Think Twice About Robotic Surgery for GYN Conditions

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Recent research shows that robotics don’t measure up to advanced laparoscopic techniques when it comes to GYN surgery. While many people assume that a robot is more efficient than a human surgeon, what they don’t realize is that robotic procedures for treating GYN conditions–for example performing hysterectomies–are more costly, require longer operating times, and use a higher number of incisions or ports.

Yet, robots are infiltrating all types of specialties and procedures due to robotics’ companies aggressive marketing to OBGYNs, most of whom only perform surgeries an estimated 20-25% of the time. Robotics are also being taught to OBGYNs in training.

Because many patients inherently trust their OBGYN, if that OB suggests an open or robotic procedure for let’s say a hysterectomy, that patient isn’t going to know there is a better option with a minimally-invasive GYN surgical specialist.

Read more about this issue in Robotics Business Review (page 16).

To schedule an appointment with CIGC surgical specialist Dr. Natalya Danilyants or Dr. Paul MacKoul, call 888-SURGERY or reach out online. Patient feedback is available on our website under Patient Testimonials, and on doctor review sites: Dr. Natalya Danilyants Reviews | Dr. Paul MacKoul Reviews.

Delaying Care of GYN Conditions Leads to Costly and Painful Consequences

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I see it on a daily basis–patients who come to a consultation only to discover that there has been a “delay of care” in treating their complex GYN conditions. Patients in their mid-30s and early 40s who are worried about the viability of their maturing eggs find out there is little to no chance that they are fertile due to the progression of undiagnosed GYN conditions like endometriosis and fibroids. To make matters worse, both of these conditions can cause persistent and incapacitating pain and bleeding with a major impact on lifestyle and normal daily function.

Many OBGYNs focus on obstetrics and don’t have the specialized skills to diagnose and treat advanced GYN conditions. Their process for diagnosis often involves referring patients out to specialists like urologists or gastroenterologists, ordering advanced imaging such as MRIs or CT-Scans (which can’t detect endometriosis), and prescribing birth control or narcotics for pain management. After these costly and time-consuming steps, many patients come to find that their endometriosis has progressed or their fibroids have grown to the point where they have little chance of conceiving.

Read the full article: “The High Cost of Misdiagnosing Women’s Health Conditions

CIGC is a state-of-the-art surgical practice using exclusive gynecologic techniques developed by the founders, Dr. Paul MacKoul and Dr. Natalya Danilyants. Women travel from across the country and around the world for the groundbreaking DualPortGYN and LAAM-BUAO procedures, designed to optimize surgical outcomes, and provide a faster recovery at home. To learn more, visit innovativegyn.com.

CIGC Launches Patient Advocacy Program

PAC Program Launch

Across medicine today, physicians are constantly seeking new and innovative ways to better connect and engage with their patients, and this is especially significant for women undergoing highly personal gynecological surgeries. As a result, CIGC launched a new patient advocacy program requiring PACs to undergo in-depth training to better understand conditions that include endometriosis and fibroids. The result is more timely treatment to ensure a higher level of success and much less pain and suffering.

The Center for Innovative GYN Care, with offices in the Washington DC and New York metro areas, announced the launch of the program this December. The full press release is available here: CIGC Launches New Patient Advocacy Program to Help Guide Women’s Experiences with Complex Female Health Surgeries.

CIGC is a state-of-the-art surgical practice using exclusive gynecologic techniques developed by the founders, Dr. Paul MacKoul and Dr. Natalya Danilyants. Women travel from across the country and around the world for the groundbreaking DualPortGYN and LAAM-BUAO procedures, designed to optimize surgical outcomes, and provide a faster recovery at home. To learn more, visit innovativegyn.com.

 

CIGC Study Highlights Challenges In Diagnosing Adenomyosis

New Data Adenomyosis

The Center for Innovative GYN Care announced new data on women’s health issues, in advance of National Women’s Health Month. A CIGC study highlights the challenges in diagnosing adenomyosis in women. Results showed that 56 percent of hysterectomy patients had adenomyosis in their pathology, and yet, in patients with no other pathology, adenomyosis was identified in only 11 percent of MRIs and 16 percent of transvaginal ultrasounds – the current standard of care in diagnosis of this condition. As a result, OBGYNs often have a difficult time diagnosing adenomyosis with certainty, especially before surgery, or before pathology results become available.

It is important that doctors don’t dismiss the diagnosis of adenomyosis or endometriosis prior to surgical intervention, especially for women who are experiencing chronic pelvic pain, abnormal uterine bleeding or infertility, as it may result in untreated or inadequate treatment. Improper diagnosis can result in suboptimal treatment, and may require additional surgeries for patients. Our data further highlights the need for patients and doctors, both primary care physicians and specialists, to be aware of the different pathologies that relate to each of these health issues, especially when fertility can be compromised.

Read the full press release here: The Center for Innovative GYN Care Announces New Data on Women’s Health Issues

To schedule an appointment with a CIGC surgical specialist Dr. Natalya Danilyants or Dr. Paul MacKoul, call 888-SURGERY or reach out online. Patient feedback is available on our website under Patient Testimonials, and on doctor review sites: Dr. Natalya Danilyants Reviews | Dr. Paul MacKoul Reviews.

