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Hospitalization: 2 nights","is_package":true},{"id":"6a56604f5c611489b9bdb3e3","clinic_id":96,"clinic_listed":true,"price":17920,"nights":2,"transfer":true,"tests":{"status":"missing","reason":"not_collected"},"meds":{"status":"missing","reason":"not_collected"},"aftercare":{"status":"missing","reason":"not_collected"},"guarantee":{"status":"missing","reason":"not_collected"},"included":["Transfer airport-hotel-clinic-airport"],"excluded":["Accommodation is not included"],"other_services":"Surgical treatment of the condition described as Hydrocephalus Surgery – Shunt Procedures, performed using the most appropriate operative technique for the case.","is_package":true},{"id":"6a56604f5c611489b9bdb416","clinic_id":410,"clinic_listed":true,"price":17920,"nights":2,"transfer":true,"tests":{"status":"missing","reason":"not_collected"},"meds":{"status":"missing","reason":"not_collected"},"aftercare":{"status":"missing","reason":"not_collected"},"guarantee":{"status":"missing","reason":"not_collected"},"included":["Transfer airport-hotel-clinic-airport"],"excluded":["Accommodation is not included"],"other_services":"Surgical treatment of the condition described as Hydrocephalus Surgery – Shunt Procedures, performed using the most appropriate operative technique for the case.","is_package":true},{"id":"6a56604f5c611489b9bdb15d","clinic_id":7176,"clinic_listed":true,"price":17920,"nights":2,"transfer":true,"tests":{"status":"missing","reason":"not_collected"},"meds":{"status":"missing","reason":"not_collected"},"aftercare":{"status":"missing","reason":"not_collected"},"guarantee":{"status":"missing","reason":"not_collected"},"included":["Transfer airport-hotel-clinic-airport"],"excluded":["Accommodation is not included"],"other_services":"Surgical treatment of the condition described as Hydrocephalus Surgery – Shunt Procedures, performed using the most appropriate operative technique for the case.","is_package":true}],"related_packages":{"status":"missing","reason":"not_collected"},"other_packages":{"status":"missing","reason":"not_classified"}},"medical":{"indications":["Symptomatic or progressive communicating or obstructive hydrocephalus","Normal pressure hydrocephalus with gait, cognitive, urinary symptoms","Post-hemorrhagic or post-infectious hydrocephalus","Hydrocephalus from tumor, malformation or trauma needing CSF diversion","Failed or unsuitable endoscopic third ventriculostomy"],"contraindications":["Active scalp, CSF or abdominal infection; treat first","Uncorrected bleeding disorder or anticoagulation (relative)","Unfit for general anesthesia (relative)","Recent intraventricular hemorrhage; timing of shunt to be reviewed (relative)"],"operation_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Operative time for uncomplicated primary VP shunt placement; excludes anesthesia induction and recovery."},"anesthesia":["general"],"sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for primary ventriculoperitoneal shunt placement."},"stages":[{"code":"shunt_placement","label":"Ventriculoperitoneal shunt insertion","after":{"min":0,"max":0,"unit":"days","qualifier":"Single-stage surgery on the day of procedure."}}],"qualifier":"Describes primary VP shunt insertion only; revisions or temporary external drainage are separate."},"hospital_nights":{"value":2,"source":"offers","parsed_details":{"min":2,"max":5,"unit":"nights","qualifier":"Uncomplicated primary shunt placement with neurological observation and post-op imaging; longer if complications arise."}},"treatment_conditions":["inpatient"],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Ordinary functional recovery after uncomplicated shunt placement; longer if neurological deficits from the underlying condition require therapy."},"fly_home_after_days":{"min":5,"max":7,"unit":"days","qualifier":"Counted from surgery; after discharge and neurosurgical clearance. Depends on imaging, wound status, absence of headache or drowsiness, airline rules."},"back_to_work_days":{"min":14,"max":42,"unit":"days","qualifier":"Uncomplicated ventriculoperitoneal shunt placement; desk work earlier, physically demanding work later. Depends on underlying cause of hydrocephalus and neurological status."},"exercise_resume_weeks":{"min":4,"max":8,"unit":"weeks","qualifier":"Light activity such as walking earlier; contact sports and activities with head-injury risk need surgeon-specific advice."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Early gains within weeks; maximal benefit often by about 3 months; varies by cause."},"result_longevity":"Shunts are not guaranteed permanent; many patients need revision at some point, and lifelong awareness of shunt-failure symptoms is needed. Durability varies widely with age, cause and device.","main_risks":["Shunt malfunction or obstruction; may need revision","Shunt infection, most often in first months","Overdrainage (headache, subdural collections) or underdrainage (persistent symptoms)","Intracranial hemorrhage or catheter misplacement","Abdominal complications (pseudocyst, bowel injury, hernia, catheter migration)","Seizures","Anesthetic risks"],"complication_rate_pct":{"min":15,"max":30,"unit":"percent","qualifier":"15-30% any shunt-related complication in first year; infection about 5-8%."