Ep. 76 Clinical Pearls: Managing Endometriosis Post-Hysterectomy with Dr. Emad Mikhail
BackTable OBGYN14 Tammi 2025

Ep. 76 Clinical Pearls: Managing Endometriosis Post-Hysterectomy with Dr. Emad Mikhail

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

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Ep. 31 The vNOTES Procedure with Dr. Jan Baekelandt

Ep. 31 The vNOTES Procedure with Dr. Jan Baekelandt

In this episode, Dr. Mark Hoffman hosts Dr. Jan Baekelandt, a gynecologic surgeon from Mechelen, Belgium, to discuss a novel gynecologic surgery approach known as vaginal natural orifice transluminal ...

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Ep. 30 Ambulatory Workup of Endometriosis Patients with Dr. Ted Lee

Ep. 30 Ambulatory Workup of Endometriosis Patients with Dr. Ted Lee

In this episode, Dr. Mark Hoffman invites Dr. Ted Lee, an OBGYN specializing in MIGS and professor of OBGYN at University of Pittsburgh Medical Center, about the ambulatory workup of endometriosis pat...

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Ep. 29 Quality and Safety in Ob/Gyn with Dr. Komal Bajaj

Ep. 29 Quality and Safety in Ob/Gyn with Dr. Komal Bajaj

In this week’s episode, host Dr. Mark Hoffman discusses quality and safety in OBGYN and medicine as a whole with Dr. Komal Bajaj, a professor of OBGYN at Albert Einstein College of Medicine, reproduct...

3 Elo 202351min

Ep. 28 Pelvic Floor Physical Therapy with Dr. Ingrid Harm-Ernandes

Ep. 28 Pelvic Floor Physical Therapy with Dr. Ingrid Harm-Ernandes

In this episode, Dr. Amy Park invites Ingrid Harm-Ernandes, a pelvic floor physical therapist and co-director and mentor for Duke University's Women's Health Physical Therapy residency program, to she...

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Ep. 27 Dobbs vs Jackson: How Changing Abortion Laws are Impacting the Medical Workforce with Drs. Beverly Gray and Chloe Peters

Ep. 27 Dobbs vs Jackson: How Changing Abortion Laws are Impacting the Medical Workforce with Drs. Beverly Gray and Chloe Peters

In this episode of BackTable Urology, Dr. Aditya Bagrodia speaks with PGY4 urologist Dr. Chloe Peters (University of Washington) and OB/GYN Dr. Beverly Gray (Duke University) about their work in women...

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Ep. 26 Persistent Pain in Endometriosis Patients with Dr. Isabel Green

Ep. 26 Persistent Pain in Endometriosis Patients with Dr. Isabel Green

In this episode, Drs. Mark Hoffman and Amy Park invite Dr. Isabel Green, fellowship director of MIGS at Mayo Clinic, to speak about persistent pain in endometriosis patients. --- SHOW NOTES Dr. Gre...

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Ep. 25 Placenta Accreta Spectrum (PAS) with Dr. Brett Einerson

Ep. 25 Placenta Accreta Spectrum (PAS) with Dr. Brett Einerson

In this episode, Drs. Mark Hoffman and Amy Park invite Dr. Brett Einerson to speak about the diagnosis and management of placenta accreta spectrum (PAS) disorders. --- EARN CME Reflect on how this ...

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Ep. 24 Opportunistic Salpingectomy with Dr. Rebecca Stone & Kara Long Roche

Ep. 24 Opportunistic Salpingectomy with Dr. Rebecca Stone & Kara Long Roche

In this episode, Drs. Mark Hoffman and Amy Park invite Drs. Rebecca Stone and Kara Long Roche to speak about opportunistic salpingectomy to prevent ovarian cancer, specifically serous carcinoma. --- ...

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