Abstract:The opinions expressed and arguments employed here are the responsibility of the author(s) and do not necessarily reflect those of the OECD.
2
SUMMARY
1.The global growth in the flow of patients and health professionals as well as medical technology, capital funding and regulatory regimes across national borders has given rise to new patterns of consumption and production of healthcare services over recent decades. A significant new element of a growing trade in healthcare has involved the movement of patients… Show more
“…Healing times were otherwise poorly reported or not mentioned by the majority of authors. Eight authors reported neovagina cavity depth of at least 13 cm (Table 2), achieving an additional 5 cm and good patient satisfaction 19,22,27,29 . Neovagina width was widely under reported.…”
Section: Resultsmentioning
confidence: 97%
“…Eight authors reported neovagina cavity depth of at least 13 cm (Table 2), achieving an additional 5 cm and good patient satisfaction. 19,22,27,29 Neovagina width was widely under reported. Neocavity dimensions reported ranged from intraoperative measurements to measurements taken at last follow up at 11.9 months.…”
Background: Gender dysphoria is defined as discomfort or distress that is caused by a discrepancy between a person's gender identity and that person's sex assigned at birth. The main objective of this study was to review the application, efficacy and outcomes of a novel surgical technique, peritoneal pull-through technique vaginoplasty, in gender-affirming surgery. Specific outcome parameters include (1) healing time (2) depth of cavity achieved (3) alleviation of dysphoria (4) morbidity of the surgery. Methods: This systematic review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement and PROSPERO registration obtained prior to commencement (PROSPERO CRD42020206736). A search was performed in OVID MEDLINE, EMBASE, Willey Online Library and PubMed. Specialty-related journals, grey literature and reference lists of relevant articles were manually searched. Results: From 476 potentially relevant articles, 12 articles were analysed. The publications were all level 4 or level 5 evidence. Healing times were poorly reported or often not mentioned. Eight authors reported neovagina cavity depth of at least 13 cm and good patient satisfaction. Alleviation of dysphoria was not discussed by any of the publications and only six reported complications. Average follow up reported ranged from 6 weeks to 14.8 months.
Conclusion:The application of peritoneal pull-through vaginoplasty in gender-affirming surgery is promising and novel. However, there is a paucity of data. Further research and longerterm data are required to assess the efficacy and safety of this technique. Patients seeking this surgery overseas should be informed of the potential difficulties they may face.
“…Healing times were otherwise poorly reported or not mentioned by the majority of authors. Eight authors reported neovagina cavity depth of at least 13 cm (Table 2), achieving an additional 5 cm and good patient satisfaction 19,22,27,29 . Neovagina width was widely under reported.…”
Section: Resultsmentioning
confidence: 97%
“…Eight authors reported neovagina cavity depth of at least 13 cm (Table 2), achieving an additional 5 cm and good patient satisfaction. 19,22,27,29 Neovagina width was widely under reported. Neocavity dimensions reported ranged from intraoperative measurements to measurements taken at last follow up at 11.9 months.…”
Background: Gender dysphoria is defined as discomfort or distress that is caused by a discrepancy between a person's gender identity and that person's sex assigned at birth. The main objective of this study was to review the application, efficacy and outcomes of a novel surgical technique, peritoneal pull-through technique vaginoplasty, in gender-affirming surgery. Specific outcome parameters include (1) healing time (2) depth of cavity achieved (3) alleviation of dysphoria (4) morbidity of the surgery. Methods: This systematic review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement and PROSPERO registration obtained prior to commencement (PROSPERO CRD42020206736). A search was performed in OVID MEDLINE, EMBASE, Willey Online Library and PubMed. Specialty-related journals, grey literature and reference lists of relevant articles were manually searched. Results: From 476 potentially relevant articles, 12 articles were analysed. The publications were all level 4 or level 5 evidence. Healing times were poorly reported or often not mentioned. Eight authors reported neovagina cavity depth of at least 13 cm and good patient satisfaction. Alleviation of dysphoria was not discussed by any of the publications and only six reported complications. Average follow up reported ranged from 6 weeks to 14.8 months.
Conclusion:The application of peritoneal pull-through vaginoplasty in gender-affirming surgery is promising and novel. However, there is a paucity of data. Further research and longerterm data are required to assess the efficacy and safety of this technique. Patients seeking this surgery overseas should be informed of the potential difficulties they may face.
“…The patient's privacy and confidentiality are important. Furthermore, tourists must be informed about how to prepare themselves for potential endemic diseases at the destination area such as pre-visit vaccination, possible traveler's disease, and climate conditions [21]. In summary, the success factors for medical tourism are multidisciplinary collaboration, simplicity and accessible services, which include the availability of sufficient amount of information via global marketing.…”
Presently, medical tourism is a rapidly growing business in Thailand, while sustainable medicine is still being widely used as the basis for health policies. To improve the quality of life of people through holistic management, Enterprise Architecture (EA) is used as the strategic management concept in accordance with digital disruption. EAcombines both business and technology to align policies and establish governance. This paper presents a medical tourism framework based on the EA concept for sustainable development in Thailand. This novel framework has been developed both through comprehensive literature review as well as requirement analysis based on the i* model consisting of five layers including leadership, business, application, data, and technology. Moreover, the i* model is used to prove a relationship between the entities, especially the key stakeholders, the standards, and the compliance for each layer. The content validity and the kappa statistic were used for quantitative evaluation. This framework demonstrates that technology would contribute to enhance the medical tourism industry through the layers of data and application. Furthermore, the interoperability standard for health services, preventive medicine, and wellness activities are important for business layers. The proposed framework would generate advantages for the government in terms of good governance, transparency as well as process improvement.
“…The article by Greenfield and Pawsey highlights the risks associated with medical tourism which is increasingly common among Australians 1 . Cosmetic procedures like tattooing also place people at high risk of acquiring such infections.…”
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