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Robotic Excision of Stage IV Endometriosis, Total Hysterectomy
Mayo Clinic Megan Wasson, a Minimally Invasive Gynecologic Surgeon at Mayo Clinic - Phoenix, Arizona, specializing in endometriosis. She is performing surgery on a 36-year-old female that presented to clinic with pain during her menstrual cycles, that had been going on during most of life. Upon examination, her uterus was very fixed in her pelvis, which was consistent of a “frozen pelvis,” which heightened suspicion for deep infiltrating endometriosis. To further evaluate, Mayo Clinic’s Radiology team, which included Dr. Scott Young, an Endometriosis radiologist, performed a deep pelvic ultrasound, which showed extensive disease within her pelvis. With this finding, we were suspicious that she likely had significant involvement of her rectosigmoid colon, as well as potential involvement of her right ureter. The plan for surgery was to have the Urology team place stents to allow for identification of the ureters followed by hysterectomy and a segmental resection of her sigmoid colon.
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