{"key":"op_538_LT","page":{"url":"https://ua.bookimed.com/clinics/country=lithuania/procedure=removal-of-herniated-disc-discectomy-and-cage-fusion/","procedure":{"id":538,"slug":"removal-of-herniated-disc-discectomy-and-cage-fusion","name":"Видалення міжхребцевої грижі","name_forms":{"plural":{"status":"missing","reason":"not_collected"},"genitive":{"status":"missing","reason":"not_collected"}},"type":"surgery","grammar_number":{"status":"missing","reason":"not_collected"},"parent_id":"neurosurgery","family_attribute":{"status":"missing","reason":"not_collected"}},"country":{"id":215,"iso":"LT","name":"Литва"},"currency":"USD","data_date":"2026-09-25"},"pages":{"clinics_url":"https://ua.bookimed.com/clinics/country=lithuania/procedure=removal-of-herniated-disc-discectomy-and-cage-fusion/","cost_url":"https://ua.bookimed.com/clinics/country=lithuania/procedure=removal-of-herniated-disc-discectomy-and-cage-fusion/cost/","best_url":{"status":"missing","reason":"template not live"}},"price":{"from":6800,"to":9000,"avg":{"status":"missing","reason":"no_offers"},"us":{"from":24000,"to":38000},"uk":{"from":12500,"to":20500},"by_technique":{"status":"missing","reason":"not_collected"},"by_city":[{"city":"Вільнюс","from":6800}],"per_unit":{"status":"missing","reason":"not_collected"},"factors":{"status":"missing","reason":"not_collected"},"tiers":{"status":"missing","reason":"no_offers"},"comparison":[{"country_iso":"UA","from":2200,"to":3900},{"country_iso":"FR","from":7000,"to":12000},{"country_iso":"GB","from":12500,"to":20500},{"country_iso":"US","from":24000,"to":38000},{"country_iso":"IL","from":14000,"to":21000},{"country_iso":"TR","from":3000,"to":11000},{"country_iso":"MX","from":6000,"to":15500},{"country_iso":"DE","from":12000,"to":15500},{"country_iso":"CA","from":14000,"to":28000},{"country_iso":"AE","from":12000,"to":22000},{"country_iso":"TH","from":12500,"to":14500},{"country_iso":"PL","from":4200,"to":5500},{"country_iso":"KR","from":9000,"to":11000},{"country_iso":"CZ","from":6000,"to":6200},{"country_iso":"AT","from":9500,"to":14500},{"country_iso":"ES","from":11000,"to":39300},{"country_iso":"IT","from":9000,"to":13500},{"country_iso":"CN","from":56000,"to":{"status":"missing","reason":"not_collected"}},{"country_iso":"AU","from":16000,"to":27000},{"country_iso":"IN","from":4000,"to":6500},{"country_iso":"MY","from":6000,"to":9000},{"country_iso":"VN","from":3200,"to":6500},{"country_iso":"BR","from":6000,"to":9500},{"country_iso":"AZ","from":7500,"to":9900},{"country_iso":"GR","from":7500,"to":8000},{"country_iso":"RO","from":4200,"to":4900}],"base_country":"US","base_is_fallback":false},"savings":{"pct":72,"variant":">=15%"},"package":{"included":{"status":"missing","reason":"no_offers"},"excluded":{"status":"missing","reason":"no_offers"},"extra_charges":{"status":"missing","reason":"not_collected"}},"clinics":{"count":1,"items":[{"id":253,"name":"Meliva Kardiolita Hospital","city":"Vilnius","rating":4.7,"reviews_count":159,"accreditations":["Joint Commission International"],"rank":1,"has_procedure":true,"why_ranked":"Specializes in neuromodern techniques for disc herniation, with 900+ procedures performed by experienced neurosurgeons. JCI accredited with high patient recommendation rates.","bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}}]},"doctors":{"count":2,"languages":{"status":"missing","reason":"not_collected"}},"cities":[{"id":310,"slug":"vilnius","name":"Вільнюс","clinics_count":1,"price_from":6800,"profile":{"city_type":"Capital and largest city of Lithuania","access":["Vilnius Airport (VNO), 6 km from the city center"],"sources":["https://en.wikipedia.org/wiki/Vilnius","https://en.wikipedia.org/wiki/Vilnius_Airport"],"checked_at":"2026-11-03","status":"ok"}}],"offers":{"active":{"status":"missing","reason":"no_offers"},"active_with_related":{"status":"missing","reason":"no_offers"},"hospital_nights_median":{"status":"missing","reason":"no_offers"},"days_in_country_median":{"status":"missing","reason":"no_offers"},"top_offers":{"status":"missing","reason":"no_offers"},"packages":{"status":"missing","reason":"no_offers"},"related_packages":{"status":"missing","reason":"no_offers"},"other_packages":{"status":"missing","reason":"no_offers"}},"medical":{"indications":["Lumbar/cervical herniation with radiculopathy despite 6+ weeks conservative care","Severe or progressive motor weakness from nerve root compression","Cauda equina syndrome (emergency)","Intractable radicular pain with concordant MRI findings"],"contraindications":["Active infection at the surgical site or systemic infection","Unfitness for general anesthesia due to severe cardiopulmonary disease","Uncorrected bleeding disorder or inability to stop anticoagulation safely","Pregnancy (relative, especially first trimester) unless urgent","Back pain only, without radiculopathy or neurological deficit (relative)"],"operation_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Single-level primary lumbar microdiscectomy, operating time."},"anesthesia":["general"],"sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation."},"stages":[{"code":"surgery","label":"Discectomy removing the herniated fragment","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of procedure."