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Він сертифікований Європейським товариством колопроктології (FEBS-C) та виконав понад 500 баріатричних операцій.","linkedin":"","specialities":[{"id":"sur.006","name":"Колоректальний хірург","illness_kind_id":33},{"id":"sur.010","name":"Фахівець із загальної хірургії","illness_kind_id":33}]},"direction":{"id":33,"name":"Хірургія","alias":"surgery"},"illness_kind":{"id":33,"name":{"en":"Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general","local","local_sedation"],"back_to_work_days":{"min":3,"max":14,"unit":"days","qualifier":"Desk work after uncomplicated repair; sooner after laparoscopic or small open repair, longer for heavy physical jobs."},"complication_rate_pct":{"min":1,"max":4,"unit":"percent","qualifier":"Serious complications within 30 days of elective primary repair, such as deep infection, hematoma or bowel injury; minor events excluded."},"contraindications":["Uncontrolled active infection at the surgical site or systemic infection","Severe uncontrolled cardiopulmonary disease (relative; local anesthesia possible)","Uncorrected bleeding disorder or unmanageable therapeutic anticoagulation","Decompensated cirrhosis with ascites (relative; control ascites first)","Pregnancy (elective repair usually deferred)","Uncontrolled diabetes (relative; optimize first)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually same-day discharge after uncomplicated elective adult repair; an overnight stay is occasional."},"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 activity such as walking resumes within days; heavy lifting and strenuous core exercise are usually delayed until surgeon clearance."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Abdominal wall strength and scar maturation continue after the initial healing; scar softening can take longer."},"fly_home_after_days":{"min":3,"max":7,"unit":"days","qualifier":"Short flights are fine once walking comfortably, pain is controlled and the wound is dry; confirm at the first check."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Typical early postoperative check from the day of surgery."}},{"purpose":"result_review","requirement":"conditional","after":{"min":28,"max":56,"unit":"days","qualifier":"Review of healing and hernia recurrence signs, counted from the day of surgery."}}],"indications":["Symptomatic umbilical hernia with pain or discomfort","Enlarging umbilical hernia in an adult","Incarcerated or strangulated hernia (urgent)","Hernia with skin changes or a high risk of complications"],"main_risks":["Hernia recurrence","Wound infection","Seroma or hematoma","Chronic pain or numbness around the navel","Mesh-related complications such as infection or adhesions","Umbilical skin necrosis or an abnormal navel appearance","Anesthesia-related risks","Bowel injury (rare)"],"pain":"Mild to moderate pain at the site for the first few days, usually controlled with simple oral analgesia. Discomfort with coughing, bending or lifting can last 1 to 2 weeks.","preparation":["Preoperative surgical assessment; imaging only if diagnosis unclear","Medical fitness review and routine tests as indicated","Fasting before general anesthesia","Smoking cessation and weight and diabetes optimization where possible","Review of current medications and allergies with the surgical team","Arrange transport home and adult support for the first day"],"recovery_timeline":[{"phase":"First 48 hours","description":"Recovery from anesthesia, same-day discharge, light walking and oral pain relief.","restrictions":["No driving for 24 hours after general anesthesia","Avoid lifting and straining"]},{"phase":"Days 3-14","description":"Gradual return to daily activities and desk work; wound care; swelling and bruising settle.","restrictions":["Avoid heavy lifting","Keep the wound dry and clean"]},{"phase":"Weeks 2-6","description":"Progressive return to normal activity as the wound and abdominal wall heal.","restrictions":["No heavy lifting or strenuous core exercise until cleared"]},{"phase":"Months 1-3","description":"Scar matures and the repair reaches full strength.","restrictions":[]}],"rehabilitation_days":{"min":2,"max":7,"unit":"days","qualifier":"Time to resume daily activities like walking and light chores; heavy lifting and strenuous exercise stay restricted for weeks."},"result_longevity":"Repair is intended to be permanent, though recurrence can occur over time. Risk is influenced by hernia size, repair technique, obesity, smoking and straining.","revision_rate_pct":{"min":1,"max":5,"unit":"percent","qualifier":"Repeat surgery for recurrence or early complication, typically 1-5% of elective repairs; lower with mesh."},"scars":"A small scar at or around the navel, usually curved and often hidden within the umbilicus; laparoscopic repair leaves a few small port scars. It fades over several months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One surgical procedure."},"stages":[{"code":"hernia_repair","label":"Umbilical hernia repair surgery","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed in a single operation on the day of surgery."}}],"qualifier":"Single-stage standalone repair; follow-up checks are not counted as treatment sessions."},"success":{"metric":"Recurrence-free rate (no clinically or radiologically verified hernia recurrence)","value":95,"unit":"percent","horizon":"About 1–5 years of follow-up","evidence_status":"limited","population":"Adults after elective primary umbilical hernia repair, mostly with mesh"},"techniques":[{"name":"Open primary suture repair","suits_whom":"Small defects, usually under about 1 to 2 cm, with low recurrence risk.","recovery":"Return to light activity within days; heavy lifting avoided for about 4 to 6 weeks."},{"name":"Open mesh repair","suits_whom":"Larger defects or patients with higher recurrence risk, such as obesity.","recovery":"Similar to open suture repair, with a slightly higher risk of wound problems."},{"name":"Laparoscopic or robotic mesh repair","suits_whom":"Larger or multiple defects, or patients who benefit from a minimally invasive approach.","recovery":"Smaller wounds with similar or slightly faster return to activity; usually requires general anesthesia."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"Operating time for one standard uncomplicated umbilical hernia repair, excluding preparation and recovery."},"initial_assessment_documents":["Photos of the navel bulge, standing and lying","Abdominal wall ultrasound report (if available)","Abdominal CT report (if available)","List of blood thinners","Previous abdominal surgery reports"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 3-7 days including surgery and fitness-to-fly check. Later reviews can be done remotely or at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team who 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":"C2","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":"2026-11-12","http_status":200}},{"id":"C3","text":"Check whether follow-up care is scheduled at the same facility as the 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examples of the practitioners' experience with the surgery you are intending to have.","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":"missing","reason":"no_official_source","checked_at":"2026-11-12","next_check_at":"2027-02-10"},"take_home":{"status":"ok","items":[{"id":"T1","text":"Shows admission details and medicine changes for the home doctor","document":"discharge letter","source":{"url":"https://www.hampshirehospitals.nhs.uk/leavinghospital","host":"hampshirehospitals.nhs.uk","quote":"We will give you a letter that contains details of your hospital admission and any changes to your medications.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure 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