Клиника Бремен-Ост признана одним из лучших медицинских учреждений Германии с высокими показателями успешности лечения. Профессор Райнер Поршен, входящий в ТОП-100 гастроэнтерологов Германии, специализируется на лечении желудочно-кишечного тракта и имеет _doctor_564_years_ опыта. Клиника ежегодно принимает 19 000 пациентов и сертифицирована для проведения различных специализированных процедур.
Бремен-Ост — многопрофильная клиника в городе Бремене (Германия), входит в сеть больниц Nord Klinik Allianz (Норд Клиник Альянс).
\n\nСпециализация — хирургия легких, неврология, психотерапия и психиатрия.
\n\nБремен-Ост вошла в ТОП немецких клиник 2015-2016 гг. по версии журнала Focus. В рейтинг вошли больницы с позитивными отзывами пациентов и высокой успешностью лечения.
\n\nКаждый год в Бремен-Ост проходят лечение 19 000 пациентов.
\n","images":[{"base_url":"clinic/5b87fd97014bb","title":"Фасад клиники Bremen-Ost с парковкой в Бремене, Германия"},{"base_url":"clinic/5b87fdbc5cea8","title":"Вид с воздуха на главный корпус клиники Bremen-Ost, окружённый зеленью, Бремен, Германия"},{"base_url":"clinic/5b87fd9797ae2","title":"Главный вход в клинику Бремен-Ост, Бремен, Германия"},{"base_url":"clinic/5b87fd9843863","title":"Экстерьер клиники Bremen-Ost с современными и традиционными зданиями в Бремене, Германия"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Германия","id":22,"alias":"germany","iso_code":"DE"},"city":{"name":"Бремен","id":352,"alias":"bremen"},"address":"Züricher Straße 40 28325 Bremen"},"rating":{"rating":0,"google":2.9,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":0,"year_foundation":1904},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb72b016d77.jpeg","name":"Сертификация KTQ","country_code":"DE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb72d2c6a2f.jpeg","name":"В ТОПе немецких клиник по версии Focus 2019","country_code":"DE"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":1,"total_pages":1}},"promoSlots":[{"card":{"text":"Муниципальная больница Золингена — это сертифицированное медицинское учреждение, ежегодно принимающее более 60 000 пациентов и входящее в число лучших клиник Германии по версии журнала Focus.
Академическая клиника Золинген (Solingen) — многопрофильная больница в Германии, в ТОП-е лучших госпиталей страны по версии журнала Focus.
\n\nСпециализация — онкология, нейрохирургия, гастроэнтерология, кардиология и ортопедия.
\n\n2 врача клиники входят в список рекомендованных специалистов Германии по версии Focus и Guter Rat— профессор Вольфганг Швенк, хирург брюшной полости, и профессор Петер Херинг, специалист по лечению гипертонии и болезней почек.
\n\nЕжегодно в Золинген обращаются более 60 000 пациентов.
