S-MAP (Systematic Mapping of the Abdomen and Pelvis)
A methodical, standardized protocol for comprehensive examination of all abdominal and pelvic structures during laparoscopy, ensuring that no area of disease is overlooked. The S-MAP method follows the systematic evaluation sequence described by Dr. Thomas Hilgers in the NaProTECHNOLOGY textbook (Chapter 63); the term "S-MAP" was coined by Dr. Naomi Whittaker. Used in combination with Near-Contact Laparoscopy (NCL), S-MAP evaluates the upper abdomen (diaphragm, gallbladder), lower abdomen (cecum, appendix), and all pelvic structures (anterior and posterior cul-de-sac) in the same reproducible sequence every time. Dr. Whittaker presented a case series at AAGL 2024 demonstrating that NCL/S-MAP led to the incidental diagnosis and curative treatment of four rare cancers during fertility/pain surgeries by a single surgeon over three years.
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