Robotic Single-Site Surgery for Female-to-Male Transsexuals: Preliminary Experience

Hysterectomy with bilateral salpingo-oophorectomy is a part of gender reassignment surgery for the treatment of female-to-male transsexualism. Over the last years many efforts were made in order to reduce invasiveness of laparoscopic and robotic surgery such as the introduction of single-site approach. We report our preliminary experience on single-site robotic hysterectomy for cross-sex reassignment surgery. Our data suggest that single-site robotic hysterectomy is feasible and safe in female-to-male transsexualism with some benefits in terms of postoperative pain and aesthetic results.

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Speech After Long Silence—An Appraisee-Based Comprehensive Analysis With Retrospective and Future Perspectives on Current ID Policy of Transpersons in China

Frontiers in Public Health ◽

10.3389/fpubh.2021.793162 ◽

2021 ◽

Vol 9 ◽

Author(s):

Jian Shi ◽

Yadong Guo ◽

María José Cavagnaro ◽

Jifeng Cai ◽

Zhuoying Liu

Keyword(s):

Comprehensive Analysis ◽

Sex Reassignment Surgery ◽

Sex Reassignment ◽

Future Perspectives ◽

Significant Progress ◽

Police Station ◽

Local Police ◽

Developmental Conditions ◽

Male To Female ◽

Made In

As the sexual minority in China, transpersons remain faced with various realistic challenges. In recent years, however, there has been a significant progress made in the protection given to the rights that transpersons deserve. Currently, the citizens who have changed their gender through sex reassignment surgery can make applications to the local police station for changing their gender registration and get issued a new ID card. This is regarded as a crucial milestone in reducing the bias against transpersons and protecting their legitimate rights in China. Highlighted by the case of an extraordinary appraisee who have received SRS to change from male to female and started a new life with a new ID, not only does this article construe the current ID policy and the detailed process of ID card change for transpersons in China, it also reveals the living and developmental conditions facing transpersons in China. Finally, the visibility of the community of transpersons is improved to eradicate the discrimination against transpersons.

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Hysterectomy and Bilateral Salpingoovariectomy in a Transsexual Subject without Visible Scaring

Diagnostic and Therapeutic Endoscopy ◽

10.1155/2010/845029 ◽

2010 ◽

Vol 2010 ◽

pp. 1-4 ◽

Cited By ~ 4

Author(s):

Anna Myriam Perrone ◽

Maria Cristina Scifo ◽

Valentina Martelli ◽

Paolo Casadio ◽

Paolo Giovanni Morselli ◽

...

Keyword(s):

Gender Identity ◽

Gender Identity Disorder ◽

Outcome Measure ◽

Single Site ◽

University Hospital ◽

Sex Reassignment ◽

Laparoendoscopic Single Site ◽

Trocar Placement ◽

Laparoendoscopic Single Site Surgery ◽

Single Site Surgery

Objective. To report on the use of laparoendoscopic single-site surgery (LESS) for the management of total hysterectomy (TH) with bilateral salpingoovariectomy (BSO) in a subject affected by gender identity disorder. Design. Case report. Setting. University Hospital. Patient(s). A 27-year-old affected by Gender Identity Disorder underwent a hysterectomy and BSO as part of surgical sex reassignment. Intervention(s). Laparoendoscopic single-site surgery access for TH and BSO. Main Outcome Measure(s). The procedure was performed without incident. The trocar placement was easy and safe, without inadvertent port removal. No vascular or visceral injuries, loss of pneumoperitoneum, or intraoperative port site bleeding occurred. Result(s). A detailed description of the technique of a single-site surgery for management of hysterectomy and BSO. Conclusion. Our case presents the first report of single-site surgery for surgical treatment of subjects affected by GID.

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Postoperative pain after conventional laparoscopy and laparoendoscopic single site surgery (LESS) for benign adnexal disease: a randomized trial

Fertility and Sterility ◽

10.1016/j.fertnstert.2011.04.006 ◽

2011 ◽

Vol 96 (1) ◽

pp. 255-259.e2 ◽

Cited By ~ 107

Author(s):

Anna Fagotti ◽

Carolina Bottoni ◽

Giuseppe Vizzielli ◽

Salvatore Gueli Alletti ◽

Giovanni Scambia ◽

...