},"revision_rate_pct":{"min":25,"max":40,"unit":"percent","qualifier":"Shunt failure needing revision within first 2 years after primary VP shunt; highest in first year."},"success":{"metric":"Symptom improvement with functioning shunt, no revision needed","value":60,"horizon":"2 years","source":{"status":"missing","reason":"not_collected"},"evidence_status":"limited"},"scars":"Small scalp incision (often behind the ear or top/back of head), small abdominal incision, sometimes neck/chest tunnel. Linear scars, partly hidden by hair; palpable valve or tubing is common.","pain":"Moderate headache and incision-site soreness in the first few days, typically controlled with standard analgesics; abdominal discomfort at the catheter site is possible.","preparation":["Neurological assessment and brain imaging (CT or MRI)","Pre-operative blood tests and anesthetic assessment","Medication review, including blood thinners","Fasting before general anesthesia per instructions","Hair clipping and prophylactic antibiotics","Discussion of shunt type, valve settings and consent"],"recovery_timeline":[{"phase":"Hospital stay (days 0–5)","description":"Neurological observation, wound care, mobilization and imaging as needed.","restrictions":["No driving"]},{"phase":"Early recovery (weeks 1–6)","description":"Gradual return to daily activity and desk work; incisions heal; headache and fatigue settle.","restrictions":["Avoid heavy lifting and strenuous activity","Keep wounds clean and 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system surgery (neurosurgeon).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that the surgeon discusses possible complications with you before the operation","scope":"procedure","source":{"url":"https://www.nhs.uk/conditions/hydrocephalus/","host":"nhs.uk","quote":"Before having surgery, your surgeon should discuss the possible complications with you.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that tests weighing the benefits of surgery against its risks are done before any shunt operation","scope":"procedure","source":{"url":"https://www.nhs.uk/conditions/hydrocephalus/treatment/","host":"nhs.uk","quote":"As there's a risk of complications with shunt surgery, you'll need tests to assess whether the potential benefits of surgery outweigh the risks.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check that the clinic provides neurosurgical follow-up after discharge, because follow-up assesses symptoms and shunt function","scope":"procedure","source":{"url":"https://www.cuh.nhs.uk/patient-information/normal-pressure-hydrocephalus-specialist-service/","host":"cuh.nhs.uk","quote":"You will be followed up about 3 months and about 1 year following hospital discharge from your shunt operation.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Check what follow-up investigations and treatment are available if concerns arise about shunt function","scope":"procedure","source":{"url":"https://www.thewaltoncentre.nhs.uk/ventriculoperitoneal-shunt-post-operative-information","host":"thewaltoncentre.nhs.uk","quote":"This clinic runs weekdays, and you will be seen by the Nurse Specialist team, assessed, any investigations requested and reviewed by the medical team and further treatment or follow up arranged as appropriate.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Offer gives no talk with the surgeon about possible complications before surgery","scope":"procedure","source":{"url":"https://www.nhs.uk/conditions/hydrocephalus/","host":"nhs.uk","quote":"Before having surgery, your surgeon should discuss the possible complications with you.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"The doctor named to operate is not identified as a neurosurgeon","scope":"procedure","source":{"url":"https://www.nhs.uk/conditions/hydrocephalus/treatment/","host":"nhs.uk","quote":"Shunt surgery is done by a specialist in brain and nervous system surgery (neurosurgeon).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"Shunt surgery is offered with no tests planned to weigh benefits against risks","scope":"procedure","source":{"url":"https://www.nhs.uk/conditions/hydrocephalus/treatment/","host":"nhs.uk","quote":"As there's a risk of complications with shunt surgery, you'll need tests to assess whether the potential benefits of surgery outweigh the risks.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F4","text":"The offer does not identify follow-up care after discharge","scope":"procedure","source":{"url":"https://www.cuh.nhs.uk/patient-information/normal-pressure-hydrocephalus-specialist-service/","host":"cuh.nhs.uk","quote":"You will be followed up about 3 months and about 1 year following hospital discharge from your shunt operation.