When it comes to a fibroid removal procedure, the surgical approach plays a great role in the patient’s recovery. The ability to perform thorough removal with smaller and fewer incisions leads to less complications and post-operative pain. Placement of incisions through the midline of the abdomen, bypassing the lateral abdominal muscles, allows for a safer surgery and a faster recovery.

PM-FibroidRecovery

CIGC surgeons developed the LAAM technique for myomectomy and the DualPortGYN approach for hysterectomy as definitive fibroid removal, to improve surgical outcomes. The use of the smallest incisions possible, including ultra-minilaparotomy, provides remarkable surgical results.

“Ultra-minilaparotomy is considered to be cosmetically superior as the incision is made along the natural cleavage of the skin folds. It is made in the midline and is very small, therefore, sparing the nerves and blood vessels on the lateral edges of the abdomen. It combines the best advantages of open and laparoscopic techniques.” said CIGC’s Rupen Baxi MD.

PATIENT TESTIMONIALS: RECOVERY AFTER ADVANCED FIBROID REMOVAL

CIGC patient and Maryland-based OBGYN, Dr. Valinda Nwadike, chose to undergo DualPortGYN hysterectomy as definitive fibroid treatment. Three days after her surgery, she was delivering babies.

“Dr. Natalya Danilyants advised me to take it easy for a week. The next day my son had a doctor’s appointment at 4PM and I felt well enough to sit with him in the waiting room, and then I went to dinner. Three days after the surgery, I was scheduled to work a 24 hour shift at the hospital, and delivered three babies. I was a little tired, but it didn’t slow me down. The next day, my husband and I drove to North Carolina. My husband drove, and I felt fine during the ride. I was told not to run for a couple of weeks, but I was fine doing boot camp a week later. I didn’t need any narcotics, I didn’t have any bleeding.” Dr. Nwadike said. Her full story is available here.

Lindsay (33) chose to travel from Dallas, TX for advanced laparoscopic myomectomy with the LAAM technique. She went through extensive research to find the option with the best possible outcome.

“My surgery was on a Thursday and I just flew in the day before. I didn’t know what to expect, I thought I was going to be in crazy pain at least for the weekend. But the next day, I woke up, and I felt great. We actually went site-seeing. That was amazing, the day after surgery I was up and moving. I used pain killers for about 3 nights. By the day I got back to Dallas, I was off painkillers. There wasn’t really pain, I just felt sore. It was completely different than I expected.” Lindsay said. You can read her story here.

TALK TO US ABOUT YOUR OPTIONS

A minimally invasive approach to fibroid removal is in the patient’s best interest. Many women residing outside the DC area choose to travel to CIGC for advanced GYN surgery as these procedures allow them to recover faster and to get back to their lives sooner. Patients recover in less than 2 weeks after LAAM myomectomy and within 1 week after DualPortGYN hysterectomy.

To schedule a consult and talk about your options for fibroid treatment, call CIGC at 888-SURGERY or reach out online. CIGC physicians Rupen Baxi MD, Natalya Danilyants MD and Paul MacKoul MD focus 100% on advanced laparoscopic GYN surgery. More patient feedback is available online, on doctor review sites: Dr. Natalya Danilyants Reviews | Dr. Paul MacKoul Reviews | Dr. Rupen Baxi Reviews.

Brittany (30) from Herndon, Virginia had been trying to conceive for four years before coming to CIGC for minimally invasive cyst removal. During surgery, it was discovered she had also been suffering from endometriosis and bowel adhesions. Endometriosis is known to cause infertility as endometrial tissue can affect the ovaries and quality of eggs, and can create toxicity in the lining. After GYN surgery, Brittany got pregnant within a month.

ConnollyFamily

“My daughter is 3 years old now. She is happy, healthy and perfect. It brings tears to my eyes just thinking about the carefulness of the surgery, and being able to keep my ovary and returning to normal within days. I didn’t think that I would end up keeping my ovary and didn’t know if I could ever get pregnant on my own. When that test came back positive my world changed all for the better.” Brittany said.

