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La plupart des experts ont recours à la chirurgie radicale ou à la radiothérapie pour éliminer les méningiomes.</p><p> <strong>La résection du méningiome est divisée en :</strong></p><ul><li> <strong>total</strong> (la tumeur entière est retirée) ;</li><li> <strong>sous-total ou partiel</strong> (seule une partie de la tumeur est retirée).</li></ul></div><h2> Principales options de traitement du méningiome </h2><i class=\"fa fa-angle-down\"></i><div class=\"accordion-item-text\"><p style=\"text-align:justify;\"> Le type de thérapie dépend de la taille de la tumeur, de sa localisation, de l'âge du patient et de la présence de pathologies.</p><p> <strong>Il existe 2 méthodes principales de traitement du méningiome :</strong></p><ul><li> <strong><a></a>Radiochirurgie stéréotaxique</strong> utilisée pour l'accès difficile à la tumeur et la connexion étroite du méningiome avec les vaisseaux, les troncs nerveux, les sinus du cerveau ;</li><li> <strong>Ablation chirurgicale</strong> utilisée dans les cas de méningiome de grande taille (plus de 3,5 cm de diamètre).</li></ul><h3><br /> <strong>Radiochirurgie stéréotaxique</strong></h3><p style=\"text-align:justify;\"> La radiochirurgie est une procédure médicale utilisée pour détruire des tumeurs ou suspendre leur fonctionnement au moyen d'une seule irradiation avec une dose élevée de rayonnements ionisants.</p><p> La radiochirurgie présente <strong>deux avantages principaux</strong> :</p><ol><li> L'irradiation <strong>affecte le méningiome dans différentes directions</strong> (la tumeur reçoit la dose de rayonnement maximale possible)</li><li> La radiochirurgie est <strong>non invasive</strong> (le traitement d'une tumeur ne nécessite pas de briser l'intégrité du tissu céphalique ni d'ouvrir le crâne).</li></ol><p><br /></p><p style=\"text-align:justify;\"><a></a> La contre-indication à la radiochirurgie est l’impossibilité d’opérer les tumeurs cérébrales de plus de 3,5 cm de diamètre.<strong> </strong><span>L'efficacité de la radiochirurgie stéréotaxique est très élevée : environ</span> <strong>95 %</strong> <span>des méningiomes arrêtent leur croissance après une seule intervention ou un petit traitement.</span></p><p> Les principales <strong>unités de radiothérapie/radiochirurgie</strong> sont :</p><ul><li> GammaCouteau ;</li><li> CyberKnife ;</li><li> TrueBeam.</li></ul><p><br /> <strong><a></a>Avantages et inconvénients de l'ablation du méningiome à l'aide du GammaKnife</strong></p><ul><li> conçu pour <strong>la chirurgie cérébrale non invasive</strong> (sans utilisation de scalpel) ;</li><li> dispose d'un système d'immobilisation basé sur un cadre avec des sources de rayonnement, qui peut provoquer des effets secondaires de la chirurgie au couteau gamma pour le méningiome, tels que des maux de tête, des nausées et un risque d'infection ;</li><li> une image d'imagerie par résonance magnétique est utilisée, contrairement aux systèmes qui n'utilisent pas de cadre pour fixer la tête et nécessitent une imagerie constante avec CT pendant<a></a> traitement, apportant une contribution supplémentaire aux doses de rayonnement excessives ;</li><li> les petites tailles de collimateurs protègent les tissus corporels des effets des rayonnements et excluent la possibilité de traitement des métastases et des tumeurs de plus de 3 cm.</li></ul><p><br /> <strong><a></a>Caractéristiques de la résection du méningiome avec CyberKnife</strong></p><ul><li> <strong>méthode universelle</strong> non seulement pour traiter le cerveau, mais également pour éliminer la tumeur et les métastases dans tout le corps ;</li><li> Le rayonnement X mégavoltage du CyberKnife est quatre fois plus puissant que l'énergie du cobalt utilisée dans le GammaKnife ;</li><li> CyberKnife est un système flexible et sans cadre qui permet à un patient d'effectuer un traitement en une ou plusieurs séances. Cela permet aux oncologues de choisir le traitement le plus sûr et le plus efficace ;</li><li> ne nécessite pas d'armature se vissant dans le crâne pour l'immobilisation, ce qui permet d'éviter les maux de tête, les nausées et les risques d'infection.