}}],"qualifier":"Standard single-level primary microdiscectomy in one session."},"hospital_nights":{"value":{"min":0,"max":2,"unit":"nights","qualifier":"Primary single-level microdiscectomy; often same-day discharge or 1 night."},"source":"parsed_details"},"treatment_conditions":["day_case","inpatient"],"rehabilitation_days":{"min":7,"max":21,"unit":"days","qualifier":"Light daily activities resume within 1–3 weeks; return to work, heavy lifting and sport come later."},"fly_home_after_days":{"min":5,"max":10,"unit":"days","qualifier":"After single-level microdiscectomy; depends on surgeon clearance, wound check, pain control and thrombosis risk on long flights."},"back_to_work_days":{"min":14,"max":42,"unit":"days","qualifier":"After primary lumbar microdiscectomy; desk-based work earlier (about 2-4 weeks), physically demanding work later (6 weeks or more)."},"exercise_resume_weeks":{"min":6,"max":12,"unit":"weeks","qualifier":"Gradual return to core strengthening and general exercise; heavy lifting and contact sports at the later end."},"final_result_months":{"min":3,"max":12,"unit":"months","qualifier":"Leg pain usually improves within weeks; nerve recovery and numbness or weakness may continue for months."},"result_longevity":"Many patients have lasting relief of leg pain; recurrence at the same or adjacent level can occur in a minority, and long-term outcome depends on spine health and lifestyle.","main_risks":["Recurrent disc herniation","Wound infection or discitis","Dural tear with cerebrospinal fluid leak","Nerve root injury, persistent numbness or weakness","Bleeding or hematoma","Persistent or recurrent back or leg pain","Anesthesia-related risks and venous thrombosis"],"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Any perioperative complication within 90 days after primary lumbar microdiscectomy; dural tear 1-5%, infection under 2%."},"revision_rate_pct":{"min":5,"max":10,"unit":"percent","qualifier":"Repeat surgery for recurrent herniation or persistent symptoms at the same level within 2-5 years."},"success":{"metric":"Patients reporting good or excellent outcome for leg pain and function","value":80,"horizon":"1–2 years","source":{"status":"missing","reason":"not_collected"},"evidence_status":"limited"},"scars":"Small midline or paramedian incision, typically 2-4 cm for microdiscectomy, usually fading to a thin line.","pain":"Moderate incision-site and back pain for the first days to 2 weeks, controlled with oral analgesics; leg pain usually improves quickly after surgery.","preparation":["Recent MRI or CT confirming herniation level and side","Pre-operative medical assessment and blood tests","Fasting before general anesthesia as instructed","Review of medications with the surgical team","Stop smoking where possible","Arrange transport and help at home for the first days"],"recovery_timeline":[{"phase":"Day 0-3","description":"Mobilization the same or next day, wound care, pain control.","restrictions":["No heavy lifting","Avoid prolonged sitting and bending"]},{"phase":"Weeks 1-2","description":"Walking progressively increased; wound heals and sutures or skin closure are checked.","restrictions":["No lifting over a few kilograms","No driving while on strong analgesics"]},{"phase":"Weeks 2-6","description":"Return to light or desk work and gradual activity; start of core stabilization exercises.","restrictions":["Avoid heavy lifting and twisting"]},{"phase":"Weeks 6-12","description":"Progressive return to exercise and physical work.","restrictions":["Avoid high-impact and contact sports until cleared"]}],"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":10,"max":14,"unit":"days","qualifier":"From surgery; includes suture or skin closure check."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":90,"unit":"days","qualifier":"From surgery; neurological and functional review, rehabilitation guidance."}}],"sources":{"status":"missing","reason":"not_collected"},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the surgeon explains how long nonsurgical treatment should be tried before surgery is considered","scope":"procedure","source":{"url":"https://www.orthoinfo.org/en/diseases--conditions/herniated-disk-in-the-lower-back/","host":"orthoinfo.org","quote":"Your doctor will talk to you about how long you should try nonsurgical treatments before considering surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check the qualifications of the clinician who will be doing the procedure","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Check the qualifications of the clinician who will be doing the procedure","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Make sure you understand the possible complications and side effects before agreeing to 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":"2026-11-12","http_status":200}},{"id":"C4","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":"2026-11-12","http_status":200}},{"id":"C5","text":"Check that you are clear how your aftercare will be coordinated before you go","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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"A hard sell before booking is a warning sign","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":"2026-11-12","http_status":200}},{"id":"F2","text":"No discussion of possible complications during the consultation is a warning sign","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":"2026-11-12","http_status":200}},{"id":"F3","text":"No mention of aftercare in the offer or consultation is a warning sign","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":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Sudden numbness or muscle weakness","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/discectomy","host":"my.clevelandclinic.org","quote":"Sudden numbness or muscle weakness.