Hysterectomy can provide relief from GYN symptoms such as heavy menstrual bleeding, caused by fibroids or adenomyosis. Many women choose to delay surgery due to long recovery times, and not being able to take weeks at a time off work. Hysterectomies are still unnecessarily performed as open by many, with a large incision that can take up to 8 weeks to heel.

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The DualPortGYN approach to hysterectomy surgery uses two 5 mm incisions only, which leads to a much faster recovery for the patient. Most women go back to work in 1 week. This technique was developed by CIGC founders Natalya Danilyants and Paul MacKoul to improve surgical outcomes for women.

“I would recommend this procedure to any woman who needs hysterectomy. It’s safer, quicker, better, in any way.” said Heidi, CIGC patient. Discover the CIGC difference. Learn about the advanced DualPortGYN technique for laparoscopic hysterectomy. 

Hear from our patients: Looking For A Top Hysterectomy Surgery: Women Talk About DualPortGYN

To schedule a consultation with a CIGC physician, call 888-SURGERY, or reach out online. Patient feedback is available in the Patient Spotlight section of our website, and on doctor review sites: Dr. Natalya Danilyants Reviews | Dr. Paul MacKoul Reviews.

April is adenomyosis awareness month. One of the lesser known GYN conditions, adenomyosis, can cause severe pain and bleeding with the menstrual cycle. After attempts at conservative management with medicine and minor temporizing procedures, if the symptoms continue and a woman has completed child bearing, then hysterectomy can be an option. To date, hysterectomy is the only known cure for adenomyosis. Additional information about the disease is available in the Adenomyosis section on the CIGC website, and in this recent blog: Extremely Painful Periods: Adenomyosis Awareness Month.

April-is-Adenomyosis-Month

At The Center for Innovative GYN Care, minimally invasive hysterectomy is performed as definitive adenomyosis treatment, and women typically recover from surgery in 1 week. The DualPortGYN technique used for hyserectomy, innovated by CIGC founders Dr. Natalya Danilyants and Dr. Paul MacKoul, is an advanced surgical technique using only 2 small incisions, allowing for a much faster recovery, with less pain. CIGC adenomyosis patients have shared their journey struggling with symptoms, and finding relief. You can read their stories here:

Kia’s Adenomyosis Pain Felt Like Being Stabbed Every Month
Tiffany D. Needed A Specialist For Multiple GYN Conditions

Patient feedback is also available online, on doctor review sites: Dr. Natalya Danilyants Reviews | Dr. Paul MacKoul Reviews. To schedule a consultation with a CIGC physician, call 888-SURGERY or reach out online. Patients residing outside the Washington, DC area, can look into our travel program.

 

Fibroids affect up to 80% of all women, and many struggle with symptoms for years before seeking surgical treatment. Minimally invasive removal of fibroids can relieve symptoms such as heavy menstrual bleeding and pelvic pain, and women get back to their normal lives in days vs weeks.

Minimally invasive myomectomy is a fertility sparing procedure.  At The Center for Innovative GYN Care, advanced surgical specialists use the LAAM technique to remove fibroids with 2 small incisions.  The LAAM procedure is one of the least invasive and most thorough uterus sparing surgeries for fibroids, and it is only performed on patients who are able to retain fertility. When fertility is no longer a viable option (1% or less), and fibroid symptoms are severe, a myomectomy is not recommended.

Hysterectomy is definitive treatment of fibroids and it is performed at CIGC with the DualPortGYN technique. Women generally recover in 1 week after DualPortGYN hysterectomy, and only two 5 mm incisions are used. A minimally invasive hysterectomy achieves permanent relief from symptoms, as opposed to myomectomy, where additional surgery may be necessary if fibroids recur.

CIGC patient feedback is available in these blogs:

Women Talk About LAAM: A Safer & Better Myomectomy
Looking For A Top Hysterectomy Surgery: Women Talk About DualPortGYN

You can also find patient stories on doctor review sites: Dr. Natalya Danilyants Reviews | Dr. Paul MacKoul Reviews | Dr. Rupen Baxi Reviews.

To schedule an appointment with a fibroid specialist Dr. Natalya Danilyants, Dr. Paul MacKoul or Dr. Rupen Baxi, call 888-SURGERY or reach out online.

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.

