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

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.

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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.

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.

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.

 

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.

woman-recovering-at-home(cut)Advancements in minimally invasive GYN surgery have led to a significant increase in outpatient procedures. A lot of these procedures are performed in ambulatory surgical centers (ASCs), providing high quality outpatient surgical and preventive care at a much lower cost. A growing trend over the last decade has been the decline in inpatient hospital stays, which carry more risks & costs and offer no benefit to the patient over outpatient procedures.

At The Center for Innovative GYN Care all gynecologic procedures are performed in outpatient settings, either at a state-of-the-art ASC or at a hospital depending on each patient’s needs. CIGC fellowship trained minimally invasive GYN surgeons, Dr. Paul MacKoul, MD and Dr. Natalya Danilyants, MD provide highly personalized attention and care.

Recovering from minimally invasive GYN surgery in the comfort of your home means reducing the risks of infection as well as the overall cost of surgery. Learn more about the benefits of minimally invasive GYN surgery in outpatient settings in this recent Tumblr blog: Paul MacKoul MD Explains the Benefits of Outpatient GYN Surgery

When you are ready to go over your options, call 888-SURGERY or contact us online to book a consult. If you are an out-of-town patient, visit our travel program page.

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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.

CIGC patients have kindly agreed to share stories of their improved lives after minimally invasive GYN surgery. We often see women dealing with pain & discomfort from GYN conditions, who have tried everything and have had multiple failed surgeries before coming to CIGC. After being exposed to robotics and open surgery, the idea that a minimally invasive approach is possible can be eye-opening.

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Seeing women like Heidi, Helene, Emily, and Ljubica share their stories with the world can empower other women to ask better questions, and not settle for living a life in pain or unable to conceive.

Check out CIGC patient stories on fibroids, endometriosis & infertility on Dr. MacKoul’s Tumblr.

When you are ready to go over your options, call 888-SURGERY or contact us online to book a consult. Out-of-town patients can still benefit from groundbreaking surgical techniques at CIGC: learn about our travel program. To find out more about CIGC minimally invasive GYN surgeons, check out online patient reviews: Dr. Paul MacKoul Reviews | Dr. Natalya Danilyants Reviews

Recent study shows more than 500,000 women undergo a hysterectomy every year and 1 in 3 is expected to have a hysterectomy by age 60. Too often, women are only given the option of an open hysterectomy for GYN conditions, although new minimally invasive techniques exist. 60% of all hysterectomies are still open abdominal procedures and robotic GYN surgery is becoming more and more common.

Open and robotic hysterectomy procedures are not in the best interest of the patient. Open surgeries have larger incisions, that are more painful, patients require hospital stay for up to a week, and their recovery times are up to 2 months. Robotic GYN procedures have up to 5 larger incisions and post-operative recovery can take up to 1 month.

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It is important that women are aware of all surgical options when it comes to their gynecologic procedure. Advanced minimally invasive techniques, providing better results, are available. Surgical specialists of CIGC Dr. Natalya Danilyants and Dr. Paul MacKoul have developed DualPortGYN, a groundbreaking GYN technique that makes it possible to perform hysterectomies using only 2 tiny incisions. Learn more about the benefits of this approach on Dr. MacKoul’s Tumblr.

Get to know CIGC physicians through online patient reviews: Dr. Paul MacKoul Reviews|Dr. Natalya Danilyants Reviews