Publications by authors named "Gavin Raner"
Facial gender-affirming surgery (FGAS), one of many transition-related surgeries (TRSs), "feminizes" the faces of transgender and gender diverse (TGD) patients undergoing transition. However, it is difficult to demonstrate the medical necessity of FGAS in terms of postoperative quality of life (QoL) outcomes due to a lack of standardized assessment tools. Thus, FGAS remains largely unsubsidized in North America.
View Article and Find Full Text PDFBinary and Nonbinary Transgender Patient Experiences Accessing Gender-affirming Top Surgery.
Plast Reconstr Surg Glob Open
October 2024
Background: Transgender and gender diverse (TGD) individuals face barriers when seeking top surgery, or bilateral mastectomies, as part of surgical transition, leading to delayed care and adverse health outcomes. Understanding differential experiences between nonbinary and binary patients is crucial for improving TGD patient care, but this distinction is seldom made in the current literature.
Methods: This single-center cross-sectional mixed-methods survey study conducted between 2022 and 2023 enrolled all consecutive TGD patients undergoing top surgery.
Article Synopsis
- The study investigates the effectiveness of individualized heparin dosing during cardiopulmonary bypass (CPB) based on measured blood heparin concentration, as opposed to the traditional method that uses total body weight.
- A meta-analysis of 26 studies with 3,810 patients showed that individualized dosing significantly reduced postoperative blood loss, improved platelet counts, and resulted in a better protamine-to-heparin ratio compared to weight-based dosing.
- The findings suggest that real-time monitoring and individualized adjustments of heparin may lead to better outcomes after CPB, although the overall impact on clinical guidelines still needs further exploration.