{"meta":{"humanUrl":"https://ua.bookimed.com/clinics/country=india/city=bengaluru/procedure=hyperthermic-intraperitoneal-chemotherapy/","canonicalUrl":"https://ua.bookimed.com/clinics/country=india/city=bengaluru/procedure=hyperthermic-intraperitoneal-chemotherapy/","jsonUrl":"https://ua.bookimed.com/clinics/country=india/city=bengaluru/procedure=hyperthermic-intraperitoneal-chemotherapy/data.json","title":"Внутрішньочеревна хіміотерапія HIPEC в Бангалор 2026: ціни, клініки та відгуки","description":"Внутрішньочеревна хіміотерапія HIPEC в Бангалор коштує від $15,000. 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Мережа лікарень щорічно обслуговує понад 2 мільйони пацієнтів в Індії та за кордоном.</p><doctor id=\"1709\"></doctor>","text_type":"mt_wow_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":60,"price_to":150,"currency":"USD","id":14278},"diagnostic":{"id":457,"name":"Консультація зі складанням плану лікування","alias":"consultation-with-creation-of-treatment-plan"}}],"reviews":[],"clinic":{"id":257,"alias":"manipal-hospitals","name":"Manipal Hospitals","short_description":"<p>Лікарня Маніпал в Бангалорі (Manipal Hospital Bangalore) — це приватна багатопрофільна клініка в Індії. Вона входить до третьої за величиною медичної мережі країни — Manipal, у якій щороку проходять лікування <strong>понад 2 000 000 іноземних пацієнтів</strong>.</p>\n\n<p>Маніпал Бангалор <strong>спеціалізується</strong> на пересадці печінки та нирок, онкології, ортопедії та лікуванні інфекційних захворювань.</p>\n\n<p>Для вибору найефективнішого методу лікування раку у шпиталі використовують <strong>систему штучного інтелекту IBM Watson</strong>.</p>\n","images":[{"base_url":"clinic/5c88b8c1ce716","title":"Зовнішній вигляд Manipal Hospitals, сучасний багатоповерховий медичний заклад в Індії"},{"base_url":"clinic/642573d02324e","title":"Сучасний фасад клініки Manipal Hospitals в Індії"},{"base_url":"clinic/5bd1e3c7e8333","title":"Сучасний коридор лікарні Manipal Hospitals з палатами та поручнями"},{"base_url":"clinic/5bd1e3c614430","title":"Простора зона очікування в Manipal Hospitals із сучасними сидіннями, Індія"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Індія","id":32,"alias":"india","iso_code":"IN"},"city":{"name":"Бангалор","id":336,"alias":"bengaluru"},"address":"98, HAL Airport road, Bangalore - 560 017, India"},"rating":{"rating":4.7,"google":4.6,"percent_of_satisfied_clients":98},"statistics":{"number_of_reviews":3,"doctors_number":1900,"year_foundation":1991},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db982e01da4b.jpeg","name":"Міжнародна організація зі стандартизації ISO","country_code":"CH"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb729c47b66.jpeg","name":"Національна рада з акредитації лабораторій (NABL)","country_code":"IN"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb72a355c46.jpeg","name":"Національна рада з акредитації лікарень Індії (NABH)","country_code":"IN"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"Кращі клініки світу 2021 за версією журналу Newsweek","country_code":"US"}],"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":55},"doctors":{"doctors":[{"doctor":{"id":1709,"alias":"dr-amrith-raj-rao","name":"Dr. Amrith Raj Rao","clinic_id":257,"photo":"doctor/5c629d39bed9c","first_year_working":0,"created_at":"2019-02-12T10:14:49.000+00:00","short_description":"<p>Лікар є динамічним урологом з понад 20-річним досвідом, спеціалізується на малоінвазивних методах лікування каменів у нирках та сечоводах, а також на операціях на простаті та сечовому міхурі.&lt;\\/p&gt;</p><p>Він сертифікований у Великобританії (CCT) і пройшов дві стажування в США. 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Перед поїздкою робив операцію з видалення аденоми простати, за результатами біопсії виявили ознаки аденокарциноми. Щоб мати різні думки лікарів, вирішив порадитися з місцевим онкоурологом з Manipal hospital. Остап Бондаренко з Bookimed організував мені прийом лікаря. До цього робив спробу зв&#39;язатися зі шпиталем самостійно, але вони так і не відповіли. Все там добре організовано. Мені сподобалося. Усі питання обговорили. Перекладачка Світлана спочатку зі мною обговорила все та уточнили термінологію. А потім на прийомі все доступно лікарю переклала мої питання і мені його поради Лікар дуже компетентний і роз&#39;яснив мені всі можливі варіанти лікування та необхідні дослідження.","en":"Was on vacation in the state of Goa. Before the trip, he performed an operation to remove prostate adenoma, according to the results of a biopsy, he found signs of adenocarcinoma. In order to have different opinions, the doctors decided to consult with a local oncourologist from Manipal hospital. Ostap Bondarenko from Bookimed arranged for me to see a doctor. Before that, he attempted to contact the hospital on his own, but they did not respond.