\n","images":[{"base_url":"clinic/5c87c67033d52","title":"Современный фасад здания клиники Medical Center в Золингене, Германия"},{"base_url":"clinic/5ab24b5fb69f7","title":"Медперсонал изучает расписание операций на экране в Medical Center в Золингене"},{"base_url":"clinic/5ab24b6047e9a","title":"Кабинет КТ в Медицинском центре Золингена с пациентом и врачом"},{"base_url":"clinic/5ab24b60a6459","title":" room"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Германия","id":22,"alias":"germany","iso_code":"DE"},"city":{"name":"Золинген","id":341,"alias":"zolingen"},"address":"Gotenstraße 1, 42653 Solingen, Germany"},"rating":{"rating":4.7,"google":3.3,"percent_of_satisfied_clients":92},"statistics":{"number_of_reviews":69,"doctors_number":400,"year_foundation":1863},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb7161d3319.jpeg","name":"Лучший врач по межпозвоночным грыжам","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db9832f9d8cf.jpeg","name":"Немецкое онкологическое общество DKG","country_code":"DE"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}}],"clinicsMeta":{"total_count":1,"total_pages":1},"clinicsCount":1,"clinicsCountByEntity":{"clinic_count":156},"doctors":{"doctors":[{"doctor":{"id":564,"alias":"rejner-porshen","name":"Рaйнер Поршен","clinic_id":404,"photo":"doctor/5acf608180487","first_year_working":0,"created_at":"2016-11-28T13:35:08.000+00:00","short_description":"Доктор является высоко оцененным гастроэнтерологом в Европе, признанным среди ТОП-100 врачей в Германии по лечению поражений ЖКТ. Доктор вносит вклад в разработку немецких руководств по лечению рака пищевода и специализируется на опухолях желудочно-кишечного тракта.<\\/p>
С 2000 года доктор занимает должность директора Клиники внутренней медицины в клинике Бремен-Ост в Германии. Предыдущие должности включают исследовательские позиции в Институте рака MD Anderson и Университете Генриха Гейне. Доктор имеет Клиническую награду за гастроэнтерологию и награду за заслуги от Симпозиума по раку желудочно-кишечного тракта.<\\/p>
","statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":404,"alias":"klinika-bremen-ost","name":"Клиника Бремен-Ост","short_description":"Бремен-Ост — многопрофильная клиника в городе Бремене (Германия), входит в сеть больниц Nord Klinik Allianz (Норд Клиник Альянс).
\n\nСпециализация — хирургия легких, неврология, психотерапия и психиатрия.
\n\nБремен-Ост вошла в ТОП немецких клиник 2015-2016 гг. по версии журнала Focus. В рейтинг вошли больницы с позитивными отзывами пациентов и высокой успешностью лечения.
\n\nКаждый год в Бремен-Ост проходят лечение 19 000 пациентов.
\n","images":[{"base_url":"clinic/5b87fd97014bb","title":"Фасад клиники Bremen-Ost с парковкой в Бремене, Германия"},{"base_url":"clinic/5b87fdbc5cea8","title":"Вид с воздуха на главный корпус клиники Bremen-Ost, окружённый зеленью, Бремен, Германия"},{"base_url":"clinic/5b87fd9797ae2","title":"Главный вход в клинику Бремен-Ост, Бремен, Германия"},{"base_url":"clinic/5b87fd9843863","title":"Экстерьер клиники Bremen-Ost с современными и традиционными зданиями в Бремене, Германия"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Германия","id":22,"alias":"germany","iso_code":"DE"},"city":{"name":"Бремен","id":352,"alias":"bremen"},"address":"Züricher Straße 40 28325 Bremen"},"rating":{"rating":0,"google":2.9,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":0,"year_foundation":1904},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb72b016d77.jpeg","name":"Сертификация KTQ","country_code":"DE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb72d2c6a2f.jpeg","name":"В ТОПе немецких клиник по версии Focus 2019","country_code":"DE"}]}}],"meta":{"total_count":1,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{},"texts":{}},"relations":{"countries":[{"name":"Австрия","alias":"austria","iso_code":"AT"},{"name":"Азербайджан","alias":"azerbajdzhan","iso_code":"AZ"},{"name":"Венгрия","alias":"vengriya","iso_code":"HU"},{"name":"Германия","alias":"germany","iso_code":"DE"},{"name":"Греция","alias":"greciya","iso_code":"GR"},{"name":"Доминиканская