Доктор Хуан Бустаманте омыртқаға 1 500-ден астам ота жасаған және нейрохирургия саласында 18 жылдық тәжірибесі бар. Ламинэктомия пакетінің құны шамамен 9 950 $ болуы мүмкін — әдетте бұған ота, анестезия, стационарда 2 түн болу, дәрі-дәрмектер және трансфер кіреді. Hospital de la Familia госпиталі Бас денсаулық сақтау кеңесімен (Consejo de Salubridad General) сертификатталған және The New York Times сияқты ірі басылымдарда аталған. Клиниканың АҚШ шекарасынан небәрі 200 ярд қашықтықта орналасуы Калифорниядан келетін емделушілер үшін қолайлы жағдай жасайды.
Hospital de la Familia — бұл көпсалалы аурухана, ол Hospitales MAC ауруханалар тобына кіреді. Ол Мексиканың Мехикали қаласында орналасқан.
\n\nХоспитал де ла Фамилиа 24 медициналық бағытта маманданған, олардың ішінде гастроэнтерология, кардиохирургия, нейрохирургия бар.
","images":[{"base_url":"clinic/6422b9c98dc70","title":"Hospital de la Familia exterior view in Mexico with modern clinic architecture"},{"base_url":"clinic/cb2858de1f4ee","title":"Hospital de la Familia exterior with modern entrance and central fountain"},{"base_url":"clinic/36f49149125cf","title":"Hospital de la Familia exterior facade in Mexicali, modern medical clinic building"},{"base_url":"clinic/5d1b47df1d3df","title":"Hospital de la Familia exterior view in Mexicali, modern medical facility"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Мексика","id":40,"alias":"mexico","iso_code":"MX"},"city":{"name":"Мехикалі","id":437,"alias":"mexicali"},"address":"Cto Brasil 82 Parque Industrial El Alamo Mexicali, Mexico"},"rating":{"rating":4.2,"google":4.5,"percent_of_satisfied_clients":73},"statistics":{"number_of_reviews":45,"doctors_number":0,"year_foundation":0},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88c6eed1267.jpeg","name":"Мексика Денсаулық сақтау жалпы кеңесі","country_code":"MX"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88c8fb5f2bb.jpeg","name":"Мексикалық офтальмология кеңесі","country_code":"MX"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":1,"total_pages":1}},"clinicsMeta":{"total_count":1,"total_pages":1},"clinicsCount":1,"clinicsCountByEntity":{"clinic_count":152},"doctors":{"doctors":[{"card_text":"Д-р Роберто Эрнандес-Пенья нейрохирургия саласында, атап айтқанда ламинэктомия процедураларында терең білімі мен тәжірибесі бар маман.
Д-р Роберто Эрнандес-Пенья — Мехикалидегі Hospital de la Familia ауруханасының нейрохирургы. Ол Аризона штатының Финикс қаласында неврология және нейрохирургия бойынша тағылымдамадан өткен. Д-р Эрнандес-Пенья д-р Нестор Родригеспен бірге екі хирургтан тұратын мамандандырылған топ ретінде жұмыс істейді. Олар бірге 18 жылдан астам уақыт бойы нейрохирургиялық оталарды жасап келеді.
Hospital de la Familia — бұл көпсалалы аурухана, ол Hospitales MAC ауруханалар тобына кіреді. Ол Мексиканың Мехикали қаласында орналасқан.
\n\nХоспитал де ла Фамилиа 24 медициналық бағытта маманданған, олардың ішінде гастроэнтерология, кардиохирургия, нейрохирургия бар.