Endometriosis affects millions of women, and for many it takes years to get diagnosed. The primary symptom of endometriosis is intense pelvic pain with the menstrual cycle, which can be constant, or it can progress. Women who suffer with severe symptoms every month have a hard time at home, work or school, and they are often seen as unreliable. It can become difficult to explain to teachers or bosses why you repeatedly need time off for a few days each month.

Girl suffering menstrual pains lying on the bed at home

Endometriosis pain is often confused with regular menstrual cramping and symptoms are dismissed in doctor’s offices. The longer it takes to get a diagnosis & treatment, the more damage can occur. Endometriosis causes inflammation and scarring which primarily affects the pelvis, but lesions can spread to other areas of the body. It takes an experienced specialist to recognize the signs and to deliver a proper diagnosis. Thorough excision of all instances of endometriosis is essential to alleviate symptoms and achieve long-term relief.

ENDOMETRIOSIS FACTS

  • It is fueled by estrogen.
  • It primarily creates lesions within the pelvic cavity, but has also been found in other areas of the body like the abdominal cavity, the lungs and the brain.
  • Endometriosis can be deep within the tissue and it can affect nerves.
  • Lesions must be thoroughly removed through excision to alleviate symptoms.
  • Endometriosis can cause pelvic adhesions and cysts to develop.

DIAGNOSIS & TREATMENT

Why some women develop endometriosis and others do not is a mystery. That makes it harder for general medical practitioners to diagnose the condition early, which is important in order to minimize the damage to the reproductive system. Endometriosis specialists have a more complete understanding of the disease, the symptoms, and the damage it can cause.

Endometriosis excision removes the instances of endometriosis. Deep removal of affected tissue is required in order to eliminate the potential for regrowth and to achieve long-term relief. If resection of endometriosis is not thorough or it is performed incorrectly, surgery can actually make the condition worse. At CIGC, minimally invasive resection of endometriosis is performed using the DualPortGYN approach.

THE DUALPORTGYN DIFFERENCE

The DualPortGYN approach was developed by CIGC minimally invasive GYN surgeons Natalya Danilyants MD and Paul MacKoul MD and it uses just two 5 MM incisions. The surgeon who operates is able to see the entire pelvic cavity in order to achieve thorough removal so all instances of endometriosis are removed. The incisions are located in the midline of the abdomen and pelvis, avoiding the muscles, which reduces post-operative pain. Women go home the same day and are usually back to work within 1 week after DualPortGYN surgery.

BOOK A CONSULT

Call 888-SURGERY or contact us online to schedule an appointment with an endometriosis specialist at CIGC. Women who reside outside the Washington DC area travel to CIGC for GYN surgery: learn about our travel program. You can read about our patients’ experience on our website here or on doctor review websites:  Dr. Natalya Danilyants Reviews | Dr. Paul MacKoul Reviews | Dr. Rupen Baxi Reviews.

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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

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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.

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Endometriosis symptoms can start as early as teen years and are often dismissed by medical professionals. It currently takes an average of 10 years for a woman to get diagnosed. Talking about the condition to increase awareness and educate the medical community is essential to help women manage the disease. Early diagnosis is important to help achieve a better quality of life and maintain the ability to conceive. Although there is no cure, hysterectomy has proven to alleviate symptoms and is often considered as treatment.

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CIGC patients have shared feedback about their experience online, on doctor review sites (Dr. Paul MacKoul Reviews | Dr. Natalya Danilyants Reviews) and on our website here. Read their stories:

“You have to take your healthcare into your own hands. When you struggle through multiple doctors and can’t find any answers, it’s important to find a specialist.” said Michelle, who had minimally invasive endometriosis excision and laparoscopic hysterectomy. You can read her story here.

“I had a complete laparoscopic hysterectomy. After surgery with Dr. Danilyants I could tell this time was different. Nothing is slowing me down now, it doesn’t seem like I’m juggling a lot of things. I feel jubilant! Now, I can do anything! ” said Dorran, after her surgery with Dr. Natalya Danilyants. You can read her story here.

“In October 2013 I had my last surgery to remove scar tissue and endometriosis excision to prepare for IVF. I look over to my son Landon right now tearing up and smiling. We are beyond blessed with a beautiful healthy baby boy.” said Janelle, who was able to conceive after minimally invasive endometriosis excision. You can read her story here.