\r\n Everything is well organized there. I like it. All questions discussed. Translator Svetlana first discussed everything with me and clarified the terminology. And then at the reception everything is available to the doctor translated my questions and his advice to me.\r\n The doctor is very competent and explained to me all possible treatment options and the necessary research."},"order":{"illness":{"id":97,"name":{"ua":"Рак простати","en":"Prostate cancer"}},"diagnostic":{"id":1,"name":{"ua":"ПЕТ-КТ","en":"PET/CT"}}},"clinic_info":{"id":257,"name":"Manipal Hospitals","alias":"manipal-hospitals","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2018-12-18T20:18:22.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"ua":"Там все добре організовано. Мені це подобається. Про лікаря: Лікар дуже компетентний і пояснив мені всі можливі варіанти лікування та необхідні дослідження. Про клініку: Там все добре організовано. Мені це подобається. Про результати: всі питання обговорено. Про досвід: Перекладач Світлана спочатку все обговорила зі мною і уточнила термінологію. А потім на прийомі все доступно лікар перевів мої за","en":"Everything is well organized there. I like it. About the Doctor: The doctor is very competent and explained to me all possible treatment options and the necessary research.About the Clinic: Everything is well organized there. I like it. About the Results: All questions discussed. About the Experience: Translator Svetlana first discussed everything with me and clarified the terminology. And then at"}}},{"id":5119,"user":{"id":29254,"name":"Фёдор ","country_code":"TJ"},"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":3}],"text":{"ua":"Мене зовуд Фірдавс (Федер) хочу висловити Свого благадарності за вашу важку роботу","en":"My name is Firdavs (Feder). I want to express my gratitude for your hard work. Many thanks to the coordinator Julia Smirnova and Alexander. They are also supported 24 hours sometimes questions arise at night. She is always respectful from her patient. Thank you from all of Tajikistan."},"order":{"illness":{"id":4,"name":{"ua":"Рак легенів","en":"Lung cancer"}}},"doctor_info":{"id":1814,"name":"Surender Dabas","alias":"surender-dabas"},"clinic_info":{"id":291,"name":"BLK Super Speciality Hospital","alias":"blk-super-speciality-hospital","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2019-09-12T06:36:14.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"ua":"Хочу висловити подяку за вашу нелегку працю.","en":"I want to express my gratitude for your hard work."}}},{"id":4781,"user":{"id":47724,"name":"Barno ","country_code":"UZ","country_name":{"ua":"Узбекистан","en":"Uzbekistan"}},"ratings":[{"name":"main","value":4},{"name":"comfort","value":0},{"name":"coordination","value":0},{"name":"doctor","value":0},{"name":"manager","value":0},{"name":"personal","value":0},{"name":"translation","value":0},{"name":"relative_price","value":0}],"text":{"ua":"Дякуємо за допомогу в організації поїздки та лікуванні, трохи довго надсилають відповідь на аналізи","en":"Thanks for the help in organizing the trip and the treatment, they send me an answer for analyzes for a little while"},"order":{"illness":{"id":4,"name":{"ua":"Рак легенів","en":"Lung cancer"}}},"clinic_info":{"id":283,"name":"Global Hospital Chennai","alias":"global-hospital-chennai","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2019-08-12T00:00:00.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"ua":"Лікар дуже привітний і все дуже зрозуміло пояснює.","en":"The doctor is very nice and explains everything very clearly."}}},{"id":8228,"user":{"id":285678,"name":"Борис ","country_code":"UA","country_name":{"ua":"Україна","en":"Ukraine"}},"ratings":[{"name":"main","value":4},{"name":"comfort","value":4},{"name":"coordination","value":3},{"name":"doctor","value":4},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":2},{"name":"relative_price","value":2}],"text":{"ua":"Сумнівно","en":"Dubious"},"order":{"operation":{"id":37,"name":{"ua":"Хіміотерапія","en":"Chemotherapy"}}},"clinic_info":{"id":419,"name":"Manipal Goa Hospital","alias":"manipal-goa-hospital","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2021-11-23T09:54:58.