ArticlePlastic and reconstructive surgery. Global open2025
Young Adult and Adolescent Gender-affirming Care: Defining Perioperative Protocols.
Article in Plastic and reconstructive surgery. Global open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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13 authors.
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Abstract
Background: Adolescents and young adults who undergo gender-affirming care require special consideration in the postoperative period. This study evaluated pain management and perioperative details during our clinic's transition to outpatient gender-affirming mastectomy (GAM). Methods: This was a retrospective review of demographic and perioperative data for individuals who underwent GAM at a single institution from 2019 to 2022. Patients were grouped by the timing of surgery: before ("preprotocol," n = 25) or after ("postprotocol," n = 45) implementation of the outpatient protocol. Multivariate linear and logistic regression and independent Results: There were 70 patients with a mean age of 19.3 years (SD = 1.75 y). Patients who received an erector spinae plane nerve block before the procedure received fewer morphine milligram equivalents postoperatively compared with those who received a postincision erector spinae plane nerve block ( Conclusions: Our findings highlight the successful implementation of outpatient GAM for young adults at a children's hospital. The new protocol yielded a shorter duration of hospital stay and less frequent postoperative opioid prescriptions without impacting the incidence of complications.
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