CIGC Techniques

CIGC Techniques

CIGC Techniques

The Center for Innovative GYN Care® (CIGC®) globally renowned techniques have been published in prestigious medical journals due to exceptional patient outcomes.

Featured Published Research

DualPortGYN Hysterectomy

In the comparison of 2,689 patients who underwent a laparoscopic hysterectomy procedure (the review included patients who had DualPortGYN®, robotic, or standard laparoscopic surgery), DualPortGYN (also known as laparoscopic retroperitoneal hysterectomy or LRH) clearly showed the best patient outcomes with the lowest complication rates, and 0% conversion to open surgery.

The combined intra- and postop complication rate of LRH is 5.4 percent.

Value-Based Assessment of Hysterectomy Approaches
Published in the Journal of Obstetrics and Gynaecology Research (JOGR), November 2018
MacKoul P, Danilyants N, Baxi R, van der Does L, Haworth L.

A Value-Based Evaluation of Minimally Invasive Hysterectomy Approaches
Abstract Accepted by AAGL, Presented in 2017.
Danilyants, N, MacKoul, P, Baxi, R, van der Does, L. Haworth, L.

Hysterectomy Complications from Local Hospital Study
LRH=(CIGC)
N=756
Standard
N=1236
Robotic
N=576
Intraop comp, N (%) 17 (2.2%) 71 (5.7%) 31 (5.4%)
PostOp Comp, N (%) 24 (3.2%) 81 (6.6%) 62 (10.8%)
Convert to open, N (%) 0 (0.0%) 13 (1.1%) 1 (0.2%)
LRH=(CIGC)
N=756
Standard
N=1236
Intraop comp, N (%)
17 (2.2%)
Intraop comp, N (%)
71 (5.7%)
PostOp Comp, N (%)
24 (3.2%)
PostOp Comp, N (%)
81 (6.6%)
Convert to open, N (%)
0 (0.0%)
Convert to open, N (%)
13 (1.1%)
LAAM=(CIGC)
N=756
Robotic
N=576
Intraop comp, N (%)
17 (2.2%)
Intraop comp, N (%)
31 (5.4%)
PostOp Comp, N (%)
24 (3.2%)
PostOp Comp, N (%)
62 (10.8%)
Convert to open, N (%)
0 (0.0%)
Convert to open, N (%)
1 (0.2%)
Standard = LSH, TLH, LAVH, combined; Open data not provided.
LAAM Myomectomy

In the comparison of 1,313 patients who underwent a myomectomy (the review included patients who had LAAM®, robotic, standard laparoscopic, or open myomectomy procedure), LAAM (laparoscopic assisted abdominal myomectomy) showed the best patient outcomes, including removal of large and multiple fibroids, lowest complication rates, and the lowest conversion to open surgery at 0.7 percent.

The combined intra- and post-op complication rate of LAAM is 9.4 percent.

Laparoscopic-Assisted Myomectomy with Bilateral Uterine Artery Occlusion/Ligation
Published in the Journal of Minimally Invasive Gynecology (JMIG), July 2018
MacKoul P, Danilyants N, Baxi R, van der Does L, Haworth L.

Laparoscopic-Assisted Abdominal Myomectomy with Bilateral Uterine Artery Occlusion/Ligation: A Comparative Study
Abstract Published in the American Journal of Obstetrics & Gynecology (AJOG), March 2017, presented at SGS in 2017
MacKoul P, Danilyants N, Baxi R, van der Does L, Haworth L.

