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Dr. Ramiro Cabrera explains how surgical mapping revolutionizes endometriosis treatment by allowing surgeons to visualize deep infiltrating disease before operating. This European-originated technique enables personalized surgical planning and proper specialist involvement, replacing outdated diagnostic approaches with comprehensive pre-surgical imaging.
• Endometriosis has three types: peritoneal (superficial), deep infiltrating, and ovarian endometriomas
• Only endometriomas are easily visible on standard ultrasound, while deep disease requires specialized imaging
• Surgical mapping uses special protocols including rectal gel, vaginal gel, and bowel preparation
• Expert radiologists need 5-10 years of experience to accurately detect deep endometriosis
• Modern ENZIAN classification provides detailed disease location instead of simple staging
• Mapping shows precisely which organs are affected and to what extent
• Pre-surgical knowledge allows assembly of the right surgical team (urologists, colorectal surgeons, etc.)
• Even the best surgeons cannot see through tissue without proper mapping
• No surgeon should perform diagnostic laparoscopy without first completing imaging mapping
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