Imaging for Surgery

Imaging for surgery focuses on mapping endometriosis before and during an operation so the team can plan precise, organ‑sparing treatment. High‑resolution, expert transvaginal or transrectal scans characterize deep nodules, tethering, and the “sliding sign,” while MRI outlines multi‑compartment disease and nearby structures, including bowel, bladder, ureters, and nerves. This planning helps select the right approach, assemble colorectal or urology support when needed, anticipate adhesions, and protect fertility and function. It differs from diagnostic imaging by prioritizing operative decisions and risk reduction rather than simply confirming disease. See Ultrasound and MRI for detection details.

In the operating room, near‑infrared fluorescence with indocyanine green can clarify ureter location and confirm blood flow after bowel or ureter resections, lowering complications like leaks or ischemia. When imaging and surgical strategy align, complete Excision Surgery becomes more feasible, recurrence risk falls, and recovery is safer. Guidance here also clarifies who benefits most—especially those with suspected Deep Infiltrating Endometriosis—and how results influence single versus staged Laparoscopy and specialist involvement.