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2-6 тиждень - реабілітація</p><ul><li> Поступово повертайтеся до роботи та інших звичайних справ.</li><li> Продовжуйте відвідувати наступні огляди та фізіотерапію.</li><li> Побачте остаточний результат вашої операції до кінця 6-го тижня.</li></ul><p> <i>Зверніть увагу, що терміни відновлення та досвід кожного пацієнта можуть відрізнятися залежно від індивідуальних факторів, таких як вік, загальний стан здоров’я та складність операції.</i></p>"}}},"relations":{"countries":[{"name":"Єгипет","alias":"egypt","iso_code":"EG"},{"name":"Ізраїль","alias":"israel","iso_code":"IL"},{"name":"Індія","alias":"india","iso_code":"IN"},{"name":"Іспанія","alias":"spain","iso_code":"ES"},{"name":"Азербайджан","alias":"azerbaijan","iso_code":"AZ"},{"name":"Китай","alias":"china","iso_code":"CN"},{"name":"Німеччина","alias":"germany","iso_code":"DE"},{"name":"Південна 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Pathology review can be done at home."},"follow_up_visits":[{"purpose":"wound_check","after":{"min":7,"max":14,"unit":"days","qualifier":"Wound inspection and drain management if drains remain."},"requirement":"routine"},{"purpose":"result_review","after":{"min":7,"max":21,"unit":"days","qualifier":"Pathology review and adjuvant therapy planning with oncologist."},"requirement":"routine"},{"purpose":"other","after":{"min":10,"max":28,"unit":"days","qualifier":"Seroma aspiration or drain removal if fluid persists."},"requirement":"conditional"}],"indications":["Staging and regional control of cancers with suspected nodal metastasis.","Therapeutic removal of clinically involved nodes.","Completion dissection after positive sentinel node biopsy in selected cases.","Pathologic nodal staging to guide adjuvant therapy."],"main_risks":["Lymphedema or lymphocele/seroma formation.","Wound infection, bleeding or hematoma.","Nerve injury or numbness, depending on site.","Delayed wound healing and chronic pain.","Anesthesia-related and thromboembolic risks.","Injury to adjacent vessels or organs, or lymphatic leak."],"pain":"Usually mild to moderate postoperative pain controlled with oral analgesics; more extensive dissections may cause greater discomfort, and some patients develop chronic pain or numbness.","preparation":["Oncologic staging and imaging, plus pathology review.","Preoperative anesthesia assessment and blood tests.","Medication review with the surgical team, including anticoagulants.","Fasting as instructed by the anesthesia team.","Discussion of drains, lymphedema risk and expected recovery."],"recovery_timeline":[{"phase":"Hospital stay (days 0-5)","description":"Monitoring, pain control and drain care; early walking encouraged.","restrictions":["No heavy lifting","Keep drains and dressings clean"]},{"phase":"Early recovery (weeks 1-2)","description":"Drain removal, wound healing and pathology review; gentle range-of-motion exercises.","restrictions":["Avoid strenuous activity","Limit lifting"]},{"phase":"Return to routine (weeks 2-6)","description":"Return to work and daily activities; monitor for swelling or seroma.","restrictions":["Avoid heavy exertion","Report limb swelling promptly"]},{"phase":"Full recovery (weeks 6-12)","description":"Resume full exercise; numbness and scar tightness gradually improve.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Return to ordinary daily function; shoulder or leg mobility exercises depend on nodal site."},"result_longevity":"Nodes removed are permanent, giving lasting staging information and regional control; long-term outcome depends on the underlying cancer and adjuvant therapy.","revision_rate_pct":{"min":2,"max":8,"unit":"percent","qualifier":"Return to theatre for hematoma, infection, lymphatic leak or wound problems within 90 days."},"scars":"Scar location and length depend on the nodal site (e.g., neck, axilla, groin, abdomen). Minimally invasive approaches use several small incisions; open dissection leaves a longer linear scar.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation under general anesthesia."},"stages":[{"code":"surgery","label":"Lymph node dissection under general anesthesia","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on day of admission."}}],"qualifier":"Single-stage procedure; completion dissection is separate and only in selected cases."},"success":{"metric":"Regional nodal control (no nodal recurrence) after dissection","value":85,"unit":"percent","horizon":"5 years","population":"Adults with nodal metastasis from solid tumours, such as melanoma or breast cancer","evidence_status":"limited"},"techniques":[{"name":"Open lymph node dissection (site-specific, e.g., axillary, cervical, inguinal, pelvic)","suits_whom":"Patients with nodal metastasis or requiring regional staging, with extent defined by tumour type and guidelines.","recovery":"Varies by site and extent; drains are often used."},{"name":"Laparoscopic or robotic lymphadenectomy","suits_whom":"Selected patients for pelvic or retroperitoneal nodal dissection at experienced centres.","recovery":"Often shorter hospital stay than open surgery, depending on extent."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1.5,"max":4,"unit":"hours","qualifier":"Operating time varies with nodal site, extent and open versus minimally invasive approach."},"initial_assessment_documents":["Biopsy and histopathology report","Staging CT, MRI or PET-CT scans with reports","Previous surgery and operative reports","Oncologist's treatment summary","Chemotherapy or radiotherapy records (if available)","Recent blood test results"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single surgical admission; stay 5-10 days until drain removal. Pathology review and adjuvant therapy are arranged at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team treating 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":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that you have been able to ask the team questions about your 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":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that you are satisfied with the facilities and standards of the clinic or hospital","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":"2026-11-13","http_status":200}},{"id":"C4","text":"Check 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":"2026-11-13","http_status":200}},{"id":"C5","text":"Ask for examples of the practitioners' experience with the surgery you intend to have","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Ask for examples of the practitioners’ experience with the surgery you are intending to have.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Confirm that the surgeon you consult 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":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Being pushed into a quick decision or offered a cheap, time-limited deal is a warning 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openly","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"They should be open about their experience, skills, fees, and any conflict of interest.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Excessive swelling in hands, feet, arms and legs","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24045-lymphadenectomy","host":"my.clevelandclinic.org","quote":"Excessive swelling in your hands, feet, arms and legs.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Excessive pain, numbness or 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incision site Trouble swallowing Trouble breathing","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Gives the home doctor the treatment record to continue care","document":"full medical report","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"After your treatment, you should receive a full medical report in English to bring back to your UK doctor.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","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 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