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"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":{"ua":"Так","en":"Yes"}},{"id":2057,"user":{"id":1609,"name":"Альбина ","country_code":"RU"},"ratings":[{"name":"main","value":3},{"name":"comfort","value":0},{"name":"coordination","value":0},{"name":"doctor","value":0},{"name":"manager","value":0},{"name":"personal","value":0},{"name":"translation","value":0},{"name":"relative_price","value":0}],"text":{"ua":"Лікарі клініки кваліфіковані, говорять англійською добре. Але організація лікування, тобто всі ці координатори та перекладачі вже коли ви в Індії це величезний мінус процесу. Просто величезний. Очікування всього і скрізь годинами, днями часом, погана поінформованість, жахливий акцент російською, що зрозуміти багато можна з точністю до навпаки, незнання медичних термінів, тобто побут можуть перекласти. Я супроводжувала мамутне лікування, трохи володію англійською, тому щось прискорювала за рахунок цього. Одному хворому їхати не варто, шукайте супроводжуючого, якщо інші країни не підходять за цінами на лікування. Якщо ж хтось їде один чи супроводжувальниць не знає англійської, процес зіпсує вам усі нерви. Саме обстеження та лікування, хірургія, все ведеться на хорошому рівні. Але до вміння організувати все безболісно для пацієнта-це ще прийде у BLK не скоро. Не знаю, як в інших клініках Індії, гадаю, що так само. Перекладачі тут різні, а проблеми однакові. Так і по всій країні я думаю. Але якщо виходить, здоров&#39;я довірити місцевим лікарям можна. Годують добре у стаціонарі і пацієнта, і супроводжуючого. Палати будь-якої чисельності ізолюють пацієнта шторками по периметру, вас бачить лише персонал, але врахуйте, що багатомісні палати дуже галасливі. Хто молиться арабською на всю палату, хтось пісню заспіває, хтось у гру зі звуковими ефектами грає, хтось по телефону репетує, адже і так тиші немає, стогонів від хвороб людей ще вистачає...зауваження не роблять нікому за невідключені телефони , гучні переговори та іншу неадекватність.","en":"Doctors of the clinic are qualified, speak English well. But the organization of treatment, that is, all these coordinators and translators already when you are in India, is a huge minus of the process. Simply huge. Expectations of everything and everywhere for hours, sometimes at times, poor awareness, a terrible accent on Russian, that one can understand a lot to the exact opposite, ignorance of medical terms, that is, only life can translate. I accompanied mamutna treatment, I speak English a little, therefore something accelerated due to this. One patient should not go, look for an accompanying person if other countries do not fit the prices for treatment. If someone is traveling alone or an accompanying person does not know English, the process will spoil your nerves. The very examination and treatment, surgery, everything is at a good level. But before the ability to organize everything painlessly for the patient, it will still come to BLK not soon. I do not know, as in other clinics in India, I think it's the same. Translators are different here, and the problems are the same. So in the whole country I think. But if there is no way out, you can entrust local doctors to the health. The patient is well fed in the hospital and the accompanying person. Chambers of any size isolate the patient with curtains around the perimeter, you see only the staff, but keep in mind that the multiple rooms are very noisy. Who prays in Arabic for the whole room, who sings the song, who plays the game with sound effects, who is screaming on the phone, because there is still no silence, people still have groans for the illnesses of people ... they do not do anybody for unconnected phones, loud talks and other inadequacy."},"order":{"operation":{"id":9,"name":{"ua":"Мастектомія","en":"Mastectomy"}},"illness":{"id":3,"name":{"ua":"Рак грудей","en":"Breast cancer"}},"diagnostic":{"id":1,"name":{"ua":"ПЕТ-КТ","en":"PET/CT"}}},"clinic_info":{"id":291,"name":"BLK Super Speciality Hospital","alias":"blk-super-speciality-hospital","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2018-08-19T08:42:08.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}]}],"meta":{"total_count":8,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{},"texts":{"txt_procedure_3_clinics":{"text":"<p><strong>HIPEC</strong> або <strong>гіпертермічна внутрішньочеревна хіміотерапія</strong> (\"гаряча хімія\") - інноваційна процедура, яка дозволяє лікувати метастази в черевну порожнину при різних видах та локалізаціях ракових пухлин.</p>\n\n<h2>Як проводиться гаряча хіміотерапія?