Chairs: Sukhbir S. Singh

Faculty: Ally Murji, Olga Bougie

Description: Debate Resolution: Be it resolved that in a 45-year-old patient with severe deeply infiltrating endometriosis, who is undergoing hysterectomy, bilateral salpingoophorectomy should be concurrently performed. This debate explores the challenging decision of ovarian preservation versus removal in severe endometriosis surgery. Attendees will gain insights into the risks and benefits of each approach, focusing on recurrence rates, hormonal implications, and long-term health outcomes. The session will review evidence-based strategies, highlight critical decision-making factors, and emphasize patient-centered care. Through expert opinions and data, participants will be equipped to navigate this complex surgical dilemma with confidence.

Learning Objectives: At the end of this course, the participant will be able to:

1. Objective Assess the advantages and disadvantages of ovarian preservation in women undergoing surgery for severe endometriosis.
2. Objective Evaluate the risk of recurrence and reoperation associated with ovarian preservation versus removal.
3. Objective Apply evidence-based principles to tailor surgical decisions to individual patient needs and long-term health outcomes.

Course Outline

11:00 AM Welcome, Introduction and Course Overview

S. Singh

11:05 AM Ovaries Should Be Removed

A. Murji

11:25 AM Ovaries Should be Preserved

O. Bougie

11:45 AM Discussion Questions & Answers

11:00 AM Adjourn