Where A Passion for Women's Health & Complex Benign and Minimally Invasive Gynecology
Meets AI Innovation

This award-winning case study demonstrates a precision hysteroscopic technique for removing retained products of conception (RPOC) from an angular pregnancy site within an arcuate uterus — anatomy that classically defies blind dilation and curettage. By using direct visualization, the team avoided traumatic blind instrumentation, preserved endometrial integrity, and maximized fertility-sparing potential. The video set a new teaching standard, recognized by AAGL with the Golden Hysteroscope Award.

A 43-year-old patient with severe abnormal uterine bleeding and chronic pelvic pain after endometrial ablation presented a diagnostic puzzle: a uterine isthmocele complicated by altered tissue architecture. The team used Indocyanine Green (ICG) fluorescence imaging to precisely localize the defect and guide minimally invasive repair. The case — paired with a comprehensive literature review — illustrates how ICG enhances surgical precision, shortens operative time, and reduces complications, marking a meaningful advancement in isthmocele care.

Using CT imaging from 194 patients stratified by WHO BMI categories, this study reveals that the deep epigastric vessels shift laterally with rising BMI — meaning classic "safe zone" landmarks for laparoscopic port placement become unreliable in obese patients. The recommendation: position trocars more than 10 cm from the midline when BMI exceeds 35. The findings directly impact surgical safety in a growing patient population, redefining a foundational laparoscopic teaching point.

Endometriosis-related fibrosis can be visually subtle, easily missed under standard white-light visualization. This award-winning research applies ICG fluorescence — typically used for vascular mapping — to highlight inflammatory and fibrotic tissue changes intraoperatively. The result is a more sensitive, real-time identification of disease, with implications for more complete excision and improved long-term symptom relief. The work earned the George M. Morley Award for Best Gynecological Research at CAOG 2023.

Adenomyosis remains a clinical chameleon — easy to suspect, harder to confirm. This retrospective cohort study evaluates Narrow Band Imaging (NBI) hysteroscopy as a real-time, in-office diagnostic enhancement. By emphasizing surface vascular patterns invisible to standard white light, NBI helps distinguish adenomyotic features (irregular endometrial surface, hypervascularization, strawberry pattern) from healthy tissue. The work supports a future where adenomyosis diagnosis is faster, less invasive, and more accurate.

Robotic myomectomy frequently bottlenecks at fibroid extraction. This work presents a streamlined "à la carte" technique using a gel-based port and bag containment system — reducing total operative time, simplifying multi-fibroid removal, and maintaining contained morcellation safety. A practical workflow innovation that translates directly to OR efficiency and patient outcomes.

Asherman's syndrome distorts uterine anatomy, complicating the already-difficult repair of an isthmocele. This case integrates ICG fluorescence into a combined hysteroscopic-robotic approach — using fluorescent guidance to identify the defect's true margins despite scarred terrain. The result: a precise, fertility-sparing repair that wouldn't be achievable through traditional means alone.

An ongoing RCT investigating whether transversus abdominis plane (TAP) blocks meaningfully reduce post-operative pain in minimally invasive gynecologic surgery within an Enhanced Recovery After Surgery (ERAS) protocol. The study aims to add high-quality evidence to a pain management modality often used but unevenly studied in MIGS — directly informing future ERAS guidelines.

An infertility workup uncovered an unusually complex multifocal endometriosis — with atypical papillary fragments involving both the appendix and fallopian tube. This accepted manuscript documents the diagnostic pathway, surgical findings, and pathology, expanding the clinical understanding of how aggressively endometriosis can manifest beyond classical pelvic sites. Particularly relevant for fertility-focused MIGS workups.