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Revolutionary Benefits of Smaller Incisions for Fibroid Removal

January 5, 2017 // Posted in: Featured, LAAM, Procedures

As technology improves, highly skilled minimally invasive GYN surgeons can perform complex procedures using increasingly smaller incisions.

Through years of training and experience, the GYN surgical specialists at The Center for Innovative GYN Care have developed advanced laparoscopic techniques for hysterectomy, myomectomy, ovarian cystectomy, endometriosis excision, and removal of pelvic adhesions (scars). The advantage of surgery at CIGC is the use of the smallest incisions possible with remarkable results, including an ultra-minilaparotomy

Dr. Rupen Baxi, MD explains the use of an ultra-minilaparotomy for the removal of fibroids of almost any size using the LAAM technique developed by the CIGC specialists.

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CIGC Patient Testimonials: 2016 Highlights

December 28, 2016 // Posted in: Featured, Medical Travel, Patient Spotlight

In 2016, more than 2,000 women had a minimally invasive procedure with our advance trained specialists. For many women, they suffer for years with treatable GYN conditions. At CIGC, our mission is to help improve the lives of women so they can live their lives to the fullest. That means state-of-the-art surgical techniques, and personalized care in advanced facilities with our fellowship-trained laparoscopic surgical specialists.

Recovery from DualPortGYN or LAAM procedures are so remarkable, our patients love to share their stories, and we are honored to have them.

These are some of the highlights from the past year.

Read all of the CIGC Patient Spotlight stories.

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DualPortGYN Outpatient Hysterectomy | Heather’s Story

December 22, 2016 // Posted in: Fibroids, Patient Spotlight

Heather W., Arlington, VA was diagnosed with four small to medium-sized fibroids in 2011, the largest being about golf ball sized. Even then, she was considering a hysterectomy, but choosing the right procedure was important.

“My doctor suggested doing a bikini cut hysterectomy and stated that was the only method that would work since I have fibroids. Other treatment methods were suggested, such as fibroid removal, injecting pellets into them to stop the bloodflow, and at the time the experimental method of blasting them with MRI waves (which wasn’t covered by my insurance and was being tested at University of Virginia. I was interested in the hysterectomy since it is a permanent solution to the fibroids. I never wanted to have children, however I did not want to get a bikini cut hysterectomy. So I went the least invasive route and treated my fibroids with my birth control pills.”

That was until she found CIGC and Dr. Paul MacKoul, MD.

“Dr. MacKoul is amazing. I don’t think amazing even covers it. He did a fantastic job with my surgery. He did an excellent job explaining the procedure and addressing any concerns. He also explained the differences between the other methods available and the methods CIGC uses. He is a fantastic surgeon. I am so thankful that I found him and was able to get my surgery done by him and CIGC.”

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Adenomyosis: When Period Pain Is More Than It Should Be

December 21, 2016 // Posted in: Featured, In The Press


If left untreated, some GYN conditions can lead to long-term damage. There are conditions that are not well understood by many physicians, and can be difficult to diagnose. Adenomyosis is a painful and complex gynecological condition that can be difficult to detect. An ultrasound is insufficient to detect the disease in the uterus. In many cases, an MRI can detect adenomyosis, but if it is small and diffuse, it may not appear on any imaging, and can only be diagnosed during surgery. The only cure is a hysterectomy.

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DualPortGYN Hysterectomies Leave No Visible Scars

December 13, 2016 // Posted in: Featured, Patient Spotlight, Procedures

Recovery from a gynecological procedure depends on the skill of the surgeon, the type of surgery, and the size and number of the incisions. As minimally invasive techniques become more advanced, incisions can be incredibly small. If placed strategically, that means that the incisions will not be visible once they heal.

DualPortGYN® was developed by the CIGC specialists Dr. Paul MacKoul, MD and Dr. Natalya Danilyants, MD. DualPortGYN minimally invasive hysterectomy procedures are performed in an outpatient setting, so women can return home the same day. Incisions are tiny, and placed in cosmetically appealing locations. One 5 mm incision is placed at the belly button, and another 5 mm incision is placed at the bikini line, so they are practically invisible after they heal. These incisions go through the midline, not through muscle, so recovery is faster. The incisions from a DualPortGYN procedure are so small, that in many cases, CIGC patients are back to work in less than a week, and scars are practically invisible within 1 to 2 months.

A DualPortGYN hysterectomy has a fast recovery, with most patients are back to their lives in 7 days.