","images":[{"base_url":"clinic/6422b9c98dc70","title":"Hospital de la Familia exterior view in Mexico with modern clinic architecture"},{"base_url":"clinic/cb2858de1f4ee","title":"Hospital de la Familia exterior with modern entrance and central fountain"},{"base_url":"clinic/36f49149125cf","title":"Hospital de la Familia exterior facade in Mexicali, modern medical clinic building"},{"base_url":"clinic/5d1b47df1d3df","title":"Hospital de la Familia exterior view in Mexicali, modern medical facility"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Мексика","id":40,"alias":"mexico","iso_code":"MX"},"city":{"name":"Мехикалі","id":437,"alias":"mexicali"},"address":"Cto Brasil 82 Parque Industrial El Alamo Mexicali, Mexico"},"rating":{"rating":4.2,"google":4.5,"percent_of_satisfied_clients":73},"statistics":{"number_of_reviews":45,"doctors_number":0,"year_foundation":0},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88c6eed1267.jpeg","name":"Мексика Денсаулық сақтау жалпы кеңесі","country_code":"MX"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88c8fb5f2bb.jpeg","name":"Мексикалық офтальмология кеңесі","country_code":"MX"}]}},{"doctor":{"id":2511,"alias":"juan-bustamante","name":"Juan Bustamante ","clinic_id":692,"photo":"doctor/609c4f867f35d","first_year_working":1988,"created_at":"2021-05-12T21:58:28.000+00:00","short_description":"Дәрігер 35 жылдан астам тәжірибесі бар, ортопедия, травматология және спорттық медицина саласында маманданған көрнекті ортопедиялық хирург. Ол бірнеше кәсіби қоғамдардың белсенді мүшесі, соның ішінде Ортопедия қоғамы, Латын Америкасы ортопедия және травматология қоғамы және Американдық ортопедиялық хирургтар академиясы. Оның академиялық жолы Мексика автономиялық университетінде басталып, Мексика мен АҚШ-та ортопедия және спорттық медицина бойынша мамандандырылған оқумен жалғасты. Оның ғылыми жарияланымдары медициналық салаға қосқан елеулі үлесін көрсетеді.<\\/p>
","specialities":[{"id":"sur.016","name":"Orthopedic surgeon ","illness_kind_id":33},{"id":"sur.017","name":"Orthopedic spine surgeon","illness_kind_id":55}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":692,"alias":"hospital-de-la-familia","name":"Hospital de la Familia","short_description":"Hospital de la Familia — бұл көпсалалы аурухана, ол Hospitales MAC ауруханалар тобына кіреді. Ол Мексиканың Мехикали қаласында орналасқан.
\n\nХоспитал де ла Фамилиа 24 медициналық бағытта маманданған, олардың ішінде гастроэнтерология, кардиохирургия, нейрохирургия бар.
","images":[{"base_url":"clinic/6422b9c98dc70","title":"Hospital de la Familia exterior view in Mexico with modern clinic architecture"},{"base_url":"clinic/cb2858de1f4ee","title":"Hospital de la Familia exterior with modern entrance and central fountain"},{"base_url":"clinic/36f49149125cf","title":"Hospital de la Familia exterior facade in Mexicali, modern medical clinic building"},{"base_url":"clinic/5d1b47df1d3df","title":"Hospital de la Familia exterior view in Mexicali, modern medical facility"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Мексика","id":40,"alias":"mexico","iso_code":"MX"},"city":{"name":"Мехикалі","id":437,"alias":"mexicali"},"address":"Cto Brasil 82 Parque Industrial El Alamo Mexicali, Mexico"},"rating":{"rating":4.2,"google":4.5,"percent_of_satisfied_clients":73},"statistics":{"number_of_reviews":45,"doctors_number":0,"year_foundation":0},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88c6eed1267.jpeg","name":"Мексика Денсаулық сақтау жалпы кеңесі","country_code":"MX"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88c8fb5f2bb.jpeg","name":"Мексикалық офтальмология кеңесі","country_code":"MX"}]}}],"meta":{"total_count":1,"total_pages":1}},"reviews":{"reviews":[{"id":9161,"user":{"id":325326,"name":"Chelsea ","country_code":"US","country_name":{"kz":"Америка Құрама Штаттары","en":"United States of America"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":2}],"text":{"kz":"Жоғары ұсынылады, тез қабылдауға болады!","en":"Highly suggest, quick to get in!"},"order":{"illness":{"id":281,"name":{"kz":"Ми миының кистысы","en":"Brain Cyst"}},"diagnostic":{"id":455,"name":{"kz":"Бас миының МРТ","en":"Brain MRI"}}},"clinic_info":{"id":692,"name":"Hospital de la Familia","alias":"hospital-de-la-familia","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2022-06-29T14:20:35.