Mathew Leonardi

This presentation focuses on the utility of ultrasound in diagnosing superficial endometriosis, a challenging condition to detect using traditional imaging methods. Superficial endometriosis refers to lesions on the surface of pelvic organs…

The identification of an obliterated cul-de-sac in patients with a retroverted uterus due to endometriosis is crucial for proper evaluation of the complexity of surgery for patients with advanced disease. However, the traditional sliding si…

The primary objective of this study is to determine the correlation between predicted surgical times using endometriosis ultrasound (US) with actual surgical times. Secondary objectives include determining the: 1) correlation between surgeo…

STUDY OBJECTIVE: Externally validate the American Association of Gynecologic Laparoscopists (AAGL) staging system against surgical complexity and compare diagnostic accuracy with revised American Society for Reproductive Medicine (rASRM) st…

Endometriosis affects 1 in 9 women, taking 6.4 years to diagnose using conventional laparoscopy. Non-invasive imaging enables timelier diagnosis, reducing diagnostic delay, risk and expense of surgery. This review updates literature explori…

The uterosacral ligaments (USLs) and torus uterinus (TU) are common sites for deep endometriosis (DE) but are challenging to diagnose through transvaginal ultrasound (TVS). Anatomical distortion caused by severe endometriosis, including pou…

An up-to-date description of ovarian and deep endometriosis distribution is necessary as the diagnostic algorithm now includes ultrasound as a highly specific diagnostic test. The primary objective was to describe ovarian/deep endometriosis…

The primary objective of this study is to establish whether ultrasound (US) diagnosis of endometriosis affects patient decision-making on treatment options. Secondary objectives include determining: 1) patient comfort of endometriosis US; 2…

Endometriosis is a complex chronic inflammatory process characterised by the presence of endometrial-like glandular tissue outside the uterine cavity, typically within the pelvic structures. This condition affects up to 10-15 % of women and…

Endometriosis is a debilitating condition affecting 5% to 10% of the women worldwide, where early detection and treatment are the best tools to manage the condition. Early detection can be done via surgery, but multi-modal medical imaging i…

INTRODUCTION: It is recognized that for individuals living with endometriosis, receiving a diagnosis is psychosocially beneficial, but little is known about whether this is influenced by the way in which the disease is diagnosed. The primar…

Videoclip S1. A presentation of the triangle sign and a comprehensive guide on its execution and significance. Videoclip S2. A demonstration of a negative triangle sign with surgical confirmation. Please note: The publisher is not responsib…

Uterine fibroids are common benign tumors that occur in up to 80% of women. Approximately half of the women affected experience considerable physical, psychological, and economic burdens and impact on quality of life due to symptoms such as…

BACKGROUND: There are no current standardized and accepted methods to characterize the surgical complexity of a laparoscopic hysterectomy. This leads to challenges when trying to understand the relationship between the patient and the surgi…

STUDY OBJECTIVE: To develop a model, including clinical features and ultrasound findings, to predict the need for ureterolysis (i.e., dissection of the ureter) during laparoscopy for endometriosis. DESIGN: A retrospective observational stu…

STUDY QUESTION: How is endometriosis extent described by the #Enzian classification compared to the revised American Society for Reproductive Medicine (rASRM) stages in women undergoing radical surgery for deep endometriosis (DE)? SUMMARY …

Objective To externally validate the “2021 AAGL Endometriosis Classification” staging system. Design Retrospective, diagnostic accuracy study Setting Multicentre Population or Sample Two hundred and seventy-two endometriosis patients (Janua…

OBJECTIVE: To evaluate the diagnostic accuracy of transvaginal ultrasound (TVS) in predicting deep endometriosis (DE) following the International Deep Endometriosis Analysis (IDEA) consensus methodology. METHODS: This was an international …

Introduction: Endometriosis affects 1 in 10 women worldwide, with most experiencing difficulties achieving adequate symptom control. These difficulties have been compounded by the onset of the COVID-19 pandemic due to worldwide shifts in he…

ABSTRACT: Endometriosis is a common yet under-recognised chronic disease with one in nine (more than 830,000) women and those assigned female at birth diagnosed with endometriosis by the age of 44 years in Australia. In 2018, Australia was …