Former CIGC patient Sherri C, now living in New York, was struggling with a large fibroid 10 years ago and was looking for minimally invasive treatment options in Maryland. She chose to have a myomectomy procedure for her fibroid removal, to preserve fertility. As fibroids often return after a myomectomy, Sheri struggled with fibroids again 10 years later, when she was living in New York. NY came up short with minimally invasive options for her surgery and Sherri decided to travel back to Maryland for LAAM myomectomy with Paul MacKoul MD. Read Sherri’s story on CIGC’s blog: Traveling For Fibroid Surgery With Dr. Paul MacKoul, MD

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Get to know us on InnovativeGYN.com and through online patient reviews:Dr. Paul MacKoul Reviews| Dr. Natalya Danilyants Reviews. Women residing outside the DC area can benefit from groundbreaking procedures at CIGC through our travel program. When you are ready, call 888-SURGERY to book your appointment or contact us online.

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


Heidi

HEIDI, DUALPORTGYN HYSTERECTOMY

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


Helene

HELENE, LAAM MYOMECTOMY & ENDOMETRIOSIS EXCISION

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


Ljubica-and-Aleksandra

LJUBICA, INFERTILITY SURGERY

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


Rashetta2

RASHETTA, LAAM MYOMECTOMY

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


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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

GYN conditions like fibroidsendometriosispelvic adhesionsuterine polyps or inflammation of the fallopian tubes (hydrosalpinx) can affect a woman’s ability to conceive and carry to term. Many suffer through difficulty getting pregnant or miscarriages only to realize that they have a gynecologic condition that could have been treated. A fertility evaluation by a GYN specialist early on can often make all the difference and pave the way to a healthy and successful pregnancy.


At CIGC we partner with reproductive endocrinologists to ensure patients have the best possible care from surgery to fertility treatments. Some women are actually able to conceive naturally after minimally invasive infertility surgery at CIGC.


INFERTILITY & FIBROIDS

Uterine fibroids can significantly affect pregnancy rates and are a very common cause of infertility. Letting fibroids grow can create severe GYN symptoms like abnormal bleedingpelvic pain, bloating and uterine distortion and can actually put women at a higher risk for a hysterectomy. Fibroid removal surgery increases the success rates of spontaneous pregnancy, intrauterine insemination, and in vitro fertilization.


INFERTILITY & ENDOMETRIOSIS

Endometriosis can affect fertility in multiple ways. The body responds to endometriosis by releasing excess inflammatory cells, which can cause pain, or create pelvic adhesions preventing conception. The inflammatory cells can potentially affect sperm function or impair the function of the fallopian tubes. The surgical management of endometriosis can be difficult and complex. Learn about endometriosis treatment to improve fertility.


INFERTILITY & HYDROSALPINX

The inflammation of the fallopian tubes is known as hydrosalpinx, a condition where fluid swells the tubes, making it difficult for women to get pregnant. There are multiple causes of inflammation like pelvic infections or fibroids obstructing the tubes or prior surgery causing scarring to the tubes. If the tubes are blocked most fertility doctors recommend IVF to bypass them. Learn more about the function of the fallopian tubes.


INFERTILITY & UTERINE SCARS/POLYPS

Many patients have had surgery to the uterus that results in the formation of scar tissue in the uterine cavity, which can prevent the implantation of the embryo. Removal of the scar tissue by a minimally invasive GYN specialist can allow for pregnancy to occur. Learn about removing scars or polyps from the uterus to improve pregnancy rates.

BOOK A CONSULT

At The Center for Innovative GYN Care, our advanced laparoscopic techniques are designed to provide safe and efficient minimally invasive treatment, with recovery in days rather than weeks. To get an evaluation with a CIGC specialist Dr. Paul MacKoul MD or Dr. Natalya Danilyants MD, call 888-SURGERY or contact us online. CIGC has offices in Bethesda, MD, Annapolis, MD and Reston, VA. Patients who reside outside the area travel to Washington DC for minimally invasive GYN surgery through our travel program.

CIGC Patients Get Pregnant After Infertility Surgery For Fibroids & Endometriosis

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
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If you are planning to conceive and struggle with GYN issues like abnormal bleeding or pelvic pain, you should see a GYN specialist. Conditions like fibroidsendometriosispelvic adhesionsuterine polyps, uterine septum and inflammation of the fallopian tubes can affect your ability to conceive and carry to term.  Many women suffer through difficulty conceiving and miscarriages or early delivery and discover they were dealing with a GYN condition that could have been treated.

babyshoes_fbkThere are minimally invasive GYN techniques that make it possible for women to recover sooner than with open, more invasive procedures. CIGC minimally invasive GYN surgeons Natalya Danilyants and Paul MacKoul have developed innovative approaches to treat many of the causes of infertility, with faster recovery and less pain.

