A Montgomery County-based organization has developed two new procedures to help with infertility and other gynecological conditions.
The Center for Innovative GYN Care has created two innovative minimally invasive surgeries, Laparoscopic Assisted Abdominal Myomectomy-Bilateral Uterine Artery Ligation and DualPortGYN, to help with conditions including uterine fibroids, endometriosis and ovarian cysts.
Surgical specialists Dr. Paul MacKoul and Dr. Natalya Danilyants perform both procedures.
Danilyants said both procedures include faster recovery times, shorter surgery times, smaller incisions, and fewer complications than the other methods.
She also said the two procedures address some of these limitations presented by robotic and conventional surgery as well as other procedures, such as the ability to get fibroids deep within the uterus that the other methods are unable to get.
According to Danilyants, LAAM-BUAL is a procedure that is used to remove fibroids, which are tumors that impact fertility, from the uterus.
“We’ve had actually quite a few patients that had large fibroids within the uterus and been trying to conceive for many years, sometimes even using fertility treatments and who were able to conceive once the fibroids were removed, “ said Danilyants.
One of these patients was Ljubica Sredojevic, a patient who underwent the LAAM-BUAL procedure with MacKoul who had three failed attempts at trying to conceive a child using in vitro fertilization before the surgery.
She said that both an OB/GYN and fertility specialist suggested that she get the fibroids in her uterus removed, which she said she did not have prior to the IVF treatments.
“Me and my husband were going to fertility treatments, IVF. These treatments were not successful, and I (sought) an opinion of another OB/GYN,” said Sredojevic.
Sredojevic said that after she underwent the LAAM-BUAL procedure in October 2013 to get the fibroids removed and a follow-up procedure in January 2014, she had planned to undergo another IVF procedure that spring before finding out she was already pregnant.
“I was already pregnant beginning of April, so that was a huge surprise. I was super happy that by basically removing fibroids I got pregnant the old-fashioned way,” said Sredojevic.
Danilyants said that the DualPortGYN procedure is used for a variety of conditions.
“With that procedure we can remove endometriosis, we can take down scar tissue, which can be an issue in fertility. We can take out ovarian cysts, which can also impact fertility and cause pain. In patients who are done with having children and want their uterus out, we can even remove a uterus just using those two tiny incisions,” said Danilyants.
Christy Moore, a patient who underwent the DualPortGYN hysterectomy with Danilyants, said she had been experiencing extreme pain for 2.5 years from a fibroid in her uterus before receiving the surgery.
“I was in extreme pain with my monthly periods. When I say extreme pain, unable to stand at some point throughout the five- to seven-day cycle,” said Moore.
Moore said that she was scheduled to have surgery in Georgia; however, she said could not wait because the pain was unbearable. So she began to do research on procedures that could be done in Maryland and decided to undergo the DualPortGYN procedure after seeing several good reviews and meeting with Danilyants.
She said that after the surgery she could do so much more that she felt could not have done before.
“My quality of life has been enhanced after the surgery, simply because I’m not experiencing the fatigue. I’m not getting the headaches. I mean the obvious is there. I’m having the cycles, the actual period itself, but it was so much more that was coming with that,” said Moore.
Both Moore and Sredojevic said that they would recommend that those who are currently undergoing the same struggles consider one of these procedures.
“What I would definitely encourage others to do is to find alternatives to whatever the current doctors they have is telling them because I knew there were alternatives but nothing to this level that could help me,” said Moore.
The Center for Innovative GYN Care has two locations in Maryland, in Bethesda and Annapolis, and a location in Reston, Virginia.