Scholars@Duke
Stephanie Lim

Stephanie Lim

Assistant Professor of Obstetrics and Gynecology
Obstetrics and Gynecology, Minimally Invasive Gynecologic Surgery
stephanie.l.lim@duke.edu
5601 Arringdon Park Dr, Suite 430, Morrisville, NC 27560

Scholarly Works

Impact of liposomal bupivacaine transversus abdominal pain blocks compared to ropivacaine incision site infiltration after discharge: An observational prospective cohort quality improvement study.

Journal article Eur J Obstet Gynecol Reprod Biol · December 2025 BACKGROUND: Transversus abdominis plane(TAP) blocks can be considered as part of a multimodal post-operative pain management strategy. The aim of this study was to evaluate opioid use and pain after discharge in patients who underwent a minimally invasive ... Full text Link to item Cite

Screening for Bacterial Vaginosis Prior to Delivery: A Cost-Effectiveness Study.

Journal article Am J Perinatol · January 2025 OBJECTIVE: The objective of this study was to compare the cost and effectiveness of three strategies for screening and/or treating bacterial vaginosis (BV) during pregnancy prior to delivery: (1) the current standard of care was neither test nor treat for ... Full text Link to item Cite

Transcutaneous Electric Nerve Stimulation for Analgesia During Outpatient Endometrial Biopsy: A Randomized Controlled Trial.

Journal article Obstet Gynecol · January 1, 2025 OBJECTIVE: To evaluate whether transcutaneous electric nerve stimulation (TENS) decreases pain at the time of outpatient endometrial biopsy. METHODS: We conducted a randomized, double-blind trial of active TENS compared with placebo TENS at the time of end ... Full text Link to item Cite

An Obstetrician-Gynecologist's Review of Hernias: Risk Factors, Diagnosis, Prevention, and Repair

Journal article Obstetrical and Gynecological Survey · February 1, 2024 Full text Cite

Outcomes and Complications for Concurrent Hernia Repair Among Women Undergoing Hysterectomy.

Journal article Obstet Gynecol · November 1, 2023 OBJECTIVE: To assess whether concurrent hernia repair at time of hysterectomy is associated with increased complications. METHODS: In this retrospective cohort study, patients who underwent hysterectomy and hysterectomy with concurrent hernia repair were q ... Full text Link to item Cite

Implementation of a validated post-operative opioid nomogram into clinical gynecologic surgery practice: A quality improvement initiative.

Journal article Gynecol Oncol Rep · October 2023 OBJECTIVES: The Gynecologic Oncology Postoperative Opioid use Predictive (GO-POP) calculator is a validated tool to provide evidence-based guidance on post-operative opioid prescribing. The objective of this study was to evaluate the impact of the implemen ... Full text Link to item Cite

An obstetrician-gynecologist's review of hernias: risk factors, diagnosis, prevention, and repair.

Journal article Am J Obstet Gynecol · September 2023 Management of obstetrical and gynecologic patients with hernias poses challenges to providers. Risks for hernia development include well-described factors that impair surgical wound healing and increase abdominal pressure. Among the diverse populations car ... Full text Link to item Cite

Hypertensive Disorders of Pregnancy: Common Clinical Conundrums.

Journal article Obstet Gynecol Surv · April 2022 IMPORTANCE: Hypertensive complications of pregnancy comprise 16% of maternal deaths in developed countries and 7.4% of deaths in the United States. Rates of preeclampsia increased 25% from 1987 to 2004, and rates of severe preeclampsia have increased 6.7-f ... Full text Link to item Cite

Promoting timely goals of care conversations between gynecologic cancer patients at high-risk of death and their providers.

Journal article Gynecol Oncol · February 2022 OBJECTIVE: We designed a multi-faceted intervention to increase the rate of outpatient goals of care (GOC) conversations in women with gynecologic cancers who are at high-risk of death. METHODS AND MATERIALS: A multidisciplinary team developed an education ... Full text Link to item Cite

Oocyte cryopreservation versus ovarian tissue cryopreservation for adult female oncofertility patients: a cost-effectiveness study.

Journal article J Assist Reprod Genet · September 2021 PURPOSE: In December 2019, the American Society for Reproductive Medicine designated ovarian tissue cryopreservation (OTC) as no longer experimental and an alternative to oocyte cryopreservation (OC) for women receiving gonadotoxic therapy. Anticipating in ... Full text Link to item Cite

Cost-effectiveness of prenatal screening methods for congenital heart defects in pregnancies conceived by in-vitro fertilization.

Journal article Ultrasound Obstet Gynecol · June 2021 OBJECTIVES: To determine if a policy of universal fetal echocardiography (echo) in pregnancies conceived by in-vitro fertilization (IVF) is cost-effective as a screening strategy for congenital heart defects (CHDs) and to examine the cost-effectiveness of ... Full text Link to item Cite

Chemotherapy discontinuation processes in a gynecologic oncology population.