The Case for ASCs: Less Cost, Better Outcomes for Patients

In a recent Health and Hospital Management article, I explore how Ambulatory Surgery Centers (ASCs) have expanded tremendously in recent years, with orthopedics, ophthalmology, general surgeons and otolaryngology physicians composing the majority of these centers. By contrast, GYN surgery continues to be performed overwhelmingly at hospital centers with obstetrics-focused OB/GYNs rather than GYN surgical specialists. Patients deserve the best possible care and should research their options beyond open, hospital-bound surgery.

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From the article:

Regardless of where they live or what they do, patients should never have to undergo any open procedure when there is a better option that dramatically decreases recovery time, pain, incision size and complications – all at a lower cost to the patient and healthcare system. Patients need to seek out these highly specialized centers and look for surgeons beyond their OBGYN generalist to ensure the highest quality of care possible. This self-advocacy approach by the patient is absolutely essential to obtain the best quality of care and is very much needed in this era of patient advocacy and the search for value-based care. Patients who take the time and effort to seek out practices such as The Center for Innovative GYN Care and others will achieve that goal of the best possible surgery at the lowest possible cost. This is, after all, what value based care should be all about.

Read the full article: “ASC Expansion of GYN Surgery to Patients in Rural Areas

CIGC Co-founders Dr. Natalya Danilyants and Dr. Paul MacKoul developed advanced laparoscopic procedures that help women recover faster, with less pain, after GYN surgery. To schedule a consult, give us a call at 888-SURGERY or reach out online. Patient testimonials are available on the CIGC website, and on doctor review sites: Natalya Danilyants, MD Reviews | Paul MacKoul, MD Reviews.

Heavy Monthly Bleeding Can Be A Sign of A Complex GYN Condition. When Is It Too Much?

Heavy monthly bleeding can be a real nuisance: soaking through menstrual pads or super tampons can interrupt a woman’s work, school, and even social life. Many women aren’t aware that a GYN condition such as fibroids or adenomyosis could be the underlying cause, and if left untreated these conditions can worsen or lead to anemia. 

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Anemia can lead to fatigue, dizziness, irregular heart rhythms, and cognitive problems. Moreover, anemia must be managed using iron supplements or infusions, or even blood transfusions. A blood test can reveal if you’re anemic, but treating the anemia won’t solve the underlying issue.

Read more about abnormal bleeding, what causes it, and how to treat it on WTOP: Heavy monthly bleeding: When is it too much?

Women don’t have to settle for a life of pain, fatigue, and embarrassment. Minimally invasive options exist that will safely treat the cause. CIGC surgical specialists Dr. Natalya Danilyants and Dr. Paul MacKoul use the advanced LAAM technique for minimally invasive fibroid removal to preserve fertility, and the DualPortGYN technique for hysterectomy to treat adenomyosis. Hear from our patients: read testimonials in our patient spotlight section, and on third party review sites: Dr. Natalya Danilyants Reviews | Dr. Paul MacKoul Reviews.

To schedule an evaluation with a CIGC physician, call 888-SURGERY or reach out online. Women residing outside the Washington DC area can also learn about our travel program.

Raynelle’s Journey to Motherhood: From Fibroids to Fertility

Fibroid symptoms commonly present as severe pain, heavy bleeding, or even anemia. Some women, like Raynelle, don’t experience any of these obvious signs, but fibroids can be silently keeping them from conceiving. Raynelle wasn’t aware of her fibroids until she had issues getting pregnant, but with minimally invasive surgery at CIGC she was able to  have a child.

Fibroids and Fertility Raynelle's Journey to Motherhood

“I realized that I needed to get checked out. My OBGYN said that the fibroids were now the size of a small grapefruit…and there would be no room in my torso for them and a baby. She recommended an open myomectomy. I went for a second opinion and that doctor said the same, open myomectomy, 4-6 week recovery.”

Raynelle wanted better options than a 4-6 week recovery from open surgery: “My mother, my husband, my sister, my mother-in-law – anyone who had a stake in me getting pregnant – all started doing research and talking to friends. Two separate sources recommended CIGC. Finding a more convenient, less invasive approach was the perfect solution at the right time.”

Laparoscopic Assisted Abdominal Myomectomy (LAAM) myomectomy is a uterus sparing procedure, performed on patients who are able to retain fertility, that can be performed in outpatient settings. CIGC surgeons use 2 small incisions to remove fibroids of any number and size. The uterus is repaired by hand in layers so that, as it heals, it is strong enough to carry a baby to term. Women recover faster, with less pain, and are usually back to work in less than 2 weeks.

Women with fibroids trying to get pregnant can find experienced, state-of-the-art options at CIGC. CIGC advanced laparoscopic specialists Dr. Paul MacKoul and Dr. Natalya Danilyants have provided minimally invasive surgical treatment for thousands of fibroid patients. To schedule an evaluation, give us a call at 888-SURGERY or reach out online. Patient testimonials are available on the CIGC website, and on doctor review sites: Natalya Danilyants, MD Reviews | Paul MacKoul, MD Reviews.