</h2>\n\n<div class=\"accordion-item-text\">\n<p style=\"text-align:justify;\">Цей метод хіміотерапії застосовується під час хірургічної операції з видалення злоякісних утворень у черевній порожнині. До самої процедури приступають після того, як більшість пухлини вже видалена.</p>\n\n<p style=\"text-align:justify;\">Стерилізований розчин протипухлинного препарату розігрівається до 42°С та вливається в черевну порожнину пацієнта. По порожнині він циркулює протягом 1,5 години. За цей час медичний препарат взаємодіє безпосередньо з раковими клітинами, що залишилися, знищуючи їх.</p>\n\n<p style=\"text-align:justify;\">Наприкінці процедури розчин зливається, а черевна порожнина зашивається.</p>\n\n<p style=\"text-align:justify;\">Гіпертермічна внутрішньочеревна хіміотерапія знищує ракові клітини, які не зміг видалити хірурга.</p>\n\n<div>\n<p style=\"text-align:justify;\"><strong>Навіщо нагрівати препарат, що вводиться?</strong></p>\n\n<p style=\"text-align:justify;\">Процедура гарячої хіміотерапії дозволяє доставляти великі дози протипухлинних препаратів безпосередньо до ракових клітин. Позитивний ефект цього методу лікування досягається також завдяки підвищеній температурі розчину, що вводиться.</p>\n</div>\n</div>\n\n<h2>Основні переваги HIPEC:</h2>\n\n<div class=\"accordion-item-text\">\n<ul class=\"list\">\n\t<li>розігрітий препарат знищує злоякісні клітини, не торкаючись при цьому здорових;</li>\n\t<li>доза гарячого препарату, що вводиться, може бути набагато вище, ніж при інших способах введення хіміотерапії;</li>\n\t<li>розігрітий препарат майже не потрапляє у кров, що знижує ризик виникнення побічних ефектів;</li>\n\t<li>ракові клітини більш сприйнятливі до нагрітого препарату;</li>\n\t<li>ліки можуть проникати глибше в пухлину.</li>\n</ul>\n</div>\n\n<h2>Вартість хіміотерапії HIPEC</h2>\n\n<div class=\"accordion-item-text\">\n<p style=\"text-align:justify;\">\"Гарячу хімію\" або гіпертермічну хіміотерпію проводять 1 раз під час операції, тому вартість процедури вказується разом із вартістю хірургічного втручання.</p>\n\n<p style=\"text-align:justify;\">Гіпертермічна хіміотерапія добре переноситься пацієнтами та майже не має протипоказань. Найчастіше вона застосовується тоді, коли інші методи лікування виявилися неефективними.</p>\n</div>"},"guide_mc":{"text":"<p>День 1</p><ul><li> Прибути в призначену лікарню.</li><li> Заселення на рецепції.</li><li> Зустріньтеся з лінгвістичним асистентом, якщо необхідно.</li></ul><p> день 2</p><ul><li> Проконсультуватися з онкологами, анестезіологами, хірургами.</li><li> Провести трансвагінальне УЗД.</li><li> Пройти інші необхідні дослідження за призначенням спеціалістів.</li></ul><p> день 3</p><ul><li> Отримати передопераційні інструкції.</li><li> Підготуйтеся до процедури HIPEC.</li></ul><p> День 4</p><ul><li> Пройдіть процедуру HIPEC під загальним наркозом.</li><li> Процедура триває близько 6-8 годин.</li></ul><p> З 5 по 14 день</p><ul><li> Післяопераційний догляд в стаціонарі.</li><li> Слідкуйте за відновленням і контролюйте будь-які побічні ефекти.</li></ul><p> З 3 по 6 тиждень</p><ul><li> Почніть реабілітацію вдома або в спеціальному закладі.</li><li> Поступово повертайтеся до нормальної діяльності.</li></ul><p> 7 тиждень і далі</p><ul><li> По можливості поверніться на роботу або в школу.</li><li> Відновіть заняття спортом та інші фізичні навантаження, якщо ви переносите.</li></ul><p> <i>Зверніть увагу, що терміни відновлення кожного пацієнта можуть відрізнятися залежно від індивідуального стану здоров’я та реакції на лікування.</i></p>"},"overview":{"text":"<h3>Гіпертермічна внутрішньочеревна хіміотерапія (HIPEC)</h3> <p>HIPEC включає в себе доставку нагрітої хіміотерапії безпосередньо в черевну порожнину для лікування раку.</p> <div>[icon-pros<b>]Плюси:</b><span> HIPEC дає змогу більш ефективно впливати на ракові клітини в черевній порожнині порівняно із системною хіміотерапією. Він показав 50-відсоткове збільшення виживаності при деяких видах раку.</span></div> <div>[icon-cons<b>]Мінуси:</b><span> Ця процедура може призвести до більш безпосередніх побічних ефектів, таких як біль у животі, і вимагає госпіталізації для спостереження. Підходить тільки для ракових пухлин, розташованих у очеревинній порожнині.</span></div> <div>[icon-effect<b>]Ефективність:</b><span> 70 % успіху в збільшенні виживаності пацієнтів при певних видах раку очеревини.</span></div> <div>[icon-clock<b>]Тривалість:</b><span> 6-12 годин.</span></div> <div>[icon-run<b>]Відновлення:</b><span> 4-6 тижнів.