Regina R. from Los Angeles, CA was diagnosed with fibroids years ago and was told she needs to have a hysterectomy. At the time, she was not ready to consider this procedure and decided to wait. She actually found a doctor in Beverly Hills, CA who said he could shrink fibroids with a tool that he had invented. When Regina went to see this doctor, he raised several red flags for her.

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“He said ‘I can’t do the procedure on you, because there is literally no room in your abdomen to even put the tool in there. Your uterus is the size of 30 week pregnancy. You should have back pain, acid reflux.’ and he was looking at me in disbelief. That freaked me out. He said ‘You really need to take care of this. You can damage your kidneys. Your organs don’t have any room. The fibroids have filled in whatever space was left.’” Regina recounted.

 “I drove home so upset. All of a sudden I was feeling the fibroid, whereas before this I hadn’t even noticed it. I do yoga 4-5 times per week. I was doing backbends and running around. I do power yoga for an hour and a half every day. I was doing 50 sit-ups at one point, and doing arm balances and headstands. I’ve been doing it for 6 years and I’m pretty advanced.”

“Once I got home I knew I had to take care of this. The trauma of open surgery wasn’t something I wasn’t willing to go through, especially still not having any noticeable symptoms, except that I didn’t have a flat stomach. It was pure vanity that started the whole thing. I still kept feeling like I didn’t need to do this, but at the same time I knew I did.”

CHOOSING TO TRAVEL FOR MINIMALLY INVASIVE HYSTERECTOMY

Regina’s doctor was only able to perform an open surgery, with 4-5 days in the hospital and 8 weeks recovery time. She researched her options online hoping to find a better approach and discovered CIGC.

“Reading all of the blogs and hearing these women’s testimonials, I realized I could do that. There is the expense of flying and hotel, but in the end it’s my body. My only options were open surgery here or flying to Washington, D.C. It was a no-brainer. After reading every person’s comments and blogs, and procedures, and looking up reviews on both doctors, I felt comfortable enough to say ‘I’m doing it.’ Mentally, I was now feeling the fibroid. I was ready to get it out of me and move on.” Regina said.

“I have a friend who is a gynecologist, who just told me to have the open surgery in LA. She said there was no way they could remove a uterus that big laparoscopically. My husband is good friends with her husband, and he was at their house prior to it. She kept saying ‘There’s absolutely no way they can do that. Don’t let her go!’ My husband stood firm saying ‘She’s done her research, I trust her and back her up.’”

LAPAROSCOPIC HYSTERECTOMY WITH DUALPORTGYN AT CIGC

With the DualPortGYN technique, minimally invasive hysterectomy can be performed for a uterus up to 20 pounds. Because of the minimally invasive approach, only two 5 MM incisions, recovery is minimal – 7 days. DualPortGYN hysterectomies use a specialized technique called retroperitoneal dissection that helps control blood loss and maps the pelvic cavity so the surgeon is able to fully visualize the pelvis.

“Open surgery was never even discussed. He does this surgery all the time, and it was business as usual. The phone consultation was very direct. I wanted someone straightforward for whom this kind of surgery is no big deal. I want to be one of a thousand, not one of a few.”

“The surgery was complex. When Dr. MacKoul came back in to talk to me he said that the ureter was wrapped around the uterus on both sides and some of the other organs were on top of it. I definitely needed to take care of it. It was remarkable. I obviously had a stomach, but I didn’t realize that the fibroid was going past my hipbone or my rib cage. It was the shape of a giant jellybean. After the surgery, my stomach is totally flat now.”

HAPPY WITH HER DECISION TO TRAVEL FOR SURGERY

The decision to travel for surgery is not an easy one to make, especially when family and friends have their doubts and try to change your mind. Regina however felt confident in her choice and went all the way. She recovered quickly after her laparoscopic hysterectomy, with very limited pain.

“I’ve been taking it easy, I’m basically back to normal, I didn’t really take any pain medication except to go to sleep the first couple of nights home. I’m totally feeling fine! People come to see me and it’s so weird because you don’t look like you’ve had surgery! I keep forgetting that I’ve had major surgery, you feel the incision a little bit, but it’s not anything that keeps me from doing anything.”

“Coming from a large city in LA where you can find an expert on everything, and having family and friends not understanding why I was going literally across the country for this procedure, my family especially was very uneasy. We are used to having everything within driving distance and even when I explained it to them, they couldn’t understand.”

“As the time got closer, it was a mental thing, I hadn’t met the doctor in person, I haven’t been to this hospital before, of course you get nervous. However, from the time that I called, to get information, to get my insurance approved, to speaking to the doctor, to having Emily call me and schedule the surgery, to the follow-ups for the lab work I needed, to the email communication, everything was so professional and so perfect. I didn’t have to worry about thinking about anything. The only thing I had to worry about was getting a flight and getting a hotel room.”

BOOK A CONSULT

If you would like to discuss your DualPortGYN hysterectomy with a CIGC specialist Dr. Paul J. MacKoul or Dr. Natalya Danilyants MD, call 888-SURGERY or contact us online. 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 through our travel program.

GET TO KNOW US

CIGC: Who We Are
The GYN Specialist Advantage
Dr. Paul MacKoul Reviews | Dr. Natalya Danilyants Reviews
Paul MacKoul MD on LinkedIn | Natalya Danilyants MD on LinkedIn

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.

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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.

