Ep. 65 Thoracic Endometriosis: Beyond the Pelvis in Diagnosis with Dr. Shanti Mohling

Thoracic endometriosis occurs in about 12% of patients with advanced endometriosis. Due in part to its lower incidence and inherent diagnostic challenges, many providers are not well-versed in the workup and management of this advanced disease. In this episode of The BackTable OBGYN Podcast, host Dr. Mark Hoffman interviews Dr. Shanti Mohling, a gynecologic surgeon at Northwest Endometriosis and Pelvic Surgery, regarding her approach to thoracic endometriosis. --- CHECK OUT OUR SPONSOR PearsonRavitz https://pearsonravitz.com/backtable --- SYNPOSIS The physicians discuss the embryological and congenital theories of endometriosis etiology, the impacts of retrograde menstruation, and epigenetic factors. Dr. Mohling shares insights into her advanced surgical techniques for treating endometriosis, including diaphragmatic and thoracic disease, and the importance of a comprehensive history, exam, and diagnostic imaging. Her practice patterns, patient care strategies, and interdisciplinary collaborations for optimal outcomes are also highlighted. --- TIMESTAMPS 00:00 - Introduction 06:40 - Pelvic Pain Workup 08:09 - Thoracic Endometriosis 14:12 - Medical Management Post-Surgery 18:48 - In-Office Ultrasound Techniques 23:33 - Collaboration in Surgery 24:59 - Preparing for Thoracic Endometriosis Surgery 36:44 - Managing Postoperative Care 41:13 - Theories on Endometriosis Etiology 46:31 - Concluding Thoughts

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