Hospital Ruber Internacional — Мадридтегі (Испания) JCI аккредитациясы бар жеке аурухана. Forbes рейтингі бойынша Испанияның үздік 6 ауруханасының қатарына кіреді. Нейрохирургия, ортопедия және кардиология салаларына маманданған.
Hospital Ruber Internacional — Мадридтегі (Испания) JCI аккредитациясы бар жеке аурухана. Forbes рейтингі бойынша Испанияның үздік 6 ауруханасының қатарына кіреді. Нейрохирургия, ортопедия және кардиология салаларына маманданған.
Операция аналық бездегі өсінділерді лапароскопия немесе ашық операция арқылы жояды, әйелдің репродуктивті денсаулығын нығайтады.
"},"734":{"operation":{"name":"Аналық бездің қатерлі ісігіне операция","alias":"ovarian-cancer-surgery","use_for_listing":true},"country_price":{"US":{"amount":45000,"max_amount":85000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":7700,"max_amount":16500,"currency":"USD","clinic_count":4,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":9500,"max_amount":17000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":16500,"max_amount":26500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":18000,"max_amount":19500,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":true}}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":2,"days_in_country":7,"rehabilitation_days":14,"satisfied_percent":78,"treatment_duration_hours":2},"illness_kind_details":{"requests_processed":46119}},"responsibleDoctor":{"id":290,"alias":"yesim-yildirim","name":"Yesim Yildirim","photo":"doctor/699da18e34fa6","advisory_text":"20 жылдық тәжірибе \nМедициналық онколог, ESMO сертификатталған","linkedin":"","specialities":[{"id":"onc.001","name":"Clinical oncologist","illness_kind_id":10}]},"direction":{"id":10,"name":"Онкология","alias":"oncology"},"illness_kind":{"id":10,"name":{"en":"Oncology"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":7,"max":28,"unit":"days","qualifier":"Typical for laparoscopic unilateral or bilateral oophorectomy; desk work earlier, longer after open surgery or physical work."},"complication_rate_pct":{"min":2,"max":10,"unit":"percent","qualifier":"Any perioperative complication within 30-90 days; major complications such as organ injury or bleeding under 2%."},"contraindications":["Unfitness for general anesthesia due to severe uncontrolled cardiopulmonary disease","Uncorrected coagulopathy or active bleeding disorder","Pregnancy (relative; depends on indication)","Active uncontrolled systemic infection"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Laparoscopic oophorectomy is usually an outpatient procedure; open surgery typically needs a longer stay."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":6,"unit":"weeks","qualifier":"Light walking early; strenuous exercise and heavy lifting after laparoscopic surgery typically after about 4-6 weeks, longer after open surgery."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Ovary removal is immediate; full recovery and settling of symptoms take about 1-3 months after laparoscopic surgery."},"fly_home_after_days":{"min":3,"max":7,"unit":"days","qualifier":"After laparoscopic surgery, depends on surgeon clearance, pain control and thrombosis risk; longer after open surgery."},"follow_up_visits":[{"purpose":"assessment","requirement":"routine","after":{"min":14,"max":42,"unit":"days","qualifier":"Postoperative review with pathology results and discussion of hormonal effects."}}],"indications":["Ovarian cysts or masses not suitable for ovary-sparing surgery","Suspected or confirmed ovarian cancer, usually during staging surgery","Risk-reducing surgery in BRCA1/BRCA2 carriers","Ovarian torsion with non-viable ovary","Endometriosis or tubo-ovarian abscess unresponsive to other management","Hormone-receptor-positive breast cancer in selected premenopausal women"],"main_risks":["Bleeding","Infection","Injury to bowel, bladder, ureter or vessels","Anesthesia-related complications","Venous thromboembolism","Positional or retractor-related nerve injury","Surgical menopause: hot flashes, bone loss, cardiovascular risk if bilateral","Loss of fertility if bilateral","Rupture and spillage of mass contents if malignancy suspected","Conversion to open surgery","Port-site or incisional hernia"],"pain":"Mild to moderate postoperative pain, including shoulder-tip pain after laparoscopy, usually controlled with oral analgesics for several days; more after open surgery.","preparation":["Preoperative assessment including blood tests and imaging","Pregnancy test where applicable","Counselling on fertility, menopause and hormone therapy","Fasting before general anesthesia per anesthesia instructions","Medication review with the surgical team","Thromboprophylaxis assessment","Medical optimization; antibiotics only if infection or combined surgery","Consent and planning for possible unsuspected ovarian malignancy"],"recovery_timeline":[{"phase":"Day 0-2","description":"Recovery from anesthesia, early mobilization, pain control.","restrictions":["No driving","Avoid heavy lifting"]},{"phase":"Weeks 1-2","description":"Gradual return to light daily activity; port-site healing.","restrictions":["Avoid strenuous activity","Avoid intercourse until cleared"]},{"phase":"Weeks 3-6","description":"Progressive return to normal activity and exercise.","restrictions":["Avoid heavy lifting until cleared by surgeon"]}],"rehabilitation_days":{"min":7,"max":28,"unit":"days","qualifier":"Ordinary functional recovery after laparoscopic oophorectomy; longer after open surgery."},"result_longevity":"Permanent removal of the ovary; effects on hormone production are lasting if both ovaries are removed.","revision_rate_pct":{"min":0.5,"max":2,"unit":"percent","qualifier":"Unplanned return to surgery within 90 days, e.g. for bleeding, bowel or other organ injury, or port-site hernia."},"scars":"Laparoscopic approach leaves a few small 0.5-1.5 cm abdominal scars; open surgery leaves a lower abdominal incision scar.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation."