Video: Fertility Enhancing Endometriosis Surgery
We switched this up a little this week with a video. If you’re reading this inside your email box like every week, we would love for you to click on the video and watch it in full.
In this video, a “frozen pelvis” is methodically unwound and rebuil…
Beyond ‘Free Second Opinions’: A Surgeon’s Guide to Winning Patients in India
Winning Window Shopping Patients for Surgery
It has really has come down to this
Smeet Patel, M.S.
and Parth Trivedi
Sep 17, 2025
5
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Let’s face it. If you practice anywhere in India, you know that patients are window shopping with surgeon…
A Surgeon’s Guide to a Rare ‘En Caul’ Delivery After Endometriosis Surgery
En Caul Delivery with Zero Posterior Adhesions: How To
Smeet Patel, M.S.
and Parth Trivedi
Sep 10, 2025
5
2
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This week’s theatre moment was a rare one: a baby born en caul — delivered entirely within the intact amniotic sac. Fewer than 1 …
Zero Post-Surgical Adhesions After Endometriosis Surgery: The ME Protocol Results
Some time back we performed one of the most gratifying surgeries of the recent years. Patients come to Mayflower from all over the country and the world. Post surgery, when they go back, we rarely get to observe them in an operative state again. When…
How to Evaluate Surgical Performance Fairly: Beyond Single-Metric Assessment
How to measure surgeons without triggering their egos
You’re doing it wrong and you need to fix it
Smeet Patel, M.S.
and Parth Trivedi
Aug 27, 2025
4
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It’s Ganesh Chaturthi here in India today. Celebrated most fervently in central parts o…
Building Surgical Excellence Through Systems: The Repeatable Model for Endometriosis Surgery
The Great Repeatable Surgical Model
Smeet Patel, M.S.
and Parth Trivedi
Aug 20, 2025
12
1
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You don’t rise to the level of your goals, you fall to the level of your systems
James Clear, Atomic Habits
I remember this scene from a young su…
Nerve-Sparing Endometriosis Surgery: Protecting the Hypogastric Nerve During Excision
The Last Nerve in the Pelvis
Smeet Patel, M.S.
and Parth Trivedi
Aug 13, 2025
5
1
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Some nerves announce themselves. They scream when you touch them. They jolt the patient. They remind you, mid-dissection, that they are still very much ali…
Should You Freeze Eggs Before Endometriosis Surgery? Evidence-Based Guidance
Endometriosis diagnostic pathways reveal staggering patterns. Clinical data demonstrates that between thirty and fifty percent of confirmed endometriosis cases emerge incidentally during infertility workups rather than through symptom-driven evaluation. This statistical reality positions infertility as paradoxically the most actionable endometriosis manifestation—not necessarily the most prevalent symptom, but certainly the concern compelling women to seek medical […]
Scalpelonomics: How Surgical Competencies Create Competitive Advantage in Gynecology
Strategic business frameworks rarely penetrate surgical discourse, yet one seminal 1990 Harvard Business Review piece by CK Prahlad and Gary Hamel titled “The Core Competence of the Corporation” contains transformative insights for endometriosis hospitals seeking sustainable competitive advantage. Most surgical practices remain oblivious to the strategic principle that separates thriving specialist centers from perpetually struggling […]
The Butterfly Effect in Endometriosis: How One Lesion Rewrites Entire Pelvic Anatomy
Ever encountered chaos theory—what many recognize as the butterfly effect? Scientists describe how minuscule alterations generate enormous consequences. A butterfly’s wings disturb air currents in one region, eventually manifesting as severe weather hundreds of kilometers away. Endometriosis operates through identical principles within human anatomy. A single misplaced implant emerges. An isolated inflammatory response begins. That […]