У лікарні Myongji для видалення міоми матки використовують робот четвертого покоління da Vinci Xi, що забезпечує тривимірну візуалізацію високої чіткості та дає змогу робити менші розрізи. Спеціалізований центр роботизованої хірургії та клініка малоінвазивної гінекології надають кваліфіковану допомогу в межах цього спеціалізованого лікування. Заклад акредитований як медична установа в Кореї та має 680 ліжок. Для іноземних пацієнтів працює спеціальний центр підтримки. Він організовує онлайн-консультації, трансфер до лікарні та послуги усного перекладу, щоб спростити процес для тих, хто приїжджає з-за кордону.
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Вона спеціалізується на ЕКО, вагінальній естетиці та лапароскопічних операціях, провівши понад 20 000 процедур. Доктор Комерт сертифікована в галузі генітальної естетичної хірургії Європейською асоціацією естетичної медицини та хірургії. Вона також має сертифікати з гінекологічної лапароскопії та гістероскопії, обидва з яких затверджені Міністерством охорони здоров'я Туреччини.","linkedin":"https://www.linkedin.com/in/dr-esra-%C3%A7abuk-c%C3%B6mert-a12a08205/?originalSubdomain=tr","specialities":[{"id":"frt.002","name":"Репродуктолог","illness_kind_id":68},{"id":"oag.001","name":"Акушер-гінеколог","illness_kind_id":35},{"id":"oag.002","name":"Гінеколог","illness_kind_id":35}]},"direction":{"id":35,"name":"Акушерство та гінекологія","alias":"obstetrics-and-gynecology"},"illness_kind":{"id":35,"name":{"en":"Obstetrics and Gynecology"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":14,"max":28,"unit":"days","qualifier":"Typical for desk-based work after uncomplicated robotic myomectomy; physically demanding work often takes longer, depending on fibroid number and size."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Any perioperative complication within 30 days, mostly minor; transfusion about 1-3%, conversion to open 1-5%."},"contraindications":["Pregnancy","Suspected or confirmed uterine malignancy (e.g., leiomyosarcoma)","Unfit for general anesthesia or Trendelenburg pneumoperitoneum","Uncorrected coagulopathy or severe anemia not optimized","Active pelvic infection"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually same-day discharge or one overnight stay after uncomplicated robotic myomectomy."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":6,"unit":"weeks","qualifier":"Light walking early; strenuous exercise and heavy lifting typically resumed after surgeon clearance, often around 4-6 weeks."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Symptom relief (e.g., bleeding, pressure) usually evident after the first cycles; uterine healing continues for months."},"fly_home_after_days":{"min":5,"max":8,"unit":"days","qualifier":"After surgeon clearance; depends on pain control, absence of complications and airline rules after abdominal laparoscopic surgery."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":10,"max":21,"unit":"days","qualifier":"Typical first postoperative visit."}},{"purpose":"result_review","requirement":"routine","after":{"min":35,"max":60,"unit":"days","qualifier":"Review of recovery and pathology results; imaging if indicated."}}],"indications":["Symptomatic fibroids with heavy bleeding or pelvic pain/pressure","Fibroids with infertility or recurrent pregnancy loss, no other cause","Intramural or subserosal fibroids, moderate number and size"],"main_risks":["Bleeding, possible transfusion","Conversion to open surgery","Infection","Injury to bladder, bowel, ureter or vessels","Adhesion formation","Fibroid recurrence or persistence","Weak uterine scar; pregnancy rupture risk, so cesarean delivery","Possible hysterectomy if uncontrollable bleeding","Anesthesia and positioning-related complications","Port-site hernia","Unexpected sarcoma and risk of tissue spread with morcellation"],"pain":"Mild to moderate postoperative pain in the first few days, including incisional and shoulder-tip pain from gas; usually controlled with oral analgesics.","preparation":["Pelvic ultrasound and/or MRI to map fibroids","Evaluation for malignancy and endometrial assessment as indicated","Blood tests and anemia correction if needed","Anesthesia assessment","Fasting before surgery per anesthesia instructions","Review of current medications with the surgical team","Discussion of fertility goals and possible conversion to open surgery"],"recovery_timeline":[{"phase":"Day 0-3","description":"Discharge same day or next day; mild pain, fatigue, shoulder-tip discomfort, light vaginal spotting.","restrictions":["No driving while taking opioid analgesics","Avoid heavy lifting"]},{"phase":"Week 1-2","description":"Gradual return to daily activities and walking; port-site healing.","restrictions":["Avoid lifting heavy objects","No tub baths or swimming until wounds heal"]},{"phase":"Week 2-4","description":"Return to desk work for most patients; energy improves.","restrictions":["Avoid intercourse and tampons until cleared by surgeon","Avoid strenuous exertion"]},{"phase":"Week 4-6","description":"Resume full activity after surgeon clearance.","restrictions":["Delay conception about 3-6 months after surgery"]}],"rehabilitation_days":{"min":14,"max":28,"unit":"days","qualifier":"Ordinary functional recovery for daily activities after uncomplicated surgery; no formal physiotherapy normally required."