},"stages":[{"code":"surgery","label":"Oophorectomy (laparoscopic usual)","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"One surgical session; follow-up visits not counted."},"success":{"metric":"Successful ovary removal without conversion to open surgery","value":95,"unit":"percent","horizon":"At surgery, laparoscopic approach","population":"Adult women with benign disease or risk reduction undergoing laparoscopic oophorectomy","evidence_status":"limited"},"techniques":[{"name":"Laparoscopic oophorectomy","suits_whom":"Most patients with benign disease or risk reduction and masses amenable to minimally invasive removal; standard approach unless malignancy concern.","recovery":"Usually outpatient; return to usual activity within weeks."},{"name":"Open (laparotomy) oophorectomy","suits_whom":"Large or suspected malignant masses, extensive adhesions or disease needing staging.","recovery":"Longer hospital stay and recovery than laparoscopy."}],"treatment_conditions":["day_case","outpatient"],"treatment_duration_hours":{"min":0.75,"max":2,"unit":"hours","qualifier":"Typical laparoscopic unilateral or bilateral oophorectomy alone; longer if adhesions or combined procedures."},"initial_assessment_documents":["Pelvic ultrasound report","Pelvic MRI or CT report (if available)","CA-125 blood test result","BRCA genetic test result (if available)","Previous pelvic surgery operative reports","Recent blood tests and ECG"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single operation; stay about 4-7 days including surgery and early recovery; pathology review and follow-up can be done remotely."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team that will treat 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":"2026-11-14","http_status":200}},{"id":"C2","text":"Ask the team questions about your 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":"2026-11-14","http_status":200}},{"id":"C3","text":"Judge whether the clinic or hospital facilities and standards are satisfactory","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":"2026-11-14","http_status":200}},{"id":"C4","text":"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":"2026-11-14","http_status":200}},{"id":"C5","text":"Confirm 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":"2026-11-14","http_status":200}},{"id":"C6","text":"Get a doctor's second opinion on treatment options and whether treatment is necessary","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 doctor can give you a valuable second opinion as well as advice about treatment options and whether it's necessary.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"A hard sell is a warning sign before booking treatment abroad","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":"2026-11-14","http_status":200}},{"id":"F2","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Leaking fluid or pus from the incision","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/17800-oophorectomy","host":"my.clevelandclinic.org","quote":"Leaking fluid or pus from the incision.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W2","text":"Swelling or redness at the incision","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/17800-oophorectomy","host":"my.clevelandclinic.org","quote":"Swelling or redness at the incision.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W3","text":"Foul-smelling or itchy vaginal discharge","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/17800-oophorectomy","host":"my.clevelandclinic.org","quote":"Foul-smelling or itchy vaginal discharge.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W4","text":"Swelling or pain in your legs","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/17800-oophorectomy","host":"my.clevelandclinic.org","quote":"Swelling or pain in your legs (a sign of blood clots).","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"take_home":{"status":"ok","items":[{"id":"T1","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":"T2","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":"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":"2026-11-14","next_check_at":"2027-11-14","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your condition is ovarian cysts or an endometrioma","name":"Ovarian cystectomy","source":{"url":"https://my.clevelandclinic.org/health/treatments/24767-laparotomy","host":"my.clevelandclinic.org","quote":"Ovarian cystectomy for ovarian cysts or ovarian endometrioma.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":null}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"technique_details":{"status":"ok","items":[{"id":"laparoscopic-oophorectomy","name":"Laparoscopic oophorectomy","how_it_works":{"text":"A camera guides the surgeon through keyhole incisions in the abdomen","source":{"url":"https://my.clevelandclinic.org/health/treatments/24767-laparotomy","host":"my.clevelandclinic.org","quote":"Your surgeon operates through other keyholes, using the camera as a guide.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":2,"max":4,"unit":"weeks","label":"2–4 weeks","source":{"url":"https://www.uclh.nhs.uk/patients-and-visitors/patient-information-pages/laparoscopic-salpingo-oophorectomy","host":"uclh.nhs.uk","quote":"Most women return to normal daily activities about 2 to 4 weeks after surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"open-oophorectomy","name":"Open (laparotomy) oophorectomy","how_it_works":{"text":"The surgeon opens the abdomen through a larger incision","source":{"url":"https://my.clevelandclinic.org/health/treatments/17800-oophorectomy","host":"my.clevelandclinic.org","quote":"This incision is known as a laparotomy, and it involves cutting into your abdomen.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=spain/city=madrid/procedure=ooforektomiya/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":53910},"manualSeo":[],"updatedAt":"2026-11-12T16:16:17.000Z","activeCountries":["TR","AT","ES","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}