Республика","alias":"dominikanskaya-respublika","iso_code":"DO"},{"name":"Египет","alias":"egipet","iso_code":"EG"},{"name":"Израиль","alias":"israel","iso_code":"IL"},{"name":"Индия","alias":"india","iso_code":"IN"},{"name":"Испания","alias":"spain","iso_code":"ES"},{"name":"Италия","alias":"italiya","iso_code":"IT"},{"name":"Китай","alias":"kitaj","iso_code":"CN"},{"name":"Колумбия","alias":"kolumbiya","iso_code":"CO"},{"name":"Литва","alias":"litva","iso_code":"LT"},{"name":"Мексика","alias":"mexico","iso_code":"MX"},{"name":"ОАЭ","alias":"oae","iso_code":"AE"},{"name":"Польша","alias":"poland","iso_code":"PL"},{"name":"Румыния","alias":"rumuniya","iso_code":"RO"},{"name":"Таиланд","alias":"thailand","iso_code":"TH"},{"name":"Турция","alias":"turkey","iso_code":"TR"},{"name":"Украина","alias":"ukraine","iso_code":"UA"},{"name":"Чехия","alias":"czech-republic","iso_code":"CZ"},{"name":"Швейцария","alias":"switzerland","iso_code":"CH"},{"name":"Южная Корея","alias":"republic-of-korea","iso_code":"KR"}],"cities":[{"name":"Вупперталь","alias":"vuppertal"},{"name":"Берлин","alias":"berlin"},{"name":"Бремен","alias":"bremen"},{"name":"Дюссельдорф","alias":"dusseldorf"},{"name":"Золинген","alias":"zolingen"},{"name":"Франкфурт-на-Майне","alias":"frankfurt-na-majne"}],"operations":[{"name":"Геморроидэктомия","alias":"gemorroidektomiya"},{"name":"Резекция прямой кишки","alias":"rezekcia-pramoj-kiski"},{"name":"Терапия геморроя","alias":"terapiya-gemorroya"}],"diagnostics":[{"name":"Консультация проктолога","alias":"konsultaciya-proktologa"},{"name":"Пальцевое ректальное исследование простаты","alias":"palcevoe-rektalnoe-issledovanie-prostatu"}],"illnessKinds":[{"name":"Проктология","alias":"proktologiya"}],"illness_kinds":[{"name":"Проктология","alias":"proktologiya"}]},"popularSearches":[{"name":"Геморроидэктомия","alias":"gemorroidektomiya","type":"operation","id":310},{"name":"Терапия геморроя","alias":"terapiya-gemorroya","type":"operation","id":1549},{"name":"Лигирование геморроидальных узлов латексными кольцами","alias":"ligirovanie-gemorroidalnyh-uzlov-lateksnymi-kolcami","type":"operation","id":755},{"name":"Лазерная хирургия фистулы","alias":"lazernaya-hirurgiya-fistuly","type":"operation","id":1544},{"name":"Резекция прямой кишки","alias":"rezekcia-pramoj-kiski","type":"operation","id":454},{"name":"Консультация с составлением плана лечения","alias":"konsultacia-s-sostavleniem-plana-lecenia","type":"diagnostic","id":457},{"name":"Консультация проктолога","alias":"konsultaciya-proktologa","type":"diagnostic","id":67},{"name":"Пересмотр результатов МРТ","alias":"peresmotr-rezultatov-mrt","type":"diagnostic","id":453},{"name":"Пальцевое ректальное исследование простаты","alias":"palcevoe-rektalnoe-issledovanie-prostatu","type":"diagnostic","id":374}],"operationPrices":{"operation_prices":{"310":{"operation":{"name":"Геморроидэктомия","alias":"gemorroidektomiya","use_for_listing":true},"country_price":{"US":{"amount":9000,"max_amount":15000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":1300,"max_amount":3300,"currency":"USD","clinic_count":13,"price_kind":"from_range","price_source":"mixed","scope":"country"},"DE":{"amount":4000,"max_amount":5400,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":1500,"max_amount":2900,"currency":"USD","clinic_count":6,"price_kind":"from_range","price_source":"mixed","scope":"country"},"CZ":{"amount":1800,"max_amount":2600,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"DE":true,"TH":true,"CZ":true},"description":"Эта операция удаляет геморроидальные узлы, облегчая боль и кровотечение путем их хирургического иссечения.
"},"748":{"operation":{"name":"Степлерная геморроидопексия","alias":"steplernaa-gemorroidopeksia","use_for_listing":true},"country_price":{"US":{"amount":7500,"max_amount":13500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":1500,"max_amount":3600,"currency":"USD","clinic_count":3,"price_kind":"from_range","price_source":"tariff","scope":"country"},"DE":{"amount":3300,"max_amount":5300,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":3000,"max_amount":3400,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"CZ":{"amount":2000,"max_amount":3100,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"DE":false,"TH":true,"CZ":true},"description":"Эта операция лечит геморрой, удаляя его безболезненно, с меньшим кровотечением и более быстрым восстановлением.