</span></div> <div>[icon-thumbs<b>]Найкраще підходить для:</b><span> Карциноматоз очеревини і пухлини черевної порожнини, особливо колоректального і яєчникового походження.</span></div> <div>[icon-price<b>]Ціни:</b><span> [txt-country]</span></div>"}}},"articles":[{"id":"ua:affordable-hipec-advanced-cancer-treatment-for-less","name":"HIPEC може бути доступною: передове лікування раку за вигідною ціною","image":{"main":"https://bookimed.s3.eu-central-1.amazonaws.com/articles/67c1_b.jpeg","preview":"https://bookimed.s3.eu-central-1.amazonaws.com/articles/67c1_s.jpeg"},"author":{"first_name":"Kateryna","last_name":"Zamkovska","avatar":"https://s3.eu-central-1.amazonaws.com/bookimed/admin/66ab3953e4c4e_b.jpeg"}}],"relations":{"countries":[{"name":"Ізраїль","alias":"israel","iso_code":"IL"},{"name":"Індія","alias":"india","iso_code":"IN"},{"name":"Іспанія","alias":"spain","iso_code":"ES"},{"name":"Італія","alias":"italy","iso_code":"IT"},{"name":"Азербайджан","alias":"azerbaijan","iso_code":"AZ"},{"name":"Греція","alias":"greece","iso_code":"GR"},{"name":"Китай","alias":"china","iso_code":"CN"},{"name":"Малайзія","alias":"malaysia","iso_code":"MY"},{"name":"Німеччина","alias":"germany","iso_code":"DE"},{"name":"Південна Корея","alias":"republic-of-korea","iso_code":"KR"},{"name":"Таїланд","alias":"thailand","iso_code":"TH"},{"name":"Туреччина","alias":"turkey","iso_code":"TR"},{"name":"Україна","alias":"ukraine","iso_code":"UA"}],"cities":[{"name":"Делі","alias":"delhi"},{"name":"Панаджі","alias":"panaji"},{"name":"Мумбаї","alias":"mumbai"},{"name":"Ченнаї","alias":"chennai"},{"name":"Бангалор","alias":"bengaluru"},{"name":"Гургаон","alias":"gurgaon"}],"operations":[{"name":"Мастектомія","alias":"mastectomy"},{"name":"Видалення нирки лапароскопічне","alias":"laparoscopic-nephrectomy"},{"name":"Хіміотерапія","alias":"chemotherapy"},{"name":"Резекція щитовидної залози","alias":"thyroid-resection"},{"name":"Резекція при раку печінки","alias":"removal-of-liver-cancer"},{"name":"Операція при раку товстого кишечника","alias":"removal-of-colon-cancer"},{"name":"Брахітерапія","alias":"brachytherapy"},{"name":"Простатектомія","alias":"prostatectomy"},{"name":"Радіочастотна абляція","alias":"radiofrequency-ablation"},{"name":"Видалення пухлини спинного мозку","alias":"removal-of-spinal-cord-tumor"},{"name":"Видалення меланоми","alias":"melanoma-surgery"},{"name":"Видалення нирки","alias":"nephrectomy"},{"name":"Операція при раку шлунка","alias":"gastrectomy"},{"name":"Роботизированная система Да Винчи","alias":"da-vinci-robotic-system"},{"name":"Променева терапія","alias":"radiotherapy"},{"name":"Пересадка кісткового мозку","alias":"bone-marrow-transplantation"},{"name":"Оментектомія","alias":"omentectomy"},{"name":"Краніотомія","alias":"craniotomy"},{"name":"Трансназальне видалення пухлини","alias":"transnasal-resection-of-tumor"},{"name":"Аутологічна пересадка кісткового мозку","alias":"autologous-bone-marrow-transplantation"},{"name":"Трансплантація кісткового мозку алогенна від спорідненого донора","alias":"allogenic-bone-marrow-transplantation-from-a-related-donor"},{"name":"Езофагектомія","alias":"esophagectomy"},{"name":"Резекція тонкої кишки","alias":"small-intestine-surgery"},{"name":"Простатектомія з роботом Да Вінчі","alias":"radical-prostatectomy-via-da-vinci-robotic-surgery"},{"name":"Гормонотерапія","alias":"hormonal-therapy"},{"name":"ТУР (трансуретральна резекція) простати","alias":"transurethral-resection-of-the-prostate-turp"},{"name":"Операція при раку молочної залози","alias":"operation-on-breast-cancer"},{"name":"Трахелектомія","alias":"trachelectomy-cervicectomy"},{"name":"Гістеректомія (видалення матки)","alias":"hysterectomy"},{"name":"Імунотерапія","alias":"immunotherapy"},{"name":"Лампектомія","alias":"lumpectomy"},{"name":"Субтотальна тиреоїдектомія","alias":"subtotal-thyroidectomy"},{"name":"Внутрішньочеревна хіміотерапія HIPEC","alias":"hyperthermic-intraperitoneal-chemotherapy"},{"name":"Овариектомія","alias":"oophorectomy"},{"name":"Операція Уіппла","alias":"whipple-surgery"},{"name":"Енуклеація ока","alias":"enucleation-of-eyes"},{"name":"Орхіектомія","alias":"orchiectomy"},{"name":"Лімфаденектомія","alias":"lymphadenectomy"},{"name":"Дистальна панкреатектомія","alias":"distal-pancreatectomy"},{"name":"Мікрохірургічна операція Моса","alias":"mohs-surgery"},{"name":"Операція Вертгейма","alias":"the-wertheim-meigs-operation"},{"name":"Операція при раку легень","alias":"lung-cancer-surgery"},{"name":"Видалення сечового міхура","alias":"rezekcia-mocevogo-puzyra"},{"name":"Ларингектомія","alias":"laryngectomy"},{"name":"Кріотерапія","alias":"cryotherapy"},{"name":"Видалення