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Azundai, LAAM patient at CIGC, had been diagnosed with fibroids back in 2012, but was advised to watch and wait. It’s important to note this is an outdated approach and it is not effective as fibroids can grow and cause problems if left untreated. Azundai waited for three and a half years and then in 2015, decided to begin her search for the best fibroid surgery.
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Having confidence in the GYN specialist who will perform your fibroid removal procedure is a very important part of your care. You need to be able to trust that your doctor will address your concerns and that the outcome of the surgery will be the best possible one. While many doctors specialize in OB/GYN care, they are not fully trained on minimally invasive GYN surgery for complex conditions. Getting a second opinion can be essential.

RESEARCHING YOUR OPTIONS FOR FIBROID TREATMENT

Azundai researched her options online, trying to find the right approach for her. There are new techniques to treat fibroids that are non-invasive, but they can affect fertility, and fibroids can continue to grow if they are not removed.

“The more I read online, the more scared I got. I read that fibroids could be treated with ultrasound, but that doesn’t cure them. I was shot down by one doctor because I had more than 4 fibroids. I thought about hormone therapy. Confused and frustrated, I cried out and prayed earnestly to God for the right answer to my healing. Putting my fear aside, I decided to keep faith and hope for a successful surgical approach and outcome. I finally started looking at surgeons and found one doctor that specialized in myomectomies, but they were open procedures. I thought about going to Chicago to get radiofrequency ablation, but above all of my requirements I wanted to maintain my fertility. I didn’t want to have a hysterectomy. I wanted to be able to have a chance to be the mom I know I can be.” Azundai said.

LAAM MYOMECTOMY WITH PAUL MACKOUL MD AT CIGC

“I was already scheduled for the open myomectomy. My new boss introduced me to another of my colleagues who had just had a myomectomy.  Once I talked to this colleague, she told me about The Center for Innovative GYN Care, and Dr. Paul J. MacKoul and Dr. Natalya E. Danilyants, and she gave me the website. I found that the CIGC website’s information answered my questions and eased my fear of having surgery, which was something I never had to have in my 32 years of life.”

Azundai came to us and was scheduled to have a minimally invasive LAAM myomectomy. LAAM takes the best elements of both laparoscopic and open approaches for myomectomy, using only two small incisions. Fibroids of any size, number, or location can be removed with this approach and the recovery time is less than 2 weeks.

“No large incision! I have to look for it. I was back to work in 2 weeks. I had 17 fibroids removed. Three of them were really big. I felt excavated, all of the junk removed. It feels so liberating to have them all out.” said Azundai after her surgery.

BOOK AN APPOINTMENT WITH FIBROID SPECIALISTS OF CIGC

If you would like to schedule an appointment and go over your options for minimally invasive fibroid removal, call 888-SURGERY or contact us online. Women travel from all across the country for innovative GYN procedures like LAAM and DualPortGYN through CIGC’s travel program.

To learn more about us, visit InnovativeGYN.com and read online patient reviews: Dr. Paul MacKoul ReviewsDr. Natalya Danilyants Reviews.

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CIGC patient Michelle had been struggling with rectal bleeding with her cycle before coming to see us. Her symptoms were getting progressively worse for nearly 3 years. She saw  a general practitioner, a gastroenterologist and an OB/GYN and none of them was able to recognize the signs of ‪endometriosis. They dismissed her symptoms and could not provide treatment. Michelle was in great pain, feeling hopeless and desperate.

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At a very low point, she heard HOT 99.5 DJ Danni Starr talk about CIGC and decided to call right then. She scheduled her consult with The Center for Innovative GYN Care endometriosis specialist Dr. Paul MacKoul who performed minimally invasive endometriosis excision using DualPortGYN. Read Michelle’s full story on Paul MacKoul’s Weebly.

To get evaluated by a minimally invasive GYN specialist at CIGC, call 888-SURGERY and schedule an appointment or contact us online. Women travel from all over the country for CIGC’s advanced GYN procedures. Get to know us better on InnovativeGYN.com and through online patient reviews: Dr. Paul MacKoul ReviewsDr. Natalya Danilyants Reviews.

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.

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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

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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

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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


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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.


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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


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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


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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.

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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

Christine_CIGC2Regardless of how early it is caught, the diagnosis “endometrial cancer” is scary. Christine from Altoona PA was diagnosed earlier this year and she knew she needed a hysterectomy. Her regular practice only gave her the option to have an invasive open surgery, with 6 weeks recovery time, which she did not want. Christine had concerns. She felt she was not getting answers to her questions and was not involved in the decision process regarding her GYN procedure.

Christine started to research other options and found out that a minimally invasive procedure was possible at CIGC with DualPortGYN hysterectomy using only two 5mm incisions. The recovery time for this procedure is only 10 days.

Christine had her minimally invasive hysterectomy in November and was relieved to find out post-op that the cancer had not spread anywhere else. Read her full story in Dr. MacKoul’s recent Tumblr blog: CIGC Patient Has Successful Laparoscopic Hysterectomy For Endometrial Cancer

CIGC surgeons Dr. Paul MacKoul and Dr. Natalya Danilyants have performed over 20,000 GYN procedures and are constantly finding better ways to improve surgical outcomes. To learn more about CIGC’s groundbreaking procedures, visit InnovativeGYN.com Patient reviews are available online on reputable doctor review sites: Dr. Paul MacKoul Reviews | Dr. Natalya Danilyants Reviews.