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спондилодезом.</p>"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":2,"days_in_country":7,"rehabilitation_days":14,"satisfied_percent":78,"treatment_duration_hours":3},"illness_kind_details":{"requests_processed":46119}},"responsibleDoctor":{"id":290,"alias":"yesim-yildirim","name":"Yesim Yildirim","photo":"doctor/699da18e34fa6","advisory_text":"20 років досвіду Лікар-онколог, сертифікат ESMO","linkedin":"","specialities":[{"id":"onc.001","name":"Онколог","illness_kind_id":10}]},"direction":{"id":10,"name":"Онкологія","alias":"oncology"},"illness_kind":{"id":10,"name":{"en":"Oncology"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":14,"max":42,"unit":"days","qualifier":"Shorter for minimally invasive or vaginal approach with desk work; longer for open surgery or physical work."},"complication_rate_pct":{"min":15,"max":35,"unit":"percent","qualifier":"Any intra- or postoperative complication after radical trachelectomy with lymphadenectomy; serious ones such as organ injury are under 5%."},"contraindications":["Tumor size, invasion or histology beyond fertility-sparing criteria (≥2 cm)","Lymph node metastasis or spread beyond the cervix","Involvement of upper endocervical canal or lower uterine segment","No wish to preserve fertility","Medical conditions making major pelvic surgery and general anesthesia unsafe"],"days_in_clinic":{"min":2,"max":5,"unit":"nights","qualifier":"Radical trachelectomy with lymphadenectomy; shorter for minimally invasive or vaginal approach, longer for open surgery or complications."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":6,"max":8,"unit":"weeks","qualifier":"Strenuous exercise and heavy lifting after surgeon clearance; light walking encouraged earlier."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Surgical healing and final pathology confirming clear margins; pregnancy attempts usually advised after about 6-12 months."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"After catheter removal and early check; longer for open surgery, complications, or thrombosis risk. Short flights with mobility."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"From surgery; may include catheter or wound review."}},{"purpose":"result_review","requirement":"routine","after":{"min":14,"max":42,"unit":"days","qualifier":"From surgery; final pathology review and decision on further treatment."}}],"indications":["Early-stage cervical cancer (FIGO IA2-IB1, under 2 cm)","Positive margins or high-risk features after conization"],"main_risks":["Bleeding and infection","Injury to bladder, ureter or bowel","Bladder dysfunction, lymphocele or lymphedema from lymph node dissection","Cervical stenosis, suture problems, dysmenorrhea, discharge, dyspareunia","Miscarriage, preterm birth and cesarean delivery in later pregnancies","Reduced fertility or infertility, sometimes needing assisted reproduction","Cancer recurrence, especially with positive margins or nodes","Anesthesia and thromboembolic risks"],"pain":"Moderate postoperative pelvic pain, managed with analgesics; usually improves over 1-2 weeks.","preparation":["Pelvic MRI (PET if needed), oncologic and fertility counseling","Preoperative blood tests and anesthetic assessment","Fasting before general anesthesia per hospital protocol","Bowel preparation if directed by the surgical team"],"recovery_timeline":[{"phase":"Hospital stay","description":"Pain control, mobilization, bladder catheter management and monitoring for bleeding.","restrictions":["No heavy lifting"]},{"phase":"Early recovery (weeks 1-4)","description":"Gradual return to daily activity; vaginal discharge or spotting may occur.","restrictions":["No intercourse, tampons or douching until cleared","Avoid heavy lifting"]},{"phase":"Later recovery (weeks 4-8)","description":"Return to full activity after review; pathology guides need for further treatment.","restrictions":["Resume strenuous exercise only after surgeon clearance"]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Ordinary functional recovery after radical trachelectomy; no formal rehabilitation program is routine."},"result_longevity":"Oncologic result is long-term; most recurrences appear within 2-5 years, so surveillance continues at least 5 years. Fertility is preserved, but the shortened cervix and cerclage remain.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Conversion to hysterectomy or reoperation, mainly for positive margins or cervical stenosis; excludes later pregnancy-related procedures."},"scars":"Vaginal approach leaves no external cervical scar; laparoscopic lymph node work leaves small port scars. Open surgery leaves a lower abdominal scar.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation."},"stages":[{"code":"trachelectomy","label":"Radical trachelectomy with lymph node evaluation (sentinel node biopsy or pelvic lymphadenectomy) and cerclage placement","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery."}}],"qualifier":"Single-stage operation; follow-up checks and any adjuvant therapy based on final pathology are not counted as treatment sessions."},"success":{"metric":"5-year overall survival after radical trachelectomy for early-stage cervical cancer","value":97,"unit":"percent","horizon":"5 years","population":"Selected women with early-stage cervical cancer undergoing fertility-sparing radical trachelectomy","evidence_status":"limited"},"techniques":[{"name":"Vaginal radical trachelectomy with laparoscopic lymphadenectomy","suits_whom":"Small early-stage tumors in women wishing to preserve fertility","recovery":"Often shorter stay, about 2-3 nights."},{"name":"Minimally invasive (laparoscopic or robotic) radical trachelectomy","suits_whom":"Selected small tumors in experienced centers","recovery":"Usually 1-3 nights stay."},{"name":"Abdominal (open) radical trachelectomy","suits_whom":"Selected patients with slightly larger tumors or when minimally invasive access is unsuitable","recovery":"Longer stay and recovery, about 3-5 nights."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":3,"max":5,"unit":"hours","qualifier":"Radical trachelectomy with pelvic lymphadenectomy; shorter for vaginal approach, longer for open surgery."},"initial_assessment_documents":["Cervical biopsy or conization histology report","Pelvic MRI report and images","Pathology slides or review report","PET-CT or CT staging report (if available)","Recent Pap smear and HPV test results"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 10-14 days, including 2-5 hospital nights. Pathology review and adjuvant therapy can be remote."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that an assessment confirms you are suitable for surgery, including imaging and an examination under anesthetic","scope":"procedure","source":{"url":"https://www.gloshospitals.nhs.uk/your-visit/patient-information-leaflets/radical-trachelectomy-ghpi0670/","host":"gloshospitals.nhs.uk","quote":"MRI, CT, or PET scan Examination under general anaesthetic Review of the biopsies performed at your local hospital","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C2","text":"Check the surgeon discusses all aspects of the operation and its effect on future pregnancies before surgery","scope":"procedure","source":{"url":"https://www.leedsth.nhs.uk/patients/resources/surgery-for-cervical-cancer/","host":"leedsth.nhs.uk","quote":"A careful assessment will be carried out, after which the surgeon will discuss with you all aspects of the operation and the 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considered for this operation the cancer must be small and confined to the cervix and you must have a strong desire to preserve your fertility.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F2","text":"Consent requested before the surgeon has explained the risks of the operation","scope":"procedure","source":{"url":"https://www.leedsth.nhs.uk/patients/resources/surgery-for-cervical-cancer/","host":"leedsth.nhs.uk","quote":"All surgery carries some risks and your surgeon will explain the risks to you before you sign your consent form.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F3","text":"Treatment offered without explaining options, possible side effects and expected length","scope":"treatment_type","source":{"url":"https://www.cancer.gov/types/cervical/patient/cervical-treatment-pdq","host":"cancer.gov","quote":"Your treatment plan will include information about your cancer, the goals of treatment, the treatment options 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