CIGC patient Michelle had been struggling with rectal bleeding with her cycle before coming to see us. Her symptoms were getting progressively worse for nearly 3 years. She saw  a general practitioner, a gastroenterologist and an OB/GYN and none of them was able to recognize the signs of ‪endometriosis. They dismissed her symptoms and could not provide treatment. Michelle was in great pain, feeling hopeless and desperate.

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At a very low point, she heard HOT 99.5 DJ Danni Starr talk about CIGC and decided to call right then. She scheduled her consult with The Center for Innovative GYN Care endometriosis specialist Dr. Paul MacKoul who performed minimally invasive endometriosis excision using DualPortGYN. Read Michelle’s full story on Paul MacKoul’s Weebly.

To get evaluated by a minimally invasive GYN specialist at CIGC, call 888-SURGERY and schedule an appointment or contact us online. Women travel from all over the country for CIGC’s advanced GYN procedures. Get to know us better on InnovativeGYN.com and through online patient reviews: Dr. Paul MacKoul ReviewsDr. Natalya Danilyants Reviews.

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.

You know how important your GYN health is. When struggling with GYN conditions and looking for the best treatment, it’s important to find the right specialist that you can fully trust. Women have access to so many great resources now, starting with recommendations from family and friends, to online sources like doctor review sites, to social media and insurance websites.

Once you have scheduled your first consult, don’t hesitate to ask questions and fully express your concerns. If you are not happy with the information you were provided or the approach that was explained to you, don’t be afraid to walk away and get a second opinion. It is important that you are comfortable with your doctor and trust him or her completely.

Find out more in this recent Tumblr blog: How To Research Your Doctor: Dr. Natalya Danilyants & Dr. Paul MacKoul Patient Reviews

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If you are suffering from symptoms like abnormal bleeding and pelvic pain, consider getting an evaluation with CIGC’s surgical specialists: Dr. Paul J. MacKoul and Dr. Natalya E. Danilyants. Advances in GYN surgery now allow for safe & efficient procedures to be performed in outpatient settings with minimally invasive approach, and excellent surgical outcomes.

Call 888-SURGERY or contact us online when you would like to schedule your consult.

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


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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.


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.


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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.

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.