"},"755":{"operation":{"name":"Лигирование геморроидальных узлов латексными кольцами","alias":"ligirovanie-gemorroidalnyh-uzlov-lateksnymi-kolcami","use_for_listing":true},"country_price":{"US":{"amount":1100,"max_amount":1800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3600,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"offer","scope":"country"},"DE":{"amount":450,"max_amount":1100,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":650,"max_amount":1100,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"CZ":{"amount":400,"max_amount":500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"DE":false,"TH":false,"CZ":true},"description":"Процедура включает перевязывание геморроидальных узлов резинкой, чтобы уменьшить дискомфорт и ускорить заживление.
"},"1543":{"operation":{"name":"Терапия анальных трещин","alias":"terapiya-analnyh-treshchin","use_for_listing":false},"country_price":{"US":{"amount":3500,"max_amount":7000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":2800,"max_amount":4500,"currency":"USD","clinic_count":5,"price_kind":"from_range","price_source":"mixed","scope":"country"},"DE":{"amount":1500,"max_amount":3300,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":1100,"max_amount":1900,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"CZ":{"amount":700,"max_amount":1600,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"DE":false,"TH":false,"CZ":false}},"1549":{"operation":{"name":"Терапия геморроя","alias":"terapiya-gemorroya","use_for_listing":true},"country_price":{"US":{"amount":3500,"max_amount":7500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3600,"max_amount":0,"currency":"USD","clinic_count":2,"price_kind":"from","price_source":"mixed","scope":"country"},"DE":{"amount":1600,"max_amount":3800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":1500,"max_amount":3200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"CZ":{"amount":700,"max_amount":1700,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"UA":false,"FR":false,"GB":false,"US":false,"IL":false,"TR":true,"MX":false,"DE":false,"CA":false,"AE":false,"TH":false,"PL":true,"KR":true,"CZ":false,"AT":false,"ES":true,"IT":false,"CN":true,"AU":false,"IN":false,"MY":false,"VN":false,"BR":false}},"1717":{"operation":{"name":"Удаление анальной бахромки","alias":"udalenie-analnoy-bahromki","use_for_listing":true},"country_price":{"US":{"amount":900,"max_amount":2400,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":350,"max_amount":850,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"DE":{"amount":450,"max_amount":1200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":450,"max_amount":750,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"CZ":{"amount":250,"max_amount":650,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":false,"DE":false,"TH":false,"CZ":false}}}},"operationIndicators":{"details":{"days_in_clinic":0,"days_in_country":0,"rehabilitation_days":0,"satisfied_percent":78,"treatment_duration_hours":0},"illness_kind_details":{"requests_processed":494}},"direction":{"id":34,"name":"Проктология","alias":"proktologiya"},"illness_kind":{"id":34,"name":{"en":"Proctology"}},"parsed_details":{"procedure_type":"therapy","fields":{"anesthesia":["none"],"back_to_work_days":{"min":0,"max":2,"unit":"days","qualifier":"Most return next day; longer if pain or desk-sitting discomfort persists."},"complication_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Any complication after banding, mainly pain and minor bleeding; serious ones such as sepsis under 1%."},"contraindications":["Suspected anorectal cancer or unevaluated rectal bleeding","Active anorectal infection or abscess","Uncontrolled bleeding disorder or anticoagulation (relative; needs specialist planning)","Severe immunosuppression or anorectal inflammatory bowel disease (relative)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Office procedure; patient leaves within about an hour."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":0,"max":1,"unit":"weeks","qualifier":"Light activity next day; strenuous exercise and heavy lifting after several days if comfortable."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"After the last banding session; depends on number of hemorrhoids and sessions needed."