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.

---

SYNPOSIS

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.

---

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