</li></ul><p><br /></p><p> <strong>Particularités de la radiochirurgie stéréotaxique avec le système TrueBeam</strong></p><ul><li><a></a> Les faisceaux de rayonnement focalisés du système détruisent les cellules tumorales sans affecter les tissus sains environnants ;</li><li> l'utilisation d'un cadre métallique boulonné aux os du crâne d'un patient <strong>n'est pas nécessaire</strong> ;</li><li> possibilité d'irradiation fractionnée (le traitement est divisé en 2 à 5 petites séances, ce qui permet de traiter en toute sécurité les gros méningiomes situés à proximité de structures importantes, par exemple le nerf optique) ;</li><li> Le système TrueBeam est équipé de dispositifs d'imagerie médicale modernes qui permettent à un radiologue de surveiller le comportement de la tumeur en temps réel ;</li><li> Lors de la visualisation des formations pathologiques, la technologie de la tomodensitométrie à faisceau conique (TDM) est utilisée. Cette méthode de visualisation permet de <strong>réduire de 25 % la charge de rayonnement sur le corps du patient.</strong></li></ul><h3 style=\"text-align:center;\"> <strong>Traitement chirurgical du méningiome</strong></h3><p> Il existe <strong>2 indications pour l’ablation chirurgicale du méningiome</strong> :</p><p> <a href=\"//bookimed.com/clinics/procedure=removal-of-meningioma/\"><img src=\"/images/editor/5991586246464.jpg\" alt=\"Résection endoscopique du méningiome\" style=\"float:right;margin:0px 0px 10px 10px;\" /></a></p><ul><li> Si la tumeur se trouve dans une zone du cerveau disponible pour une intervention chirurgicale</li><li> Si la tumeur mesure plus de 3,5 cm de diamètre.</li></ul><p><br /></p><p style=\"text-align:justify;\"> <strong>L'intervention endoscopique</strong> est la méthode mini-invasive d'ablation du méningiome, lorsque la tumeur est retirée sans ouvrir le crâne avec des instruments endoscopiques. L'ablation du méningiome par accès transnasal est le plus souvent utilisée. La méthode est la plus efficace en combinaison avec des systèmes d’IRM peropératoire et de navigation nerveuse.</p><p style=\"text-align:justify;\"> <strong><a></a>La craniotomie</strong> ou <strong>trépanation du crâne</strong> n'est réalisée que si la tumeur est située près de la surface. Cette méthode offre une bonne visibilité du champ opératoire et permet l’ablation des grosses tumeurs.</p></div><h2> Préparation de l'opération </h2><i class=\"fa fa-angle-down\"></i><div class=\"accordion-item-text\"><p style=\"text-align:justify;\"> Pour déterminer avec précision le type de méningiome et prescrire le traitement le plus rapide et le plus efficace, le patient doit suivre les procédures suivantes :</p><ul><li><a></a> Test sanguin;</li><li> Électroencéphalogramme;</li><li> Angiographie ;</li><li> IRM - imagerie par résonance magnétique ;</li><li> MRS - spectroscopie par résonance magnétique ;</li><li> CT - tomodensitométrie ;</li><li> biopsie.</li></ul></div><h2> Rééducation après ablation du méningiome </h2><i class=\"fa fa-angle-down\"></i><div class=\"accordion-item-text\"><p style=\"text-align:justify;\"> La période de rééducation peut varier de quelques semaines à un an. Cela dépend de la méthode de traitement et du type d’opération. L'état physique et psychologique d'un patient<a></a> avant la chirurgie affecte également la période postopératoire. La guérison se produira rapidement si le patient suit le programme de réadaptation prescrit par un médecin et prend les médicaments nécessaires.</p></div><h2> Conséquences après l'ablation du méningiome </h2><i class=\"fa fa-angle-down\"></i><div class=\"accordion-item-text\"><p style=\"text-align:justify;\"> Les conséquences après l'ablation du méningiome dépendent de la localisation de la tumeur, de la prévalence du processus pathologique et du type histologique. Les jeunes ne subissent aucune conséquence après une résection du méningiome, contrairement aux patients âgés, qui sont beaucoup plus souvent confrontés à des effets négatifs.</p><p> <strong>Les conséquences après résection d'un méningiome peuvent être diverses :</strong></p><ul><li> perte de vue;</li><li> perte auditive;</li><li> dépression de sensibilité;</li><li> paralysie des extrémités;</li><li><a></a> manque de coordination;</li><li> récurrence.