AAGL

With patient-centered care being the mantra of 21st-century medicine, the decision to proceed with fertility surgery in women with endometriosis should be based on the individual patient, her reproductive expectations, her specific disease pattern, her support, family network, and available health care resources.

“Operating on a frozen pelvis is probably the most difficult situation a gynecologist can face within his surgical activities,” said moderator Mario Malzoni, chief of the Endoscopica Malzoni Center for Advanced Pelvic Surgery at the National Center for Endometriosis, in Avellino, Italy.

A study to determine the prevalence rate of endometriosis in Hispanic women found that endometriosis may be under diagnosed due to failure to biopsy suspected lesions at the time of surgery and failure to accurately dictate and thoroughly describe operative findings in OpNote.

More than 64% of the adult women in the United States are overweight or obese, and these patients pose special challenges for surgeons. New research examining outcomes and complication rates, particularly in the emerging field of robotic surgery, will allow better management of these patients, and ObGyn.net will be paying special attention to this research at AAGL 2012 in Las Vegas.