Most women call it fibroid removal. Surgeons call it myomectomy. CIGC built LAAM to remove large and multiple fibroids while preserving the uterus whenever possible.
LAAM is CIGC’s uterus-preserving fibroid removal technique for women who want the fibroids removed, want to avoid hysterectomy, are concerned about fertility, or have been told their fibroids are too large, too many, or too difficult.
If your goal is complete fibroid removal and keeping your uterus when appropriate, LAAM is the CIGC technique designed for that problem.
- 🎓 GYN-Oncology Trained
- ✏ Surgery Only — Not Obstetrics
- 📋 6 Peer-Reviewed Publications
- ✅ 20,000+ Procedures Performed
- 📍 Rockville, MD · Reston, VA · Secaucus, NJ
Most patients do not search for “myomectomy” — they search for fibroid removal, keeping the uterus, and avoiding hysterectomy
LAAM is CIGC’s uterus-preserving approach for removing large and multiple fibroids. The patient goal is simple: remove the fibroids completely when appropriate, preserve the uterus whenever possible, avoid power morcellation, and recover faster.
Patient Goals
- Remove fibroids
- Keep the uterus
- Avoid hysterectomy
- Protect fertility when possible
Complex Fibroids
- Large fibroids
- Multiple fibroids
- Posterior and deep fibroids
- Fibroids affecting fertility
Why LAAM
- Published outcomes
- No power morcellation
- Same-day surgery center experience
- High-volume fibroid surgeons
Dr. Natalya Danilyants developed the surgical techniques used at CIGC and has published their outcomes in peer-reviewed medical journals. Every CIGC surgeon is personally trained in these techniques and performs surgery according to the same operative standards and quality benchmarks — whether your procedure is performed in Maryland or New Jersey.
Why LAAM is the better option for fibroid removal
Dr. Danilyants developed the LAAM technique and published its outcomes in peer-reviewed journals across three separate studies. Every CIGC surgeon is trained in her methods and operates to the same published standards — whether your procedure is performed in Maryland or New Jersey.
LAAM — a CIGC-developed technique no other practice performs at this volume
- LAAM (Laparoscopic-Assisted Abdominal Myomectomy) was developed by CIGC — not a standard procedure available at any GYN office
- Superior techniques and procedures allow for removal of all fibroids and the strongest closure possible — results are similar to open surgery, without the large incision
- Recovery ranges from 7–14 days, and is often faster than other techniques such as embolization
- Fibroids of any size, location, or number can be removed with LAAM — all fibroids can be treated effectively
- Fibroids are actually removed with LAAM — other techniques do not remove fibroids, and symptoms persist for longer and increase the risk of infertility
- Safety: blood supply to the uterus is controlled before any fibroid is removed and restored after — transfusion of blood is rare, but if needed the cell saver collects, filters, and returns your own blood to you, not a donor’s
GYN-oncology trained surgeons — superior published outcomes
- GYN-oncology trained — highest level of surgical training possible; not OB/GYNs, not “specialists”
- Surgery only, not obstetrics — 100% of practice is complex GYN surgery. Led by Dr. Natalya Danilyants.
- 1,313-patient comparison: lowest complications, most fibroids removed, 0.7% conversion to open — lowest of any approach
- Robotic myomectomy: more complications, longer operative time, fewer fibroids removed per case
- Every clinical claim sourced from PubMed-indexed peer-reviewed publications
Better than embolization for symptoms and fertility
- LAAM removes fibroids — immediate symptom relief, not months of waiting
- Best option for fertility patients — UFE is not FDA-approved for patients seeking fertility
- UFE can increase miscarriage risk and decrease blood supply to the ovaries
An alternative to hysterectomy
- Keep the uterus — for fertility and non-fertility patients alike
- No fibroid too large, no count too high — uterine preservation is not size-limited at CIGC
- Fibroids cannot regrow where surgically removed
In-network — no cash required
- In-network with most major insurance plans
- No paying cash for out-of-network surgeons performing inferior, costlier procedures
- LAAM was developed by CIGC — you do not need to pay cash or go out of network to access it
Four things CIGC has demonstrated simultaneously through actual data and published literature that no other fibroid removal practice has achieved
Every claim below is sourced from CIGC’s peer-reviewed published journal articles and actual data from patients who have undergone fibroid removal at CIGC.
Cases the published literature documents only as open, inpatient surgery — uterus preserved
6,750 grams of fibroids removed in a single case — about 15 lbs — uterus intact, patient home the same day. 100 fibroids removed in a single procedure. 353 cases with 10 or more fibroids, all same-day. The world’s largest published laparoscopic myomectomy (4,200g) required hospital admission. CIGC’s case is 60% larger — same-day, uterus preserved.
99.3% sent home the same day — including morbidly obese patients, from a freestanding ASC
969-patient published case series at CIGC’s freestanding surgery center. Morbidly obese patients — including patients with BMI 52 and 74 — showed no difference in operative time, complications, blood transfusions, or hospital transfer rate compared to all other patients. All went home the same day.