Read about her journey in this recent blog on Dr. Paul MacKoul’s TumblrBrittany’s Story: Pregnant At Last After Endometriosis Surgery

CIGC surgeons use the advanced DualPortGYN technique to perform procedures like cyst removal, endometriosis excision, hysterectomy a.o. The approach is minimally invasive, with only two 5 mm incisions and 1 week recovery time. You can read additional patient feedback on our website in the patient spotlight section, or online on doctor review sites: Dr. Natalya Danilyants Reviews | Dr. Paul MacKoul Reviews | Dr. Rupen Baxi Reviews.

To book a consult with a CIGC physician, call 888-SURGERY or contact us online.

Heavy menstrual bleeding from GYN conditions like fibroids and adenomyosis is common. Excessive blood loss can cause anemia, and if the patient does not seek treatment, it can lead to potentially life-threatening complications such as congestive heart failure, arrhythmia, angina, and/or heart attack. This recent WTOP articles speaks about the risks and signs women should look out for: Anemia: The life-threatening risks of blood loss from fibroids

OCTOBER-2016-Anemia-for-web-2

CIGC patient Tonya suffered for years from fibroids and adenomyosis, and her symptoms got progressively worse.

“One month, I was hemorrhaging, and then all of a sudden, the bleeding stopped but the pain didn’t. I remember being in the house, and I was very weak. I was very anemic. I walked across the street to a Starbucks, I thought I needed something to eat. As soon as I was in Starbucks, I had to sit down, because I was feeling really dizzy, and really shaky. I went next door to an urgent care and they had to put me into a wheelchair because I couldn’t stand any longer. After all of the tests, they determined I was dehydrated from losing so much blood.”

Tonya’s full story is available here: Tonya Got Her Life Back: CIGC Minimally Invasive Hysterectomy

At The Center for Innovative GYN Care, minimally invasive fibroid removal can be achieved with LAAM myomectomy to preserve fertility or with laparoscopic hysterectomy using the DualPortGYN technique, as definitive treatment for fibroids. Both procedures, developed by Paul MacKoul MD and Natalya Danilyants MD use only 2 small incisions, and post-operative recovery is less than 2 weeks. Women travel from around the country and around the world for CIGC’s advanced procedures. If you are residing outside the DC area and lack minimally invasive options for treatment close to home, look into our travel program.

Follow Us:

Paul MacKoul MD on Facebook | Natalya Danilyants MD on Facebook
Paul MacKoul MD on Twitter | Natalya Danilyants MD on Twitter
Paul MacKoul MD on LinkedIn | Natalya Danilyants MD on LinkedIn

Patient Feedback:
Dr. Paul MacKoul Reviews | Dr. Natalya Danilyants Reviews

Dr. NwadikeDr. Valinda Nwadike, Maryland based OBGYN, has been referring patients to CIGC for years. When she needed to undergo a hysterectomy herself due to fibroids, she chose the DualPortGYN approach.

“Even though I had these symptoms for a few years (heavy bleeding, anemia, and fatigue), I didn’t want to have to take time off of work. I’m a doctor, I’m a mother, and I run. I’m always very active.”

“At work, a nurse on labor and delivery told me she had a robotic procedure with five incisions. LAVH is four incisions. With DualPortGYN there are only 2 incisions and they are practically invisible now. When I went back to work I was showing my colleagues and they couldn’t believe I was walking in the hallways. It really didn’t feel like I had surgery.”

“I would recommend DualPortGYN to anyone. It is the procedure women deserve. It’s revolutionary. If you laid out all the types of hysterectomy that women can have side by side, why wouldn’t you choose this? I was showing my teeny incisions to my colleagues and they were amazed. They all have the CIGC number now and are making appointments.”

You can read more about Valinda’s journey and her experience with DualPortGYN hysterectomy in CIGC’s latest blog here.

The DualPortGYN approach was developed by Dr. Paul MacKoul MD and Dr. Natalya Danilyants MD to improve surgical outcomes and shorten recovery time for patients. The two 5 MM incisions are virtually invisible once they heal, and women are usually back to work within 1 week. You can hear more about the technique from our patients: Women Talk About DualPortGYN

To discuss your hysterectomy surgery, call 888-SURGERY or contact us online to schedule an appointment.

Pelvic adhesions (scar tissue) are usually caused by multiple pelvic/abdominal surgeries, infection, or endometriosis. Scar tissue can grow between two organs in the pelvic area making them stick together. These pelvic adhesions can occur around the bladder, bowel, ureter, uterus and ovaries. They are also more common after open surgery than laparoscopic surgery.