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Difficulty peeing or pooping","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/discectomy","host":"my.clevelandclinic.org","quote":"Difficulty peeing or pooping.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Severe pain or worsening pain","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/procedures/discectomy","host":"my.clevelandclinic.org","quote":"Severe pain or worsening pain.","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 the surgery and prescribed-medicine details","document":"discharge letter","source":{"url":"https://www.guysandstthomas.nhs.uk/health-information/recovering-lumbar-spine-decompression-or-discectomy/advice-help-your-recovery","host":"guysandstthomas.nhs.uk","quote":"Your GP gets a discharge letter from the hospital about your surgery and the medicines that we prescribed for you.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"T2","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}},{"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":"Lets the home doctor compare new spine scans and avoid repeat tests","document":"spine mri or ct copies","source":{"url":"https://radiologyinfo.org/en/info/article-your-medical-images","host":"radiologyinfo.org","quote":"You may want copies of your medical images to bring with you to a doctor's appointment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":14,"max":42,"unit":"days","qualifier":"After primary lumbar microdiscectomy; desk-based work earlier (about 2-4 weeks), physically demanding work later (6 weeks or more)."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Any perioperative complication within 90 days after primary lumbar microdiscectomy; dural tear 1-5%, infection under 2%."},"contraindications":["Active infection at the surgical site or systemic infection","Unfitness for general anesthesia due to severe cardiopulmonary disease","Uncorrected bleeding disorder or inability to stop anticoagulation safely","Pregnancy (relative, especially first trimester) unless urgent","Back pain only, without radiculopathy or neurological deficit (relative)"],"days_in_clinic":{"min":0,"max":2,"unit":"nights","qualifier":"Primary single-level microdiscectomy; often same-day discharge or 1 night."},"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":"Gradual return to core strengthening and general exercise; heavy lifting and contact sports at the later end."},"final_result_months":{"min":3,"max":12,"unit":"months","qualifier":"Leg pain usually improves within weeks; nerve recovery and numbness or weakness may continue for months."},"fly_home_after_days":{"min":5,"max":10,"unit":"days","qualifier":"After single-level microdiscectomy; depends on surgeon clearance, wound check, pain control and thrombosis risk on long flights."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":10,"max":14,"unit":"days","qualifier":"From surgery; includes suture or skin closure check."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":90,"unit":"days","qualifier":"From surgery; neurological and functional review, rehabilitation guidance."}}],"indications":["Lumbar/cervical herniation with radiculopathy despite 6+ weeks conservative care","Severe or progressive motor weakness from nerve root compression","Cauda equina syndrome (emergency)","Intractable radicular pain with concordant MRI findings"],"main_risks":["Recurrent disc herniation","Wound infection or discitis","Dural tear with cerebrospinal fluid leak","Nerve root injury, persistent numbness or weakness","Bleeding or hematoma","Persistent or recurrent back or leg pain","Anesthesia-related risks and venous thrombosis"],"pain":"Moderate incision-site and back pain for the first days to 2 weeks, controlled with oral analgesics; leg pain usually improves quickly after surgery.","preparation":["Recent MRI or CT confirming herniation level and side","Pre-operative medical assessment and blood tests","Fasting before general anesthesia as instructed","Review of medications with the surgical team","Stop smoking where possible","Arrange transport and help at home for the first days"],"recovery_timeline":[{"phase":"Day 0-3","description":"Mobilization the same or next day, wound care, pain control.","restrictions":["No heavy lifting","Avoid prolonged sitting and bending"]},{"phase":"Weeks 1-2","description":"Walking progressively increased; wound heals and sutures or skin closure are checked.","restrictions":["No lifting over a few kilograms","No driving while on strong analgesics"]},{"phase":"Weeks 2-6","description":"Return to light or desk work and gradual activity; start of core stabilization exercises.","restrictions":["Avoid heavy lifting and twisting"]},{"phase":"Weeks 6-12","description":"Progressive return to exercise and physical work.","restrictions":["Avoid high-impact and contact sports until cleared"]}],"rehabilitation_days":{"min":7,"max":21,"unit":"days","qualifier":"Light daily activities resume within 1–3 weeks; return to work, heavy lifting and sport come later."