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Bleeding returns to theatre are not counted."},"scars":"No external scars; operation is performed through the mouth.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation under general anesthesia."},"stages":[{"code":"tonsillectomy","label":"Removal of both palatine tonsils","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial procedure."}}],"qualifier":"Standalone bilateral tonsillectomy in one session."},"success":{"metric":"Fewer sore throat episodes after tonsillectomy for recurrent tonsillitis","value":80,"unit":"percent reduction in episodes","horizon":"12 months","population":"Adults with recurrent acute tonsillitis meeting frequency criteria","evidence_status":"limited"},"techniques":[{"name":"Cold steel dissection with ties or cautery","suits_whom":"Most adults with recurrent tonsillitis; traditional, widely available approach.","recovery":"Typically 10-14 days in adults."},{"name":"Electrocautery (monopolar/bipolar) dissection","suits_whom":"Adults with recurrent tonsillitis; less intraoperative bleeding than cold steel.","recovery":"Similar or slightly more pain; 10-14 days."},{"name":"Coblation or harmonic scalpel","suits_whom":"Adults where the surgeon prefers less bleeding or shorter surgery.","recovery":"Similar 10-14 days; pain benefit not consistently shown."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":0.5,"max":1,"unit":"hours","qualifier":"Operating time for bilateral adult tonsillectomy, excluding anesthesia induction and recovery."},"initial_assessment_documents":["ENT specialist report on tonsil history","Medical records of documented tonsillitis episodes","Recent blood count and coagulation results","Current medication list including blood thinners","Throat photo showing tonsils (if available)","Previous anesthesia complications report (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-session surgery; stay about 10-14 days to pass the secondary bleeding window before flying home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the surgeon's training and qualifications","scope":"treatment_type","source":{"url":"https://www.bapras.org.uk/public/think-over-before-you-make-over/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"You should always ask a surgeon what training and qualifications they have and what organisations they belong to.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check how many procedures of this kind the surgeon has undertaken","scope":"treatment_type","source":{"url":"https://www.bapras.org.uk/public/think-over-before-you-make-over/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"How many procedures of the kind you are interested in have they undertaken","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that you talk with the operating surgeon before you give consent","scope":"treatment_type","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad","host":"rcseng.ac.uk","quote":"Make sure that you talk to the surgeon who will be performing your procedure before you give your consent","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check what back-up the clinic has if something goes wrong","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/think-over-before-you-make-over/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"What facilities do they have and what back up do they have if something goes wrong?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Check whether follow-up care is at the same facility as the procedure","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"You are asked to agree before meeting the operating surgeon","scope":"treatment_type","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad","host":"rcseng.ac.uk","quote":"Do not agree to cosmetic surgery before meeting the surgeon carrying out the procedure","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"Surgeon or hospital will not discuss the details of surgery with you","scope":"treatment_type","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad","host":"rcseng.ac.uk","quote":"Be wary of surgeons and hospitals that do not want to discuss the details of surgery with you.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"Surgery is marketed as part of a holiday package","scope":"treatment_abroad","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad","host":"rcseng.ac.uk","quote":"Beware of any hospital which markets cosmetic surgery as part of a holiday package.","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":"Heavy bleeding that does not stop","urgency":"emergency","general":false,"source":{"url":"https://www.pah.nhs.uk/?p=8946","host":"pah.nhs.uk","quote":"If the bleeding is heavy, does not stop, or you feel faint or unwell, call 999 immediately.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Bleeding from the throat after leaving hospital","urgency":"contact_clinic","general":false,"source":{"url":"https://www.pah.nhs.uk/?p=8946","host":"pah.nhs.uk","quote":"Bleeding from your throat after you have left hospital.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Pain that gets worse after five days","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/17562-tonsillectomy-postop-care","host":"my.clevelandclinic.org","quote":"Pain that gets worse after five days or doesn’t improve with pain medication","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Fever that does not improve with medication","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/treatments/17562-tonsillectomy-postop-care","host":"my.clevelandclinic.org","quote":"A fever higher than 101 degrees Fahrenheit (38.3 degrees Celsius) that doesn’t improve with medication","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":"Home doctor needs the report of the hospital stay","document":"discharge summary","source":{"url":"https://guysandstthomas.nhs.uk/health-information/discharge-medicines-service","host":"guysandstthomas.nhs.uk","quote":"This is a report that your hospital doctor prepares at the end of your hospital stay.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"T2","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":"T3","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":"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":"Your tonsillitis is caused by bacteria rather than a virus","name":"Antibiotics for bacterial tonsillitis","source":{"url":"https://my.clevelandclinic.org/health/diseases/21146-tonsillitis","host":"my.clevelandclinic.org","quote":"Antibiotics typically eliminate bacterial tonsillitis in about 10 days.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null},{"id":"A2","text":"Your tonsillitis is viral and settles without treatment","name":"Watchful waiting for tonsillitis","source":{"url":"https://my.clevelandclinic.org/health/diseases/21146-tonsillitis","host":"my.clevelandclinic.org","quote":"Viral tonsillitis typically goes away on its own in about one week.","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":"cold-steel-dissection","name":"Cold steel dissection with ties or cautery","how_it_works":{"text":"A surgeon removes the tonsils with a scalpel","source":{"url":"https://www.healthline.com/health/tonsillectomy","host":"healthline.com","quote":"In this case, your surgeon removes your tonsils with a scalpel.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"electrocautery-dissection","name":"Electrocautery (monopolar/bipolar) dissection","how_it_works":{"text":"Heat is used to remove 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