This scar tissue can be completely asymptomatic and not cause any problems. However, when it causes infertility, pain or gastrointestinal problems, such as bloating and constipation, surgical resection should be considered. Thorough resection of pelvic adhesions is essential in order to relieve pain and avoid new adhesions to form.

PM-PelvicAdhesions

 

Pelvic adhesions can involve different organs:

  • Bladder adhesions: these usually form after cesarean delivery. Multiple cesarean deliveries lead to dense adhesions between the bladder and the uterus. In order to avoid recurrent adhesions and pain, removal of the uterus through laparoscopic hysterectomy is recommended.
  • Bowel adhesions: these form after abdominal and pelvic surgeries like myomectomies, or after severe pelvic infection from a ruptured appendix or bowel injury. Careful dissection of the bowel with special scissors is required, and this should only be performed by an experienced surgeon.
  • Endometriosis adhesions: these can form as a result of extensive or longstanding endometriosis and can cause pain and infertility. These adhesions are usually very dense and involve important structures such as the rectum, large pelvic vessels, and ureters, they can be very difficult to resect. If the patient does not wish to preserve fertility, removal of the uterus with or without the ovaries should be considered.
  • Ureteral adhesions: these are adhesions around the tubes that connect the kidneys to the bladder. They are found in severe endometriosis. In rare cases, the extent of damage to the ureter from endometriosis requires ureteral reimplantation.

Resection of pelvic adhesions can be a very complicated procedure. In the hands of an unexperienced surgeon, it can result in injury to surrounding organs and a higher risk of conversion to open surgery. Laparoscopic resection of adhesions is the preferred method because it is safer and leads to less pain and faster recovery for the patient. Patients with severe endometriosis should seek care from a surgeon that is experienced in advanced laparoscopic procedures. Gentle handling of the tissue, minimal blood loss, and minimally invasive surgery decrease the risk of adhesion formation.

At CIGC, we perform minimally invasive resection of pelvic adhesions using the DualPortGYN technique. This approach uses only two 5 MM incisions and recovery time is 1 week. All procedures are performed in outpatient settings, and robotics are never used.

Read Dorran’s story, who was diagnosed with pelvic adhesions from endometriosis, after menopause.

BOOK A CONSULT

To schedule an appointment and get an evaluation with a CIGC specialist, call 888-SURGERY or contact us online. The DualPortGYN technique was developed by Dr. Paul MacKoul and Dr. Natalya Danilyants and has been successfully applied to thousands of GYN procedures.

The Center for Innovative GYN Care has offices in Bethesda, MD, Annapolis, MD and Reston, VA. Patients who reside outside the Washington DC area travel to CIGC for minimally invasive GYN surgery through our travel program.

Follow Us On Social Media:

Paul MacKoul MD on Facebook | Natalya Danilyants MD on Facebook
Paul MacKoul MD on Twitter | Natalya Danilyants MD on Twitter
Paul MacKoul MD on LinkedIn | Natalya Danilyants MD on LinkedIn

 

It is estimated that as many as 500,000 hysterectomies will be performed in 2016. Sadly many of them will be executed with unnecessary invasive, higher risk surgical approach: invasive open hysterectomy, blind vaginal hysterectomy, or robotic hysterectomy. It is important that women look into all treatment options and know the risks associated with each procedure.

Hysterectomy-PaulMacKoul

Open GYN surgery means a large incision and up to 8 weeks recovery time. Open procedures have higher risk of infection and have a higher chance of pelvic adhesions forming due to scarring. There are safer, less invasive procedures for almost all patients and any size uterus, resulting in much faster recovery and less post-operative pain.

Vaginal GYN surgery is a blind procedure. Since there is no line of sight within the pelvis, this approach can cause injuries to surrounding structures. It is also very limited in what can be treated (moderate to large uteri can be difficult to remove). The blind approach also accounts for the inability to see and treat other pelvic problems or to assess for bleeding or complications after surgery.

Robotic GYN surgery is performed with a surgeon sitting at a control panel, away from the patient. The robotic  approach has an increased size and number of incisions vs other laparoscopic procedures and accounts for increased complication rates, more pain and longer recovery. The cost of robotic GYN surgery is significantly higher cost, as compared to conventional laparoscopy.

