Paul MacKoul

Papers

Total Citations

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About

Paul MacKoul is a gynecologic surgeon whose research focuses on advancing minimally invasive surgical techniques for women's reproductive health, particularly in the treatment of uterine fibroids and hysterectomy approaches. His most significant contribution lies in developing and evaluating laparoscopic-assisted myomectomy with bilateral uterine artery occlusion and ligation, a technique that addresses critical limitations of both conventional laparoscopic myomectomy and robotic-assisted approaches, enabling surgeons to safely remove a greater number and size of myomas while reducing complications associated with traditional abdominal surgery. MacKoul has also been a pioneer in championing laparoscopic retroperitoneal hysterectomy, a relatively underexplored technique that incorporates retroperitoneal dissection to improve surgical outcomes. A distinctive thread running through his published work is a commitment to value-based surgical assessment — rigorously comparing operative outcomes against procedural costs to help guide healthcare systems toward greater efficiency and sustainability. His most cited paper has garnered 14 citations, reflecting growing interest in his innovative myomectomy approach. MacKoul's research ultimately serves to expand surgical options for patients while meaningfully contributing to the broader conversation around cost-conscious, high-quality gynecologic care.