пухлини та нерва ока","alias":"removal-of-part-of-tumor-and-nerve-of-eye"},{"name":"Резекція кістки","alias":"resection-of-the-bone"},{"name":"Видалення поліпів ШКТ","alias":"polypectomy"},{"name":"Колектомія (резекція товстої кишки)","alias":"colectomy-large-bowel-resection"},{"name":"Резекція печінки","alias":"liver-resection"},{"name":"Видалення менінгіоми","alias":"removal-of-meningioma"},{"name":"Резекція прямої кишки","alias":"rectal-resection"},{"name":"Геміпельвектомія","alias":"hemipelvectomy"},{"name":"Видалення пухлини яєчка","alias":"removal-of-tumor-of-testicle"},{"name":"Видалення пухлини підшлункової залози","alias":"enucleation-of-tumor-on-pancreas"},{"name":"Імунотерапія Кейтрудою (Пембролізумаб)","alias":"keytruda"},{"name":"Лапароскопічна тотальна мезоректумектомія","alias":"laparoscopic-mesorectumrctonomy"},{"name":"Радіохірургія пухлини головного мозку","alias":"radiosurgery-of-a-brain-tumor"},{"name":"Протезування яєчка","alias":"testicular-prosthesis"},{"name":"Видалення гліоми","alias":"resection-of-glioma"},{"name":"Видалення гліобластоми","alias":"resection-of-glioblastoma"},{"name":"Тімектомія","alias":"thymectomy"},{"name":"Видалення пухлини в основі черепа","alias":"excision-of-skull-base-tumor"},{"name":"Брахітерапія при раку простати","alias":"brachytherapy-for-prostate-cancer"},{"name":"Тиреоїдектомія","alias":"thyroidectomy"},{"name":"Променева терапія при раку прямої кишки","alias":"radiation-therapy-for-colorectal-cancer"},{"name":"Променева терапія пухлин головного мозку","alias":"radiation-therapy-for-brain-tumor"},{"name":"Хіміотерапія при раку печінки","alias":"chemotherapy-for-liver-cancer"},{"name":"Хіміотерапія при раку гортані","alias":"chemotherapy-for-larynx-cancer"},{"name":"Променева терапія при раку гортані","alias":"radiotherapy-for-throat-cancer"},{"name":"Операція при раку гортані","alias":"throat-cancer-operation"},{"name":"Лапароскопічна простатектомія","alias":"laparoscopic-prostatectomy"},{"name":"Хіміотерапія при раку легень","alias":"chemotherapy-for-lung-cancer"},{"name":"Хіміотерапія при раку простати","alias":"chemotherapy-for-prostate-cancer"},{"name":"Променева терапія при раку простати","alias":"radiotherapy-for-prostate-cancer"},{"name":"Імунотерапія при раку простати","alias":"immunotherapy-for-prostate-cancer"},{"name":"Променева терапія при раку легень","alias":"radiotherapy-for-lung-cancer"},{"name":"Гормонотерапія при раку простати","alias":"hormone-therapy-for-prostate-cancer"},{"name":"Променева терапія при раку молочної залози","alias":"radiotherapy-for-breast-cancer"},{"name":"Променева терапія при раку матки","alias":"radiotherapy-for-uterine-cancer"},{"name":"Променева терапія при раку шийки матки","alias":"radiotherapy-for-cervical-cancer"},{"name":"Хіміотерапія при раку матки","alias":"chemotherapy-for-uterine-cancer"},{"name":"Хіміотерапія при раку підшлункової","alias":"chemotherapy-for-pancreatic-cancer"},{"name":"Хіміотерапія при раку сечового міхура","alias":"chemotherapy-for-gallbladder-cancer"},{"name":"Хіміотерапія при раку молочної залози","alias":"chemotherapy-for-breast-cancer"},{"name":"Хіміотерапія при раку яєчників","alias":"chemotherapy-for-ovarian-cancer"},{"name":"Імунотерапія при раку легень","alias":"immunotherapy-for-lung-cancer"},{"name":"Імунотерапія при раку грудей","alias":"immunotherapy-for-breast-cancer"},{"name":"Імунотерапія при раку нирки","alias":"immunotherapy-for-kidney-cancer"},{"name":"Брахітерапія при раку матки","alias":"brachytherapy-for-cervical-cancer"},{"name":"Гастроктомія","alias":"gastroectomy"},{"name":"Видалення пухлини гіпофіза","alias":"pituitary-tumor-surgery"},{"name":"Променева терапія при раку шлунка","alias":"radiation-therapy-for-stomach-cancer"},{"name":"Операція при раку підшлункової залози","alias":"pancreatic-cancer-surgery"},{"name":"Хірургія пухлини головного мозку","alias":"brain-tumor-surgery"},{"name":"Резекція товстого кишечника","alias":"resection-of-large-intestine"},{"name":"Операція при раку яєчників","alias":"ovarian-cancer-surgery"},{"name":"Хіміотерапія при раку яєчка","alias":"chemotherapy-for-testicular-cancer"},{"name":"Променева терапія при раку яєчка","alias":"radiation-therapy-for-testicular-cancer"},{"name":"Променева терапія при раку нирки","alias":"radiation-therapy-for-kidney-cancer"}],"diagnostics":[{"name":"ПЕТ-КТ","alias":"pet-ct"},{"name":"МРТ одного відділу","alias":"mri-one-department"},{"name":"Колоноскопія","alias":"colonoscopy"},{"name":"Гастроскопія з біопсією","alias":"gastroscopy--biopsy"},{"name":"Ангіографія","alias":"angiography"},{"name":"Кольпоскопія