International Medical Conference Endometriosis 2025:
Endometriosis 2025: Your Mother Should Know, Your Doctor Should Know Better!
Discussion: Endometriosis Surgeon Between a Rock and a Hard Place
Speaker 1:
Actually, I appreciate your commitment to coming here. I think I want to end with another Beatles quote, and in the end, the love you make is equal to the love you take or vice versa. It works both ways. Thank you. Any comments? I think we are going to do some questions maybe. Go ahead sir. Thank you.
Speaker 2:
Speaker 1:
Mean fiber sealant the Everest. You use diaphragm. What I didn't get,
Speaker 2:
Speaker 1:
Staple
Speaker 2:
The diaphragm.
Speaker 1:
Yes,
Speaker 2:
Because and this technique was published by the team of Michel Canis in 2019 and in the video article they had the price of the A GL, the award for the best video article. So it can be done. I stopped. Why? Because I started doing this in the robot. But when you are in the laparoscopy, it's a smart mean to excise and to suture without performing the suture behind. And I stopped it because yeah, it is not a very orthodox method to do it. And if you have, then you have a hernia because the hernia may occur after the suture of the diaphragm in the long run, of course you are not in the good shape.
Speaker 1:
In this case, they missed the hole even though they staple the patient continued to have problems And you're set for a repeat surgery there.
Speaker 2:
Speaker 1:
We did not know what they did. It is a great
Speaker 2:
Speaker 1:
I think so. Thank you. Any thoughts more because we are going to conclude soon.
Speaker 3:
I just had a question on doing the lateral, on doing the lateral excision of the rectum for endometriosis. Did anybody have any comments on narrowing the bowel too much? On how much is it okay for you to narrow it?
Speaker 1:
My personal experiences, I haven't done that. Bottom line is I have learned in a hard way any touch on bowel, I suture back to get the full integrity. But Amir, would you answer? I don't have lateral excisions much, but I think you can easily close longitudinally many times if the lesions are linear.
Speaker 4:
Speaker 1:
Thank you. Do you pretreat the
Speaker 4:
Or anything practice? No, no, no, no. And we have a lot of video even with the robot. We prepare the margin of the nodule and then put the stapler.
Speaker 1:
Thank you so much. Thank you. I guess we will be, it's hard to say bye-bye. But hoping to see you again in New York. I really appreciate your commitment. It's very exciting. I learned so much. I'm sure we all exchange some ideas, opinions that will do better for us. Thank you so much. We'll see you again. Thank you.
