Recent study shows more than 500,000 women undergo a hysterectomy every year and 1 in 3 is expected to have a hysterectomy by age 60. Too often, women are only given the option of an open hysterectomy for GYN conditions, although new minimally invasive techniques exist. 60% of all hysterectomies are still open abdominal procedures and robotic GYN surgery is becoming more and more common.
Open and robotic hysterectomy procedures are not in the best interest of the patient. Open surgeries have larger incisions, that are more painful, patients require hospital stay for up to a week, and their recovery times are up to 2 months. Robotic GYN procedures have up to 5 larger incisions and post-operative recovery can take up to 1 month.
It is important that women are aware of all surgical options when it comes to their gynecologic procedure. Advanced minimally invasive techniques, providing better results, are available. Surgical specialists of CIGC Dr. Natalya Danilyants and Dr. Paul MacKoul have developed DualPortGYN, a groundbreaking GYN technique that makes it possible to perform hysterectomies using only 2 tiny incisions. Learn more about the benefits of this approach on Dr. MacKoul’s Tumblr.
Women dealing with fibroids often choose to delay surgery due to fear of open procedures or risks associated with robotic surgery and power morcellators. It is essential that patients do their own research to identify all possible options for gynecologic care. Learning the facts about fibroid surgery and available procedures can help avoid unnecessary pain and get you back on your feet sooner.
The fibroids themselves:The size, number and location of fibroids determine the type of surgery. Fibroids can occur anywhere in the uterus, most develop from the muscle or myometrium, while cervical fibroids are quite rare.
The patient’s future plans: The most definitive fibroid removal surgery is hysterectomyas fibroids often return after surgery. If childbearing is still desired and retaining the uterus is important to the patient, a myomectomy is recommended. It is essential for women who are intending to retain their uterus to have the most minimally invasive myomectomy possible, as the probability of these women requiring subsequent fibroid removal surgery is very high.
The surgeon’s skill:Minimally invasive fibroid removal is possible even for women dealing with large fibroids or many fibroids. Fibroid surgery does not have to be limited to open or robotic procedures.
Fellowship trained surgeons of CIGC Natalya Danilyants MD and Paul MacKoul MD have developed an innovative fibroid removal procedure, taking the best of open and laparoscopic procedures, without the use of a robot or power morcellator. LAAM myomectomy uses 1 tiny incision at the belly button for a laparoscope, and a slightly larger incision, about an inch and a half at the bikini line. The surgeons are able to feel and remove all of the fibroids and patients generally recover in 10 days to 2 weeks.
Find out more about LAAM and women who have had large fibroids removed with this groundbreaking procedure:
Call 888-SURGERY or contact us online to schedule an appointment and go over your options for gyn care. Out-of-town patients can benefit from innovative GYN surgery in the DC area through the CIGC travel program.
Back in 2004 Sherri C, now living in New York, NY, dealt with symptoms from a large fibroid. She had moved from FL to MD and her OB/GYN at the time referred her to see Dr. Paul MacKoul for minimally invasive fibroid surgery. Though minimally invasive surgery had been around for a while, this procedure was still a fairly new advancement as it would only leave a small scar.
Fibroids often recur after a myomectomy. Years later, as Sherri moved to New York, new fibroids started to grow. Every doctor in New York recommended a hysterectomy, although Sherri wanted to preserve fertility. Traveling for fibroid surgery was not out of the question for her. As New York came up short with minimally invasive options, she expanded her research and returned to CIGC.
“I decided to try to get in touch with Dr. MacKoul. I had researched the procedure on the website and knew that it was minimally invasive fibroid removal but, I was surprised at how fast everything was. I wanted first available. From the time I first talked to Dr. MacKoul to talking to the surgical coordinator, my surgery was scheduled for 2 weeks later.”
We treat women from all around the world, suffering from fibroids, endometriosis and other complex GYN conditions. Out-of-town patients can still benefit from innovative GYN procedures at CIGC through our travel program.
