Ep. 114 Endometriosis Surgery Techniques & Challenges with Dr. Laura Ramirez

Imaging, incisions, and Instagram: Dr. Ramirez on the cutting edge of endometriosis management. In this episode of BackTable OBGYN, host Dr. Mark Hoffman interviews Atlanta-based Complex Benign Gynecology (CBG/MIGS) surgeon Dr. Laura Ramirez about how her practice has shifted toward predominantly endometriosis care, driven in part by social media referrals bringing patients nationwide. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:57 - Introduction02:22 - Mentorship Mission and Career Focus06:13 - Social Media Referrals08:10 - What Is Endo Surgery and Targeted Excision13:27 - Multidisciplinary Care16:53 - Lesions and Adhesions Approach 22:20 - Imaging and Case Triage24:07 - Hysterectomy Expectations27:28 - Going Solo on Bowel Endo31:25 - Team Support and Mentors34:27- Residency Training Gaps40:39 - Call for Help Culture43:07 - Challenging Surgeries 48:10 - Noninvasive Tests and Therapy Limits51:26 - Conclusion --- More about this episode Dr. Ramirez discusses why endometriosis surgery varies by patient, pathology, and surgeon experience. She emphasizes careful symptom-based assessment, recognizing atypical lesions, and setting realistic expectations. The conversation contrasts radical peritoneal stripping with her preference for targeted excision to reduce complications, highlights multidisciplinary management for central sensitization and overlapping bowel/bladder symptoms, and covers imaging triage, robotic vs. laparoscopic approaches, collaborating with colorectal specialists, and diaphragmatic endometriosis as an ongoing surgical challenge. --- BackTable OBGYN is the go-to podcast for gynecologists, gynecologic surgeons, and other healthcare professionals focused on women’s health.Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app