з біопсією","alias":"biopsy-colposcopy"},{"name":"Мамографія","alias":"mammography"},{"name":"Біопсія кісткового мозку","alias":"lumbar-puncture-bone-marrow"},{"name":"Біопсія","alias":"biopsy"},{"name":"Консультація нейрохірурга","alias":"consultation-neurosurgeon"},{"name":"Біопсія простати","alias":"prostate-biopsy"},{"name":"Аналіз крові розгорнутий","alias":"extended-analysis-of-blood"},{"name":"Аналіз крові біохімічний","alias":"biochemical-analysis-of-blood"},{"name":"Аналіз крові на онкомаркери","alias":"identification-of-tumor-markers"},{"name":"КТ (комп'ютерна 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sepsis","Pregnancy"],"days_in_clinic":{"min":10,"max":21,"unit":"nights","qualifier":"Inpatient stay for cytoreductive surgery plus HIPEC, including ICU/high-dependency monitoring; longer if complications occur."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":8,"max":12,"unit":"weeks","qualifier":"Walking encouraged early; strenuous exercise and heavy lifting only after surgical clearance."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Time to first surveillance imaging and functional recovery; oncologic outcome depends on tumour type and completeness of cytoreduction."},"fly_home_after_days":{"min":14,"max":28,"unit":"days","qualifier":"Counted from surgery; after discharge, bowel function return, and surgeon clearance; longer with complications or thrombosis risk."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":14,"max":28,"unit":"days","qualifier":"Post-discharge surgical review"}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":60,"unit":"days","qualifier":"Oncology review and adjuvant planning"}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":120,"unit":"days","qualifier":"Typical first surveillance imaging and tumour markers, then periodic"}}],"indications":["Peritoneal metastases from appendiceal cancer or pseudomyxoma peritonei","Peritoneal mesothelioma","Selected colorectal peritoneal metastases","Selected ovarian cancer with peritoneal disease","Selected gastric cancer peritoneal disease"],"main_risks":["Anastomotic leak or bowel fistula","Intra-abdominal infection or abscess","Bleeding","Postoperative ileus or bowel obstruction","Pancreatitis","Venous thromboembolism","Pulmonary complications and pleural effusion","Renal toxicity and electrolyte disturbances","Myelosuppression","Prolonged hospitalization or need for reoperation","Perioperative mortality"],"pain":"Moderate to severe pain after major abdominal surgery in the first days, managed with multimodal analgesia (often epidural or regional blocks plus medication), then gradually improving.","preparation":["Multidisciplinary tumour board review","Staging CT/MRI and tumour markers; sometimes diagnostic laparoscopy","Cardiopulmonary, renal and hepatic fitness assessment and blood tests","Nutritional assessment and optimisation","Anaesthetic and ICU planning","Fasting and bowel preparation as instructed","Stoma counselling where relevant","Smoking cessation and informed consent"],"recovery_timeline":[{"phase":"Days 0-3","description":"ICU or high-dependency monitoring, pain control, fluid and electrolyte management.","restrictions":["Bed rest with assisted mobilisation","Nothing by mouth initially"]},{"phase":"Days 4-21","description":"Gradual return of bowel 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Durability varies by tumour type and completeness of cytoreduction; some patients remain disease-free for years, others recur and need surveillance.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Unplanned return to theatre within 30-90 days, e.g. for leak, bleeding or abscess"},"scars":"Long midline abdominal incision (xiphoid to pubis) is typical, plus drain sites; a stoma may be needed in some patients.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One combined operation: cytoreductive surgery followed by HIPEC perfusion."},"stages":[{"code":"cytoreduction","label":"Cytoreductive surgery removing visible tumour and affected tissue","after":{"min":0,"max":0,"unit":"days","qualifier":"Same operation"}},{"code":"hipec_perfusion","label":"Heated intraperitoneal chemotherapy perfusion (typically 30-90 minutes)","after":{"min":0,"max":0,"unit":"days","qualifier":"Same operation, after cytoreduction"}},{"code":"reconstruction","label":"Bowel reconstruction or closure","after":{"min":0,"max":0,"unit":"days","qualifier":"Same operation"}}],"qualifier":"Single operative session with sequential stages."