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Redness and tenderness along the shunt","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/conditions/hydrocephalus/complications/","host":"nhs.uk","quote":"redness and tenderness along the line of the shunt","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Fluid leaking through the skin wound","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/conditions/hydrocephalus/complications/","host":"nhs.uk","quote":"In younger children, particularly babies, cerebrospinal fluid (CSF) can run alongside the shunt rather than down it, and the fluid can leak through the skin wound.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Weakness down one side","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/conditions/hydrocephalus/complications/","host":"nhs.uk","quote":"This can cause nerve problems, such as weakness down one side.","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":"It tells the home doctor about discharge and supports continuing care","document":"discharge letter","source":{"url":"https://www.thewaltoncentre.nhs.uk/ventriculoperitoneal-shunt-post-operative-information","host":"thewaltoncentre.nhs.uk","quote":"An official discharge letter will be sent to your GP after you are discharged.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","text":"It tells healthcare professionals that a shunt is fitted during an emergency","document":"shunt alert card","source":{"url":"https://111.wales.nhs.uk/hydrocephalus/?locale=en","host":"111.wales.nhs.uk","quote":"The card is useful in a medical emergency if you have symptoms of a blockage or infection.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T3","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":"T4","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":"T5","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}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":14,"max":42,"unit":"days","qualifier":"Uncomplicated ventriculoperitoneal shunt placement; desk work earlier, physically demanding work later. Depends on underlying cause of hydrocephalus and neurological status."},"complication_rate_pct":{"min":15,"max":30,"unit":"percent","qualifier":"15-30% any shunt-related complication in first year; infection about 5-8%."},"contraindications":["Active scalp, CSF or abdominal infection; treat first","Uncorrected bleeding disorder or anticoagulation (relative)","Unfit for general anesthesia (relative)","Recent intraventricular hemorrhage; timing of shunt to be reviewed (relative)"],"days_in_clinic":{"min":2,"max":5,"unit":"nights","qualifier":"Uncomplicated primary shunt placement with neurological observation and post-op imaging; longer if complications arise."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":8,"unit":"weeks","qualifier":"Light activity such as walking earlier; contact sports and activities with head-injury risk need surgeon-specific advice."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Early gains within weeks; maximal benefit often by about 3 months; varies by cause."},"fly_home_after_days":{"min":5,"max":7,"unit":"days","qualifier":"Counted from surgery; after discharge and neurosurgical clearance. Depends on imaging, wound status, absence of headache or drowsiness, airline rules."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":10,"max":14,"unit":"days","qualifier":"Wound review and suture/staple removal if non-absorbable closure used."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":90,"unit":"days","qualifier":"Neurosurgical clinical review, often with baseline imaging; subsequent reviews are individualized."}}],"indications":["Symptomatic or progressive communicating or obstructive hydrocephalus","Normal pressure hydrocephalus with gait, cognitive, urinary symptoms","Post-hemorrhagic or post-infectious hydrocephalus","Hydrocephalus from tumor, malformation or trauma needing CSF diversion","Failed or unsuitable endoscopic third ventriculostomy"],"main_risks":["Shunt malfunction or obstruction; may need revision","Shunt infection, most often in first months","Overdrainage (headache, subdural collections) or underdrainage (persistent symptoms)","Intracranial hemorrhage or catheter misplacement","Abdominal complications (pseudocyst, bowel injury, hernia, catheter migration)","Seizures","Anesthetic risks"],"pain":"Moderate headache and incision-site soreness in the first few days, typically controlled with standard analgesics; abdominal discomfort at the catheter site is possible.","preparation":["Neurological assessment and brain imaging (CT or MRI)","Pre-operative blood tests and anesthetic assessment","Medication review, including blood thinners","Fasting before general anesthesia per instructions","Hair clipping and prophylactic antibiotics","Discussion of shunt type, valve settings and consent"],"recovery_timeline":[{"phase":"Hospital stay (days 0–5)","description":"Neurological observation, wound care, mobilization and imaging as needed.","restrictions":["No driving"]},{"phase":"Early recovery (weeks 1–6)","description":"Gradual return to daily activity and desk work; incisions heal; headache and fatigue settle.","restrictions":["Avoid heavy lifting and strenuous activity","Keep wounds clean and dry"]},{"phase":"Later recovery (weeks 6–12)","description":"Return to most normal activities; symptom and imaging review as scheduled.","restrictions":["Avoid contact sports unless surgeon clears"]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Ordinary functional recovery after uncomplicated shunt placement; longer if neurological deficits from the underlying condition require therapy."