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Open surgery leaves a larger bikini-line scar.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One surgical admission for the operation."},"stages":[{"code":"myomectomy_surgery","label":"Myomectomy operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on day of admission."}}],"qualifier":"Single-stage operation for a typical uncomplicated case; follow-up checks are not counted as treatment sessions."},"success":{"metric":"Improvement of fibroid-related heavy bleeding and bulk symptoms","value":85,"unit":"percent of patients","horizon":"12 months after surgery","population":"Premenopausal women with symptomatic fibroids undergoing laparoscopic or robotic myomectomy","evidence_status":"limited"},"techniques":[{"name":"Laparoscopic myomectomy","suits_whom":"Patients with a limited number of small to moderate, mainly subserosal or intramural fibroids.","recovery":"1-2 nights in hospital; return to desk work in about 2-4 weeks."},{"name":"Robotic-assisted laparoscopic myomectomy","suits_whom":"Similar to laparoscopic, sometimes for more complex or deeper fibroids needing precise suturing.","recovery":"1-2 nights in hospital; return to desk work in about 2-4 weeks."},{"name":"Open abdominal myomectomy","suits_whom":"Large, numerous or deep fibroids not suitable for minimally invasive removal.","recovery":"2-4 nights in hospital; return to work in about 4-6 weeks or more."},{"name":"Hysteroscopic myomectomy","suits_whom":"Submucosal fibroids protruding into the uterine cavity.","recovery":"Usually day-case with return to normal activity within a few days."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Operating time for laparoscopic or robotic myomectomy; rises with fibroid number and size."},"initial_assessment_documents":["Pelvic MRI report and images","Pelvic ultrasound report","Hysteroscopy report (if available)","Recent hemoglobin and ferritin results","Gynecologist letter with symptoms and fertility plans","Previous uterine or abdominal surgery reports"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay 7-10 days including 1-2 hospital nights and first check. Later reviews at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Discuss your pregnancy goals with your surgeon ahead of time","scope":"procedure","source":{"url":"https://my.clevelandclinic.org/health/treatments/15448-myomectomy","host":"my.clevelandclinic.org","quote":"Discuss your desire for pregnancy with your surgeon ahead of time so they’re aware of your goals.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check the qualifications of the medical team treating you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Make sure you understand the possible complications and side effects of your treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check how your aftercare will be coordinated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Discuss with the overseas doctor how medical notes will be transferred","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"As the doctor could be involved in your aftercare, discuss with them how to transfer medical notes to the overseas team.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Pressure to decide quickly, or cheap time-limited offers, is a warning sign","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"Medical questions answered by sales staff or administrators rather than clinicians is a warning sign","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Do not accept advice from a travel agent, sales representatives or administrators.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"The surgeon you consult may not be the one who performs the operation","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Swelling or pain in your legs","urgency":"emergency","general":false,"source":{"url":"https://www.ashfordstpeters.nhs.uk/leaflets/3677-gynaecology-leaflet-how-to-recover-from-an-abdominal-myomectomy","host":"ashfordstpeters.nhs.uk","quote":"Please seek urgent medical attention if you experience swelling / pain in your legs, sudden shortness of breath or chest pain","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Sudden shortness of breath or chest pain","urgency":"emergency","general":false,"source":{"url":"https://www.ashfordstpeters.nhs.uk/leaflets/3677-gynaecology-leaflet-how-to-recover-from-an-abdominal-myomectomy","host":"ashfordstpeters.nhs.uk","quote":"Please seek urgent medical attention if you experience swelling / pain in your legs, sudden shortness of breath or chest pain","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Severe abdominal pain","urgency":"contact_clinic","general":false,"source":{"url":"https://www.ashfordstpeters.nhs.uk/leaflets/3677-gynaecology-leaflet-how-to-recover-from-an-abdominal-myomectomy","host":"ashfordstpeters.nhs.uk","quote":"Please inform your doctor/nurse if you experience severe abdominal pain, temperature or are not passing any urine.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You would rather avoid surgery to treat your fibroids","name":"Uterine artery embolization","source":{"url":"https://my.clevelandclinic.org/health/treatments/15448-myomectomy","host":"my.clevelandclinic.org","quote":"Other treatment options include uterine artery embolization or radiofrequency ablation.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":870},{"id":"A2","text":"You are willing to have your uterus removed","name":"Hysterectomy","source":{"url":"https://my.clevelandclinic.org/health/articles/myomectomy","host":"my.clevelandclinic.org","quote":"Myomectomy is an alternative to a hysterectomy, which removes your uterus, cervix and fibroids.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null},{"id":"A3","text":"You would rather try medicine to shrink fibroids first","name":"Medicines for fibroids","source":{"url":"https://my.clevelandclinic.org/health/treatments/15448-myomectomy","host":"my.clevelandclinic.org","quote":"Taking medication may reduce the symptoms of fibroids and shrink their size.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"laparoscopic-myomectomy","name":"Laparoscopic myomectomy","how_it_works":{"text":"A small telescope enters through the belly button to remove fibroids","source":{"url":"https://my.clevelandclinic.org/health/treatments/15448-myomectomy","host":"my.clevelandclinic.org","quote":"This procedure uses a small, lighted telescope that your surgeon inserts through your belly button.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"robotic-assisted","name":"Robotic-assisted laparoscopic myomectomy","how_it_works":{"text":"A robot controls the movement of instruments during the surgery","source":{"url":"https://my.clevelandclinic.org/health/treatments/15448-myomectomy","host":"my.clevelandclinic.org","quote":"Some surgeons use a robot to control the movement of instruments during this type of surgery (robotic myomectomy).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"open-abdominal-myomectomy","name":"Open abdominal myomectomy","how_it_works":{"text":"The surgeon removes fibroids through a cut in the belly","source":{"url":"https://my.clevelandclinic.org/health/treatments/15448-myomectomy","host":"my.clevelandclinic.org","quote":"A surgeon performs an open myomectomy (abdominal myomectomy) through a cut (incision) in your belly (abdomen).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":6,"max":6,"unit":"weeks","label":"6 weeks","source":{"url":"https://my.clevelandclinic.org/health/treatments/15448-myomectomy","host":"my.clevelandclinic.org","quote":"With an open myomectomy, full recovery before getting back to your normal activities can take up to six weeks.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"hysteroscopic-myomectomy","name":"Hysteroscopic myomectomy","how_it_works":{"text":"A thin scope passes through the vagina and cervix into the 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