Keyword(s):

Postoperative Pain ◽

Randomized Trial ◽

Single Site ◽

Conventional Laparoscopy ◽

Laparoendoscopic Single Site ◽

Laparoendoscopic Single Site Surgery ◽

Single Site Surgery

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Robotic Laparoscopic Single-Site Surgery

10.5772/intechopen.96226 ◽

2021 ◽

Author(s):

Rene I. Luna

Keyword(s):

Minimally Invasive Surgery ◽

Robotic Surgery ◽

Minimally Invasive ◽

Invasive Surgery ◽

Minimally Invasive Surgical Procedures ◽

Single Site ◽

Proper Understanding ◽

Minimally Invasive Surgical ◽

Set Up ◽

Single Site Surgery

Minimally invasive surgery has changed the landscape of women’s surgical healthcare. Conventional and robotic laparoscopy are the preferred approach for many major minimally invasive gynecological procedures. However, the philosophy of minimally invasive surgery has been pushed to reduce the size and minimize the number of ports placed. Many conventional minimally invasive surgical procedures use 3–5 ports through multiple small incisions. Laparoscopic single site surgery tries to perform on that philosophy but has its limitations. Enters robotic surgery already a major force in minimally invasive surgery and now sets to remove the limitations of single site surgery. However it requires proper understanding of the instruments and the techniques for successful robotic single site surgery. It starts with patient selection. Knowing the instruments needed and the proper set up of those instruments. Then knowing how to use the instruments in operating and suturing and closing. And finish with special considerations.

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The Development of Sex Reassignment Surgery in Thailand: A Social Perspective

The Scientific World JOURNAL ◽

10.1155/2014/182981 ◽

2014 ◽

Vol 2014 ◽

pp. 1-5 ◽

Cited By ~ 10

Author(s):

Prayuth Chokrungvaranont ◽

Gennaro Selvaggi ◽

Sirachai Jindarak ◽

Apichai Angspatt ◽

Pornthep Pungrasmi ◽

...

Keyword(s):

Surgical Patients ◽

Standards Of Care ◽

Sex Reassignment Surgery ◽

Medical Council ◽

Sex Reassignment ◽

Social Attitude ◽

Law System ◽

The Past ◽

Gender Reassignment ◽

Male To Female

This paper reviews the development of gender reassignment in Thailand during the period of 1975–2012, in terms of social attitude, epidemiology, surgical patients’ profile, law and regulation, religion, and patients’ path from psychiatric assessment to surgery. Thailand healthcare for transsexual patients is described. Figures related to the number of sex reassignment surgeries performed in Thailand over the past 30 years are reported. Transsexual individuals are only apparently integrated within the Thail society: the law system of Thailand in fact, does not guarantee to transsexuals the same rights as in other Western countries; the governmental healthcare does not offer free treatments for transsexual patients. In favor of the transsexual healthcare, instead, the Medical Council of Thailand recently published a policy entitled “Criteria for the treatment of sex change, Census 2009.” The goal of this policy was to improve the care of transsexual patients in Thailand, by implementing the Standards of Care of the World Professional Association of Transgender Health. Currently, in Thailand, there are 6 major private groups performing sex reassignment surgery, and mostly performing surgery to patients coming from abroad. Particularly, the largest of these (Preecha’s group) has performed nearly 3000 vaginoplasties for male-to-female transsexuals in the last 30 years.

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Comparison between laparoendoscopic single-site surgery and the conventional total extraperitoneal technique in adult patients for inguinal hernia repair concerning postoperative pain, complications, and cosmesis: A literature review

MOJ Surgery ◽

10.15406/mojs.2018.06.00135 ◽

2018 ◽

Vol 6 (4) ◽

Author(s):

Ahmed Abdulmohsen Binbosayes

Keyword(s):

Inguinal Hernia ◽

Postoperative Pain ◽

Literature Review ◽

Hernia Repair ◽

Inguinal Hernia Repair ◽

Single Site ◽

Laparoendoscopic Single Site ◽

Total Extraperitoneal ◽

Laparoendoscopic Single Site Surgery ◽

Single Site Surgery

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Fundamentals of the Robotic Assisted Laparoscopic Single Port System and Utility in Minor Gynecologic Surgery

10.5772/intechopen.96588 ◽

2021 ◽

Author(s):

John R. Wagner

Keyword(s):

Robotic Surgery ◽

Single Port ◽

Single Site ◽

Gynecologic Surgery ◽

Tips And Tricks ◽

Simple Method ◽

Umbilical Incision ◽

Advantages And Disadvantages ◽

Port System ◽

Single Site Surgery

This chapter will introduce the single port robotic system. Topics include an introduction to the robotic single site port, the trocars, and the single site instruments. Step-by-step instruction is provided on how to create the umbilical incision and properly insert the single site port and trocars. The advantages and disadvantages of single port robotic surgery compared to multiple port robotic surgery and laparoscopic single site surgery are reviewed. Surgical tips and tricks are provided throughout each section to maximize efficiency, minimize complications, and overcome inherent limitations of the robotic single site system. The utility of the robotic single site platform for performing minor gynecologic surgery is discussed. Finally, a simple method for umbilical closure is described.

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