},"result_longevity":"Shunts are not guaranteed permanent; many patients need revision at some point, and lifelong awareness of shunt-failure symptoms is needed. Durability varies widely with age, cause and device.","revision_rate_pct":{"min":25,"max":40,"unit":"percent","qualifier":"Shunt failure needing revision within first 2 years after primary VP shunt; highest in first year."},"scars":"Small scalp incision (often behind the ear or top/back of head), small abdominal incision, sometimes neck/chest tunnel. Linear scars, partly hidden by hair; palpable valve or tubing is common.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for primary ventriculoperitoneal shunt placement."},"stages":[{"code":"shunt_placement","label":"Ventriculoperitoneal shunt insertion","after":{"min":0,"max":0,"unit":"days","qualifier":"Single-stage surgery on the day of procedure."}}],"qualifier":"Describes primary VP shunt insertion only; revisions or temporary external drainage are separate."},"success":{"metric":"Symptom improvement with functioning shunt, no revision needed","value":60,"unit":"percent of patients","horizon":"2 years","population":"Adults with hydrocephalus after primary VP shunt placement","evidence_status":"limited"},"techniques":[{"name":"Ventriculoperitoneal (VP) shunt","suits_whom":"Most common option for infants, children and adults with hydrocephalus of many causes.","recovery":"Hospital stay of a few days; return to usual activity over several weeks."},{"name":"Ventriculoatrial or ventriculopleural shunt","suits_whom":"Alternative when the peritoneal cavity is unsuitable (e.g., prior abdominal surgery or infection).","recovery":"Similar hospital stay; specific cardiac or pulmonary risks require monitoring."},{"name":"Lumboperitoneal shunt","suits_whom":"Selected communicating hydrocephalus or idiopathic intracranial hypertension.","recovery":"Similar to VP shunt; monitor for back pain or radicular symptoms."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Operative time for uncomplicated primary VP shunt placement; excludes anesthesia induction and recovery."},"initial_assessment_documents":["Brain MRI or CT scan reports","Brain MRI or CT images on disc","Neurosurgery discharge summary or clinical report","Previous shunt or ventriculostomy operative report","List of blood thinners","Recent blood test results"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay 5-7 days including hospital nights and discharge clearance. Wound and clinical reviews can be done at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the operation is done by a neurosurgeon, a specialist in brain and nervous system surgery","scope":"procedure","source":{"url":"https://www.nhs.uk/conditions/hydrocephalus/treatment/","host":"nhs.uk","quote":"Shunt surgery is done by a specialist in brain and nervous system surgery (neurosurgeon).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that the surgeon discusses possible complications with you before the operation","scope":"procedure","source":{"url":"https://www.nhs.uk/conditions/hydrocephalus/","host":"nhs.uk","quote":"Before having surgery, your surgeon should discuss the possible complications with you.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that tests weighing the benefits of surgery against its risks are done before any shunt 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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":"T5","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":"Your hydrocephalus is caused by a blockage (obstructive hydrocephalus)","name":"Endoscopic third ventriculostomy","source":{"url":"https://www.nhs.uk/conditions/hydrocephalus/treatment/","host":"nhs.uk","quote":"ETV is not suitable for everyone, but it could be an option if the build-up of CSF in your brain is caused by a blockage (obstructive hydrocephalus).","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":"ventriculoperitoneal-shunt","name":"Ventriculoperitoneal (VP) shunt","how_it_works":{"text":"Excess fluid flows from the brain through the shunt to the tummy","source":{"url":"https://www.nhs.uk/conditions/hydrocephalus/treatment/","host":"nhs.uk","quote":"The excess cerebrospinal fluid (CSF) in the brain flows through the shunt to another part of your body, usually your tummy.