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"kz":"Әрине!","en":"Absolutely!"},"summary":{"positive":{"kz":"Мен өзімнің процедурамның нәтижелеріне өте риза болдым.","en":"I'm very pleased with the results of my procedure."}}}],"meta":{"total_count":2,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{},"texts":{}},"relations":{"countries":[{"name":"Австрия","alias":"austria","iso_code":"AT"},{"name":"БАӘ","alias":"united-arab-emirates","iso_code":"AE"},{"name":"Германия","alias":"germany","iso_code":"DE"},{"name":"Грекия","alias":"greece","iso_code":"GR"},{"name":"Жапония","alias":"japan","iso_code":"JP"},{"name":"Израиль","alias":"israel","iso_code":"IL"},{"name":"Испания","alias":"spain","iso_code":"ES"},{"name":"Италия","alias":"italy","iso_code":"IT"},{"name":"Мексика","alias":"mexico","iso_code":"MX"},{"name":"Оңтүстік Корея","alias":"republic-of-korea","iso_code":"KR"},{"name":"Польша","alias":"poland","iso_code":"PL"},{"name":"Румыния","alias":"romania","iso_code":"RO"},{"name":"Таиланд","alias":"thailand","iso_code":"TH"},{"name":"Түркия","alias":"turkey","iso_code":"TR"},{"name":"Швейцария","alias":"switzerland","iso_code":"CH"},{"name":"Қытай","alias":"china","iso_code":"CN"},{"name":"Үндістан","alias":"india","iso_code":"IN"},{"name":"Әзербайжан","alias":"azerbaijan","iso_code":"AZ"}],"cities":[{"name":"Тихуана","alias":"tijuana"},{"name":"Гвадалахара","alias":"guadalajara"},{"name":"Монтеррейі","alias":"monterrey"},{"name":"Мехикалі","alias":"mexicali"}],"operations":[{"name":"Омыртқа аралық жарықты алып тастау","alias":"removal-of-herniated-disc-discectomy-and-cage-fusion"},{"name":"Ми ісігін алып тастау","alias":"removal-of-the-brain-tumor"},{"name":"Омыртқаға роботтандырылған хирургия","alias":"robotic-spine-surgery"},{"name":"ApiFix жүйесін имплантациялау","alias":"apifix-system-implantation"},{"name":"МРТ бақылауымен фокусты ультрадыбыстық абляция","alias":"mri-fus"},{"name":"Ми ісігiн алып тастау хирургиясы","alias":"brain-tumor-surgery"},{"name":"Дискэктомия","alias":"removal-of-lumbar-disc-discectomy"},{"name":"Дәрілік препараттармен шашыранды склерозды емдеу","alias":"medicational-treatment-for-multiple-sclerosis"},{"name":"Гидроцефалиядағы хирургиялық араласу","alias":"hydrocephalus-surgeries-shunt-surgeries"},{"name":"Ламинэктомия","alias":"laminectomy"},{"name":"Краниотомия","alias":"craniotomy"},{"name":"Алдыңғы мойын дискэктомиясы қосылумен","alias":"anterior-cervical-discectomy-and-fusion"},{"name":"Омыртқа аралық жарықты алып тастау операция алдындағы диагностикамен","alias":"removal-of-herniated-disc"},{"name":"Сакральді нейромодуляция (Сакральды нервті стимуляциялау (СНС))","alias":"sacral-nerve-stimulation-sns-sacral-neuromodulation-snm"},{"name":"Омыртқа фузиясы (Спондилодез)","alias":"manimally-invasive-fusion-surgery"},{"name":"Фораминотомия","alias":"foraminotomy"}],"diagnostics":[{"name":"Бір бөлімнің МРТ сынағы","alias":"mri-one-department"},{"name":"УДЗ","alias":"u.s."},{"name":"Нейрохирургтың консультациясы","alias":"consultation-neurosurgeon"},{"name":"Жалпы қан талдауы","alias":"total-blood"},{"name":"КТ (компьютерлiк томография)","alias":"ct"},{"name":"Невропатологтың кеңесі","alias":"consultation-neurologist"},{"name":"Омыртқа жотасының МРТ","alias":"mri-of-the-spine"},{"name":"Көзді диагностика жасауға арналған саңылаулы шам","alias":"slit-lamp-examination"},{"name":"Бас миының МРТ","alias":"brain-mri"},{"name":"Емдеу жоспарын құрумен кеңес беру","alias":"consultation-with-creation-of-treatment-plan"},{"name":"бел омыртқасының МРТ","alias":"mri-of-the-lumbar"}],"illnesses":[{"name":"Омыртқа аралық жарық","alias":"herniated-disk"},{"name":"Ми миының кистысы","alias":"brain-cyst"},{"name":"Омыртқа каналының стенозы","alias":"spinal-stenosis"},{"name":"Омыртқа кистаһы","alias":"spine-cyst"}],"illnessKinds":[{"name":"Нейрохирургия","alias":"neurosurgery"},{"name":"Омыртқа хирургиясы","alias":"spinal-surgery"}],"illness_kinds":[{"name":"Нейрохирургия","alias":"neurosurgery"},{"name":"Омыртқа хирургиясы","alias":"spinal-surgery"}]},"popularSearches":[{"name":"Омыртқа аралық жарықты