M.L. Sprague

Papers

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About

M.L. Sprague is a clinical researcher whose work focuses on improving surgical outcomes in gynecologic minimally invasive procedures, particularly robotic and laparoscopic hysterectomy. Their major contributions center on two critical postoperative complications: vaginal cuff dehiscence and urinary retention. In their highly cited 2018 study, "Laser Angiography to Assess the Vaginal Cuff During Robotic Hysterectomy" (11 citations), Sprague pioneered the use of laser angiography to evaluate vascular perfusion of the vaginal cuff, addressing the hypothesis that vascular-mediated events may underlie the higher dehiscence rates observed after robot-assisted total laparoscopic hysterectomy. This work established a novel method for intraoperative assessment that could reduce serious complications. Sprague also conducted a randomized controlled trial (2020, 7 citations) comparing autofill versus backfill void trial protocols for postoperative urinary retention after total laparoscopic hysterectomy, providing evidence-based guidance for postoperative care. Their research directly impacts surgical safety and patient recovery, offering practical solutions to common challenges in minimally invasive gynecologic surgery.