QC: Pre-Surgical Mapping: The Critical Step Before Endometriosis Surgery

Introduction to Quick Connect

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Life moves fast and so should the answers to your biggest questions . Welcome to EndoBattery's Quick Connect , your direct line to expert insights Short , powerful and right to the point . You send in the questions , I bring in the experts and in just five minutes you get the knowledge you need . No long episodes , no extra time needed , and just remember expert opinions shared here are for general information and not for personalized medical advice . Always consult your provider for your case-specific guidance . Got a question ? Send it in and let's quickly get you the answers . I'm your host , alana , and it's time to connect .

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Today I'm joined by my guest , dr Romero Cabrera , who is a distinguished endometriosis excision specialist based in Mexico , with extensive expertise in diagnosis and surgical treatment of endometriosis . Dr Ram has earned a reputation for his innovative and patient-centered approach . His commitment to advancing the field of gynecological surgery , combined with his compassionate care , has made him a leading figure in the management of endometriosis . Dr Ram's work not only improves the quality of life for his patients , but also contributes significantly to the global understanding of this challenging condition

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Speaker 1
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Dr. Romero Explains Surgical Mapping

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start now . Now let's dive in to learning how to prepare for surgery with surgical mapping . Can you explain to us what is mapping ? What do you do for mapping ?

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Of course it's not something that I create . It's something that we replicate in Mexico and now it's being replicated worldwide . Mapping of the endometriosis started in Europe , in France and in Italy . They found out that the radiologists who are used to see the endometriosis with the special protocols because everyone in the US have an MRI every hospital , every hospital has the best ultrasound . I can even assure you they have the best ultrasound of the rest of the world . But the problem is that the radiologist needs to go to a learning curve to see deep endometriosis . But we have to remember that endometriosis has to be subdivided in three types . Something is peritoneal . This is superficial . That is the one that is so little that even sometimes the human eye cannot see . Deep endometriosis is the one that is so little that even sometimes the human eye cannot see . Deep endometriosis is the one that infiltrates itself to other organs and that's the one we can see through special imaging studies and ovarian endometrioma . That is the one that's super easy to diagnose With a normal office ultrasound . You can see the chocolate cyst and then we can suspect endometriosis . Now in Europe and France , in Italy , they started seeing that the radiologists to see this every day have better sensibility . That means that the eyes can see better deep endometriosis than the normal radiology population and they started to see that if they go before the study to do a rectal enema and when they perform MRIs they put a rectal gel , a vaginal gel and some medication for the bowel to not move , then they can see better the disease . You get me . And with this , without going through surgery , they can diagnose if you have endometriosis , deep endometriosis in the bowel , in the bladder , in the diaphragm . So with this the surgeon can individualize the treatment and then get a special team of surgeons . If you have endometriosis in the diaphoregum , then we need a cardiothoracic surgeon and so on . If you have endometriosis in the bladder , a urinary surgeon . If you have endometriosis in the colorectal area , we need a colorectal surgeon . So in Italy and France they start doing something that is a high quality treatment . High quality treatment defines itself by doing a mapping of deep endometriosis .

Speaker 2
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The mapping of deep endometriosis is a specialized imaging study in which an expert in radiology that has a super long learning curve at least five to 10 years with a specialized protocol . That means with bowel gel , rectal gel , bowel inhibitory movement medication , with an MRI or if they are going to do an ultrasound . It's not a normal ultrasound , I will say to you . It's an algorithm in which we have to see the african , we have to see the appendix , the sesum , we have to see the full bowel . That's an abdominal ultrasound with a bowel preparation . And then we go to the transvaginal ultrasound and see not only the uterus and ovaries Because , remember , by definition endometriosis is outside the uterus . So we have the bowel , the bladder , the ureters and with this a true expert in imaging can send us a classification , a presurgical classification that it's mandatory worldwide . It's called the ANC classification In the US they are still doing something that it's an association for Reproductive Society of Medicine classification that divides the disease in stages , stage one to stage four .

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Right now that classification is really old .

Speaker 2
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It's the one that my father used to use , because if they go under surgery and they classify you with a stage four , like they did with my sister , my sister will tell you oh , thank you very much , but that doesn't mean anything . That means that I have in every place . With the NCM protocol we can do the classification before

Specialized Imaging and Classification Protocols

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surgery . That's mandatory and with this we can see if the disease is affecting the intestine , the bladder or other organs , and not only see if it's affecting , we can also see the size of the nodule , the length , the percentage of bowel affection . So with this we can plan the surgery before going in , because we'll never do again a laparoscopic diagnosis surgery without the mapping If they are going to do a laparoscopic surgery . The human eye cannot see through tissue , so if they enter and see everything attached to itself like a frozen pelvis , no surgeon , no surgeon worldwide , even the best surgeon in the world , even myself , if I go without a mapping , I cannot see the nodule because I can only see the superficial layers of the organs .

Speaker 1
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Now that we've talked about pre-surgical mapping and empowered you with the knowledge to make the best decision for your health , let's talk about something that's just as important comfort , because if surgery is in your future , comfort is key . But let's be honest , that doesn't mean we have to swap fashion for frump . That's where Playground comes in . Playground creates luxurious , sustainable activewear that's as stunning as it is comfortable . Their pieces transition seamlessly from the couch to casual outings , so you can feel confident and beautiful , whether you're recovering , running errands or heading back into your fitness routine , or sitting and recording a podcast . Every piece is meticulously designed gorgeous prints , a fit that feels like it was made for you , and premium fabrics that breathe , move . And last , and here's the best part , I've

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Speaker 1
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So say goodbye to bland , baggy recovery wear and hello to active wear that makes you feel like you again stylish , comfortable and empowered . Visit wearplaygroundcom and use my promo code , endobattery , to enjoy the upgrade you deserve . That's a wrap for this quick connect . I hope today's insights helped you move forward with more clarity and confidence . Do you have more questions ? Keep them coming . Send them in and I'll bring you the expert answers . You can send them in by using the link in the top of the description of this podcast episode or by emailing contact at endobatterycom or

Episode Wrap-up and Contact Information

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visiting the endobatterycom contact page . Until next time , keep feeling empowered through knowledge .