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Minimally Invasive Fibroid Removal Benefits at CIGC

December 9, 2016 // Posted in: Featured, Fibroids

There is no reason to live with the symptoms of fibroids. Many of the women who seek fibroid removal live with them for years as their periods become increasingly more disruptive with heavy bleeding, bloating or pelvic pain. When women experience pelvic pain (or back or leg pain) that coincides with a menstrual cycle, it can be an indication of a fibroids.

After being diagnosed with fibroids, a common and now out-of-date recommendation by many in the medical industry is to watch and wait. Watching and waiting can lead to major problems when it comes to getting pregnant and carrying a baby to term. Fibroids can grow very large, very fast, and distort the uterus. Large fibroids require an advanced trained specialist to remove laparoscopically. This means many women resort to invasive open procedures, with no guarantee that the uterus will be salvageable without seeking a specialist.

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Fast Hysterectomy Recovery | CIGC Patient Stories

December 6, 2016 // Posted in: Featured, Patient Spotlight

fast-hysterectomy-recoveryThe Center for Innovative GYN Care DualPortGYN hysterectomy procedure helps women recover faster. The size and placement of the incisions means less pain. One incision placed at the belly button and another at the bikini line avoids going through the muscle. This means patients have a less painful recovery, and recover faster. The average recovery time for a CIGC hysterectomy patient is 7 days.

CIGC hysterectomy patients share their stories. Learn how Tonya, Dr. Nwadike, Cassandra and Lisa returned to their lives in under a week.

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Endometriosis and Ovarian Cyst Removal at CIGC | Brittany’s Miracle

December 6, 2016 // Posted in: Featured, Infertility, Patient Spotlight

connolly-family-mini-s-family-mini-deliver-0041Dr. Paul MacKoul, M.D. helped Brittany start the family she always wanted by removing endometriosis, pelvic adhesions and a cyst.

“If it wasn’t for Dr. MacKoul, I wouldn’t have this beautiful child,” said Brittany, Herndon, VA. “I had been trying for 4 years to have a baby. We were thinking about alternatives to natural conception. I went to my doctor after years not being able to get pregnant. At that point we decided to wait and see what happened. After waiting, I did get pregnant, but I had a miscarriage.”

Brittany was diagnosed with a dermoid ovarian cyst when she was a teenager. “When my doctor recently performed an ultrasound, she saw that my cyst had doubled in size.”

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Dallas, TX Patient Travels To CIGC For Advanced Fibroid Surgery

November 30, 2016 // Posted in: Featured, Fibroids, Infertility, LAAM, Medical Travel, Patient Spotlight

Lilindsayhartleyndsay (33) from Dallas, TX first found out she had fibroids at her annual well woman visit about a year and a half ago. The only treatment options Lindsay had at home were open myomectomy or robotic surgery. One of her friends recommended she see a different doctor and undergo robotic surgery like she did. After comparing the two and learning how innovative the LAAM technique is, Lindsay was certain it was the right surgery for her.

Lindsay traveled to CIGC for minimally invasive fibroid surgery.

“I had a vacation planned to Mexico. When I met with Dr. MacKoul, I was about a month out. This was important to me as this was a trip I had earned through my company, so I had it planned months prior. Dr. MacKoul said as long as I do this 2 weeks before, I should be good, which I thought was crazy! I went to my OBGYN last week, I think she was shocked to see my quick recovery. I said ‘my surgery was 5 weeks ago and I’ve been working for weeks and I just got back from a vacation in Mexico.’ ”


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Endometriosis Removal: New Mother of Twins Thanks Paul MacKoul, MD

November 28, 2016 // Posted in: Conditions, Featured, Infertility, Patient Spotlight

bela-and-the-twinsFor nearly a decade, Bela, (Vienna, VA) tried every possible path to having a child with her husband. Fifteen fertility treatments across two states, surgery to remove fibroids and scar tissue,  supplements, acupuncture, surrogacy, and her next step if she couldn’t get pregnant with her own eggs, was to try a donor.

Endometriosis removal at The Center for Innovative GYN Care was the last attempt before seeking donor eggs.

“Prior to getting the endometriosis removed, none of my cycles were successful. I had been through six IUI cycles and nine IVF cycles. After going through several IVF failures, I sought help of a reproductive immunologist in New York. He indicated that it is very likely that I have endometriosis based on the results from my immunological testing. He also indicated that endometriosis could affect the egg quality and could diminish the ovarian reserve. I did not have any typical symptoms of endometriosis and the disease was not seen during my first 2 surgeries. I was intrigued and decided to consult Dr. Paul MacKoul.

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