алып тастау","alias":"removal-of-herniated-disc-discectomy-and-cage-fusion","type":"operation","id":538},{"name":"Мидың терең стимуляциясы","alias":"deep-brain-stimulation","type":"operation","id":146},{"name":"Кибер-пышақ","alias":"cyberknife","type":"operation","id":110},{"name":"Гамма-пышақ","alias":"gamma-knife","type":"operation","id":112},{"name":"Ми ісігін алып тастау","alias":"removal-of-the-brain-tumor","type":"operation","id":101},{"name":"УДЗ","alias":"u.s.","type":"diagnostic","id":37},{"name":"Бір бөлімнің МРТ сынағы","alias":"mri-one-department","type":"diagnostic","id":6},{"name":"Невропатологтың кеңесі","alias":"consultation-neurologist","type":"diagnostic","id":130},{"name":"Емдеу жоспарын құрумен кеңес беру","alias":"consultation-with-creation-of-treatment-plan","type":"diagnostic","id":457},{"name":"Нейрохирургтың консультациясы","alias":"consultation-neurosurgeon","type":"diagnostic","id":42},{"name":"Омыртқа аралық жарық","alias":"herniated-disk","type":"illness","id":42},{"name":"Ми ісігi","alias":"brain-tumor","type":"illness","id":236},{"name":"Омыртқа каналының стенозы","alias":"spinal-stenosis","type":"illness","id":2773},{"name":"Гипофиз аденомасы","alias":"hypophyseal-adenoma","type":"illness","id":87},{"name":"Артериовенозды мальформация","alias":"arteriovenous-malformation","type":"illness","id":606}],"operationPrices":{"operation_prices":{"291":{"operation":{"name":"Ламинэктомия","alias":"laminectomy","use_for_listing":true},"country_price":{"US":{"amount":28000,"max_amount":48000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3800,"max_amount":9500,"currency":"USD","clinic_count":17,"price_kind":"from_range","price_source":"mixed","scope":"country"},"MX":{"amount":14000,"max_amount":28000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":13200,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"offer","scope":"country"},"AT":{"amount":8500,"max_amount":14500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":13400,"max_amount":24000,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"UA":false,"FR":false,"GB":false,"US":false,"IL":false,"TR":true,"MX":true,"DE":true,"CA":false,"AE":false,"TH":true,"PL":true,"KR":true,"CZ":false,"AT":false,"ES":true,"IT":true,"CN":false,"AU":false,"IN":true,"MY":false,"VN":false,"BR":false,"AZ":true}},"1617":{"operation":{"name":"Бел муйынның ламинэктомиясы және бір деңгейлі тұрақтандыру","alias":"lumbar-laminectomy-and-stabilization-surgery-single-level","use_for_listing":true},"country_price":{"US":{"amount":38000,"max_amount":65000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":4800,"max_amount":10900,"currency":"USD","clinic_count":5,"price_kind":"from_range","price_source":"mixed","scope":"country"},"MX":{"amount":9000,"max_amount":14500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":9500,"max_amount":16500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":14500,"max_amount":22500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":31400,"max_amount":41400,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"MX":false,"TH":false,"AT":false,"ES":true}}}},"cityPrices":{"operation_prices":{"291":{"operation":{"id":291,"name":"Ламинэктомия","alias":"laminectomy"},"city_price":[{"amount":14000,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"city","city":{"id":396,"name":"Тихуана","alias":"tijuana","profile":{"city_id":396,"city_type":"Border city opposite San Diego, California","access":["San Ysidro crossing, under 15-minute walk to Avenida Revolución","Tijuana Airport (TIJ), 5 km from downtown"],"sources":["https://en.wikipedia.org/wiki/Tijuana","https://en.wikivoyage.org/wiki/Tijuana/Zona_Centro","https://en.wikipedia.org/wiki/Tijuana_International_Airport"],"status":"ok","checked_at":"2026-11-03"}}},{"amount":7200,"max_amount":13500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"city","city":{"id":440,"name":"Монтеррейі","alias":"monterrey","profile":{"city_id":440,"city_type":"Capital of Nuevo León, Mexico","access":["Monterrey Airport (MTY), 28 km from