},"fly_home_after_days":{"min":1,"max":3,"unit":"days","qualifier":"Short flights usually fine next day; delayed bleeding can occur around day 5-10."},"follow_up_visits":[{"purpose":"assessment","after":{"min":28,"max":42,"unit":"days","qualifier":"Review symptom response and decide on a further banding session."},"requirement":"routine"},{"purpose":"wound_check","after":{"min":7,"max":14,"unit":"days","qualifier":"Only for significant pain, bleeding or urinary difficulty after banding."},"requirement":"conditional"}],"indications":["Symptomatic hemorrhoids: bleeding, prolapse, pain, itching or discomfort","Persistent grade I–III internal hemorrhoids despite conservative care","High-grade, prolapsing, thrombosed or treatment-resistant hemorrhoids"],"main_risks":["Pain or anal discomfort after procedural treatment","Bleeding","Urinary retention (more with surgery)","Thrombosis or recurrence of hemorrhoids","Infection or abscess (uncommon)","Anal stenosis or continence disturbance (uncommon, mainly after surgery)"],"pain":"Mild to moderate pressure or aching for 1-3 days, usually managed with paracetamol and warm baths. Severe pain is uncommon and needs prompt review.","preparation":["Colonoscopy or sigmoidoscopy beforehand if indicated","Review blood thinners with the specialist","Fiber and fluids to avoid constipation","Enema or empty bowel as advised","Eat normally; no fasting usually required","Avoid NSAIDs and aspirin unless advised"],"recovery_timeline":[{"phase":"Day 0-3","description":"Rectal fullness or mild aching; small amount of spotting possible.","restrictions":["Avoid straining","Avoid NSAIDs and aspirin","Avoid heavy lifting"]},{"phase":"Day 4-10","description":"Bands and treated tissue slough off; light bleeding can occur around day 5-10.","restrictions":["Keep stools soft","Avoid long-distance travel if bleeding concerns"]},{"phase":"Weeks 2-6","description":"Ulcer heals and symptoms improve; reassess for further banding.","restrictions":["Continue fiber and hydration","Avoid prolonged toilet sitting"]}],"rehabilitation_days":{"min":1,"max":3,"unit":"days","qualifier":"Time to ordinary comfort and function; depends on band count and individual pain tolerance."},"result_longevity":"Symptom relief often lasts years, but recurrence occurs in a notable minority. Diet, stool regulation and avoiding straining help maintain results.","revision_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Repeat banding or surgery for recurrent symptoms within about 2-5 years; surgery needed in under 10%."},"scars":"No external incisions or visible scars. The banded internal tissue forms a small healing ulcer that resolves within weeks.","sessions_or_stages":{"sessions":{"min":1,"max":3,"unit":"visits","qualifier":"Usually one to three banding sessions, often one to two hemorrhoids each."},"stages":[{"code":"first_banding","label":"First banding session","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of initial treatment."}},{"code":"repeat_banding","label":"Repeat banding if symptoms persist","after":{"min":28,"max":42,"unit":"days","qualifier":"Interval of about 4-6 weeks between sessions."}}],"qualifier":"Sessions depend on hemorrhoid grade, number of columns and symptom response."},"success":{"metric":"Symptom improvement after rubber band ligation","value":80,"unit":"percent of patients","horizon":"1-3 months after last session","population":"Adults with symptomatic grade I-III internal hemorrhoids","evidence_status":"limited"},"techniques":[{"name":"Rubber band ligation","suits_whom":"Persistent grade I–III internal hemorrhoids","recovery":"Office procedure; most patients resume usual activities quickly, with mild discomfort possible."},{"name":"Sclerotherapy","suits_whom":"Lower-grade bleeding internal hemorrhoids","recovery":"Office procedure with short recovery."},{"name":"Conventional hemorrhoidectomy","suits_whom":"High-grade, prolapsing, thrombosed or refractory hemorrhoids","recovery":"Longer recovery with more postoperative pain than office methods."},{"name":"Stapled hemorrhoidectomy","suits_whom":"Circumferential prolapsing internal hemorrhoids, grade III–IV","recovery":"Less postoperative pain than conventional excision; usually back to activity within two weeks."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.1,"max":0.5,"unit":"hours","qualifier":"Procedure takes about 5-15 minutes plus assessment and brief observation."