Episode # 65 • 17 Sept 2024
Thoracic Endometriosis: Beyond the Pelvis in Diagnosis
Thoracic endometriosis occurs in about 12% of patients with advanced endometriosis. Due in part to its lower incidence and inherent diagnostic challenges, many providers are not well-versed in the workup and management of this advanced disease. In this episode of The BackTable OBGYN Podcast, host Dr. Mark Hoffman interviews Dr. Shanti Mohling, a gynecologic surgeon at Northwest Endometriosis and Pelvic Surgery, regarding her approach to thoracic endometriosis.
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Timestamps
00:00 - Introduction
06:40 - Pelvic Pain Workup
08:09 - Thoracic Endometriosis
14:12 - Medical Management Post-Surgery
18:48 - In-Office Ultrasound Techniques
23:33 - Collaboration in Surgery
24:59 - Preparing for Thoracic Endometriosis Surgery
36:44 - Managing Postoperative Care
41:13 - Theories on Endometriosis Etiology
46:31 - Concluding Thoughts
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More about this episode
The physicians discuss the embryological and congenital theories of endometriosis etiology, the impacts of retrograde menstruation, and epigenetic factors. Dr. Mohling shares insights into her advanced surgical techniques for treating endometriosis, including diaphragmatic and thoracic disease, and the importance of a comprehensive history, exam, and diagnostic imaging. Her practice patterns, patient care strategies, and interdisciplinary collaborations for optimal outcomes are also highlighted.
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