth vaginoplasty
  • Outcomes
  • Neovaginal dimensions
  • Surgical complications
  • Bleeding
  • Wound disruption and tissue loss
  • Granulation tissue
  • Infection
  • Neovaginal canal
  • Neoclitoris
  • Voiding function
  • Rectal injuries
  • Pain
  • Venous thromboembolism
  • Aesthetic outcomes
  • Functional outcomes
  • Sexual outcomes
  • Psychological outcomes
  • Quality-of-life (QOL) outcomes
  • Intestinal vaginoplasty
  • Outcomes
  • Neovaginal dimensions
  • Surgical complications
  • Aesthetic outcomes and functional outcomes
  • Sexual outcomes
  • Psychological outcomes
  • Masculinizing surgery
  • Metoidioplasty
  • Outcomes
  • Neophallus dimensions
  • Urethral lengthening
  • Aesthetic and functional outcomes
  • Sexual outcomes
  • Phalloplasty
  • Free flaps
  • Radial forearm free flap
  • Latissimus dorsi free flap
  • Fibular free flap
  • Pedicled flaps
  • Anterolateral thigh flap
  • Suprapubic abdominal wall flap
  • Groin flap
  • Gracilis flap
  • Psychological outcomes and quality of life
  • Scrotoplasty and testicular prosthesis
  • Penile prosthesis
  • Conclusions
  • References.
  • Chapter 3 Orchiectomy for transgender women
  • Overview
  • Important anatomic considerations include
  • Preoperative work-up
  • OR equipment
  • Surgical technique
  • Postoperative management
  • Common problems
  • Tips and pitfalls
  • References
  • Chapter 4 Facial gender confirmation surgery
  • Overview
  • Anatomical considerations
  • Evaluation: Facial gender
  • Primary aspects
  • Frontonasoorbital complex
  • Lower jaw
  • Thyroid cartilage (Adam's apple)
  • Secondary aspects
  • Hair and hairline
  • Facial hair and skin texture
  • Facial fat
  • Preoperative work-up
  • 2D/3D photographs
  • Computed tomography scan
  • Virtual planning and 3D printing: Computer-aided surgery
  • Informed consent
  • OR equipment
  • Surgical technique: The upper third
  • Forehead reconstruction
  • Forehead reconstruction technique
  • Hairline redefinition
  • Hair transplants
  • Hairline lowering surgery
  • Simultaneous hair transplant
  • Surgical technique: The lower third
  • Lower jaw contouring
  • Lower jaw contouring technique
  • Complementary techniques on the chin
  • Vertical reduction of the chin
  • Modification of the position of the chin
  • Surgical technique: The neck
  • Thyroid chondroplasty
  • Thyroid chondroplasty technique
  • Postoperative management
  • Edema management
  • Physical exercise
  • Nutritional guidance
  • Psychological support
  • Take home messages
  • References
  • Chapter 5 Transfeminine breast augmentation
  • Overview
  • Anatomical considerations
  • Preoperative workup
  • Breast imaging and screening guidelines
  • Insurance coverage
  • Operating room equipment
  • Surgical technique
  • Overview of techniques
  • Personal technique
  • Postoperative management
  • Postoperative complications
  • Tips and pitfalls
  • Take-home messages
  • References
  • Chapter 6 Vaginoplasty: Bowers' version
  • Overview: A historical perspective.
  • Preoperative workup and preparation for surgery
  • Surgical technique
  • Incisions
  • Perineal dissection
  • Neovaginal dissection made simple
  • Cosmetic completion
  • Graft preparation
  • Creating a realistic vulva
  • References
  • Chapter 7 Vaginoplasty: The Ghent technique
  • Overview
  • Anatomic considerations
  • Preoperative work-up
  • Social and emotional preparation
  • Identification and treatment of risk factors
  • Hair removal
  • Preoperative pelvic floor therapy
  • OR equipment
  • Surgical technique
  • Overview of techniques
  • Ghent technique
  • Penile inversion vaginoplasty and vulvoplasty
  • Surgical technique
  • Surgical outcome
  • Intestinal vaginoplasty
  • Surgical technique
  • Surgical outcome
  • Postoperative management
  • Tips and pitfalls
  • Take home message
  • References
  • Chapter 8 Vaginoplasty: The Swedish technique
  • Introduction
  • History
  • Guidelines and regulations
  • Decisional algorithm
  • Patients' requests and decision making-process
  • Preoperative preparation
  • Surgical techniques for vagino-clitoro-labioplasty and orchiectomy
  • Standard technique: Inversion penile-skin vaginoplasty
  • Variation of the technique: Skin graft
  • Variation of the technique: Scrotal flap
  • Variation of the technique: Zero-depth vaginoplasty/vulvoplasty
  • Variation of the technique: Bowel vaginoplasty
  • Variation of the technique: Nullification surgery for nonconforming/diverse gender patients
  • Postoperative care
  • Results and complications
  • Queries for the future
  • Acknowledgments
  • Conflict of interest
  • References
  • Chapter 9 Intestinal vaginoplasty in transgender women
  • Introduction
  • Surgical technique: Intestinal vaginoplasty in our center
  • Preoperative (surgical) counseling
  • Operative technique and anatomical considerations
  • In primary cases
  • Perineal
  • Intraabdominal
  • In secondary cases.
