Episode # 76 • 14 Jan 2025
Clinical Pearls: Managing Endometriosis Post-Hysterectomy
There are many challenges when it comes to operating on a post-hysterectomy patient, especially when they have endometriosis. In this episode of BackTable OBGYN, Dr. Emad Mikhail, an associate professor of OBGYN at the University of South Florida, discusses the intricacies of treating endometriosis after a hysterectomy.
Timestamps
00:00 - Introduction
05:52 - The Role of Hysterectomy in Endometriosis
08:58 - The Role of Ovaries in Endometriosis
11:12 - Surgical Techniques and Considerations
18:11 - Evaluating Deep Endometriosis
24:32 - Post-Hysterectomy Pain and Symptoms
31:26 - Surgical Approaches Post-Hysterectomy
39:49 - The Importance of Continuous Learning
43:09 - Scar Tissue vs. Lesion
51:47 - Comprehensive Preoperative Assessment
53:59 - Conclusion and Final Thoughts
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More about this episode
Dr. Mikhail shares his journey from medical school in Egypt to his current expertise in deep endometriosis surgery in Tampa, Florida. The conversation covers preoperative evaluation, the importance of understanding patient history, and surgical approaches for complex cases. He emphasizes the need for multidisciplinary collaboration, advanced imaging, and specialized surgical techniques to ensure optimal patient outcomes.
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