},"initial_assessment_documents":["Colonoscopy or sigmoidoscopy report","Previous proctology or colorectal surgeon report","Photos of external prolapse or swelling (if available)","Recent complete blood count","List of blood thinners"],"travel_trips":{"min":1,"max":3,"one_trip_possible":true,"qualifier":"One trip if one session suffices; repeat banding needs return trips."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask your doctor which treatment is best for your case before deciding","scope":"treatment_type","source":{"url":"https://www.nhs.uk/conditions/piles-haemorrhoids/","host":"nhs.uk","quote":"Talk to your doctor about the best treatment for you.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","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":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask whether a doctor is always present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care unit?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","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":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Bleeding non-stop","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/conditions/piles-haemorrhoids/","host":"nhs.uk","quote":"you are bleeding non-stop there is a lot of blood or you see large blood clots you are in severe pain","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"A lot of blood or large blood clots","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/conditions/piles-haemorrhoids/","host":"nhs.uk","quote":"you are bleeding non-stop there is a lot of blood or you see large blood clots you are in severe pain","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Pus or drainage from the operation site","urgency":"contact_clinic","general":false,"source":{"url":"https://www.leedsth.nhs.uk/patients/resources/haemorrhoid-surgery-surgery-for-piles/","host":"leedsth.nhs.uk","quote":"1. A temperature 2. Fresh bleeding or bruising 3. Redness or swelling at the operation site 4. Pus or drainage from the operation site","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Redness or swelling at the operation site","urgency":"contact_clinic","general":false,"source":{"url":"https://www.leedsth.nhs.uk/patients/resources/haemorrhoid-surgery-surgery-for-piles/","host":"leedsth.nhs.uk","quote":"1. A temperature 2. Fresh bleeding or bruising 3. Redness or swelling at the operation site","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W5","text":"Prolonged or severe pain","urgency":"contact_clinic","general":true,"source":{"url":"https://www.leedsth.nhs.uk/patients/resources/haemorrhoid-surgery-surgery-for-piles/","host":"leedsth.nhs.uk","quote":"1. A temperature 2. Fresh bleeding or bruising 3. Redness or swelling at the operation site 4. Pus or drainage from the operation site 5. Prolonged or severe pain","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","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":"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 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":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You want relief from itch and discomfort without a procedure","name":"Hemorrhoid creams and ointments","source":{"url":"https://www.ncic.nhs.uk/patients-visitors/patient-information-leaflets/General-surgery-Haemorrhoids","host":"ncic.nhs.uk","quote":"Ointments, creams, and suppositories - various preparations and brands are commonly used.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"You want a treatment that is not usually painful","name":"Hemorrhoidal artery ligation","source":{"url":"https://www.ncic.nhs.uk/patients-visitors/patient-information-leaflets/General-surgery-Haemorrhoids","host":"ncic.nhs.uk","quote":"This procedure is not usually painful and is gaining in popularity as a treatment option","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"rubber-band-ligation","name":"Rubber band ligation","how_it_works":{"text":"A band is placed around hemorrhoids to make them drop off","source":{"url":"https://www.nhs.uk/conditions/piles-haemorrhoids/","host":"nhs.uk","quote":"a band is placed around your piles to make them drop off","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":0,"max":0,"unit":"days","label":"Same day","source":{"url":"https://my.clevelandclinic.org/health/procedures/hemorrhoid-banding","host":"my.clevelandclinic.org","quote":"You can usually go back to your usual activities right after hemorrhoid banding.