Doctors pioneer alternative procedure for removing painful fibroids


— According to The Center for Innovative GYN Care (CIGC), by age 50, eighty percent of women will have fibroids, non-cancerous growths that originate from the muscle of the womb. CIGC further notes that African American women are three times more likely to have these painful and often infertility-causing cysts.

Rashetta Fairnot opted for a new LAAM myomectomy to remove her uterine fibroids instead of an open myomectomy.

Rashetta Fairnot opted for a new LAAM myomectomy to remove her uterine fibroids instead of an open myomectomy.

Unfortunately, many women are told their only option for removing fibroids is to have a hysterectomy. A hysterectomy is a surgery to remove a woman’s uterus. The uterus, also known as the womb, is where a baby grows when a woman is pregnant.

Additionally, even the women who are told about myomectomy surgery – a procedure that only removes fibroids while keeping the uterus in place – are often instructed to have an open procedure, which requires larger incisions and can cause more complications and longer recovery times than newer minimally invasive myomectomy surgery techniques.

Such was the case for Rashetta Fairnot. The Philadelphia, Pennsylvania, native suffered from painful fibroids for more than a decade. According to Fairnot, she had periods that would last a full week and sometimes twice in month with pain so bad that she could hardly get out of bed.

“I actually had a date scheduled to have an open myomectomy done,” recalled Fairnot. “But I cancelled it because I was uneasy about it and it didn’t settle well in my spirit. I wasn’t comfortable with such an open surgery. A friend of mine told me about Dr. Paul MacKoul and a procedure he had performed on her called a LAAM myomectomy. She strongly advised that I have a consultation with Dr. MacKoul at The Center for Innovative GYN Care.”

She added, “I met with Dr. MacKoul, and his prognosis was much more encouraging than what the other doctors had told me. With the [CIGC] myomectomy, the recovery time is much faster, and I could get pregnant one day. So I decided to have the LAAM myomectomy.”

Fairnot, who is now 33, was 32-years-old when she had the myomectomy last year. Developed by surgeons at The Center for Innovative GYN Care, LAAM-BUAO is a hybrid myomectomy technique.

LAAM (Laparoscopic Assisted Abdominal Myomectomy) provides greater flexibility to effectively remove fibroids, despite their location, size or quantity. LAAM is a minimally invasive procedure with only two small incisions that can be completed in about an hour. Because the surgeon is able to feel the fibroids, LAAM is the least invasive technique used for a myomectomy.

BUAO (Bilateral Uterine Artery Occlusion) is the blockage of the uterine artery during the procedure to control bleeding. In general, the LAAM-BUAO procedure takes one hour (standard and robotic procedures are up to four hours), can be performed as an outpatient procedure, and significantly reduces recovery time and surgical complications.

“With the LAAM surgery, I was able to have my fibroids removed with two small incisions and was back to work within a few weeks,” said Fairnot who now resides in Silver Spring, Maryland. “I am very glad my friend told me about The Center for Innovative GYN Care and the LAAM procedure.”

CIGC is based in Bethesda, Maryland but also has locations in Annapolis, Maryland and Reston, Virginia. CIGC is dedicated to the techniques and procedures that optimize the surgical care and recovery of women with fibroids.

Dr. Natalya Danilyants co-founded the LAAM procedure with Dr. MacKoul five years ago.

“Dr. MacKoul and I realized after seeing patients, that they didn’t know the facts about treatment, which motivated us to educate women about fibroids and treatment options,” said Dr. Danilyants. “The response has been huge. LAAM is a minimally invasive approach and allows the patient to go home the same day of the surgery.”

She added, “Open surgery such as a hysterectomy usually requires six to eight weeks of recovery time and a three-day hospital stay. Women from all over the world are coming in to have the LAAM surgery done. We also offer a travel program for patients traveling from long distances who are having GYN surgery to make their travel as seamless as possible.”

Dr. Danilyants wants women to know about LAAM-BUAO and other treatment options.

“It’s wonderful to see a patient’s face light up when they find out they do have options outside of a hysterectomy,” said Dr. Danilyants. “The LAAM surgery improves their quality of life. Seeing women so happy, and with a new outlook on life is great.”

To learn more about The Center for Innovative GYN Care and the LAAM-BUAO technique, visit