Emad Mikhail

Endometriosis is a benign complex, estrogen-dependent, chronic inflammatory disease that affects 5%–10% of women of reproductive age (1–4). Endometriosis is characterized by the existence of ectopic endometrial-like tissue (stroma and gland…

BACKGROUND AND OBJECTIVE: Minimally invasive endometriosis surgery can be done laparoscopically or with robotic assistance. The choice of modality of this procedure could impact postprocedure pain levels and the need for opioids to manage p…

The prevalence of deep endometriosis invading the bowel is unknown but has been estimated to affect between 3.8% and 37% of women with endometriosis. The most common locations of bowel endometriosis are the sigmoid colon and rectum. Endomet…

Background: To date, there remains a paucity of present-day literature on the topic of demographics and the biopsy-proven pathological positivity rate of endometriosis. Objective: The goal of this study was to explore the association betwee…

In this case series, we discuss 10 cases of norethindrone-induced transaminitis and conduct a literature review of this rare adverse event. A retrospective chart review was conducted on 10 patients (median age: 33 years) with diverse endome…

In this viewpoint article, we examine the concept of antifragility in the context of endometriosis surgery. The notion of antifragility, as described by Nassim Taleb, extends beyond resilience, emphasizing growth and improvement through cha…

Here, we discuss a case of a 42-year-old premenopausal female who presented with chronic pelvic pain and recurrent small bowel obstruction during menstruation. The patient reported a nine-year history of pelvic pain and a four-year history …

OBJECTIVE: To present laparoscopic shaving of rectosigmoid endometriosis using the novel approach of laparoscopic ultrasound guidance to enhance complete excision. DESIGN: Video article. SETTING: Academic Tertiary Hospital. PATIENT(S): A…

There is a large body of literature supporting the heritable nature of endometriosis. Although there is significant evidence demonstrating the heritability of endometriosis, there is little to no evidence demonstrating the role of heritabil…