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"ventriculoatrial","name":"Ventriculoatrial or ventriculopleural shunt","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"lumboperitoneal-shunt","name":"Lumboperitoneal shunt","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"techniques":[{"id":"ventriculoperitoneal-shunt","name":"Ventriculoperitoneal (VP) shunt","how_it_works":{"id":"H1","text":"Excess fluid flows from the brain through the shunt to the tummy","source":{"url":"https://www.nhs.uk/conditions/hydrocephalus/treatment/","host":"nhs.uk","quote":"The excess cerebrospinal fluid (CSF) in the brain flows through the shunt to another part of your body, usually your tummy.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Most common option for infants, children and adults with hydrocephalus of many causes.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Hospital stay of a few days; return to usual activity over several weeks."},{"id":"ventriculoatrial","name":"Ventriculoatrial or ventriculopleural shunt","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Alternative when the peritoneal cavity is unsuitable (e.g., prior abdominal surgery or infection).","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Similar hospital stay; specific cardiac or pulmonary risks require monitoring."},{"id":"lumboperitoneal-shunt","name":"Lumboperitoneal shunt","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Selected communicating hydrocephalus or idiopathic intracranial hypertension.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Similar to VP shunt; monitor for back pain or radicular symptoms."}],"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your hydrocephalus is caused by a blockage (obstructive hydrocephalus)","name":"Endoscopic third ventriculostomy","source":{"url":"https://www.nhs.uk/conditions/hydrocephalus/treatment/","host":"nhs.uk","quote":"ETV is not suitable for everyone, but it could be an option if the build-up of CSF in your brain is caused by a blockage (obstructive hydrocephalus).","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},"diagnostic":{"status":"not_applicable"},"country":{"why":{"status":"ok","items":[{"id":"Y1","text":"Turkey's Ministry of Health publishes lists of authorized healthcare providers and facilitators holding authorization certificates","specialties":[],"source":{"url":"https://shgmturizmdb.saglik.gov.tr/EN-69410/announcements.html","host":"shgmturizmdb.saglik.gov.tr","quote":"Updated lists of healthcare providers and facilitators that have been granted authorization certificates by the Ministry","tier":"government","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-05-11","version":1},"travel":{"status":"ok","items":[{"id":"V1","item":"visa","audience":"uk","volatile":true,"text":"UK citizen passport holders can visit Turkey without a visa for up to 90 days in any 180-day period, for business or tourism","source":{"url":"https://www.gov.uk/foreign-travel-advice/turkey/entry-requirements","host":"gov.uk","quote":"You can visit Turkey without a visa for up to 90 days in any 180-day period, for business or tourism.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"visa","audience":"us","volatile":true,"text":"US ordinary passport holders are exempt from a visa for up to 90 days in any 180-day period in Turkey","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Turkey.html","host":"travel.state.gov","quote":"Ordinary passport holders are exempted from visa up to 90 days in any 180-day period.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V3","item":"passport_validity","audience":"uk","volatile":true,"text":"A UK passport must expire at least 150 days after arrival in Turkey and have at least 1 blank page","source":{"url":"https://www.gov.uk/foreign-travel-advice/turkey/entry-requirements","host":"gov.uk","quote":"To enter Turkey, your passport must have an ‘expiry date’ at least 150 days after the date you arrive and at least 1 blank page.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V4","item":"passport_validity","audience":"us","volatile":true,"text":"A US passport must be valid for six months beyond the entry date into Turkey","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Turkey.html","host":"travel.state.gov","quote":"Passports must be valid for six months beyond your entry date.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V5","item":"prescriptions","audience":"uk","volatile":false,"text":"British prescriptions are not accepted in pharmacies in Turkey","source":{"url":"https://www.gov.uk/foreign-travel-advice/turkey/health","host":"gov.uk","quote":"British prescriptions are not accepted in pharmacies in Turkey.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V6","item":"emergency_number","audience":"all","volatile":false,"text":"Dial 112 and ask for an ambulance in Turkey","source":{"url":"https://www.gov.uk/foreign-travel-advice/turkey/health","host":"gov.uk","quote":"Dial 112 and ask for an ambulance.