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DOI: 10.1055/s-0041-1730478
Combined mastectomy and laparoscopic hysterectomy with salpingo-oophorectomy in transgender men: a cohort study
Introduction 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.
Methods 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.
Results Mean operating time was 292 ±47 minutes. 34 (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.
Conclusion In transgender men, performing laparoscopic hysterectomy and mastectomy at a single sitting does not appear to increase the rate of perioperative complications, and may improve resource utilization.
Interessenskonflikt Nicht vorhanden.
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Publication History
Article published online:
02 June 2021
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