LAAM at CIGC’s surgery center costs 66–75% less than the same procedure at a hospital
Surgery center pricing means better outcomes at lower cost. At 20% coinsurance, your out-of-pocket cost at a hospital would be approximately $4,000 — compared to approximately $1,000 at CIGC’s surgery center. CIGC delivers the most complex fibroid removal in the published literature at the lower cost setting, with a lower complication rate than robotic or open surgery. Covered by most major insurance plans. No cash or out-of-network fees.
Open-surgery-sized fibroid removal. Below 1% transfusion rate.
Here is the comparison that matters: the average laparoscopic myomectomy nationally involves about 7 oz of fibroids. CIGC’s average case is nearly 1 lb — double that. At that fibroid weight, open abdominal surgery is the national standard, with a published transfusion rate of 16.4%. CIGC removes the same fibroid burden laparoscopically, same-day, with a current transfusion rate of below 1%. The blood supply is controlled before removal begins and restored after. If any blood is needed, the cell saver returns your own blood to you — not a donor’s.
Ready to find out if CIGC is right for you?
Schedule a consultation — reviewed by Dr. Danilyants or the surgical team. In-network. Rockville, MD · Reston, VA · Secaucus, NJ · Telehealth.
Thank you — we’ve received your request.
A member of the CIGC surgical team will review your information and reach out shortly. For immediate assistance, call 1-888-SURGERY.
15 lbs of fibroids — and 100 in a single uterus — removed same-day, uterus preserved
The record cases exist as proof of capability. If CIGC can remove 15 pounds of fibroids through two small incisions and send the patient home the same day with her uterus intact — your case is straightforward by comparison.
The point is not the records. The point is what the records prove. There is no fibroid too large, no count too high, no prior surgery too complicated for CIGC to treat minimally invasively — uterus preserved, same-day, at a surgery center, at lower cost, with a lower published complication rate than robotic or open surgery. Whatever the complexity of your case, it is within this range.
What every fibroid patient should know before choosing a treatment
Dr. Danilyants explains why most fibroid treatments manage symptoms rather than removing fibroids — and what surgical removal makes possible that no other approach can.
LAAM vs. robotic myomectomy vs. UFE — what the evidence shows
Three approaches, three very different outcomes for blood loss, recovery, fertility, and what is actually removed. Documented in peer-reviewed literature.
| CIGC — LAAM Myomectomy Freestanding surgery center · In-network | Robotic Myomectomy Hospital-based | UFE / Embolization Non-surgical | |
|---|---|---|---|
| Fibroids removed | ✓ Surgically removedImmediate, permanent at each site | ✓ Surgically removedWith limitations on size and count | ✗ Not removedBlood supply cut off — fibroids remain and can regrow |
| Uterus preserved | ✓ Any size or numberNo hysterectomy required | ✓ With size and count limitsLarge or numerous cases often referred to open surgery | ✓ Uterus preservedBut fibroids remain inside it |
| Recommended for fertility | ✓ Best option for fertility patients | Yes — with limitationsWeaker closure; deep fibroids often missed | ✗ Not recommendedNot FDA-approved for fertility patients · increased miscarriage risk · potential ovarian injury |
| Incisions | 2 — smallSame-day discharge · back to work in 7–14 days | 4–5 port incisionsLarger and more than LAAM | Small catheter incision onlyRecovery varies — post-embolization syndrome common |
| Closure strength | Strongest possibleEquivalent to open surgery — without the large incision | Weaker closureNot as strong as LAAM or open; deep fibroids often missed | No closureNo surgical entry into uterus |
| Transfusion rate | <1% current CIGC rateOn fibroid burdens nationally associated with open surgery (16.4% transfusion rate) | ~2.9% national laparoscopic averageRises sharply with fibroid weight — most large cases referred to open | Not applicableNo surgical blood loss — but post-embolization complications occur |
| Symptom relief | ImmediateFibroids removed — symptoms resolved at surgery | ImmediateIf all fibroids successfully removed | MonthsNot guaranteed — fibroids may not respond adequately |
| Published complication rate | Lowest of any approach1,313-patient peer-reviewed comparison · 0.7% conversion to open | Higher than LAAMMore intraoperative complications · longer operative time · fewer fibroids removed per case | Post-embolization syndrome commonPain, fever, nausea · potential ovarian damage |
| In-network insurance | ✓ Most major plansNo cash-based or out-of-network fees | Varies by surgeon and facility | Varies by facilityOften requires prior authorization |
UFE is not FDA-approved for treatment of fibroids in patients seeking fertility and carries potential for increased miscarriage risk and injury to the ovaries, which can decrease fertility rates.
You do not need cash-based or out-of-network surgery
Paying cash does not buy better fibroid surgery — and you should not have to.
A CIGC-developed technique
LAAM was developed by CIGC and is performed by GYN-oncology trained surgeons — not something you have to pay cash or go out of network to access.
In-network, most plans
No tens of thousands up front. Care equal to — and in published comparisons better than — robotic, laparoscopic, or out-of-network alternatives.
Surgery-center savings: 66–75% less
LAAM at CIGC’s freestanding ASC costs 66–75% less than hospital-based fibroid surgery — same surgeons, better published outcomes. The savings go to you and your insurer.
