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.

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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.

CIGC’s hysterectomy patient from Maryland – Tracy J. – was struggling with fibroids that caused severe GYN symptoms. Tracy had not been sick before and she first ignored the signs when she first experienced pain and discomfort back in 2012. As years passed, she became extremely anemic due to very heavy bleeding and developed a small embolism in her leg that could have been fatal.

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Click to learn more about Kidney Damage And Other Lesser Known Risks Of Fibroids

“The day I had to call my family and tell them that I was in the hospital with a blood clot, the hospital staff kept telling them that I could have died, which didn’t help their fears. I had an 8-week course of iron infusions. I had a baseline of 5. It’s supposed to be 12.  I realized after that I had adapted to the amount of iron in my system.” Tracy said.

Paul MacKoul MD Explains How GYN Bleeding From Fibroids Can Cause Anemia

A friend spoke to Tracy about us years ago and she decided to reach out and seek surgical treatment when her symptoms got truly severe.

“At this point, I was having this horrendous bleeding, even though the clotting was managed, the bleeding was out of control and my stomach was always swollen. I now had a new job and great insurance, so I called The Center for Innovative GYN Care.”

“After the surgery, I am a one-woman marketing team, a grassroots campaign manager. I took a stack of business cards and I give them to people who I know have GYN problems. I’m happy to be here. I don’t believe in wasting a day. I’ve lost friends at young ages and have known people who have lived into their hundreds. I want to be one who lives a long life.”

Read Tracy’s full story on Dr. Paul MacKoul’s Weebly here: Large Fibroid Causing Blood Clots Brought Patient To CIGC


BOOK A CONSULT

Women struggling with fibroids and looking for minimally invasive treatment, with or without preservation of the uterus, can call 888-SURGERY or contact us online to schedule an appointment. CIGC surgeons Paul MacKoul MD and Natalya Danilyants MD use advanced techniques like  DualPortGYN and LAAM to perform safe and thorough fibroid removal surgery. Patients who reside outside the Washington DC area travel to CIGC through our travel program

LEARN ABOUT US

The CIGC GYN Specialist Advantage
Paul MacKoul MD on Twitter | Natalya Danilyants MD on Twitter
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Dr. Paul MacKoul Reviews | Dr. Natalya Danilyants Reviews

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

Many of our patients travel from out-of-town and from out-of-country for advanced minimally invasive GYN surgery at CIGC. Women who don’t have minimally invasive treatment options for their GYN condition closer to home can now benefit from CIGC’s groundbreaking techniques through our travel program. Innovative procedures like DualPortGYN and LAAM were developed by Paul MacKoul and Natalya Danilyants to improve surgical outcomes for patients and to help them recover faster.

GYN surgery for complex conditions like large fibroids and extensive endometriosis is now possible with only 2 small incisions and recovery in less than 2 weeks. Many times women are recommended open or robotic surgery and this is not longer necessary with advanced laparoscopic techniques.

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We want to make traveling for GYN surgery from long distances as seamless as possible. Read about CIGC’s travel program and contact us online or at 888-SURGERY to book an appointment. CIGC has offices in Rockville, MD, Annapolis, MD and Reston VA.

You can get to know us better on InnovativeGYN.com and through online patient reviews: Dr. Paul MacKoul ReviewsDr. Natalya Danilyants Reviews.

Follow Us On Social Media:

Paul MacKoul MD on Facebook | Natalya Danilyants MD on Facebook
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With up to 80% of women struggling with fibroid symptoms, many come to CIGC looking for a better fibroid removal surgery. When it comes to surgical treatment, many procedures are still performed unnecessarily as open, and untrained specialists recommend hysterectomy when it is unnecessary. It’s important for women to do their research and get to know their options so they can choose a safer, less invasive surgery.

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Women who’ve had LAAM myomectomy with Dr. Paul J. MacKoul, MD and Dr. Natalya E. Danilyants, MD at CIGC talk about their surgical experience and how they have been feeling since.

“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 about her procedure with Dr. Paul J. MacKoul. You can read her full story here.

“I had heard and seen what other women had gone through for fibroid removal. Their recoveries were much longer. I really appreciated the small incisions. I compared what I experienced to other women when I got home, and they were amazed.” said Jenny, who traveled from Wisconsin to Maryland for her LAAM procedure with Natalya Danilyants MD. You can read her full story here.

Read more patient feedback on Dr. Paul MacKoul’s Tumblr here: Women Talk About LAAM: A Safer & Better Myomectomy

To discuss your options for fibroid removal with a CIGC specialist, call 888-SURGERY or contact us online. You can learn more about us on InnovativeGYN.com and through online patient reviews: Dr. Paul MacKoul ReviewsDr. Natalya Danilyants Reviews.