downtown"],"sources":["https://en.wikipedia.org/wiki/Monterrey","https://en.wikipedia.org/wiki/Monterrey_International_Airport"],"status":"ok","checked_at":"2026-11-03"}}},{"amount":6500,"max_amount":13500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"city","city":{"id":397,"name":"Гвадалахара","alias":"guadalajara","profile":{"city_id":397,"city_type":"Capital of Jalisco state, Mexico","access":["Guadalajara Airport (GDL), 17 km from downtown"],"sources":["https://en.wikipedia.org/wiki/Guadalajara","https://en.wikipedia.org/wiki/Guadalajara_International_Airport"],"status":"ok","checked_at":"2026-11-03"}}},{"amount":7500,"max_amount":12500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"city","city":{"id":437,"name":"Мехикалі","alias":"mexicali","profile":{"city_id":437,"city_type":"Border city opposite Calexico, California","access":["Calexico crossing, about five minute walk into Mexicali","Mexicali Airport (MXL), 20 km east of the city"],"sources":["https://en.wikipedia.org/wiki/Mexicali","https://en.wikivoyage.org/wiki/Mexicali"],"status":"ok","checked_at":"2026-11-03"}}},{"amount":6500,"max_amount":11000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"city","city":{"id":423,"name":"Мехико","alias":"mexico-city","profile":{"city_id":423,"city_type":"Capital and largest city of Mexico","access":["Mexico City Airport (MEX), 5 km east of downtown"],"sources":["https://en.wikipedia.org/wiki/Mexico_City","https://en.wikipedia.org/wiki/Mexico_City_International_Airport"],"status":"ok","checked_at":"2026-11-03"}}},{"amount":7500,"max_amount":12500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"city","city":{"id":454,"name":"Канкун","alias":"cancun","profile":{"city_id":454,"city_type":"Planned Mexican tourist destination city","access":["Cancún Airport (CUN), under 10 km from the Hotel Zone"],"sources":["https://en.wikipedia.org/wiki/Cancún","https://en.wikipedia.org/wiki/Cancún_International_Airport"],"status":"ok","checked_at":"2026-11-03"}}}]},"1617":{"operation":{"id":1617,"name":"Бел муйынның ламинэктомиясы және бір деңгейлі тұрақтандыру","alias":"lumbar-laminectomy-and-stabilization-surgery-single-level"},"city_price":[{"amount":11500,"max_amount":18000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"city","city":{"id":437,"name":"Мехикалі","alias":"mexicali","profile":{"city_id":437,"city_type":"Border city opposite Calexico, California","access":["Calexico crossing, about five minute walk into Mexicali","Mexicali Airport (MXL), 20 km east of the city"],"sources":["https://en.wikipedia.org/wiki/Mexicali","https://en.wikivoyage.org/wiki/Mexicali"],"status":"ok","checked_at":"2026-11-03"}}},{"amount":11000,"max_amount":18500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"city","city":{"id":423,"name":"Мехико","alias":"mexico-city","profile":{"city_id":423,"city_type":"Capital and largest city of Mexico","access":["Mexico City Airport (MEX), 5 km east of downtown"],"sources":["https://en.wikipedia.org/wiki/Mexico_City","https://en.wikipedia.org/wiki/Mexico_City_International_Airport"],"status":"ok","checked_at":"2026-11-03"}}},{"amount":11500,"max_amount":17500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"city","city":{"id":454,"name":"Канкун","alias":"cancun","profile":{"city_id":454,"city_type":"Planned Mexican tourist destination city","access":["Cancún Airport (CUN), under 10 km from the Hotel Zone"],"sources":["https://en.wikipedia.org/wiki/Cancún","https://en.wikipedia.org/wiki/Cancún_International_Airport"],"status":"ok","checked_at":"2026-11-03"}}}]}}},"videoReviews":[{"id":"f294c547-c026-4625-97c0-0fa54e397efe","link":"https://player.vimeo.com/video/1096278202?badge=0&autopause=0&player_id=0&app_id=58479","description":"It’s definitely a lengthy process, but I'm excited to watch the results emerge!","userName":"Elissa","user_name":"Elissa","preview":"https://i.vimeocdn.com/video/2030306975-cc21de7cf319a314f716eee0537340f1b56a6b419fc965a2cbc32517bd968856-d?mw=600&mh=1067&q=70","updated_at":"2025-06-26T10:25:33.219+00:00","clinicName":"Lokman Hekim Istanbul Hospital","clinic":{"name":"Lokman Hekim Istanbul Hospital","alias":"lokman-hekim-istanbul"},"clinicUrl":"/clinic/lokman-hekim-istanbul/","relations":{"operations":[{"name":"Ринопластика (мұрын пластикасы)","alias":"rhinoplasty-nose-job"},{"name":"Мұрын ұшын ринопластика