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2026-12-11","version":1},"other_countries_with_page":["azerbaijan","germany","greece","india","israel","italy","mexico","republic-of-korea","spain","switzerland","thailand"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":4.55,"count":2492,"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":"<p>Hydrocephalus and shunt surgeries in Turkey typically costs from _op_646_price_from_ to _op_646_price_to_. The final price depends on the hospital reputation, surgeon expertise, and the specific shunt technology used, such as programmable versus fixed-pressure valves. In the US, similar procedures cost around _price_compare_US_average_ on average. Patients save around _price_percent_discount_% compared to the US. Most Turkish medical packages include preoperative diagnostics, the surgical procedure, anesthesia, and hospital stays.</p>\n\n<ul>\n<li><strong>Standard VP shunt:</strong> Typically ranges from 15-20% less than the total package maximum for uncomplicated cases.</li>\n<li><strong>Programmable shunt devices:</strong> Often add a premium to the base cost due to advanced adjustable valve technology.</li>\n<li><strong>Endoscopic third ventriculostomy:</strong> This shunt-free alternative can cost 30-50% more than standard shunt placements.</li>\n<li><strong>Major medical hubs:</strong> Primary centers for these neurosurgeries include Istanbul, Ankara, Antalya, and Bursa.</li>\n</ul>\n\n<p><strong>Bookimed Expert Insight:</strong> Choosing a specialized center like Hisar Hospital Intercontinental can be highly cost-effective. They offer advanced STRADA system neuronavigation for approximately $4,850. In contrast, premium JCI-accredited facilities like Memorial Şişli Hospital may quote around $16,000. It is vital to check if the shunt hardware is included. Some lower-priced packages exclude the physical device, while top-tier options are often all-inclusive.</p>","faq":[{"q":"How do Turkish clinics handle follow-up care and long-term shunt monitoring for international patients?","a":"<p>Turkish clinics manage long-term shunt care through structured medical documentation, remote telehealth consultations, and coordinated handovers to local specialists. International patients receive a shunt passport detailing the device model and valve settings to ensure seamless monitoring by neurosurgeons in their home countries.</p> <ul> <li><strong>Hospital stay:</strong> Patients typically stay 2 days in the hospital for initial postoperative monitoring.</li> <li><strong>Post-op window:</strong> Surgeons require 7 to 14 days in Turkey for wound care and staples removal.</li> <li><strong>Medical documentation:</strong> Clinics provide English-language operative reports and imaging for local neurosurgeon handovers.</li> <li><strong>Remote monitoring:</strong> Digital platforms allow surgeons to review follow-up scans and adjust care plans remotely.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While many centers offer base shunt procedures, Hisar Hospital Intercontinental uses 640-slice CT technology for highly precise device placement. This advanced imaging helps minimize the need for early valve adjustments. Data shows surgeons like Ertugrul Pinar, with over 4,500 procedures, emphasize these high-resolution scans to confirm shunt function before patients fly home.</p> <p><strong>Patient Consensus:</strong> Patients emphasize that recovery is a long-term commitment requiring local neurosurgical support for months after surgery. Successful outcomes depend on having the exact shunt model and pressure settings ready for emergency local care.</p>"},{"q":"Why is Turkey a popular destination for hydrocephalus and shunt surgeries?","a":"<p>Turkey is a leading destination for hydrocephalus treatment due to its concentration of Joint Commission International-accredited hospitals and neurosurgeons with board certifications. Patients benefit from significantly lower costs, advanced imaging like 3 Tesla MRI, and the availability of both shunt placements and minimally invasive endoscopic procedures.</p> <ul> <li><strong>Cost efficiency:</strong> Procedures cost _op_646_price_from_ to _op_646_price_to_, saving up to _price_percent_discount_% versus US averages.</li> <li><strong>Specialized expertise:</strong> Surgeons like Dr. Ertugrul Pinar at Hisar Hospital have performed over 4,500 procedures.</li> <li><strong>Advanced technology:</strong> Facilities use 640-slice CT scans and 3D-printed molds for complex cranial surgeries.</li> <li><strong>Rapid access:</strong> Private hospitals typically schedule neurosurgical consultations and operations within a few days.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While Memorial Sisli Hospital was Turkey's first JCI-accredited facility, Hisar Hospital Intercontinental stands out by including 3 Tesla MRI and 640-slice CT imaging directly in their $8,500 shunt packages. This level of diagnostic precision is often an extra charge elsewhere, making it a better value for complex CSF dynamic disorders.