To speak about your options with an endometriosis specialist at CIGC Paul MacKoul MD or Natalya Danilyants MD, call 888-SURGERY or reach out onlineMinimally invasive hysterectomy as well as resection of endometriosis is performed at CIGC using the innovative DualPortGYN technique, with two 5 mm incisions and 1 week recovery time. Women travel from around the country and around the world through our travel program, for these advanced surgical techniques.

 

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.

ON-A-WALK-WITH-DONATO...5-WEEKS-POST-SURGERY-300x296Years ago Washington DC area radio host Chilli Amar lost her mother and grandmother to ovarian cancer. It’s important that women whose immediate family developed ovarian cancer consider genetic testing, as they are at a higher risk to develop the disease. Chilli was genetically tested for mutations in her genes so she can make an informed decision about her health.

“I wanted my story to be different than my mom’s.” Amar said. “The genetic testing showed that I am positive for the BRCA-2 mutation.”

Chilli decided that preventative surgery is the best path for her to take. She spoke candidly in a Washington Post article about her decision to have a complete hysterectomy, to eliminate the risk of her developing ovarian cancer.

“The first time I ever thought about the surgery was when I read Angelina Jolie’s story in the New York Times and I thought how brave she was. Our stories were similar. Her willingness to be open about her procedures made me go to my doctors and ask if this was an option for me.”

CHOOSING CIGC FOR LAPAROSCOPIC HYSTERECTOMY

CIGC surgeons perform minimally invasive hysterectomy using the DualPortGYN technique: an advanced technique, designed to provide better outcomes after GYN surgery and faster recovery for the patient.

 “We put off things because it’s not the right time. When you have such a positive experience, you think ‘Why did I wait?’ My experience at The Center for Innovative GYN Care was incredible. I had a surgery on a Friday morning, and I was off all pain meds in three days, I wasn’t even taking ibuprofen. By the end of the first week, I was able to drive myself on an errand. I was stunned at how fast I had bounced back. You can’t even see the incisions and it’s only been 2 weeks.”

“When you hear minimally invasive, many women don’t really know what that means. I had a consultation with another doctor, and they too had said minimally invasive, 2 incisions. What sets CIGC apart is the placement of the incisions. With DualPortGYN, he doesn’t go through the abdominal muscle. He has a very unique method of performing the surgery. This is why I was driving a week out. I was doing all of those things that other women who had other types of laparoscopic surgery wouldn’t be able to for several weeks.”

RECOVERY AFTER DUALPORTGYN HYSTERECTOMY

DualPortGYN developed by CIGC surgeons Paul MacKoul MD and Natalya Danilyants MD can be used to remove uteri up to 20 pounds, and recovery is only 7-10 days. The approach uses only two 5MM incisions and takes advantage of specialized techniques that help control blood loss and map the pelvic cavity. The incisions don’t have to go through the muscle, and patients experience less discomfort as they heal. You can learn more about the technique in this Q&A: A Q&A On DualPortGYN Hysterectomy With Paul MacKoul MD

 “Everything was sent to Pathology, everything is clear and I have nothing to worry about. I have this complete relief because I’m no longer carrying the fear. To have had the knowledge of what I needed to do, as well as the fortune of being able to be proactive, that is relief I can’t put a price tag on. Now, I can focus on other things and truly live my life.” Chilli said.

One of the benefits of recovering quickly after her DualPortGYN hysterectomy was being able to play with her son and pick him up soon after the surgery.

“I didn’t want to have to miss out on time with Donato while I was home. I was doing this so I can be a mom for a long time, so being able to enjoy that time with him soon after surgery was wonderful.”



TALK TO CIGC

To discuss your hysterectomy surgery with a CIGC physician, call 888-SURGERY or contact us online to schedule an appointment. With the advancement of surgical techniques, women shouldn’t still have to undergo open or more invasive hysterectomies, with up to 6-8 weeks recovery time. Patients travel to the Washington DC are from around the country through CIGC’s travel program to benefit from an advanced surgery, with faster recovery. After DualPortGYN hysterectomy, women are usually back to work within 1 week.

Looking For A Top Hysterectomy Surgery: Women Talk About DualPortGYN

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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

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Dr. Paul MacKoul Reviews | Dr. Natalya Danilyants Reviews