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.

 

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

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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.

Endometriosis is a complex, often misunderstood GYN condition. The number of medical professionals who are experienced at diagnosing and skilled at effectively removing endometriosis are limited and the need for research, awareness and better medical training is great. Many leaders in women’s reproductive health still fall short when it comes to championing the advancement of endometriosis research, medical training and awareness. However, one group is directing a great deal of energy to ensuring that endometriosis gets the attention is deserves. The Endometriosis Foundation of America efforts are multi-faceted.

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EFA founders Dr. Tamer Seckin and Padma Lakshmi have taken the cause to heart. Dr. Seckin travels across the United States and abroad giving lectures, and teaching the art and science of endometriosis surgery. Ms. Lakshmi speaks publicly about her experience through an array of channels including mass media, political arenas, and public events, allowing her to reach a wide audience.

CIGC is working closely with endometriosis awareness organizations to ensure that our patients have access to the support they need, and have the most up-to-date information about the most effective minimally invasive endometriosis removal to manage pain, bleeding and infertility.

Read more about EFA’s effort in CIGC’s latest blog: Gaining Ground Against Endometriosis. Advanced laparoscopic surgeons of The Center for Innovative GYN Care Dr. Paul MacKoul, MD and Dr. Natalya Danilyants, MD perform endometriosis excision using only two 5MM incisions with DualPortGYN. Learn more on InnovativeGYN.com

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.

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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