The Best GYN Surgery With The Fastest Recovery Is A Car, Train or Plane Ride Away
According to the National Institutes of Health, fibroids, endometriosis and other common GYN conditions represent an important health concern due to the large number of women affected. By age 50, between 70% and 80% of American women will develop uterine fibroids, which cause heavy bleeding & pain, and can even lead to infertility or miscarriages. Now more than ever it’s important to do your research and find the best options for your GYN care, so you can live a pain free life and focus on the things you truly love.
At The Center for Innovative GYN Care, minimally invasive GYN surgeons treat women from all around the world, suffering from complex GYN conditions. The CIGC approach is unique as it is focused on innovative surgical techniques, with remarkable outcomes. Patients recover in days vs weeks following minimally invasive procedures that keep incisions as small as possible and cause the least amount of pain. Most surgeries are performed in an outpatient setting, so patients can return home the same day.
SAFER MINIMALLY INVASIVE GYN PROCEDURES IN AN OUTPATIENT SETTING
PATIENTS WHO TRAVEL TO CIGC GET BACK TO THEMSELVES FASTER
Jenny from Wisconsin travelled to CIGC for a safer fibroid surgery. She is a physical therapist assistant to the elderly who struggled with uterine fibroids. Her doctors recommended a hysterectomy and were not willing to perform a minimally invasive procedure. Jenny discovered CIGC online and found out that she had much better options. She traveled to DC to have minimally invasive fibroid surgery and by 3 weeks, felt completely normal and enjoyed getting back to what she loves. Read Jenny’s full story to find out more about her journey.
LEARN MORE ABOUT THE CIGC TRAVEL PROGRAM
The Center for Innovative GYN Care in the Washington DC area is your destination for minimally invasive GYN surgery. Even if you live outside the DC area, you can still benefit from groundbreaking gynecologic procedures at CIGC through our travel program. We have a lot of patients who travel for our unique advanced surgical techniques and we want to make this experience as seamless as possible. Learn more about the CIGC program for out-of-town patients on our website and give us a call at 888-SURGERY today.
Before minimally invasive techniques, GYN surgery took a huge toll on a woman’s body. Patients expected recovery from gynecologic surgery to take 2 months or longer. As surgical approaches have improved, post-op recovery has been reduced to weeks vs months. At The Center for Innovative GYN Care, surgical specialists have gone even farther, helping patients return to their normal lives in days.
Not all physicians devote time to train in minimally invasive laparoscopic techniques. Many doctors choose to remain in their comfort zone and still perform open surgeries. Finding a surgeon who focuses on minimally invasive GYN procedures is imperative to a better, faster recovery.
CIGC fellowship trained specialists have redefined minimally invasive GYN surgery to 2 small incisions for all procedures. This means patients can often have surgery and go home the same day. They return to their normal lives within days rather than weeks after the procedure. Cancer patients are able to begin additional therapies sooner and with a positive outlook that comes with faster recovery. Choosing highly-trained surgeons who specializes in advanced laparoscopic surgeries can mean relief not only of pain, but of worry.
DualPortGYN is most effective, least invasive GYN surgery available worldwide. Using only 2 cosmetically placed 5mm incisions and a technique called retroperitoneal dissection to completely identify the pelvis, CIGC surgeons can provide better surgical outcomes and faster recovery for most GYN conditions.
LAAM is the most minimally invasive myomectomy and the safest fibroid removal surgery, with preservation of the uterus. It can be performed via 2 small incisions on any patient regardless of fibroid size, number, or location and most are done in an outpatient setting.
Learn as much as you can about the different gynecological procedures available to you, so that when you choose your surgeon, you understand the procedure and recovery times, as well as potential complications. For many patients, knowing that they can get back to their lives faster can change their entire outlook on surgery.
We treat women from all around the world, suffering from complex GYN conditions. Even if you are not from the DC area, you can still benefit from groundbreaking procedures at CIGC: learn about our travel program.
If you have suffered from pelvic pain for an extended period of time without knowing the cause, a diagnostic laparoscopy might be indicated. Women who are misdiagnosed can go through several rounds of wrong treatment, costing them time, money and possibly even worse consequences on their overall health.
If a patient has endometriosis, which is the most common cause of chronic pelvic pain, diagnostic tools like ultrasound, CT or MRI may not be able to detect the nature or severity of the condition. A diagnostic laparoscopy allows for a small thin camera to be inserted into the abdomen where the entire pelvis can be inspected and suspicious lesions can be resected for a diagnosis.