Journal article Gynecol Oncol · May 2021 OBJECTIVE: We sought to categorize the processes by which gynecologic oncology patients stop chemotherapy and to evaluate associations between these processes and end-of-life outcome metrics. METHODS: A cohort of patients with metastatic or recurrent gynec ... Full text Link to item Cite

The cost-effectiveness of ertapenem for the treatment of chorioamnionitis after cesarean delivery.

Journal article J Matern Fetal Neonatal Med · December 2020 Background: Chorioamnionitis affects 1-4% of pregnancies, and patients who undergo cesarean delivery in the setting of chorioamnionitis have an increased risk of endometritis and surgical site infection (SSI). The standard treatment for chorioamnionitis af ... Full text Link to item Cite

Are Videos or Text Better for Describing Attributes in Stated-Preference Surveys?

Journal article Patient · August 2020 OBJECTIVE: In stated-preference research, the conventional approach to describing study attributes is through text, often with easy-to-understand graphics. More recently, researchers have begun to present attribute descriptions and content in videos. Some ... Full text Link to item Cite

Patient preferences for maintenance PARP inhibitor therapy in ovarian cancer treatment.

Journal article Gynecol Oncol · March 2020 OBJECTIVE: To measure preferences of women with ovarian cancer regarding risks, side effects, costs and benefits afforded by maintenance therapy (MT) with a poly ADP ribose polymerase (PARP) inhibitor. METHODS: A discrete-choice experiment elicited prefere ... Full text Link to item Cite

Gender variation in Medicare utilization and payments in gynecologic oncology.

Journal article Gynecol Oncol · September 2019 OBJECTIVES: The Medicare Provider Utilization and Payment Data: Physician and Other Supplier Public Use File (POSPUF) and Medicare Physician and Other Supplier National Provider Identifier (POS NPI) Aggregate Report are publicly available files from the Ce ... Full text Link to item Cite

Reduction in opioid use and postoperative pain scores after elective laparotomy with implementation of enhanced recovery after surgery protocol on a gynecologic oncology service.

Journal article Int J Gynecol Cancer · June 2019 OBJECTIVE: Enhanced Recovery After Surgery (ERAS) protocols are designed to mitigate the physiologic stress response created by surgery, to decrease the time to resumption of daily activities, and to improve overall recovery. This study aims to investigate ... Full text Link to item Cite

Cost-effectiveness of hyperthermic intraperitoneal chemotherapy (HIPEC) at interval debulking of epithelial ovarian cancer following neoadjuvant chemotherapy.

Journal article Gynecol Oncol · May 2019 OBJECTIVES: A recent randomized controlled trial demonstrated an overall survival benefit to the addition of hyperthermic intraperitoneal chemotherapy (HIPEC) to neoadjuvant chemotherapy (NACT) for stage III epithelial ovarian cancer (EOC). The objective o ... Full text Link to item Cite

Hysterectomy with sentinel lymph node biopsy in the setting of pre-operative diagnosis of endometrial intraepithelial neoplasia: A cost-effectiveness analysis.

Journal article Gynecol Oncol · December 2018 OBJECTIVES: Sentinel lymph node biopsy (SLNB) may be considered in the setting of a pre-operative diagnosis of endometrial intraepithelial neoplasia (EIN) due to high rates of concurrent invasive cancer. The aim of this study is to compare the cost-effecti ... Full text Link to item Cite

Disability Weights for Pediatric Surgical Procedures: A Systematic Review and Analysis.

Journal article World J Surg · September 2018 BACKGROUND: Metrics to measure the burden of surgical conditions, such as disability weights (DWs), are poorly defined, particularly for pediatric conditions. To summarize the literature on DWs of children's surgical conditions, we performed a systematic r ... Full text Link to item Cite

Pediatric Neurosurgical Outcomes Following a Neurosurgery Health System Intervention at Mulago National Referral Hospital in Uganda.

Journal article World Neurosurg · November 2016 OBJECTIVE: Pediatric neurosurgical cases have been identified as an important target for impacting health disparities in Uganda, with over 50% of the population being less than 15 years of age. The objective of the present study was to evaluate the effects ... Full text Link to item Cite

Withdrawal effect of chronic amphetamine exposure during adolescence on complex maze performance.

Journal article Addict Biol · July 2014 National survey data suggest a steady increase in the diagnosis and treatment of mental disorders in children, particularly Attention Deficit/Hyperactivity Disorder (ADHD). As nearly all children diagnosed with ADHD are prescribed stimulant drugs, rational ... Full text Link to item Cite