Myomectomy Complications from Local Hospital Study
LAAM=(CIGC)
N=308
Standard
N=163
Robotic
N=156
Open
N=686
Intraop comp, N (%) 12 (3.9%) 8 (4.9%) 10 (6.4%) 64 (9.3%)
PostOp Comp, N (%) 17 (5.5%) 17 (10.4%) 9 (5.8%) 85 (12.4%)
PostOp Blood Transfusions, N (%) 19 (6.2%) 7 (4.3%) 6 (3.8%) 130 (19.0%)
Convert to Minilap or Open, N (%) 2 (0.7%) 58 (35.6%) 37 (23.7%) N/A
Convert to Minilap, N (%) N/A 31 (19.0%) 27 (17.3%) N/A
Convert to open, N (%) 2 (0.7%) 27 (16.6%) 10 (6.4%)* N/A
LAAM=(CIGC)
N=308
Standard
N=163
Intraop comp, N (%)
12 (3.9%)
Intraop comp, N (%)
8 (4.9%)
PostOp Comp, N (%)
17 (5.5%)
PostOp Comp, N (%)
17 (10.4%)
PostOp Blood Transfusions, N (%)
19 (6.2%)
PostOp Blood Transfusions, N (%)
7 (4.3%)
Convert to Minilap or Open, N (%)
2 (0.7%)
Convert to Minilap or Open, N (%)
58 (35.6%)
Convert to Minilap, N (%)
N/A
Convert to Minilap, N (%)
31 (19.0%)
Convert to Open, N (%)
2 (0.7%)
Convert to Open, N (%)
27 (16.6%)
LAAM=(CIGC)
N=308
Robotic
N=156
Intraop comp, N (%)
12 (3.9%)
Intraop comp, N (%)
10 (6.4%)
PostOp Comp, N (%)
17 (5.5%)
PostOp Comp, N (%)
9 (5.8%)
PostOp Blood Transfusions, N (%)
19 (6.2%)
PostOp Blood Transfusions, N (%)
6 (3.8%)
Convert to Minilap or Open, N (%)
2 (0.7%)
Convert to Minilap or Open, N (%)
37 (23.7%)
Convert to Minilap, N (%)
N/A
Convert to Minilap, N (%)
27 (17.3%)
Convert to Open, N (%)
2 (0.7%)
Convert to Open, N (%)
10 (6.4%)*
LAAM=(CIGC)
N=308
Open
N=686
Intraop comp, N (%)
12 (3.9%)
Intraop comp, N (%)
64 (9.3%)
PostOp Comp, N (%)
17 (5.5%)
PostOp Comp, N (%)
85 (12.4%)
PostOp Blood Transfusions, N (%)
19 (6.2%)
PostOp Blood Transfusions, N (%)
130 (19.0%)
Convert to Minilap or Open, N (%)
2 (0.7%)
Convert to Minilap or Open, N (%)
N/A
Convert to Minilap, N (%)
N/A
Convert to Minilap, N (%)
N/A
Convert to Open, N (%)
2 (0.7%)
Convert to Open, N (%)
N/A
Standard = Conventional Laparoscopic Myomectomy

Additional Peer-Reviewed Studies

DualPortGYN Hysterectomy

AAGL Award Winner — Choosing the Route of Hysterectomy: The Patient’s Perspective
Abstracts Published in the Journal of Minimally Invasive Gynecology (JMIG), November-December 2017, and presented at AAGL in Washington, D.C.
van der Does L, Kazi N, Baxi R, Haworth L.

A Value-Based Approach to Hysterectomy: Comparison of Minimally Invasive Hysterectomy Techniques
Baxi R, MacKoul P, Danilyants N, van der Does L, Haworth L.

Can Conversion to Laparotomy be Prevented During Laparoscopic Hysterectomy?
Baxi R, MacKoul P, Danilyants N, van der Does L, Haworth L.

Comparison of Clinical Outcomes of Laparoscopic Hysterectomy in an Ambulatory Surgery Center Versus Outpatient Hospital Setting
Danilyants N, MacKoul P, Baxi R, van der Does L, Haworth L.

Vaginal Cuff Dehiscence After Laparoscopic Hysterectomy: Comparing Absorbable to Nonabsorbable Sutures
Baxi R, Danilyants N, MacKoul P, van der Does L, Haworth L.

Case Series of Laparoscopic Retroperitoneal Hysterectomy: Outcomes, Cost, and Patient Satisfaction (May 2018)
Abstracts Published in Obstetrics & Gynecology
Baxi R, MacKoul P, Danilyants N, van der Does L, Haworth L.

Exploring the Patient Decision-Making Process in Choosing Route of Hysterectomy (May 2017)
van der Does L, Baxi R, MacKoul P, Danilyants N, Washington K.

LAAM Myomectomy

Laparoscopic-Assisted Myomectomy with Uterine Artery Ligation at the Origin: Outcomes from a Series of 184 Cases
Abstract Published in the Journal of Minimally Invasive Gynecology (JMIG), Presented at AAL, November 2018
Baxi R, Mackoul P, Danilyants N, Van Der Does L, Haworth L, Kazi L, Kazi N.

Myomectomy: Factors Influencing Patient Decision-Making and Satisfaction
Abstract Published in Obstetrics & Gynecology, May 2018
Van Der Does L, Kazi N, Baxi R, Haworth L, Washington K.

Laparoscopic-Assisted Myomectomy with Reversible Uterine Artery Occlusion: Outcomes from a Series of 404 Cases
Abstracts Accepted by AAGL November 2018, Pending Publication
Baxi R, Mackoul P, Danilyants N, Van Der Does L, Haworth L, Kazi L, Kazi N.

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