A recent article published in the Journal of Gynecologic Surgery on November 2015 reports that over a 10-year period, a total of 455 injuries and 177 malfunctions from robotic GYN surgery have been reported. The most common gynecologic procedure, hysterectomy, has lead to both injuries and death.

The Risks & Complications of Robotic GYN Surgery: 10 Year Overview

A BETTER MINIMALLY INVASIVE HYSTERECTOMY: DUALPORTGYN

DualPortGYN hysterectomy is an advanced laparoscopic GYN surgery with only two 5 mm incisions, developed by CIGC’s Dr. Paul J MacKoul and Dr. Natalya E Danilyants. This surgical approach helps control blood loss and map the pelvic cavity and it has been successfully applied to thousands of GYN procedures.

Minimally invasive hysterectomy with DualPortGYN is a safe procedure that allows for very fast recovery and minimal pain. Patients return home the same day and are usually back to work at 7 to 10 days. Learn more about DualPortGYN: A Groundbreaking Approach to GYN Surgery

SCHEDULE AN APPOINTMENT

When you are ready to discuss minimally invasive GYN surgery with a trained laparoscopic surgeon, call 888-SURGERY or contact us online. Don’t hesitate to ask for a second opinion if you were recommended open or robotic surgery. There are better, less invasive options to consider.

Visit InnovativeGYN.com to learn about CIGC surgeons Paul MacKoul and Natalya Danilyants and our highly innovative GYN procedures. For real feedback from our former patients, visit online review sites:   Dr. Paul MacKoul ReviewsDr. Natalya Danilyants Reviews.

You know how important your GYN health is. When struggling with GYN conditions and looking for the best treatment, it’s important to find the right specialist that you can fully trust. Women have access to so many great resources now, starting with recommendations from family and friends, to online sources like doctor review sites, to social media and insurance websites.

Once you have scheduled your first consult, don’t hesitate to ask questions and fully express your concerns. If you are not happy with the information you were provided or the approach that was explained to you, don’t be afraid to walk away and get a second opinion. It is important that you are comfortable with your doctor and trust him or her completely.

Find out more in this recent Tumblr blog: How To Research Your Doctor: Dr. Natalya Danilyants & Dr. Paul MacKoul Patient Reviews

CIGC Patients Lisa Sherri Rashetta Fbk

If you are suffering from symptoms like abnormal bleeding and pelvic pain, consider getting an evaluation with CIGC’s surgical specialists: Dr. Paul J. MacKoul and Dr. Natalya E. Danilyants. Advances in GYN surgery now allow for safe & efficient procedures to be performed in outpatient settings with minimally invasive approach, and excellent surgical outcomes.

Call 888-SURGERY or contact us online when you would like to schedule your consult.

The Journal of Gynecologic Surgery published an article on November 2015 reporting a steady increase in robotic injuries, deaths or device malfunctions based on 10-year statistics. A total of 455 injuries and 177 malfunctions from robotic surgery have been reported within this timeframe, with the most common gynecologic procedure, hysterectomy, leading to both injuries and death.

Under-reporting of robotic complications is a major concern as reports to the FDA are voluntary and there is no clear indication of risks. It is important that patients research the facts and become aware of the risks and complications associated with robotic surgery. The robotic approach is also more expensive and requires more time off for recovery. Be your own best advocate, learn the facts: The Risks & Complications of Robotic GYN Surgery: 10 Year Overview

Robotic-Surgery-Report-card

BOOK AN APPOINTMENT

If your Doctor is recommending the robotic approach for your GYN procedure, get a second opinion. There are safer, cheaper and less invasive options, with faster recovery. Get to know all of your options before committing to a surgical approach. To learn more about CIGC’s innovative procedures, visit InnovativeGYN.com and read online patient reviews: Dr. Paul MacKoul ReviewsDr. Natalya Danilyants Reviews. When you are ready to boook your appointment, call 888-SURGERY or contact us online.

 

2015 has been a remarkable year for The Center for Innovative GYN Care. Many of our patients have shared their experience dealing with complex GYN conditions and finding relief after minimally invasive GYN surgery. As we look back, we are amazed by how many lives have changed for the better and we are so grateful for their continued support in helping others find us. Thank you to all of our patients!