жасау","alias":"tip-rhinoplasty"}]}}],"hasVideoReviewsByContext":true,"responsibleDoctor":{"id":645,"alias":"ali-zirh","name":"Ali Zirh","photo":"doctor/6a5e1b08044b5","advisory_text":"1500-ден астам Паркинсон ауруын және басқа да қозғалыс бұзылыстарын емдеу бойынша сәтті операциялар; мидың терең стимуляциясы (DBS) бойынша 1000-нан астам процедуралар.","advisoryText":"1500-ден астам Паркинсон ауруын және басқа да қозғалыс бұзылыстарын емдеу бойынша сәтті операциялар; мидың терең стимуляциясы (DBS) бойынша 1000-нан астам процедуралар.","specialities":[{"id":"nrs.001","name":"Neurosurgeon","illness_kind_id":2},{"id":"nrs.005","name":"Stereotactic and functional neurosurgeon","illness_kind_id":2}]},"updatedAt":"2026-11-11T17:40:17.543Z","activeCountries":["MX","TR","AT","ES","TH"],"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":3,"days_in_country":7,"rehabilitation_days":4,"satisfied_percent":78,"treatment_duration_hours":2},"illness_kind_details":{"requests_processed":21657}},"direction":{"id":2,"name":"Нейрохирургия","alias":"neurosurgery","name_forms":{"base_form":"Нейрохирургия","form_1":"нейрохирургияның","form_2":"нейрохирургияға","form_3":"нейрохирургиялық","form_4":"нейрохирург","form_5":"нейрохирургтың","form_6":"нейрохирургтар","form_7":"нейрохирургиялық","form_11":"нейрохирургтар"}},"illness_kind":{"id":2,"name":{"en":"Neurosurgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":14,"max":84,"unit":"days","qualifier":"Typical single- or two-level lumbar decompressive laminectomy; desk work earlier, physically demanding work often 6-12 weeks."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Any perioperative complication within 90 days, e.g. dural tear, infection, hematoma; serious ones under 3%."},"contraindications":["Unfit for general anesthesia due to severe comorbidity (relative)","Active surgical site or systemic infection","Uncorrected bleeding disorder or unmanageable anticoagulation","Symptoms not matching imaging, or axial back pain only (relative)","Significant instability needing fusion rather than decompression alone (relative)","Pregnancy (relative, depending on urgency)"],"days_in_clinic":{"min":1,"max":3,"unit":"nights","qualifier":"Typical uncomplicated lumbar decompressive laminectomy; longer for multilevel, cervical or complicated cases."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":6,"max":12,"unit":"weeks","qualifier":"Light walking encouraged early; strenuous exercise, heavy lifting and impact activity after surgeon clearance."},"final_result_months":{"min":3,"max":12,"unit":"months","qualifier":"Pain relief often early; neurological recovery (numbness, weakness) may continue for months and may be incomplete."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"After 1-3 hospital nights, wound check and surgeon clearance; longer for multilevel surgery, dural tear or thrombosis risk."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Before flying home; suture or staple removal if non-absorbable closure used."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":90,"unit":"days","qualifier":"Assessment of neurological recovery and activity clearance."}}],"indications":["Lumbar stenosis with claudication or radiculopathy unresponsive to conservative care","Cervical or thoracic myelopathy or radiculopathy","Cauda equina syndrome from compression, requiring urgent decompression","Cord or epidural compression from tumor, abscess or hematoma","Removal of herniated disc fragments or intraspinal lesions"],"main_risks":["Surgical site infection","Dural tear with cerebrospinal fluid leak","Epidural hematoma or bleeding","Nerve root or cord injury with new weakness or numbness","Persistent or recurrent pain or stenosis, including adjacent-level degeneration","Postoperative instability or deformity that may need fusion","Venous thromboembolism","Anesthesia-related risks"],"pain":"Moderate incision-site pain for the first days to weeks, usually controlled with oral analgesics; leg symptoms often improve quickly but may fluctuate.","preparation":["Preoperative assessment with MRI or CT and neurological examination","Anesthesia and general medical fitness evaluation with routine blood tests","Surgeon-directed review of regular medications, especially blood