},"result_longevity":"Many patients have lasting relief of leg pain; recurrence at the same or adjacent level can occur in a minority, and long-term outcome depends on spine health and lifestyle.","revision_rate_pct":{"min":5,"max":10,"unit":"percent","qualifier":"Repeat surgery for recurrent herniation or persistent symptoms at the same level within 2-5 years."},"scars":"Small midline or paramedian incision, typically 2-4 cm for microdiscectomy, usually fading to a thin line.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation."},"stages":[{"code":"surgery","label":"Discectomy removing the herniated fragment","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of procedure."}}],"qualifier":"Standard single-level primary microdiscectomy in one session."},"success":{"metric":"Patients reporting good or excellent outcome for leg pain and function","value":80,"unit":"percent","horizon":"1–2 years","population":"Adults after primary lumbar discectomy for radiculopathy failing conservative care","evidence_status":"limited"},"techniques":[{"name":"Microdiscectomy","suits_whom":"Typical lumbar disc herniation with nerve root compression.","recovery":"Short stay or same day; return to light work in about 2-4 weeks."},{"name":"Endoscopic discectomy","suits_whom":"Selected lumbar herniations suitable for a minimally invasive approach.","recovery":"Often same day; slightly quicker early recovery."},{"name":"Anterior cervical discectomy and fusion","suits_whom":"Cervical herniation with radiculopathy or myelopathy.","recovery":"Usually 0-1 night; desk work in about 2-4 weeks."}],"treatment_conditions":["day_case","inpatient"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Single-level primary lumbar microdiscectomy, operating time."},"initial_assessment_documents":["Spine MRI report and images","Neurological examination or specialist report","Record of prior conservative treatment","List of blood thinners","Recent spine X-rays (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-session surgery; stay 5-10 days including 0-2 hospital nights; follow-up visits usually done at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the surgeon explains how long nonsurgical treatment should be tried before surgery is considered","scope":"procedure","source":{"url":"https://www.orthoinfo.org/en/diseases--conditions/herniated-disk-in-the-lower-back/","host":"orthoinfo.org","quote":"Your doctor will talk to you about how long you should try nonsurgical treatments before considering surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check the qualifications of the clinician who will be doing the procedure","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Check the qualifications of the clinician who will be doing the procedure","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Make sure you understand the possible complications and side effects before agreeing to 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":"2026-11-12","http_status":200}},{"id":"C4","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":"2026-11-12","http_status":200}},{"id":"C5","text":"Check that you are clear how your aftercare will be coordinated before you go","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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"A hard sell before booking is a warning sign","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":"2026-11-12","http_status":200}},{"id":"F2","text":"No discussion of possible complications during the consultation is a warning sign","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":"2026-11-12","http_status":200}},{"id":"F3","text":"No mention of aftercare in the offer or consultation is a warning sign","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":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Sudden numbness or muscle weakness","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/discectomy","host":"my.clevelandclinic.org","quote":"Sudden numbness or muscle weakness.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Difficulty peeing or pooping","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/discectomy","host":"my.clevelandclinic.org","quote":"Difficulty peeing or pooping.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Severe pain or worsening pain","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/procedures/discectomy","host":"my.clevelandclinic.org","quote":"Severe pain or worsening pain.","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 the surgery and prescribed-medicine details","document":"discharge letter","source":{"url":"https://www.guysandstthomas.nhs.uk/health-information/recovering-lumbar-spine-decompression-or-discectomy/advice-help-your-recovery","host":"guysandstthomas.nhs.uk","quote":"Your GP gets a discharge letter from the hospital about your surgery and the medicines that we prescribed for you.