CIGC PATIENTS OF 2015


Heidi

HEIDI, DUALPORTGYN HYSTERECTOMY

At a routine checkup, Heidi was given the diagnosis of potentially cancerous fibroids. She was frightened as she was recommended a complete hysterectomy with robotic surgery, using power morcellation. Heidi decided to seek a second opinion and could not believe she found something so drastically better at CIGC. Read Heidi’s story.


Helene

HELENE, LAAM MYOMECTOMY & ENDOMETRIOSIS EXCISION

Helene has struggled with fibroids for over 20 years, suffering from painful periods and extreme bleeding, as well as back pain, pelvic pain and headaches from anemia. After multiple prior surgeries, nothing ever worked. She decided to try fibroid removal surgery with the LAAM procedure at CIGC. Watch Helene’s video.


Ljubica-and-Aleksandra

LJUBICA, INFERTILITY SURGERY

For several years, Ljubica and her husband had tried fertility treatments unsuccessfully and after 3 failed attempts, they were starting to get discouraged. It turned out she required surgery to remove a fibroid and uterine polyp before beginning IVF. Ljubica had a LAAM procedure for her fibroid and a subsequent polyp removal. She got pregnant naturally shortly after the procedure. Read Ljubica’s story


Rashetta2

RASHETTA, LAAM MYOMECTOMY

Rashetta found out she had fibroids in college. For years, she saw the same doctor who advised to wait and watch, only her pain got progressively worse. The fibroids continued to grow and she actually had a date scheduled to have a hysterectomy, which she cancelled. Rashetta met with Dr. Paul MacKoul and ended up getting the LAAM procedure.  Read more of Rashetta’s story in this Blog and in The Baltimore Times


Gwen-t

GWEN, DUALPORTGYN HYSTERECTOMY

Back in 2011, Gwen had a fibroid the size of an orange, causing her pelvic pain that she had struggled with for years. She had minimally invasive fibroid surgery 4 years ago and feels great speaking about it now. She says she can’t even see where her incisions were and you would never know she had fibroid surgery. Read Gwen’s story.


TRAVEL PATIENTS

Patients travel from all around the country for CIGC’s advanced minimally invasive procedures. So many women have complex GYN conditions that require a specialist, but very few can perform minimally invasive surgery. Read some of our travel patient stories from women who have traveled for surgery with Paul MacKoul MD and Natalya Danilyants MD:

Sherri, New York, NY: Traveling for Fibroid Surgery with Dr. Paul MacKoul

Jenny, Wisconsin: Remove Large Fibroids Safely

Beth, Leesburg,VA: On the Other Side of Endometriosis Pain

BOOK A CONSULT

Get to know us better on InnovativeGYN.com where you can learn about CIGC’s groundbreaking minimally invasive techniques. When you are ready to schedule your appointment and go over your options with an advanced surgical specialist, call 888-SURGERY or contact us online. For more patient feedback, visit online doctor review sites: Dr. Paul MacKoul ReviewsDr. Natalya Danilyants Reviews.

At The Center for Innovative GYN Care we have chosen to NEVER use power morcellators in our minimally invasive GYN procedures. CIGC physicians focus on advanced surgical techniques like DualPortGYN and LAAM to provide a safer, less invasive approach to surgery, without the use of power morcellators. These innovative procedures have been successfully applied to thousands of cases for fibroids, endometriosis, pelvic massesprolapse procedures and cancer.

Power-morcellator-fbk

Power morcellators break down, or “morcellate,” the uterus and fibroids into smaller pieces to allow removal through laparoscopic ports. As the uterus or a fibroid within the uterus may contain a cancer known as a sarcoma, if a sarcoma is present, this approach can potentially spread cancer cells in the pelvic cavity. In July 2015 the FDA held an important meeting to discuss the risks of using power morcellators in GYN surgery and currently discourages their use to remove uterine fibroids and uteri. The truth is, with advanced surgical techniques, power morcellators are not necessary.

To learn more about the risks of power morcellators and CIGC’s advanced surgical techniques, read  Dr. MacKoul’s recent blog on Weebly: Power Morcellators Are Not Necessary In GYN Surgery

CIGC’s advanced laparoscopic surgeons Dr. Paul MacKoul, MD and Dr. Natalya Danilyants, MD have performed over 20,000 GYN procedures and are constantly finding better ways to improve surgical results. Get to know us on InnovativeGYN.com and through online patient reviews: Dr. Paul MacKoul Reviews | Dr. Natalya Danilyants Reviews