},"result_longevity":"Symptom relief from removed fibroids is usually long-lasting. New fibroids can develop over time, with recurrence in roughly 10-30% of women within 5 years, depending on age and fibroid number.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Repeat surgery or hysterectomy for recurrent or persistent fibroids within about 5 years."},"scars":"Typically 3-4 small port incisions of about 0.8-1.2 cm plus one 3-5 cm extraction incision; usually fade to inconspicuous scars.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single surgical procedure."},"stages":[{"code":"robotic_myomectomy","label":"Robotic-assisted laparoscopic myomectomy with uterine repair","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"One operation; follow-up checks are not counted as treatment stages."},"success":{"metric":"Improvement or resolution of fibroid symptoms (bleeding, pressure)","value":85,"unit":"percent of patients","horizon":"6-12 months","population":"Premenopausal women with symptomatic fibroids undergoing robotic myomectomy","evidence_status":"limited"},"techniques":[{"name":"Robot-assisted laparoscopic myomectomy (da Vinci) with multilayer suturing of the uterine defect","suits_whom":"Women with symptomatic fibroids of moderate size and number who wish to keep the uterus, especially when complex suturing is needed.","recovery":"Usually same-day or 1-night stay; return to desk work in about 2-4 weeks."}],"treatment_conditions":["day_case","inpatient"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Operative time for uncomplicated robotic myomectomy; varies with fibroid number, size and location."},"initial_assessment_documents":["Pelvic MRI report with fibroid size/location","Pelvic ultrasound report","Gynecologist's report on symptoms and fertility plans","Recent hemoglobin and blood count results","Previous abdominal or uterine surgery reports (if available)","Latest Pap smear result"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single operation; stay about 7-10 days including surgery, discharge and flight clearance. Follow-up can be remote."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Expect two consultations with the treating surgeon before any surgery, which also gives you time to reconsider","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask whether a doctor is always present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care unit?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Worsening abdominal swelling","urgency":"emergency","general":false,"source":{"url":"https://www.uclh.nhs.uk/patients-and-visitors/patient-information-pages/laparoscopic-myomectomy","host":"uclh.nhs.uk","quote":"Swelling of the abdomen that is getting worse.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"W2","text":"Unable to pass urine","urgency":"emergency","general":false,"source":{"url":"https://www.uclh.nhs.uk/patients-and-visitors/patient-information-pages/laparoscopic-myomectomy","host":"uclh.nhs.uk","quote":"Being unable to pass urine, or passing very little.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"W3","text":"Swollen, red, tender lower legs","urgency":"emergency","general":false,"source":{"url":"https://www.uclh.nhs.uk/patients-and-visitors/patient-information-pages/laparoscopic-myomectomy","host":"uclh.nhs.uk","quote":"Swelling, redness, or tenderness in the lower legs.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You want a non-surgical option for your fibroids","name":"Uterine artery embolization","source":{"url":"https://www.nhs.uk/conditions/fibroids/","host":"nhs.uk","quote":"Sometimes, a non-surgical procedure called uterine artery embolization (UAE) may be an option.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":870},{"id":"A2","text":"Your main concern is heavy or painful periods","name":"Medication for fibroids","source":{"url":"https://www.acog.org/womens-health/faqs/uterine-fibroids","host":"acog.org","quote":"Medications are an option for some women with fibroids.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A3","text":"Other treatments have not worked or the fibroids are very large","name":"Hysterectomy","source":{"url":"https://www.acog.org/womens-health/faqs/uterine-fibroids","host":"acog.org","quote":"Hysterectomy is done when other treatments have not worked or are not possible or the fibroids are very large.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"robot-assisted-laparoscopic","name":"Robot-assisted laparoscopic myomectomy (da Vinci) with multilayer suturing of the uterine defect","how_it_works":{"text":"A scope views the pelvis while instruments remove fibroids","source":{"url":"https://www.acog.org/womens-health/faqs/uterine-fibroids","host":"acog.org","quote":"In laparoscopy, a laparoscope is used to view the inside of the 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