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.

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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Patient Feedback:
Dr. Paul MacKoul Reviews | Dr. Natalya Danilyants 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

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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.

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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.

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

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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.

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.

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.

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