Hyper-Specialist: GYN Oncology trained surgeons at the highest level of training who concentrate ONLY on surgery, not Obstetrics, providing patients the best possible care and outcome.

• GYN Oncology training uses very advanced techniques for the removal of cancers, which include surgery on the bowel, bladder, ureters, vessels, diaphragms
• Endometriosis is NOT a cancer but spreads locally much like cancer and is surgically treated the same way
• Using advanced GYN Oncology cancer techniques such as DualportGYN Retroperitoneal Excisional Therapy (RET) provides the best endometriosis care possible
• OBGYN’s and Minimally Invasive endometriosis “specialists” are typically NOT trained in these advanced techniques, and often do NOT remove all disease OR “ablate” (burn) endometriosis implants, which is not nearly as effective

Dualport RET for Endometriosis: THE BEST possible surgery performed in a rapid time frame with very low complications and high success rates.

• DualportGYN uses a combination of two to three incisions cosmetically placed and Retroperitoneal Excision Therapy (RET) to ensure the best possible outcomes for any GYN condition
• The results are dramatic: immediate relief of pain, removal of ALL disease which decreases inflammation and increases fertility rates
• Robotics are NOT required
• CICG NEVER uses ablation or burning techniques which do not remove all disease and are not effective

Ablation (burning) vs. Excision

Source: “The Endo-Graphic” by Sarah Soward

RET is a highly advanced technique that allows the removal of ALL disease from any structure in the pelvis or abdomen. Since endometriosis involves the peritoneal lining covering all organs, RET separates out the lining from the organ, and then goes retro – or “behind” the lining – to remove all the disease safely and quickly to any structure. That includes not only endometriosis on the tubes, uterus, and ovaries, but also on the bowel, bladder, ureters (tubes that drain urine from the kidney to the bladder), diaphragm, and other structures.

Surgery is ALWAYS performed first – the reasons why:

• Surgery STAGES the disease and tells how advanced it is so the correct medical suppression can be used AFTER surgery
• Surgery removes ALL the disease when RET is used, and does in 30 minutes what it would take medical therapy MONTHS or NEVER to achieve
• Surgery immediately treats pain and symptoms. Medical therapy takes much longer, and inadequately treats the disease
• Surgery does not have menopausal side effects that last for months with Orlissa or Lupron therapy, or weight gain with other stronger medicines
• Surgery potentially can INCREASE fertility rates after removal of disease
• Medical therapy DECREASES fertility rates for an extended time after starting treatment
  • This is because medical therapy stops OVULATION, which decreases estrogen. Estrogen makes endometriosis grow. No ovulation, no pregnancy.

Endometriosis causes inflammation, which decreases fertility.

Inflammation:

• Blocks the formation of the sperm and egg to form an embryo
• Prevents the embryo from traveling down the fallopian tube to the uterine cavity
• Decreases implantation of the embryo into the uterine lining to form a baby 

Endometriosis excision: 

• Removes endometriosis and scar tissue from the tubes
• Decreases inflammation to allow for embryo implantation
• Significantly enhances fertility
• In the following diagram, red “X”s indicate where endometriosis can block fertility

Successful endometriosis surgery can increase fertility chances when surgery is properly performed with removal of all disease since inflammation is decreased. Symptoms of severe pelvic pain, difficulty with intercourse and pain with intercourse, heavy bleeding, and the need for narcotics to control pain can resolve after surgery as well.

• Dedication and devotion to surgery is what CIGC is all about. That allows CIGC surgeons to perform a high volume of surgical procedures that allows refinement of techniques and procedures, and increases success while decreasing complications.
• High volume surgeons will ALWAYS have better results than low volume surgeons
• CIGC publishes those results in “peer reviewed journals” which educates the public and other health care providers about CIGC results and outcomes

¹ A Retroperitoneal Approach to Endometriosis Excisions: Surgical Outcomes and Seven Year Followup
² Prevalence and Risk Factors of Coexisting Endometriosis in Women Undergoing LAAM for Symptomatic Leiomyoma and Subfertility

• CIGC surgeons are NOT Cash Based OR Out of Network – they do NOT require payment up front in the tens of thousands of dollars to provide care
• CIGC participates with most insurance plans AND provides care equal to, and often better than, Cash Based or Out of Network surgeons
• CIGC surgeons use qualified Surgery Centers to perform surgery. Customized care in a comfortable, convenient surgery center increases the quality of care while further reducing the costs and the inconvenience of the hospital.
• CIGC does not use Robotics. Robots are hospital based, use more and larger incisions, are more expensive with much higher complication rates, and are not needed to provide the highest quality of care.