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. 15 The Microbiome with Dr. Ian Fields

Ep. 15 The Microbiome with Dr. Ian Fields

In this episode, Dr. Ian Fields joins Dr. Mark Hoffman at the mic to discuss the role of the microbiome in obstetrical and gynecological conditions. --- SHOW NOTES Dr. Ian Fields completed a fellow...

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Ep. 14 Cosmetic Gynecology with Dr. Cheryl Iglesia

Ep. 14 Cosmetic Gynecology with Dr. Cheryl Iglesia

In this episode, Dr. Mark Hoffman invites Dr. Cheryl Iglesia to shed light on the topic of cosmetic gynecology. --- SHOW NOTES Dr. Iglesia is the Director of the Section of Female Pelvic Medicine a...

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Ep. 13 Addressing the Challenges of Applications and Transition to Residency with Dr. Helen Morgan and Dr. Maya Hammoud

Ep. 13 Addressing the Challenges of Applications and Transition to Residency with Dr. Helen Morgan and Dr. Maya Hammoud

In this episode, Drs. Maya Hammoud and Helen Morgan of the University of Michigan join Drs. Amy Park and Mark Hoffman to discuss the OB/GYN residency application process. --- EARN CME Reflect on ho...

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Ep. 12 Physician Wellness with Dr. Angela Chaudhari

Ep. 12 Physician Wellness with Dr. Angela Chaudhari

In this episode, Drs. Amy Park and Mark Hoffman welcome Dr. Angela Chaudhari, Chief of Gynecology and Gynecologic Surgery at Northwestern Memorial Hospital, to share her experience promoting a culture...

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Ep. 11 Appalachian OBGYN: Practicing in a Rural Setting with Dr. Jessica Branham

Ep. 11 Appalachian OBGYN: Practicing in a Rural Setting with Dr. Jessica Branham

In this episode, Dr. Jessica Branham, a board-certified obstetrician-gynecologist affiliated with Highlands ARH Regional Medical Center invites listeners to learn about practicing OB/GYN in a rural se...

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Ep. 10 What is a Surgical Coach, and Why Do I Need One? with Dr. Cara King

Ep. 10 What is a Surgical Coach, and Why Do I Need One? with Dr. Cara King

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Ep. 9 Creating Culture Through Leadership and Mentoring with Dr. Christopher Kane

Ep. 9 Creating Culture Through Leadership and Mentoring with Dr. Christopher Kane

In this episode, Dr. Bagrodia discusses cultivating a healthy culture inside and outside of the operating room with Dr. Chris Kane, Dean of Clinical Affairs at UCSD and CEO of the UCSD Physician Group...

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Ep. 8 Virtual Reality in Labor with Dr. Melissa Wong

Ep. 8 Virtual Reality in Labor with Dr. Melissa Wong

In episode 8, Dr. Mark Hoffman invites Drs. Melissa Wong of Cedars-Sinai and Tony Shanks of Indiana University to share the mic and talk about the use of virtual reality (VR) in labor. --- EARN CME ...

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