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Intraoperative Hyperlactatemia during Facial Gender Affirmation Surgery
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  • Ashwini Sarathy,
  • Rohith M. Bhethanabotla,
  • Suresh Mohan,
  • Andrea Park,
  • P. Daniel Knott,
  • Rahul Seth
Ashwini Sarathy
University of Vermont The Robert Larner MD College of Medicine

Corresponding Author:[email protected]

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Rohith M. Bhethanabotla
University of California San Francisco Department of Otolaryngology Head and Neck Surgery
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Suresh Mohan
University of California San Francisco Department of Otolaryngology Head and Neck Surgery
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Andrea Park
University of California San Francisco Department of Otolaryngology Head and Neck Surgery
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P. Daniel Knott
University of California San Francisco Department of Otolaryngology Head and Neck Surgery
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Rahul Seth
University of California San Francisco Department of Otolaryngology Head and Neck Surgery
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Abstract

Key Points The impact of hyperlactatemia following facial gender affirmation surgery (FGAS) remains unclear The present study sought to examine implications of intraoperative hyperlactatemia during FGAS This retrospective cohort study included patients undergoing FGAS between 2015 and 2023 with at least two intraoperative lactate levels Included 17 patients with peak lactate levels ranging from 1.2-10.9 mmol/L, all of which normalized by the end of surgery or on the first postoperative day This study highlights the reassuring lactate normalization within one day of surgery, cautiously concluding that intraoperative lactatemia may be managed expectantly