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Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
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Updated: Jun 5, 2026

Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
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Published on: January 22, 2022

Perioperative Considerations for Gender-Affirming Hysterectomy.

Blair Kimble1, Robert Pollard2

  • 1Department of Obstetrics and Gynecology, MetroHealth Medical Center, Case Western Reserve University School of Medicine, 2500 MetroHealth Drive, Cleveland, OH 44113, USA.

Obstetrics and Gynecology Clinics of North America
|June 3, 2026
PubMed
Summary
This summary is machine-generated.

Gender-affirming hysterectomy is a medically necessary procedure for transgender patients. Key considerations include fertility preservation, multidisciplinary surgical coordination, and perioperative testosterone management for optimal outcomes.

Keywords:
Gender diverseGender-affirming hysterectomyOophorectomyPerioperative managementTransgender

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Last Updated: Jun 5, 2026

Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
11:29

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Published on: January 22, 2022

Area of Science:

  • Medical research
  • Surgical procedures
  • Gender-affirming care

Background:

  • Hysterectomy is a crucial component of gender-affirming care for transgender and gender diverse individuals experiencing gender dysphoria.
  • Surgical interventions require careful planning to align with patients' overall health and transition goals.

Purpose of the Study:

  • To outline essential considerations for performing hysterectomies in transgender and gender diverse patients.
  • To emphasize the importance of patient counseling regarding fertility and surgical coordination.

Main Methods:

  • Review of current medical guidelines and best practices for gender-affirming surgeries.
  • Discussion of multidisciplinary team involvement and perioperative management strategies.
  • Highlighting the benefits of minimally invasive surgical approaches.

Main Results:

  • Hysterectomy is often medically necessary for alleviating gender dysphoria.
  • Pre-operative counseling on gamete preservation and multidisciplinary coordination are vital.
  • Minimally invasive techniques are preferred for reduced complications.
  • Specific complications are rare, with pain and bleeding being common post-operative concerns.

Conclusions:

  • Gender-affirming hysterectomy requires comprehensive pre-operative evaluation, including fertility discussions and surgical planning.
  • Perioperative management, including hormone therapy and surgical approach, significantly impacts patient outcomes.
  • Well-informed patients and coordinated care lead to safe and effective hysterectomy procedures.