MANAGEMENT OF ENDOMETRIOSIS
Endometriosis is a unique GYN condition, hard to manage medically. Management of pain from endometriosis can be done with the help of with analgesics and hormonal suppression, which is used to treat symptoms. This however does nothing to improve fertility, treat adhesions, or resolve endometriomas.
Depending on the severity of the condition and the patient’s desire to preserve fertility, hysterectomy does not have to be the only option. Endometriosis removal is conservative surgery, focusing on removing endometriosis and improving symptoms, while preserving the uterus, tubes and ovaries as much as possible. This approach improves pain, but it does not cure endometriosis.
Hysterectomy with or without removal of the ovaries is for women who do not desire fertility or for women for whom conservative surgery has failed. Performing a hysterectomy will remove the uterus, and can often prevent endometriosis from returning. However, if the endometriosis has spread beyond the immediate pelvic area, or if endometriotic lesions or endometriomas are missed, there is a chance that it will continue to spread.
Endometriosis is a painful and complicated GYN condition. Getting diagnosed early is important and for patients who are found NOT to have endometriosis, the diagnostic laparoscopy may help avoid a long course of medical therapy directed toward the wrong diagnosis.
Choosing the right surgeon is one of the big decisions a patient will make once diagnosed with uterine or endometrial cancer. It is important to know that a skilled laparoscopic GYN specialist can perform minimally invasive surgical procedures that lead to a much faster recovery and less pain. The sooner a patient recovers from surgery, the sooner she can begin additional therapies. Ensuring that all stages of treatment and recovery are well managed results in a better overall experience, limiting pain and complications that can make the process so much more difficult to go through.
ABOUT UTERINEAND ENDOMETRIAL CANCERS
Cancers can occur in either layer of the uterus: the body – called the myometrium or the lining – called the endometrium. Cancers are defined both by their type and location. Per the American Cancer Society, the 2 main types of cancer of the uterus are: uterine sarcomas, which start in the muscle layer or supporting connective tissue of the uterus and endometrial carcinomas, which start in the cells of the inner lining of the uterus.
MINIMALLY INVASIVE SURGERY FOR UTERINE CANCER PATIENTS
Trained laparoscopic specialists at The Center for Innovative GYN Care perform minimally invasive procedures that result in short or no hospital stay at all, with a fast recovery and minimal pain. As recovery is faster with the innovative DualPortGYN technique by Dr. Paul J. MacKoul MD, patients feel less sick post-surgery, which helps greatly create an optimistic outlook.
With all the changes the body goes through during cancer therapies, patients can have some peace of mind knowing that CIGC techniques help them walk away with minimal scarring. Feeling better physically and mentally has a great impact on making the whole process more tolerable.
There are many different types of treatment depending on the stage and grade of cancer. CIGC surgeons will assess and choose the best option and will help you fully understand your condition and treatment plan. Learn more about highly trained GYN surgical specialists from real patients: Dr. Paul MacKoul Reviews | Dr. Natalya Danilyants Reviews. Call 888-SURGERY or go online to schedule an appointment today.
Every woman is different, and treatment for menopause symptoms aren’t one size fits all
During perimenopause and menopause, choosing the right treatment can help to alleviate some uncomfortable symptoms. For many women, simple lifestyle modifications can be very helpful (dressing in layers, plenty of air circulation, and use of vaginal lubrication), but for others, hormone replacement therapy (HRT) may be more effective.
Depending on your age and whether or not you have had a partial or full hysterectomy, when deciding on hormone replacement therapy, it should be tailored to your unique needs. Estrogen-only HRT is safer than combination HRT, but should only be taken by women who have had a hysterectomy. Estrogen causes the lining of the uterus to thicken, without the balancing effects of progesterone. This can increase the risk for endometrial cancer. Women who have a uterus must have HRT as an estrogen and progesterone combination.
Menopause symptoms can be debilitating for some women. Working closely with your doctor, it’s best to understand YOUR personal risks, so that you can make the most informed decision.
Additional resources for understanding menopause symptoms and reviewing treatment options