Daniel M. Morgan

Background: Minimally invasive hysterectomy is preferred to open hysterectomy due to lower morbidity, but recent data regarding the association of surgical approach with patient recovery and opioid consumption are lacking. Objective: To ana…

Study objectiveTo evaluate whether the addition of pharmacologic prophylaxis to mechanical prophylaxis for venous thromboembolism (VTE) is associated with changes in perioperative outcomes in hysterectomy for benign indications.DesignRetros…

ObjectiveTo identify the variation in estimated blood loss at the time of hysterectomy for benign indications and to analyze how blood loss is associated with measures of resource utilization and complications.MethodsWe conducted a retrospe…

BackgroundOpioids used for postoperative pain control after surgery have been associated with an increased risk of chronic opioid use. Hysterectomy is the most common major gynecological procedure in the United States; however, we lack a da…

BACKGROUND: Laparotomy followed by inpatient hospitalization has traditionally been the most common surgical care for hysterectomy. The financial implications of the increased use of laparoscopy and outpatient hysterectomy are unknown. OBJ…

BackgroundHealthcare teams that frequently follow a bundle of evidence-based processes provide care with lower rates of morbidity. Few process bundles to improve surgical outcomes in hysterectomy have been identified.ObjectiveThe purpose of…

(Abstracted from Obstet Gynecol 2016;127:1045–1053) Chronic pelvic pain is common in reproductive-aged women. A large number of women with chronic pelvic pain or endometriosis undergo hysterectomy: 10% to 32% for chronic pelvic pain and 5% …

OBJECTIVE: To estimate the prevalence of surgically confirmed endometriosis in women undergoing laparoscopic or abdominal hysterectomy, including those with and without preoperative indications of chronic pelvic pain or endometriosis, and t…

BackgroundIt has been shown that addressing apical support at the time of hysterectomy for pelvic organ prolapse (POP) reduces recurrence and reoperation rates. In fact, national guidelines consider hysterectomy alone to be inadequate treat…

ObjectiveTo evaluate the association between a universal cystoscopy policy at the time of benign hysterectomy and the detection of urologic injuries.MethodsThis is a retrospective cohort study at a tertiary care academic center where a poli…

ObjectiveThe risk of urinary tract infection (UTI) among women undergoing elective gynecological surgery during which a catheter is placed is high: 10-64% following catheter removal. We conducted the first randomized, double-blind, placebo-…

ObjectiveDespite recommendation for ovarian conservation in low-risk, premenopausal women, bilateral oophorectomy is often performed. The purpose of this study was to investigate factors associated with removal of normal ovaries at the time…

OBJECTIVE: To define the incidence of unexpected gynecologic malignancies among women who underwent hysterectomy for benign indications. METHODS: We conducted a data analysis of hysterectomy cases from a quality and safety database maintain…

It is estimated that 1 in 3 women in the United States will have a hysterectomy by age 60 years. Complications of hysterectomy are well known. Alternatives to hysterectomy for benign indications include operative hysteroscopy, endometrial a…

ObjectiveComplications from transvaginal mesh placed for prolapse often require operative management. The aim of this study is to describe the outcomes of vaginal mesh removal.MethodsA retrospective review of all patients having surgery by …

ObjectiveWe sought to analyze use of alternative treatments and pathology among women who underwent hysterectomy in the Michigan Surgical Quality Collaborative.Study designPerioperative hysterectomy data including demographics, preoperative…