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

Many CIGC patients struggling to conceive have found that GYN surgery for conditions like fibroids or endometriosis can often clear the path to motherhood. Fibroids affect up to 80% of women and they can interfere with a woman’s ability to conceive and carry to term. Endometriosis affects more than 5 million women in the U.S. and it is the leading cause of female infertility. Fertility investments can be expensive and it is important to diagnose and treat GYN conditions early in order to prevent future damage.

CIGC patients have agreed to share their stories and talk about their journey to motherhood.  Ljubica got pregnant naturally after LAAM myomectomy; and Janelle got pregnant with IVF after minimally invasive endometriosis excision. Read their inspiring stories and learn more about GYN conditions affecting fertility in in Dr. Paul MacKoul‘s Tumblr blog: CIGC Patients Get Pregnant After Infertility Surgery For Fibroids & Endometriosis

If you would like to get a GYN evaluation with a CIGC specialist, call 888-SURGERY or contact us online. To learn about CIGC and our innovative approach to infertility surgery, visit InnovativeGYN.com and read online patient reviews: Dr. Paul MacKoul ReviewsDr. Natalya Danilyants Reviews.

Follow Us On Social Media:

Paul MacKoul MD on Facebook | Natalya Danilyants MD on Facebook
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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.


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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.

A common approach to managing fibroids is the “watch and wait method. This is in fact an outdated philosophy as letting fibroids grow can increases the risks of miscarriages and infertility as well as severe GYN symptoms like abnormal bleedingpelvic pain, bloating and uterine distortion. Large fibroids can even put women at risk for a hysterectomy.

The location of the fibroid, and not its size, is the key factor when it comes to fertility. Fibroids growing within the uterine lining, or developing within the muscle, can distort the uterine cavity. The result is often difficulty conceiving and a higher risk of miscarriage.

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Current advancements in minimally invasive GYN surgery make it possible to safely remove fibroids with only 2 small incisions and repair the uterus by hand to ensure it heals properly for future fertility. The innovative LAAM technique was developed at CIGC by surgical specialists Paul MacKoul MD and Natalya Danilyants MD.

Find out more about the connection between fibroids and fertility and the risks of delaying fibroid treatment in Dr. MacKoul’s recent Tumblr blog: Letting Fibroids Grow Can Lead To Infertility.

Visit InnovativeGYN.com to learn about CIGC’s groundbreaking surgical techniques: LAAM and DualPortGYN and call to schedule your appointment today. See what other patients have to say on doctor review sites: Dr. Paul MacKoul Reviews | Dr. Natalya Danilyants Reviews.

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Gwen T, fibroids patient at The Center for Innovative GYN Care, 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. Gwen was happy to share her experience with us and talk about how she’s been feeling since.

Back in 2011, Gwen had a fibroid the size of an orange, causing her pelvic pain that she had struggled with for years.

“Every month I would suffer with pain around my menstrual cycle, but it wasn’t in my pelvis. I was getting pain in my hip and my back. There were times I couldn’t get out of bed. At the time I didn’t know what it was, but it was affecting my lifestyle, crippling me.”

Dr. Paul MacKoul performed laparoscopic hysterectomy using DualPortGYN, an innovative surgical technique that uses only two 5mm cosmetically placed incisions. The scars are practically invisible after healing.

“I have no scars. Some women are scared about big scars, but patients considering surgery need to know that I had no drainage, and went home with 2 small bandages. I was back to work in four days. I work as an office manager in a doctor’s office, and it’s light duty, and low stress, so I had no problem returning to work earlier than planned. I’m looking forward to wearing a bikini some day!”

Many women find they have the drive to pursue new activities after recovering from GYN surgery. Following her DualPortGYN hysterectomy, Gwen found the energy to further her education.

“Since my surgery, I was able to get my Masters of Arts Degree and am a licensed Clinical Christian Counselor, with 4 board certifications. I’m pursuing a Ph.D in 2016.”

After minimally invasive GYN surgery at CIGC, many of our patients engage in new activities, travel to places they have always wanted to visit and take more time to spend with their families and loved ones.

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If you are dealing with abnormal bleeding or pelvic pain, contact us to schedule an appointment and go over your options. CIGC minimally invasive GYN surgeons Paul MacKoul MD and Natalya Danilyants MD have performed over 20,000 GYN procedures and are constantly finding better ways to improve outcomes for patients. To see feedback from other CIGC patients, read online patient reviews: Dr. Paul MacKoul Reviews | Dr. Natalya Danilyants Reviews.