Scholars@Duke
Mark Paul Lachiewicz

Mark Paul Lachiewicz

Associate Professor of Obstetrics and Gynecology
Obstetrics and Gynecology, Women's Community & Population Health

Scholarly Works

Racial disparities in non-hysterectomy surgeries for endometriosis

Journal article Journal of Endometriosis and Uterine Disorders · September 1, 2025 Objective: To evaluate the self-reported prevalence of hysterectomy and non-hysterectomy surgeries for endometriosis by race/ethnicity. Methods: This cross-sectional study used data from the National Survey of Family Growth (NSFG) 2017–2019 cycle. This stu ... Full text Cite

Employment Status in the United States and Use of Long-Acting Reversible Contraception or Moderately Effective Contraception before and after the Affordable Care Act: National Survey of Family Growth 2006-2010 and 2015-2017.

Journal article Prev Med Rep · June 2023 Employment status has been previously associated with contraceptive use among women of reproductive age. We assessed the association between employment status and method of contraception among US women of reproductive age, before and after the implementati ... Full text Link to item Cite

When Love Hurts: Evaluation and Management of Painful Intercourse in Women

Journal article Current Sexual Health Reports · March 1, 2021 Purpose of Review: The purpose of this article is to provide general considerations for the work up and management of dyspareunia, describe the various causes, provide first line treatment options, and note when surgical management is indicated. We also ai ... Full text Cite

A model to predict risk of postpartum infection after Caesarean delivery.

Journal article J Matern Fetal Neonatal Med · September 2018 PURPOSE: The purpose of this study is to build and validate a statistical model to predict infection after caesarean delivery (CD). METHODS: Patient and surgical variables within 30 d of CD were collected on 2419 women. Postpartum infection included surgic ... Full text Open Access Link to item Cite

Surgical site infection after cesarean delivery: incidence and risk factors at a US academic institution.

Journal article J Matern Fetal Neonatal Med · July 2018 PURPOSE: To identify the rate of surgical site infection (SSI) after Cesarean delivery (CD) and determine risk factors predictive for infection at a large academic institution. METHODS: This was a retrospective cohort study in women undergoing CD during 20 ... Full text Link to item Cite

Endomyometritis after cesarean delivery in the era of antibiotic prophylaxis: incidence and risk factors.

Journal article J Matern Fetal Neonatal Med · May 2018 PURPOSE: To identify the rate of postpartum endomyometritis (PPE) after cesarean delivery (CD) in the era of antibiotic prophylaxis and determine risk factors. METHODS: A single institution retrospective study was performed in women undergoing CD. Data reg ... Full text Link to item Cite

Catheter-associated urinary tract infection (CAUTI) after term cesarean delivery: incidence and risk factors at a multi-center academic institution.

Journal article J Matern Fetal Neonatal Med · February 2018 PURPOSE: The purpose of this study is to identify the rate of catheter-associated urinary tract infection (CAUTI) after Cesarean delivery (CD) and to determine if any factors increase risk of infection. METHODS: A retrospective cohort study was performed a ... Full text Link to item Cite

What Should a Gynecologist Know about Li-Fraumeni Syndrome? Lessons from a Patient Undergoing Hysterectomy for Benign Indications.

Journal article Gynecol Obstet Invest · 2018 Li-Fraumeni syndrome (LFS) is a rare highly penetrant cancer syndrome characterized by mutation in the TP53 tumor suppressor gene. Recent data suggest that this germline mutation is more frequent than once thought. While LFS has not been associated previou ... Full text Link to item Cite

Long-term remission of clear cell carcinoma of the cervix after chemoradiation with 109 cycles of paclitaxel: a case report and literature review.

Journal article Eur J Gynaecol Oncol · 2017 BACKGROUND: Clear cell carcinoma of cervix (CCCC) is a rare cervical neoplasm that is usually associated with diethylstilbestrol (DES) exposure in utero as a primary risk factor. Advanced stage disease typically has poor outcomes and no evidence-based appr ... Link to item Cite

Risk factors for robotic gynecologic procedures requiring conversion to other surgical procedures.

Journal article Int J Gynaecol Obstet · December 2016 OBJECTIVE: To determine the incidence of, and risk factors for, conversion from robotic gynecologic procedures to other procedure types. METHODS: A retrospective cohort study included data from women who underwent any robotic gynecologic procedures between ... Full text Link to item Cite

Margins for cervical and vulvar cancer.

Journal article J Surg Oncol · March 2016 Surgery is the primary treatment for vulvar cancer as well as early-stage carcinoma of the cervix. This article reviews the significance of margin status after surgery on overall survival, need for further surgical intervention, and role for possible adjuv ... Full text Link to item Cite

Simple Technique for Transvaginal Aspiration of a Tubo-Ovarian Abscess.

Journal article Gynecol Obstet Invest · 2016 Large tubo-ovarian abscesses (TOAs) usually require drainage or operative management in addition to antibiotics. All previous reports of transvaginal aspiration have been described utilizing a needle/biopsy guidance system, which may not be available to ma ... Full text Link to item Cite

Ovarian carcinoma initially presenting as breast cancer two years prior to diagnosis: A case report and review of literature.

Journal article Gynecol Oncol Rep · January 2016 •Ovarian cancer presenting as a primary breast cancer two years prior•Ovarian cancer with metastases to breast is rare.•Metastases to the breast generally present as a recurrence.•Delay in diagnosis likely due to chemotherapy given for breast disease. ... Full text Link to item Cite

Infection Prevention and Evaluation of Fever After Laparoscopic Hysterectomy.

Journal article JSLS · 2015 BACKGROUND: Surgical site infection (SSI) is a common complication of hysterectomy. Minimally invasive hysterectomy has lower infection rates than abdominal hysterectomy. The lower SSI rates reflect the role and benefit in infection control of having minim ... Full text Link to item Cite

Pelvic surgical site infections in gynecologic surgery.

Journal article Infect Dis Obstet Gynecol · 2015 The development of surgical site infection (SSI) remains the most common complication of gynecologic surgical procedures and results in significant patient morbidity. Gynecologic procedures pose a unique challenge in that potential pathogenic microorganism ... Full text Link to item Cite

Prevalence of occult gynecologic malignancy at the time of risk reducing and nonprophylactic surgery in patients with Lynch syndrome.

Journal article Gynecol Oncol · February 2014 OBJECTIVE: The primary aim of this study was to determine the prevalence of occult gynecologic malignancy at the time of risk reducing surgery in patients with Lynch Syndrome. A secondary aim was to determine the prevalence of occult gynecologic malignancy ... Full text Link to item Cite

Indicators of anxiety and depression in women with the fragile X premutation: assessment of a clinical sample.

Journal article J Intellect Disabil Res · July 2010 BACKGROUND: Current research suggests that depression and anxiety may be common problems in women with the fragile X (FMR1) premutation. METHODS: To learn more about this in a clinical setting, we asked 33 women with the FMR1 premutation and 20 women witho ... Full text Link to item Cite

Beta-blocker prophylaxis for total knee arthroplasty patients: a case series.

Journal article J Surg Orthop Adv · 2010 Cardiac complications are an infrequent yet undesirable cause of morbidity and mortality following total knee arthroplasty. Perioperative prophylaxis with beta-blocker medication has been shown to reduce in-hospital cardiac deaths in noncardiac surgical pa ... Link to item Cite

Are the relative indications for revision total knee arthroplasty changing?

Journal article J Surg Orthop Adv · 2009 There are relatively few data on the indications for revision total knee arthroplasty. The purpose of this study was to determine if the indications for revision have changed over the past decade. This is a retrospective review of demographic data and the ... Link to item Cite