thinners","Fasting before general anesthesia as instructed","Smoking cessation where possible","Arrange help at home for the first weeks"],"recovery_timeline":[{"phase":"Hospital stay (days 0-3)","description":"Early mobilization the day of or after surgery, pain control, wound monitoring.","restrictions":["Avoid bending, lifting and twisting"]},{"phase":"Early recovery (weeks 1-6)","description":"Progressive walking, wound healing, gradual reduction of analgesics; return to light or desk work.","restrictions":["No heavy lifting (generally over a few kilograms)","Avoid prolonged sitting and driving until cleared"]},{"phase":"Rehabilitation (weeks 6-12)","description":"Core strengthening and physiotherapy as advised, gradual return to normal activity.","restrictions":["Avoid strenuous or impact activity until cleared"]},{"phase":"Late recovery (3-12 months)","description":"Continued neurological improvement and functional stabilization.","restrictions":[]}],"rehabilitation_days":{"min":42,"max":84,"unit":"days","qualifier":"Structured rehabilitation after uncomplicated lumbar laminectomy, typically weeks 6-12; may run longer."},"result_longevity":"Decompression is often durable for years, but degeneration at the same or adjacent levels can cause recurrent symptoms; duration varies by individual and underlying condition.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Repeat spine surgery at same or adjacent level, including fusion, within about 5 years."},"scars":"Midline posterior linear incision, typically a few centimeters to several centimeters depending on the number of levels; usually heals to a thin scar.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for a standard uncomplicated decompression."},"stages":[{"code":"laminectomy_surgery","label":"Laminectomy decompression surgery","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"Single-stage procedure; fusion is a separate, additional operation when needed."},"success":{"metric":"Meaningful leg pain and walking improvement","value":70,"unit":"percent of patients","horizon":"1-2 years","population":"Adults with lumbar stenosis and neurogenic claudication or radiculopathy after failed conservative care","evidence_status":"limited"},"techniques":[{"name":"Open lumbar laminectomy (midline decompression)","suits_whom":"Adults with central lumbar stenosis causing neural compression","recovery":"Hospital stay about 1-3 nights; return to light activity within weeks."},{"name":"Minimally invasive (tubular or unilateral approach with bilateral decompression) laminectomy","suits_whom":"Selected patients with focal or one- to two-level stenosis","recovery":"Often shorter hospital stay and less muscle injury; overall recovery similar in weeks."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1,"max":3,"unit":"hours","qualifier":"Typical single- or two-level lumbar decompressive laminectomy, operating time."},"initial_assessment_documents":["Spine MRI report and images","Spine X-rays, including flexion-extension views","Neurological symptoms summary and duration","Previous spine surgery reports (if available)","List of blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-14 days abroad covering 1-3 hospital nights, early wound check and flight clearance."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team treating you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that you are satisfied with the facilities and standards where you will be treated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that you understand the possible complications and side effects of the treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check how your aftercare will be coordinated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Ask the treating team questions about the treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Check communication between overseas medical staff and the doctor providing aftercare at home","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/going-abroad-for-medical-treatment/","host":"nhs.uk","quote":"communication between medical staff abroad and in the UK, such as exchanging medical records and arranging aftercare back home","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":"The