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"T2","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}},{"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":"Lets the home doctor compare new spine scans and avoid repeat tests","document":"spine mri or ct copies","source":{"url":"https://radiologyinfo.org/en/info/article-your-medical-images","host":"radiologyinfo.org","quote":"You may want copies of your medical images to bring with you to a doctor's appointment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You want pain relief from a herniated disc without surgery","name":"Epidural steroid injection","source":{"url":"https://my.clevelandclinic.org/health/treatments/22091-lumbar-epidural-steroid-injection","host":"my.clevelandclinic.org","quote":"Lumbar ESIs are most effective in providing pain relief from a herniated disk and spinal stenosis.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"microdiscectomy","name":"Microdiscectomy","how_it_works":{"text":"Surgeon removes damaged disc tissue to relieve nerve pressure","source":{"url":"https://www.healthline.com/health/microdiscectomy","host":"healthline.com","quote":"With a scissor-like tool, your surgeon will remove the damaged herniated tissue, relieving the pressure on the nerve.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":2,"max":4,"unit":"weeks","label":"2–4 weeks","source":{"url":"https://www.hss.edu/health-library/conditions-and-treatments/list/discectomy","host":"hss.edu","quote":"It usually takes 2 to 4 weeks to return to basic daily activities","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"endoscopic-discectomy","name":"Endoscopic discectomy","how_it_works":{"text":"Surgeon removes the herniated part of the disc through a scope","source":{"url":"https://www.orthoinfo.org/treatment/endoscopic-diskectomy/","host":"orthoinfo.org","quote":"The surgeon passes specialized instruments through the endoscope to remove the herniated portion of the disk.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"anterior-cervical-discectomy","name":"Anterior cervical discectomy and fusion","how_it_works":{"text":"Surgeon removes the disc between two bones and fuses them","source":{"url":"https://my.clevelandclinic.org/health/procedures/acdf-surgery","host":"my.clevelandclinic.org","quote":"A surgeon will remove the disk between your affected bones, and then weld (fuse) them together.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":4,"max":6,"unit":"weeks","label":"4–6 weeks","source":{"url":"https://www.healthline.com/health/acdf-surgery","host":"healthline.com","quote":"You should be able to do daily activities again in four to six weeks.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"techniques":[{"id":"microdiscectomy","name":"Microdiscectomy","how_it_works":{"id":"H1","text":"Surgeon removes damaged disc tissue to relieve nerve pressure","source":{"url":"https://www.healthline.com/health/microdiscectomy","host":"healthline.com","quote":"With a scissor-like tool, your surgeon will remove the damaged herniated tissue, relieving the pressure on the nerve.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":2,"max":4,"unit":"weeks","label":"2–4 weeks","source":{"url":"https://www.hss.edu/health-library/conditions-and-treatments/list/discectomy","host":"hss.edu","quote":"It usually takes 2 to 4 weeks to return to basic daily activities","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"suits_whom":"Typical lumbar disc herniation with nerve root compression.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Short stay or same day; return to light work in about 2-4 weeks."},{"id":"endoscopic-discectomy","name":"Endoscopic discectomy","how_it_works":{"id":"H1","text":"Surgeon removes the herniated part of the disc through a scope","source":{"url":"https://www.orthoinfo.org/treatment/endoscopic-diskectomy/","host":"orthoinfo.org","quote":"The surgeon passes specialized instruments through the endoscope to remove the herniated portion of the disk.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Selected lumbar herniations suitable for a minimally invasive approach.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Often same day; slightly quicker early recovery."},{"id":"anterior-cervical-discectomy","name":"Anterior cervical discectomy and fusion","how_it_works":{"id":"H1","text":"Surgeon removes the disc between two bones and fuses them","source":{"url":"https://my.clevelandclinic.org/health/procedures/acdf-surgery","host":"my.clevelandclinic.org","quote":"A surgeon will remove the disk between your affected bones, and then weld (fuse) them together.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":4,"max":6,"unit":"weeks","label":"4–6 weeks","source":{"url":"https://www.healthline.com/health/acdf-surgery","host":"healthline.com","quote":"You should be able to do daily activities again in four to six weeks.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"suits_whom":"Cervical herniation with radiculopathy or myelopathy.