  • Postoperative protocol
  • Surgical outcomes and patient reported outcomes
  • Long-term health of the intestinal segment
  • Other techniques
  • References
  • Chapter 10 Robotic peritoneal flap vaginoplasty
  • Introduction
  • History
  • Preoperative considerations and technique
  • Outcomes
  • Revision robotic peritoneal flap
  • Conclusion
  • References
  • Chapter 11 Complications after vaginoplasty
  • Overview
  • Intraoperative complications
  • Management of rectal Injury
  • Management of lower urinary tract injury
  • Management of inadvertent peritoneotomy
  • Intraoperative or immediate postoperative complications
  • Management of hemorrhage
  • Management of wound dehiscence and tissue necrosis
  • Management of local infection
  • Management of granulation tissue
  • Delayed complications
  • Management of vaginal stenosis
  • Management of high posterior Fourchette
  • Management of lower urinary tract symptoms and urethral complications
  • Vaginal prolapse
  • Neovaginal hair
  • Rectovaginal fistula
  • Tips and pitfalls
  • Take home message
  • References
  • Chapter 12 Facial features remodeling and affirming surgery (FFRS)
  • Overview
  • Anatomical considerations
  • Preoperative workup
  • Surgical technique
  • Forehead and orbital rim remodeling
  • Tips and pitfalls
  • Genioplasty
  • Tips and pitfalls
  • Mandible angle recontouring
  • Chondrolaryngoplasty
  • Tips and pitfalls
  • Rhinoplasty
  • Ancillary procedures
  • Lips
  • Tips and pitfalls
  • Cheeks
  • Hair transplant
  • Others
  • Masculinization
  • Postoperative care
  • References
  • Chapter 13 Mastectomy
  • Introduction
  • Preoperative considerations
  • Technique selection
  • Periareolar technique
  • Circumareolar or extended circumareolar techniques
  • Double incision with free nipple grafts
  • Inferior pedicle technique
  • Ancillary procedures
  • Postoperative care and considerations.
  • Financial disclosure statement
  • References
  • Chapter 14 Metoidioplasty and variants of technique
  • Overview
  • Anatomic considerations
  • Preoperative work-up
  • OR equipment
  • Surgical technique
  • Complete (Belgrade) metoidioplasty
  • Postoperative management
  • Tips and pitfalls
  • Take home message
  • Comments
  • Acknowledgments
  • References
  • Chapter 15 Female-to-male gender-affirmation phalloplasty: Radial forearm free flap with urethral lengthening
  • Justification for the radial forearm flap
  • Patient evaluation
  • Preoperative preparation
  • Surgical technique
  • Stage 1: Prelamination technique
  • Stage 2: Radial forearm free flap transfer
  • Branch of profunda femoris artery
  • Great saphenous vein to femoral artery transposition in a loop configuration (loop graft)
  • Postoperative sequelae/complications
  • Recent advances in phalloplasty
  • Conclusion
  • References
  • Chapter 16 Musculocutaneous latissimus dorsi phalloplasty
  • Overview
  • Musculocutaneous latissimus dorsi phalloplasty-First stage
  • Part one
  • Part two
  • Part three
  • Musculocutaneous latissimus dorsi phalloplasty-Second stage
  • Musculocutaneous latissimus dorsi phalloplasty-Third stage
  • Anatomic considerations
  • Preoperative work-up
  • OR equipment
  • Surgical technique
  • First stage
  • Part one
  • Part two
  • Part three
  • Second and third stages
  • Penile prosthesis implantation
  • Urethral lengthening
  • Glans reconstruction
  • Postoperative management
  • Tips and pitfalls
  • Take home message
  • References
  • Chapter 17 ALT phalloplasty: The Ghent technique
  • Overview
  • Anatomic considerations
  • Preoperative work-up
  • Social and emotional preparation
  • Technique selection and identification and treatment of risk factors
  • Flap assessment
  • Hair removal
  • Urological workup
  • Gynecological assessment
  • OR equipment
  • Surgical technique.