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"sclerotherapy","name":"Sclerotherapy","how_it_works":{"text":"A liquid is injected into hemorrhoids to make them shrink","source":{"url":"https://www.nhs.uk/conditions/piles-haemorrhoids/","host":"nhs.uk","quote":"a liquid is injected into your piles to make them shrink","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":0,"max":0,"unit":"days","label":"Same day","source":{"url":"https://www.ucsfhealth.org/education/hemorrhoids/","host":"ucsfhealth.org","quote":"You may return to daily activities right away.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"conventional","name":"Conventional hemorrhoidectomy","how_it_works":{"text":"An operation cuts away the hemorrhoids during surgery","source":{"url":"https://www.ncic.nhs.uk/patients-visitors/patient-information-leaflets/General-surgery-Haemorrhoids","host":"ncic.nhs.uk","quote":"Haemorrhoidectomy (the traditional operation) - An operation to cut away the haemorrhoid(s) is an option to treat grade 4 haemorrhoids, and for grade 2 and 3 haemorrhoids not successfully treated by banding or other methods.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":1,"max":2,"unit":"weeks","label":"1–2 weeks","source":{"url":"https://www.healthline.com/health/hemorrhoidectomy","host":"healthline.com","quote":"Recovery is different for everyone, but you should be able to return to normal activities within 1 to 2 weeks.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"stapled-hemorrhoidectomy","name":"Stapled hemorrhoidectomy","how_it_works":{"text":"A stapler pulls hemorrhoids back up by removing tissue above them","source":{"url":"https://www.ncic.nhs.uk/patients-visitors/patient-information-leaflets/General-surgery-Haemorrhoids","host":"ncic.nhs.uk","quote":"What happens in this procedure is a circular stapling 'gun' is used to cut out a circular section of the lining of the anal canal above the haemorrhoids.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"en","language":"en","href":"https://us-uk.bookimed.com/clinics/country=germany/city=bremen/procedure=hemorrhoid-therapy/"},{"rel":"alternate","hreflang":"ar","language":"ar","href":"https://ar.bookimed.com/clinics/country=germany/city=bremen/procedure=hemorrhoid-therapy/"},{"rel":"alternate","hreflang":"id","language":"id","href":"https://id.bookimed.com/clinics/country=germany/city=bremen/procedure=hemorrhoid-therapy/"},{"rel":"alternate","hreflang":"uk","language":"ua","href":"https://ua.bookimed.com/clinics/country=germany/city=bremen/procedure=hemorrhoid-therapy/"},{"rel":"alternate","hreflang":"kk","language":"kz","href":"https://kz.bookimed.com/clinics/country=germany/city=bremen/procedure=hemorrhoid-therapy/"},{"rel":"alternate","hreflang":"es","language":"es","href":"https://es.bookimed.com/clinics/country=germany/city=bremen/procedure=hemorrhoid-therapy/"},{"rel":"alternate","hreflang":"pt","language":"pt","href":"https://pt.bookimed.com/clinics/country=germany/city=bremen/procedure=hemorrhoid-therapy/"},{"rel":"alternate","hreflang":"de","language":"de","href":"https://de.bookimed.com/clinics/country=germany/city=bremen/procedure=hemorrhoid-therapy/"},{"rel":"alternate","hreflang":"fr","language":"fr","href":"https://fr.bookimed.com/clinics/country=germany/city=bremen/procedure=hemorrhoid-therapy/"},{"rel":"alternate","hreflang":"pl","language":"pl","href":"https://pl.bookimed.com/clinics/country=germany/city=bremen/procedure=hemorrhoid-therapy/"},{"rel":"alternate","hreflang":"it","language":"it","href":"https://it.bookimed.com/clinics/country=germany/city=bremen/procedure=hemorrhoid-therapy/"},{"rel":"alternate","hreflang":"ja","language":"jp","href":"https://jp.bookimed.com/clinics/country=germany/city=bremen/procedure=hemorrhoid-therapy/"},{"rel":"alternate","hreflang":"en-AU","language":"en","href":"https://au.bookimed.com/clinics/country=germany/city=bremen/procedure=hemorrhoid-therapy/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":28},"manualSeo":[],"updatedAt":"2026-11-11T22:13:52.000Z","activeCountries":["DE","TR","CZ","TH"],"hasVideoReviewsByContext":false,"hasCriticalApiFallback":false}