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Gender-Affirming Hysterectomy and Oophorectomy

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Lithotomy, Trendelenburg, arms tucked
Time : 2-4 hours (long)
Blood Loss : High (200 - 500 ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Blocks : TAP
Considerations : PONV

Anesthetic Approaches

1GETT
2GETT, TIVA
The Surgery

Ports and pneumoperitoneum - an intraumbilical port plus suprapubic and lateral lower-quadrant ports, with the table tipped steeply head-down so the bowel falls out of the pelvis. Dividing the...

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