No robotics
Robotic myomectomy adds incisions, cost, and complications — and is not needed for complete fibroid removal. LAAM removes more fibroids per case with fewer complications.
Fibroids do not discriminate between the wealthy and the not-so-wealthy. Neither should your surgeon.
What a star rating does not tell you about your fibroid surgeon
The most important thing to understand about LAAM: most surgeons — including many experienced minimally invasive and GYN-oncology specialists — do not perform it. For a patient with large or numerous fibroids who wants to keep her uterus, the realistic options offered almost everywhere else are open surgery or hysterectomy.
Fibroids removed at greater than 20 cm, and as many as 100 in a single procedure — minimally invasively, same-day, uterus preserved. Does your surgeon have a threshold beyond which the answer becomes open surgery or hysterectomy? Most do. CIGC does not.
Many practices collect patient reviews through automated services that send a survey immediately after a consultation or office visit — before any surgery has occurred. CIGC and Dr. Danilyants do not do this. Every CIGC review is a post-surgery review. Read them yourself: you will find patients describing their surgical results — and their fibroids-free lives.
Published comparison across 1,313 patients: lowest complication rate, lowest conversion to open surgery (0.7%), and most fibroids removed per case — compared to robotic, laparoscopic, and open approaches. The peer-reviewed literature is the record. Not a star rating.
The single largest laparoscopic myomectomy in the published worldwide literature required a multi-day hospital stay. CIGC has performed larger — same-day, uterus preserved.
Patients who were told there was no other option
“I approached many doctors for years to save my uterus, but all gave me one option: hysterectomy. CIGC removed 33 large fibroids. More than 2 years later I delivered a beautiful baby boy.”
“The majority of surgeons would have switched to a full abdominal hysterectomy. CIGC’s skill kept it laparoscopic, and I was almost fully back to normal in less than a week.”
“Florida — I got LAAM at CIGC’s NJ location; I wasn’t a good candidate locally. They removed 7 fibroids and endometriosis. On my feet within days. Over a year later my pain is gone, my life is back.”
“NJ — LAAM and removal of endometriosis. Follow-ups at Mt. Sinai and Weill Cornell both confirmed my surgeons did an excellent job. I’m starting IVF this summer.”
“CIGC removed 25 fibroids while preserving my uterus all in a minimally invasive way that had me able to care for myself the day after surgery. Most doctors are quick to suggest hysterectomy. If I did not find CIGC, I am almost certain I would not have my uterus.”
“Africa — I was looking for specialty care for fibroid removal. I split time between the US and Africa and needed treatment that accommodated my travel schedule. Fertility was a major consideration, and CIGC was keen on providing care consistent with my reproductive health goals.”
Patient testimonials reflect individual experiences; individual results vary.
Published results: LAAM vs. robotic, laparoscopic, open
Every clinical claim on this page is sourced from peer-reviewed, PubMed-indexed publications. CIGC does not publish marketing claims; it publishes data.
Laparoscopic-Assisted Abdominal Myomectomy with Bilateral Uterine Artery Occlusion/Ligation
1,313-patient comparison: LAAM vs. robotic vs. laparoscopic vs. open myomectomy. LAAM produced the lowest complication rate, lowest conversion to open surgery (0.7%), and the highest number of fibroids removed of any approach. Robotic myomectomy had greater intraoperative complications, longer operative time, and smaller fibroid loads removed than LAAM.
LAAM: Surgery Center vs. Outpatient Hospital Outcomes
816 patients (588 ASC vs. 228 hospital), same surgeons. The ASC managed larger fibroid burdens — largest case about 9.8 lbs (4,426g) at the ASC vs. about 6.7 lbs (3,046g) at the hospital. Same-day discharge: 98% ASC vs. 70% hospital. Transfusion rate: 2.0% ASC vs. 6.5% hospital — attributed to uterine artery occlusion (blood supply controlled before removal and restored after) and cell saver use throughout.
LAAM at a Freestanding Ambulatory Surgery Center: A Case Series
969 consecutive patients — largest published LAAM case series at any freestanding surgery center. Mean 8.7 fibroids removed per case (range 1–100). Hospital transfer rate: 0.7%. Intraoperative complication rate: 1.4%. Morbidly obese patients (BMI >40), including BMI 52 and 74 — no difference in any outcome. All patients discharged home the same day.
Uterus preservation is the purpose of LAAM when myomectomy is appropriate. The goal is complete fibroid removal, careful uterine repair, avoidance of power morcellation, and preserving fertility options whenever possible.
Schedule Your CIGC Surgical Consultation
Your case will be reviewed by Dr. Danilyants or a member of the CIGC surgical team to determine the best treatment plan for your specific situation.
We review your imaging, your surgical history, and your fertility goals. We explain what is possible at CIGC — specifically and honestly — and what it will cost using your insurance. Consultations in Rockville, MD · Reston, VA · Secaucus, NJ · Telehealth.
Thank you — we’ve received your request.
A member of the CIGC surgical team will review your information and reach out shortly. For immediate assistance, call 1-888-SURGERY.
Monday – Friday, 8 am – 5 pm ET · Rockville, MD · Reston, VA · Secaucus, NJ