Title: Endometriosis: Essentials of Diagnosis and Management for a Colorectal Surgeon

Date: Thursday, June 18, 2026

Time:  7 PM Central/8 PM Eastern

Moderators: Farrell Adkins, MD, and Syed Husain, MBBS

Speakers: Meenal Misal, MD; Konstantin Umanskiy, MD; and Vince Obias, MD

CME Credit Hours Available: 1.25 AMA PRA Category 1 Credit(s)™

Price for the live webinar registration: Members are free; non-members: $50
        Note: Recordings are added to ASCRS U. Non-members must purchase a separate subscription to access recordings. For more information, please see: Non-Member Access to Recorded Webinars 

Webinar Description and Learning Objectives:

Colorectal involvement occurs in roughly 5%–25% of endometriosis cases and presents unique operative decision-making situations for colorectal surgeons, particularly when choosing among rectal shaving, discoid excision, or segmental resection for deep infiltrating disease. This webinar will synthesize recent evidence and multidisciplinary best practices for patient selection, preoperative mapping, and technique selection, with explicit discussion of functional outcomes, including LARS, sexual function, fertility, and quality of life.

Webinar panelists will review contemporary data on complication profiles (e.g., fistula, leak) and risk-mitigation strategies (e.g., selective diversion, intraoperative assessment, nerve-sparing) and illustrate decision pathways through operative videos and case panels delivered jointly by colorectal surgery and gynecology. 

At the conclusion of this session, participants should be able to:

1. Select the appropriate operative strategy (shaving vs. discoid excision vs. segmental resection) for bowel endometriosis based on lesion size, depth, location from the anal verge, multiplicity, and patient goals
2.  Construct a multidisciplinary operative plan with gynecology (and urology, as needed), emphasizing dual-team approaches for complex resections
3. Anticipate, prevent, and manage complications, including anastomotic leak and rectovaginal fistula, using technique-specific risk profiles and strategies such as selective diversion and meticulous intraoperative testing
4. Discuss the technical nuances of operations for endometriosis of rectovaginal septum

Moderators: 

 Farrell Adkins, MD

Dr. Farrell Adkins earned his medical degree at West Virginia University and completed his residency at West Virginia University Hospital. He is a colorectal surgeon and assistant professor of surgery at Virginia Tech Carilion School of Medicine in Roanoke, Virginia. He serves as Director of Clinical Clerkships and has a strong interest in surgical education, faculty development, and innovation in medical education. His clinical practice focuses on colon and rectal surgery, and his academic work includes medical student education, assessment, clinical reasoning, and the use of emerging technologies, such as artificial intelligence in surgical and medical education.  

 Syed Husain, MBBS

Dr. Syed Husain earned his medical degree from Dow Medical College Karachi, Pakistan. He completed his general surgery residency at Harlem Hospital Center in New York, a fellowship in minimally invasive surgery at University of Rochester, NY, and a fellowship in colon and rectal surgery at Brown University, RI.  He is a colorectal surgeon serving as professor of surgery-clinical at The Ohio State University Wexner Medical Center. His clinical interests include evaluation and application of new surgical techniques and technology to the field of colorectal surgery with special focus towards utilization of the minimally invasive platform.

 
Presentations: 

Meenal Misal, MD: "Medical Optimization of Endometriosis and Indications for Surgical Intervention"

Dr. Meenal Misal earned her medical degree at the University of Arizona College of Medicine and completed her residency at Cedars-Sinai Medical Center and her fellowship in minimally invasive gynecologic surgery and pelvic pain at Mayo Clinic Arizona. She is an assistant professor and medical director of gynecology at The Ohio State University Medical Center. Her practice focuses on endometriosis, pelvic pain, and complex gynecologic surgery.

Konstantin Umanskiy, MD: Colorectal Interventions in Endometriosis: Shave, Disc Excision or Segmental Resection?

Dr. Konstantin Umanskiy completed his medical degree at Case Western Reserve University School of Medicine and residency at University of Cincinnati Medical Center. He is a professor of surgery at the University of Chicago, with more than 17 years of experience. his clinical and research interests include pelvic floor disorders, endometriosis, and treatment of patients with diverticular disease.

Vince Obias, MD: "Is Robotic Surgery a Better Option for Patients With Rectovaginal Septum Endometriosis?"

Dr. Vincent J. Obias earned his MD from Virginia Commonwealth University and completed fellowship training in colorectal surgery at the Cleveland Clinic and advanced laparoscopic colorectal surgery training at Case Western Reserve University. He is a founding partner of Washington Endometriosis & Complex Surgery and nationally recognized for his expertise in endometriosis excision involving the bowel. A pioneer in robotic colorectal surgery, he performed Washington, DC’s first robotic colorectal procedure in 2009 and previously served as Chief of Colorectal Surgery at both George Washington University and for the National Capital Region at Johns Hopkins Medicine.

ACCREDITATION STATEMENT

The American Society of Colon and Rectal Surgeons (ASCRS) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education (CME) for physicians.

DESIGNATION STATEMENT

ASCRS designates this live activity for a maximum of 1 AMA PRA Category 1 Credits(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

American Board of Surgery (ABS) Continuous Certification

Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME requirement(s) of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit.

ZOOM LINK

All registrants will receive an email confirmation from Zoom with the access details and an add to calendar option after completing the registration process.

WEBINAR REFUND POLICY

Registration cancellation for live webinars will be refunded when the cancellation occurs 8 days or more prior to the date of the event. Cancellations made within 7 days of the event will not be eligible for a refund. If you must cancel, your registration fee may be used as a credit toward the purchase of a 12-month subscription to the entire library of webinar recordings on ASCRS U. Please contact Elizabth Moran at [email protected] to request a refund or for a credit toward your purchase of Access to Recorded Webinars.

DISCLOSURES

Every person who is involved in the planning of this CME program has provided information regarding any financial relationships with ineligible companies as defined by the ACCME. You may view the full ASCRS Conflict of Interest policy and planning committee disclosures here (See About ASCRS Webinars). All disclosed relationships have been reviewed and managed. There are no relevant financial relationships.