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Usually 0-1 night; desk work in about 2-4 weeks."}],"alternatives":{"status":"ok","items":[{"id":"A1","text":"You want pain relief from a herniated disc without surgery","name":"Epidural steroid injection","source":{"url":"https://my.clevelandclinic.org/health/treatments/22091-lumbar-epidural-steroid-injection","host":"my.clevelandclinic.org","quote":"Lumbar ESIs are most effective in providing pain relief from a herniated disk and spinal stenosis.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"diagnostic":{"status":"not_applicable"},"country":{"why":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-11","next_check_at":"2027-02-09"},"travel":{"status":"ok","items":[{"id":"V1","item":"visa","audience":"uk","volatile":true,"text":"UK passport holders can visit Lithuania without a visa for up to 90 days in any 180-day period","source":{"url":"https://www.gov.uk/foreign-travel-advice/lithuania/entry-requirements","host":"gov.uk","quote":"You can travel without a visa to the Schengen area, which includes Lithuania, for up to 90 days in any 180-day period.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"passport_validity","audience":"uk","volatile":true,"text":"A UK passport must expire at least 3 months after the day you plan to leave the Schengen area","source":{"url":"https://www.gov.uk/foreign-travel-advice/lithuania/entry-requirements","host":"gov.uk","quote":"have an ‘expiry date’ at least 3 months after the day you plan to leave the Schengen area (the expiry date does not need to be within 10 years of the date of issue)","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V3","item":"passport_validity","audience":"us","volatile":true,"text":"A US passport should be valid for at least three months beyond the period of stay in Lithuania","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Lithuania.html","host":"travel.state.gov","quote":"Your passport should be valid for at least three months beyond the period of stay.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V4","item":"medicines","audience":"us","volatile":false,"text":"Carry prescription medication into Lithuania in its original packaging, together with your doctor's prescription","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Lithuania.html","host":"travel.state.gov","quote":"Always carry your prescription medication in original packaging with your doctor’s prescription.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V5","item":"ghic","audience":"uk","volatile":false,"text":"A UK GHIC or EHIC is needed to get medically necessary state healthcare in Lithuania","source":{"url":"https://www.gov.uk/foreign-travel-advice/lithuania/health","host":"gov.uk","quote":"To get medically necessary state healthcare in Lithuania, you need a Global Health Insurance Card ( GHIC ) or a European Health Insurance Card ( EHIC ).","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V6","item":"hospital_payment","audience":"all","volatile":false,"text":"Private hospitals in Lithuania expect payment upon admission","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Lithuania.html","host":"travel.state.gov","quote":"Payment is expected upon admission at private hospitals.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V7","item":"emergency_number","audience":"all","volatile":false,"text":"Dial 112 and ask for an ambulance in Lithuania","source":{"url":"https://www.gov.uk/foreign-travel-advice/lithuania/health","host":"gov.uk","quote":"Dial 112 and ask for an ambulance.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2026-12-11","version":1},"other_countries_with_page":["austria","azerbaijan","china","czech-republic","france","germany","greece","india","israel","italy","japan","mexico","poland","republic-of-korea","romania","spain","switzerland","thailand","turkey","ukraine","united-arab-emirates"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":4.7,"count":159,"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":"<p class=\"bm-h1-lead\">Herniated disc surgery in Lithuania is offered by Meliva Kardiolita Hospital, a JCI-accredited clinic in Vilnius. The clinic is rated 4.7/5 in 159 verified patient reviews on Bookimed.</p>","faq":{"status":"missing","reason":"not_collected"},"h2":[{"text":"Яка вартість видалення міжхребцевої грижі в Литві?","kind":"content"},{"text":"Переваги та гарантії Bookimed","kind":"content"},{"text":"Ваш особистий лікар-координатор Bookimed","kind":"content"},{"text":"Дізнайтеся про найкращі клініки з видалення міжхребцевої грижі у Литві: 1 перевірена клініка та ціни","kind":"content"},{"text":"Огляд процедури Видалення міжхребцевої грижі в Литві","kind":"content"},{"text":"Отримайте медичну консультацію щодо видалення міжхребцевої грижі в Литві: Обирайте серед найкращих фахівців у галузі","kind":"content"},{"text":"Відеоісторії пацієнтів Bookimed","kind":"content"},{"text":"Корисні статті","kind":"content"},{"text":"Поділитися цим контентом","kind":"content"},{"text":"Ключові факти про видалення міжхребцевої грижі","kind":"content"},{"text":"Отримати безкоштовну консультацію","kind":"content"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[]}