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Он сертифицирован Европейским обществом колопроктологии (FEBS-C) и выполнил более 500 бариатрических операций.","specialities":[{"id":"sur.006","name":"Колоректальный хирург","illness_kind_id":33},{"id":"sur.010","name":"Специалист общей хирургии","illness_kind_id":33}]},"updatedAt":"2026-11-11T22:13:52.000Z","activeCountries":["LT","TR","CZ","PL","TH"],"operationIndicators":{"details":{"anesthesia":"local","days_in_clinic":1,"days_in_country":1,"rehabilitation_days":1,"satisfied_percent":78,"treatment_duration_hours":1},"illness_kind_details":{"requests_processed":7852}},"direction":{"id":33,"name":"Хирургия","alias":"hirurgiya","name_forms":{"base_form":"Хирургия","form_1":"хирургии","form_2":"хирургии","form_3":"хирургические","form_4":"хирург","form_5":"хирурга","form_6":"хирурги","form_7":"хирургическую","form_11":"хирурги","form_12":"хирургов"}},"illness_kind":{"id":33,"name":{"en":"Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["none"],"back_to_work_days":{"min":0,"max":2,"unit":"days","qualifier":"Most people resume desk work the same or next day; longer if significant discomfort."},"complication_rate_pct":{"min":2,"max":10,"unit":"percent","qualifier":"Significant complications (severe pain, delayed bleeding, retention, thrombosis); sepsis under 0.1%. Mild pain is more common."},"contraindications":["Anticoagulant/antiplatelet therapy or bleeding disorder (relative; specialist assessment needed)","Thrombocytopenia or coagulopathy","Severe immunosuppression or neutropenia","Acute anorectal sepsis or thrombosed/strangulated external hemorrhoids","Grade IV (irreducible) hemorrhoids or large external component","Severe anal fissure or untreated anorectal IBD (relative)","Portal hypertension with rectal varices (relative)","Latex allergy if latex bands are used"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Performed as an office/clinic procedure with no overnight stay."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":0.5,"max":1,"unit":"weeks","qualifier":"Strenuous exercise and heavy lifting usually avoided for several days to a week."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"After the course of banding sessions; symptom relief builds as banded tissue sloughs and fixes."},"fly_home_after_days":{"min":1,"max":2,"unit":"days","qualifier":"Short flights usually fine next day; delayed bleeding risk peaks days 5-14, so clinicians may advise waiting."},"follow_up_visits":[{"purpose":"assessment","requirement":"routine","after":{"min":14,"max":42,"unit":"days","qualifier":"Review of response and, if needed, next banding session."}},{"purpose":"other","requirement":"conditional","after":{"min":1,"max":14,"unit":"days","qualifier":"Urgent review for heavy bleeding, severe pain, fever or urinary retention."}}],"indications":["Symptomatic grade I–III internal hemorrhoids with bleeding or prolapse","Hemorrhoids not controlled by diet, fiber and medical measures"],"main_risks":["Pelvic or anal pain and rectal fullness/tenesmus","Bleeding, usually at band slough (days 5–14), occasionally significant","Urinary retention","Vasovagal reaction","Thrombosed external hemorrhoid","Rare pelvic sepsis: severe pain, fever, retention need urgent care"],"pain":"Usually mild to moderate: dull ache or pressure for 1–3 days, controlled with simple analgesics and sitz baths; severe pain is a warning sign.","preparation":["Anoscopy to confirm internal hemorrhoids and exclude other pathology","Colonoscopy considered per age/risk or bleeding evaluation","Review of bleeding risk and medications with the clinician","Often no bowel prep or an enema only","Avoid constipation; fiber and fluids"],"recovery_timeline":[{"phase":"Day 0–4","description":"Rectal pressure or mild ache; light activity possible.","restrictions":["Avoid straining","Avoid heavy lifting"]},{"phase":"Day 5–14","description":"Band falls off with a small amount of bleeding or spotting possible; report heavy bleeding or fever urgently.","restrictions":["Avoid heavy lifting until about day 7","Avoid constipation and prolonged straining"]},{"phase":"Weeks 2–6","description":"Healing of the ulcer at the banding site and symptom improvement.","restrictions":[]}],"rehabilitation_days":{"min":1,"max":3,"unit":"days","qualifier":"Return to ordinary function after a single banding session."},"result_longevity":"Symptom relief often lasts several years, but hemorrhoids can recur in roughly 10-30% of patients within 5 years. Constipation, straining and low fiber intake shorten results; repeat banding is possible.","revision_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Repeat banding or further treatment for recurrent symptoms within about 5 years."},"scars":"No external incisions or visible scars; a small mucosal ulcer heals internally.","sessions_or_stages":{"sessions":{"min":1,"max":3,"unit":"visits","qualifier":"Typical course of banding visits; often 1–2 hemorrhoids banded per session, depending on practice."},"stages":[{"code":"first_banding","label":"First banding session","after":{"min":0,"max":0,"unit":"days","qualifier":"Initial session."}},{"code":"repeat_banding","label":"Repeat banding if symptoms persist","after":{"min":14,"max":42,"unit":"days","qualifier":"Interval commonly 2–6 weeks after the first session."}}],"qualifier":"Number of sessions depends on the extent of disease and individual response."},"success":{"metric":"Symptom improvement (bleeding/prolapse control)","value":80,"unit":"percent of patients","horizon":"1-3 months after banding course","population":"Adults with symptomatic grade I–III internal hemorrhoids","evidence_status":"limited"},"techniques":[{"name":"Suction rubber band ligation via anoscope","suits_whom":"Adults with symptomatic grade I–III internal hemorrhoids.","recovery":"Same-day return home; mild discomfort for a few days."},{"name":"Forceps-assisted rubber band ligation via anoscope","suits_whom":"Adults with grade II–III hemorrhoids that suction captures poorly.","recovery":"Same-day return home; mild discomfort for a few days."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.1,"max":0.25,"unit":"hours","qualifier":"Per banding session, about 6–15 minutes."},"initial_assessment_documents":["Proctology or anoscopy exam report","Recent colonoscopy report","List of blood thinners","Recent hemoglobin blood test"],"travel_trips":{"min":1,"max":3,"one_trip_possible":true,"qualifier":"One session fits a 2-3 day trip; each repeat banding 2-6 weeks later needs another trip or extended stay."},"clinic_checks":{"status":"ok","items":[{"id":"C1","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":"C2","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":"C3","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":"C4","text":"Ask whether the surgeon and the facility use a surgical safety checklist, which can reduce complications","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Do the surgeon and his/her facility use a safety checklist?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Decide 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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 that does not 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Your provider injects a chemical into the swollen vein to destroy hemorrhoid tissue.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"You have large external or prolapsed internal hemorrhoids","name":"Hemorrhoidectomy","source":{"url":"https://my.clevelandclinic.org/health/diseases/15120-hemorrhoids","host":"my.clevelandclinic.org","quote":"Hemorrhoidectomy . 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