},"success":{"metric":"5-year overall survival after complete cytoreduction with HIPEC","value":50,"unit":"percent","horizon":"5 years","population":"Adults with peritoneal metastases, mixed tumour types, complete or near-complete cytoreduction","evidence_status":"limited"},"techniques":[{"name":"Open (coliseum) HIPEC with cytoreductive surgery","suits_whom":"Patients with peritoneal surface malignancy where abdomen is kept open during perfusion for uniform heat distribution and surgeon access.","recovery":"Inpatient stay of about 10-21 nights; recovery over several weeks to months."},{"name":"Closed-abdomen HIPEC with cytoreductive surgery","suits_whom":"Patients with peritoneal surface malignancy where the abdomen is closed before perfusion to maintain temperature and reduce exposure.","recovery":"Similar to open technique: about 10-21 nights inpatient and recovery over weeks to months."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":6,"max":12,"unit":"hours","qualifier":"Complete operation, cytoreductive surgery plus HIPEC perfusion; varies with disease extent."},"initial_assessment_documents":["Histopathology report of primary tumour or biopsy","Contrast CT of chest, abdomen and pelvis","Abdominopelvic MRI report","Tumour marker blood results","Previous operative and chemotherapy reports","Recent kidney and liver function blood tests"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single combined operation; about 10-21 nights inpatient until discharge and fitness to fly. Surveillance usually at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the surgeon's established track record with these complex operations. Why: the operation is complex, so experience matters","scope":"procedure","source":{"url":"https://stonybrookmedicine.edu/node/2289","host":"stonybrookmedicine.edu","quote":"Patients should seek surgeons with established track records of performing these complex operations.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","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":"2026-11-12","http_status":200}},{"id":"C3","text":"Get a second opinion from a doctor at home on whether the treatment is necessary and what options exist","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":"2026-11-12","http_status":200}},{"id":"C4","text":"Find out whether follow-up care is scheduled at the same facility as the procedure","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C5","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery 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flag","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Do not accept advice from a travel agent, sales representatives or administrators.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"Being unable to speak directly with the treating clinician before booking is a red flag","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Speak directly to the doctor, dentist or nurse who will be carrying out your treatment before you book your trip.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F4","text":"Being denied the chance to change your mind during the consultation is a red flag","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"You should be given the opportunity to change your mind during this consultation.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Severe swelling, warmth or drainage at the incision","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/21569-hyperthermic-intraperitoneal-chemotherapy-hipec","host":"my.clevelandclinic.org","quote":"Severe swelling, warmth or drainage around your incision site","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Nausea and vomiting that do not improve","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/21569-hyperthermic-intraperitoneal-chemotherapy-hipec","host":"my.clevelandclinic.org","quote":"Nausea and vomiting that don’t improve","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Fever above 101 degrees F (38.3 degrees C)","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/treatments/21569-hyperthermic-intraperitoneal-chemotherapy-hipec","host":"my.clevelandclinic.org","quote":"Fever above 101 degrees F (38.3 degrees C)","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Gives the home doctor treatment details and future care needs","document":"discharge letter for 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for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You would rather have several rounds of chemotherapy","name":"Systemic 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