Read about addressing GYN conditions and making sure the uterus is a healthy place for a baby to grow: Address GYN Conditions & Welcome a Baby in the New Year

CIGC specialists partner with reproductive endocrinologists and OB/GYNs to ensure that our patients get the best care. Women who’ve had trouble conceiving naturally, or with IUI or IVF treatments should consider getting a fertility evaluation. To schedule your appointment, call 888-SURGERY or contact us online. You can also get to know CIGC physicians through online patient reviews: 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.

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

Women dealing with fibroids often choose to delay surgery due to fear of open procedures or risks associated with robotic surgery and power morcellators. It is essential that patients do their own research to identify all possible options for gynecologic care. Learning the facts about fibroid surgery and available procedures can help avoid unnecessary pain and get you back on your feet sooner.

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3 ESSENTIAL FACTORS IN FIBROID SURGERY:

  • The fibroids themselves:The size, number and location of fibroids determine the type of surgery. Fibroids can occur anywhere in the uterus, most develop from the muscle or myometrium, while cervical fibroids are quite rare.
  • The patient’s future plans: The most definitive fibroid removal surgery is hysterectomyas fibroids often return after surgery. If childbearing is still desired and retaining the uterus is important to the patient, a myomectomy is recommended. It is essential for women who are intending to retain their uterus to have the most minimally invasive myomectomy possible, as the probability of these women requiring subsequent fibroid removal surgery is very high.
  • The surgeon’s skill:Minimally invasive fibroid removal is possible even for women dealing with large fibroids or many fibroids. Fibroid surgery does not have to be limited to open or robotic procedures.

Fellowship trained surgeons of CIGC Natalya Danilyants MD and Paul MacKoul MD have developed an innovative fibroid removal procedure, taking the best of open and laparoscopic procedures, without the use of a robot or power morcellator. LAAM myomectomy  uses 1 tiny incision at the belly button for a laparoscope, and a slightly larger incision, about an inch and a half at the bikini line. The surgeons are able to feel and remove all of the fibroids and patients generally recover in 10 days to 2 weeks.

Find out more about LAAM and women who have had large fibroids removed with this groundbreaking procedure:

Sherri’s Story: Traveling for Fibroid Surgery
Jenny’s Story:
Remove Large Fibroids Safely

Call 888-SURGERY or contact us online to schedule an appointment and go over your options for gyn care. Out-of-town patients can benefit from innovative GYN surgery in the DC area through the CIGC travel program.

LEARN ABOUT CIGC

Why We’re Different
Dr. Paul MacKoul Background | Dr. Paul MacKoul Reviews
Dr. Natalya Danilyants Background | Dr. Natalya Danilyants Reviews

Back in 2004 Sherri C, now living in New York, NY, dealt with symptoms from a large fibroid. She had moved from FL to MD and her OB/GYN at the time referred her to see Dr. Paul MacKoul for minimally invasive fibroid surgery. Though minimally invasive surgery had been around for a while, this procedure was still a fairly new advancement as it would only leave a small scar.

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Fibroids often recur after a myomectomy. Years later, as Sherri moved to New York, new fibroids started to grow. Every doctor in New York recommended a hysterectomy, although Sherri wanted to preserve fertility. Traveling for fibroid surgery was not out of the question for her. As New York came up short with minimally invasive options, she expanded her research and returned to CIGC.

“I decided to try to get in touch with Dr. MacKoul. I had researched the procedure on the website and knew that it was minimally invasive fibroid removal but, I was surprised at how fast everything was. I wanted first available. From the time I first talked to Dr. MacKoul to talking to the surgical coordinator, my surgery was scheduled for 2 weeks later.”

Read Sherri’s full story to find out all about her previous experience with laparoscopic fibroid removal and traveling to CIGC for LAAM myomectomy.

MORE ABOUT CIGC:

Who We Are
Dr. Paul MacKoul Reviews
Dr. Natalya Danilyants Reviews

CIGC TRAVEL PROGRAM:

We treat women from all around the world, suffering from fibroids, endometriosis and other complex GYN conditions. Out-of-town patients can still benefit from innovative GYN procedures at CIGC through our travel program.