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In summary, the available literature does not provide an outright support for either of the two strategies, although most support seems to exist for surgery of the primary first (Table 1).
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20 The optimum framework to deliver surgical trials that are likely to succeed in a timely fashion is unclear, and a considerable need exists for surgery specific guidance in this area.
At this time, no formal training or educational programs exist for surgeons or surgery residents interested in performing gender confirmation surgeries.
Many potential treatment options exist for revision surgery, including open or arthroscopic Bankart repair, bony augmentation procedures, and management of Hill Sachs defects.
No standardized guidelines exist for gynecologic surgery.
As described earlier, procedure specific guidelines already exist for colorectal surgery [ 10, 13].
Simulators, both high-fidelity and low-fidelity, exist for laparoscopic surgery, in a variety of price ranges and with simultaneous application to several different surgical programs such as General Surgery, Gynecology, and Urology.
The extent to which this extended decision-making process is a by-product of the health care system in Canada in which lengthy wait times exist for elective surgeries such as RM, or is intrinsic to an irreversible and life-altering surgery decision, is unknown.
Robust evidence now exists for mobile surgery's success and ample guidance is available.
Admittedly, huge challenges exist for this kind of surgery, which is believed to be more risky but less effective, especially in the age of targeted therapy.
Few risk scores exist for patients undergoing non-cardiac surgery.
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