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Gender Affirming Surgeries Toby R Meltzer, MD Scottsdale, Arizona

This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

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Page 1: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Gender Affirming Surgeries

Toby R Meltzer, MDScottsdale, Arizona

Page 2: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Biography BS Louisiana State University Baton Rouge MD Louisiana State University Medical School General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of Michigan Medical School Fellowship in Burn Surgery, Wayne State University Board Certification in Plastic Surgery and General Surgery Assistant Professor of Surgery, Oregon Health Sciences University (1990-

1996) Chief of Plastic Surgery at Veterans Administration Hospital of Portland

(1990-1995) President, Oregon Society of Plastic Surgeons (1995-1997) Private Practice, Eastmoreland Hospital Portland Oregon 1996-2003 Private Practice, Honor Health 2003-Present

Page 3: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Pre-operative Requirements World Professional Association of Transgender Health

(WPATH) Psychotherapy Hormone Therapy Real Life Experience

Page 4: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Hospitalization Why?

Major surgery with life threatening risks

Regular after-care Rapid treatment of

complications

Why not? Reduced costs?

Self-insured Insurers

Hospital acquired complications

Page 5: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Hospitalization Why?

Major surgery with life threatening risks

Regular after-care Rapid treatment of

complications

Why not? Reduced costs?

Self-insured Insurers

Hospital acquired complications

Page 6: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Greenbaum Surgical Specialty HospitalHonor Health System

Page 7: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

GENDER CONFIRMING SURGERY FOR TRANS FEMALES

Page 8: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Modern Vaginoplasty Technique Penile Inversion

Clitoroplasty Sensate Flap from Glans of

Penis

Page 9: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Modern Penile Inversion Vaginoplasty

Penile Skin Vaginal Lining

Scrotum Labia Minora/Major

Glans Penis Clitoris

Page 10: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Embryologic Equivalents

Page 11: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Goals of Vaginoplasty Safe Operation with Minimal Morbidity

Adequate Depth and Width for Intercourse

Cosmetically pleasing and Close as Possible Anatomically

Page 12: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Vaginoplasty

Page 13: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Vaginoplasty

Page 14: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Vaginoplasty

Page 15: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Vaginoplasty

Page 16: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Clitoroplasty

Page 17: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Vaginoplasty

Page 18: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Single Stage Vaginoplasty

Page 19: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Labiaplasty

Page 20: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Labiaplasty

Page 21: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Vaginoplasty with Labiaplasty

Patient E Patient F

Page 22: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Vaginoplasty with Labiaplasty

Patient G Patient H

Page 23: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Vaginoplasty and Labiaplasty

Page 24: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Labiaplasty Why?

Labia Majora too far apart No labia minora Minimal or deficient clitoral

hood Everyone doesn’t heal perfectly

Why not? “Not necessary”

Viewer discretion High revision rate Labiaplasty or “revision

optional” Another operation

Minor procedure One night hospital Short recovery period

Added cost?

Page 25: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of
Page 26: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Dr. Meltzer did not perform this operation

Page 27: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Secondary Labiaplasty

Dr. Meltzer did not perform this operation

Page 28: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Vaginal Dilators

Page 29: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Skin Graft Donor Site

Page 30: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Electrolysis

Page 31: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Preoperative Electrolysis Why?

Very unlikely to eliminate all follicles at surgery

Why not? Painful Another “procedure” Delays surgery Hair doesn’t cause physical

problems

Page 32: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of
Page 33: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Sigmoid Colon Vaginoplasty

Page 34: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Sigmoid Colon Vaginoplasty

Dr. Meltzer did not perform this operation

Page 35: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

BREAST RECONSTRUCTION

Page 36: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Breast Reconstruction

Page 37: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Breast Reconstruction

Page 38: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

BODY FEMINIZATION

Page 39: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Liposuction

Page 40: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Liposuction

Page 41: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Mini Abdominoplasty

Page 42: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Mini Abdominoplasty

Page 43: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Abdominoplasty

Page 44: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Abdominoplasty

Page 45: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Lipoinfiltration of Buttocks

Page 46: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Lipoinfiltration of Buttocks

Page 47: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Lipoinfiltration of Buttocks

Page 48: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Sub-Fascial Gluteal Implants

Page 49: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Sub-Fascial Gluteal Implants

Page 50: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

FACIAL FEMINIZATION

Page 51: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Feminization of the Neck

Page 52: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Thyroid Cartilage Reduction

Page 53: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Thyroid Cartilage Reduction

Page 54: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Thyroid Cartilage Reduction

Pre-Op Post-Op

Page 55: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Thyroid Cartilage Reduction

Post-Op

Page 56: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Voice Modification Surgery

Page 57: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Cephalometrograms

Page 58: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Forehead Feminization

Page 59: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Forehead Feminization

Page 60: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Forehead Feminization

Page 61: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of
Page 62: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Feminization of the Jaw(Mandibular Reduction and Genioplasty)

Page 63: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Surgery of the Jaw

Page 64: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Mandibular Reduction and Genioplasty (Li et al, PRS 2011)

Page 65: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Mandibular Reduction

Page 66: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Vertical Reduction and Narrowing Genioplasty

Page 67: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Vertical Reduction and Narrowing Genioplasty

Page 68: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Facial Feminization

Page 69: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Facial Feminization

Page 70: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Facial Feminization

Page 71: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of
Page 72: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

GENDER CONFIRMING SURGERY FOR TRANS MALES

Page 73: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

CHEST RECONSTRUCTION

Page 74: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Minimal Incision

Page 75: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Minimal Incision

Page 76: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Minimal Incision

Page 77: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Minimal Incision

Page 78: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Minimal Incision

Page 79: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Excision with Free Nipple Grafts

Page 80: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Excision with Free Nipple Grafts

Page 81: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Chest Reconstruction

Page 82: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Surgical Team for Genital Surgery

Plastic Surgeon

Urologist

Gynecologist

Page 83: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Metoidioplasty Advantages

Minimally invasive Sensation is unaffected Natural Appearance Urethral Lengthening

reliable

Disadvantages Small Size Not Suitable for all

Patients

Page 84: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Metoidioplasty, post-expansion, now with permanent prosthesis

Page 85: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Pumping and Metoidioplasty

Page 86: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Scrotal Expanders

Page 87: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

External Scrotal Expanders

Page 88: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Local Flaps (Groin Flap) Advantages Large Size Donor Site Acceptable Can Be Implanted with

Erectile Device

Disadvantages Limited Erogenous Sensation Requires Multiple Procedures Requires Radial Forearm for

urethra

Page 89: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Groin Flap Phalloplasty

Page 90: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Inset of Clitoris

Page 91: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Radial Forearm Flap for Urethra

Page 92: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of
Page 93: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Anterior Lateral Thigh Flap

Page 94: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

ALT Donor Site

Page 95: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Radial Forearm Flap Advantages:

Sensate Large Size Urethral Lengthening More

Reliable Can Be Implanted with Erectile

Device Best Cosmetic Appearance

Disadvantages Donor Site High Initial Complication Rate Expensive

Page 96: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Radial Forearm Flap

Page 97: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Radial Forearm Phalloplasty

Page 98: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Radial Forearm Flap

Page 99: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Groin Flap with Erectile Pump

Page 100: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Radial Forearm Phalloplasty with Malleable Rods

Page 101: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Urethral Hair

Page 102: This is a Sample Slide Set with Adrianna’s Template · 2019-12-05 · General Surgery Residency, Charity Hospital of New Orleans Plastic and Reconstructive Surgery, University of

Thank you!

[email protected]


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