</p> <p><strong>Patient Consensus:</strong> Patients emphasize choosing a specific neurosurgeon rather than a hospital brand. They recommend confirming if shunt devices are programmable and securing a written plan for long-term valve adjustments before traveling home.</p>"},{"q":"What types of hydrocephalus surgical procedures are performed in Turkish hospitals?","a":"<p>Turkish neurosurgeons perform advanced hydrocephalus treatments including ventriculoperitoneal shunt placement, endoscopic third ventriculostomy, and programmable-valve implantation. JCI-accredited facilities in Istanbul and Antalya use minimally invasive neuroendoscopy and high-resolution imaging like 3 Tesla MRI to treat obstructive and communicating hydrocephalus in both pediatric and adult patients.</p> <ul> <li><strong>Shunt placement:</strong> Diverts excess fluid using silicone tubes, often requiring 2 days of hospitalization.</li> <li><strong>Endoscopic third ventriculostomy:</strong> Minimally invasive bypass creating an internal opening to avoid permanent hardware implants.</li> <li><strong>Programmable-valve shunts:</strong> Allows doctors to adjust pressure settings non-invasively after surgery without further incisions.</li> <li><strong>Revision surgery:</strong> Necessary for correcting shunt blockages, infections, or mechanical malfunctions identified during follow-up.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While many clinics offer shunts, choosing centers with 640-slice CT and 3 Tesla MRI, like Hisar Hospital, is vital. This advanced imaging allows surgeons like Dr. Ertugrul Pinar to map fluid pathways more accurately. This precision helps in selecting ETV over shunts, potentially reducing long-term hardware dependency for patients.</p> <p><strong>Patient Consensus:</strong> Patients value the faster recovery of endoscopic options but emphasize that physical symptoms like headaches require urgent monitoring even after successful surgery. Most appreciate that programmable valves prevent the need for repeat operations when pressure needs adjustment.</p>"},{"q":"What is the typical hospital stay and recovery time following shunt surgery for hydrocephalus in Turkey?","a":"<p>Shunt surgery for hydrocephalus in Turkey typically requires a 1 to 3 day hospital stay. Most patients return to light daily activities within 2 to 3 weeks, while full recovery for international travelers often spans 1 to 3 months following neurosurgical discharge.</p> <ul> <li><strong>Hospital stay:</strong> Clinically ranges from 1 to 3 days for uncomplicated ventriculoperitoneal shunt placement.</li> <li><strong>Initial healing:</strong> Scalp and abdominal incisions typically heal outwardly within 7 to 14 days.</li> <li><strong>Physical restrictions:</strong> Patients must avoid lifting or strenuous exercise for 4 to 6 weeks.</li> <li><strong>Travel window:</strong> Specialists recommend staying in Turkey for 10 to 14 days before flying.</li> <li><strong>Symptom relief:</strong> Acute pressure headaches often improve within days after the shunt begins functioning.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While hospital stays are short, the 2-day packages at clinics like Memorial Bahçelievler often exclude the shunt device cost. Patients should confirm the specific valve type with surgeons like Dr. Ertugrul Pinar at Hisar Hospital, who has performed over 4,500 neurosurgical procedures, to ensure the device matches their long-term pressure needs.</p> <p><strong>Patient Consensus:</strong> Walking within 24 hours is standard, but patients emphasize that early mobility does not equal full recovery. Most recommend arranging home help for meals and personal care during the first week after returning from Istanbul.</p>"}],"h2":[{"text":"Как это работает","kind":"content"},{"text":"Какая цена хирургического вмешательства при гидроцефалии в Турции?","kind":"content"},{"text":"Предложения по Хирургическое вмешательство при гидроцефалии в Турции — ноябрь 2026","kind":"content"},{"text":"Лучшие клиники по Хирургическое вмешательство при гидроцефалии в Турции — 4 проверенных варианта с ценами","kind":"content"},{"text":"Обзор процедуры Хирургическое вмешательство при гидроцефалии в Турции","kind":"content"},{"text":"Лучшие специалисты по Хирургическое вмешательство при гидроцефалии в Турции — 24 доктора с отзывами и ценами","kind":"content"},{"text":"Видеоистории пациентов Bookimed","kind":"content"},{"text":"Отзывы о Bookimed: узнайте о реальном опыте пациентов","kind":"content"},{"text":"Поделитесь этим материалом","kind":"content"},{"text":"FAQ по Хирургическое вмешательство при гидроцефалии в Турции","kind":"content"},{"text":"Получить бесплатную консультацию","kind":"content"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[{"field":"price.avg","chosen":"offers","offers":17920,"price_from":4500,"ratio":3.98,"threshold":2}]}