Dr. Karan Rajan
speaker
2,915 appearances
16 recordings
1 series
first heard May 2026
last heard 21 Sep
Dr. Karan Rajan’s voice in public audio — every appearance, attributed to the second.
Trend
recordings per month · last 12 monthsRecordings per month over the last 12 months — 16 in all, peaking in Jun 2026 with 5.
Appearances
Would you do like a peritoneal biopsy or something and then examine the peritoneum, the inner lining of the abdomen under a microscope to see if there's any endometriosis microscopically in that peritoneum?
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Or is it specific commonly affected organs that you'd biopsy?
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This makes it even more challenging than I suspected because, you know, a lot of patients, the first hurdle they face is getting someone to agree to do a diagnostic laparoscopy in the first place.
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Assuming they someone believes they've got endometriosis or suspects it.
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That's like the first hurdle.
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Then they may have it, and the person doing it may not be a specialist, right?
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You should be an endometriosis specialist ideally to do the diagnostic laparoscopy.
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So you're not just unnecessarily causing some invasive insult to a patient and then it's like not as useful as it can be.
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Secondly, if they then don't find anything.
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A complete peritonectomy is quite a major undertaking, right?
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That's like very major surgery.
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So what is the kind of trigger for you to do a complete peritonectomy on patients who've had a negative laparoscopy but still have symptoms?
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Is it just the presence of these endometriosis type symptoms and a la a negative laparoscopy and negative imaging?
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And is that like
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Like the final, okay, we really don't want to go down this route because it's such a major thing, but you fit all these criteria.
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What are those criteria to get then to a complete peritonectomy?
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Yeah.
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I I think even though it's obviously like an aggressive approach, I think there is that silver lining there where it's the ability still to provide patient closure and at least an answer for them to explain their chronic lifelong symptoms because
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There's likely a significant proportion of patients who maybe haven't heard that endometriosis is a microscopic condition.
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That maybe they've had these symptoms, they finally have surgery, diagnostic laparoscopy, and they feel, yes, I'm gonna get the answers.
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Showing 1461–1480 of 2,915 · page 74 of 146
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