A passion for women's health.

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.

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.

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 from healthy tissue.

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.

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.

The foundational ICG-endometriosis research that earned the George M. Morley Award for Best Gynecological Research at the 2023 CAOG Annual Meeting. Presented nationally at AAGL Global Congress and regionally at CAOG, demonstrating how ICG fluorescence reveals endometriosis-related fibrosis and inflammatory changes invisible under standard white light — with direct implications for more complete excision and improved long-term symptom relief.

An evolution of the ICG-endometriosis program — presented at the American College of Obstetricians and Gynecologists Annual Conference. The work extended the foundational ICG fibrosis detection research into a broader intraoperative imaging framework, refining how surgeons can use fluorescence-guided visualization for complete endometriosis identification.

An early national presentation defining the hysteroscopic approach to retained products of conception in infertility patients — direct visualization replacing blind dilation and curettage. This work laid the conceptual foundation for the later Golden Hysteroscope-winning RPOC technique in arcuate uteri.

A focused regional presentation on ICG fluorescence as a tool for detecting clear (atypical, non-pigmented) endometriosis lesions — historically the most under-recognized subtype. Presented at the ACOG Annual District Conference in Chicago.

An early educational AAGL presentation establishing the foundational technique and decision-framework for robotic myomectomy. This work — published in JMIG — preceded the later Fibroids à La Carte refinement of the robotic myomectomy workflow.

An active IRB-approved study extending the ICG-endometriosis program to the appendix — historically under-recognized as a site of endometriosis involvement. This study evaluates ICG's ability to detect appendiceal endometriotic lesions and associated fibrotic changes during minimally invasive surgery.

An early peer-reviewed publication reflecting Dr. Mabini's research career roots in clinical neuroscience — examining the behavioral organization of self-injury in intellectually disabled populations. The methodological rigor and patient-centered framing established here continues to inform his current surgical research approach.