offer uses a hard sell or pressure to make a quick decision","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"Possible complications are not discussed before booking","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"Aftercare is not mentioned in the offer","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F4","text":"The clinic or hospital cannot satisfy you about its facilities and standards","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","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":"New pain, weakness or numbness in your legs","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/lumbar-decompression-surgery/","host":"nhs.uk","quote":"get new symptoms, such as pain, weakness or numbness in your legs, or problems controlling when you pee or poo","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Hot, itchy, oozing or red skin around stitches","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/lumbar-decompression-surgery/","host":"nhs.uk","quote":"the skin around your stitches is hot, itchy, oozing fluid or red (redness may be harder to see on black and brown skin)","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Difficulty controlling urination or bowel movements","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/lumbar-decompression-surgery/","host":"nhs.uk","quote":"get new symptoms, such as pain, weakness or numbness in your legs, or problems controlling when you pee or poo","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":"Copies help exchange records and arrange aftercare with the doctor at home","document":"medical records","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/going-abroad-for-medical-treatment/","host":"nhs.uk","quote":"communication between medical staff abroad and in the UK, such as exchanging medical records and arranging aftercare back home","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"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":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"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},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your nerve compression is treated with other methods first","name":"Physiotherapy","source":{"url":"https://www.nhs.uk/tests-and-treatments/lumbar-decompression-surgery/","host":"nhs.uk","quote":"Depending on the cause of your compressed nerves, you may have other treatments first, such as physiotherapy, losing weight if you're overweight, or steroid injections.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":128},{"id":"A2","text":"Your doctor advises other treatments before surgery for compressed nerves","name":"Steroid injections","source":{"url":"https://www.nhs.uk/tests-and-treatments/lumbar-decompression-surgery/","host":"nhs.uk","quote":"Depending on the cause of your compressed nerves, you may have other treatments first, such as physiotherapy, losing weight if you're overweight, or steroid injections.","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":"open-lumbar-laminectomy","name":"Open lumbar laminectomy (midline decompression)","how_it_works":{"text":"Surgeon removes bone pieces through a large cut in the back","source":{"url":"https://www.nhs.uk/tests-and-treatments/lumbar-decompression-surgery/","host":"nhs.uk","quote":"They'll removes small pieces of bone from a vertebra (called a laminectomy).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"minimally-invasive","name":"Minimally invasive (tubular or unilateral approach with bilateral decompression) laminectomy","how_it_works":{"text":"Surgeon uses several small cuts instead of a large one","source":{"url":"https://www.nhs.uk/tests-and-treatments/lumbar-decompression-surgery/","host":"nhs.uk","quote":"Your surgeon will make 1 large cut in your skin, usually in your back, or several small cuts.","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":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=mexico/city=mexicali/procedure=laminektomiya/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"illnessesByOperation":[{"id":42,"alias":"herniated-disk","name":"Омыртқа аралық жарық"}],"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}