</li></ul></div><h2> Récidive du méningiome après ablation</h2><i class=\"fa fa-angle-down\"></i><div class=\"accordion-item-text\"><p> <strong>Taux de récidive du méningiome après opération : <img alt=\"\" src=\"/ckfiles/images/meningioma-recur.jpg\" title=\"Récidive du méningiome\" style=\"width:300px;height:206px;float:right;\" /></strong></p><ul><li> <strong>3 %</strong> pour les tumeurs bénignes ;</li><li> <strong>38 %</strong> pour les tumeurs atypiques ;</li><li> <strong>78%</strong> pour les tumeurs malignes.</li></ul><p><br /> <strong>La possibilité de récidive du méningiome dépend également de la localisation de la tumeur.</strong></p><ul><li> à la voûte crânienne est de <strong>3 %</strong> ;</li><li> dans la région de la selle turque, c'est <strong>19%</strong> ;</li><li> dans la région du corps de l'os sphénoïde <strong>34 %</strong> en cinq ans ;</li><li> dans le sinus caverneux, il est <strong>de 60 à 100 %</strong> .</li></ul></div>"},"guide_mc":{"text":"<p>Jour 1 - Arrivée</p><ul><li> Prise en charge à l'aéroport et transfert à l'hôtel.</li></ul><p> Jour 2 - Pré-opération</p><ul><li> Transfert à la clinique.</li><li> Consultation avec neurochirurgien et anesthésiste.</li><li> Tests préopératoires comprenant des analyses de sang et une biopsie.</li><li> Préparation à la chirurgie.</li></ul><p> Jour 3 - Chirurgie</p><ul><li> Transfert en salle d'opération.</li><li> Administration d'une anesthésie générale.</li><li> Chirurgie pour l'ablation du méningiome (la durée varie de 2 à 6 heures).</li><li> Suivi post-opératoire en salle de réveil.</li><li> Retour à la chambre d'hôpital.</li></ul><p> Jour 4-6 - Post-opération</p><ul><li> Poursuite du séjour à l'hôpital pour surveillance et récupération.</li><li> Soins postopératoires comprenant la gestion de la douleur et le soin des plaies.</li></ul><p> Semaine 1-2 - Rééducation</p><ul><li> Transfert de retour à l'hôtel pour une récupération continue.</li><li> Rendez-vous de suivi avec un neurochirurgien.</li><li> Physiothérapie si nécessaire.</li></ul><p> Semaine 3 à 6 - Rééducation continue</p><ul><li> Retour progressif aux activités légères.</li><li> Poursuite des rendez-vous de suivi et de physiothérapie.</li></ul><p> À partir de la semaine 7</p><ul><li> Retour au travail et aux activités normales sur avis du médecin.</li><li> Les résultats finaux sont visibles plusieurs mois après l’opération.</li></ul><p> <i>Veuillez noter que le rétablissement de chaque patient est unique et que les délais peuvent varier.</i></p>"}}},"relations":{"countries":[{"name":"Allemagne","alias":"germany","iso_code":"DE"},{"name":"Azerbaïdjan","alias":"azerbaijan","iso_code":"AZ"},{"name":"Chine","alias":"china","iso_code":"CN"},{"name":"Egypte","alias":"egypt","iso_code":"EG"},{"name":"Emirats Arabes Unis","alias":"united-arab-emirates","iso_code":"AE"},{"name":"Espagne","alias":"spain","iso_code":"ES"},{"name":"Grèce","alias":"greece","iso_code":"GR"},{"name":"Inde","alias":"india","iso_code":"IN"},{"name":"Israël","alias":"israel","iso_code":"IL"},{"name":"Italie","alias":"italy","iso_code":"IT"},{"name":"Mexique","alias":"mexico","iso_code":"MX"},{"name":"Roumanie","alias":"romania","iso_code":"RO"},{"name":"République de Corée","alias":"republic-of-korea","iso_code":"KR"},{"name":"Suisse","alias":"switzerland","iso_code":"CH"},{"name":"Thaïlande","alias":"thailand","iso_code":"TH"},{"name":"Turquie","alias":"turkey","iso_code":"TR"}],"cities":[{"name":"Bakou","alias":"baku"}],"operations":[{"name":"Ablation d'une tumeur cérébrale","alias":"removal-of-the-brain-tumor"},{"name":"Prostatectomie","alias":"prostatectomy"},{"name":"Ablation d'une tumeur de la moelle épinière","alias":"removal-of-spinal-cord-tumor"},{"name":"Radiothérapie","alias":"radiotherapy"},{"name":"Craniotomie","alias":"craniotomy"},{"name":"Résection transnasale de la tumeur","alias":"transnasal-resection-of-tumor"},{"name":"Trachélectomie (cervicectomie)","alias":"trachelectomy-cervicectomy"},{"name":"Chirurgies stéréotaxiques","alias":"stereotaxic-surgeries"},{"name":"Ablation du méningiome","alias":"removal-of-meningioma"},{"name":"Chirurgie des tumeurs hypophysaires","alias":"pituitary-tumor-surgery"},{"name":"Chirurgie d'une 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flap healing."},"final_result_months":{"min":3,"max":12,"unit":"months","qualifier":"Time for neurological recovery and postoperative MRI assessment of the extent of resection; varies by location and grade."},"fly_home_after_days":{"min":10,"max":14,"unit":"days","qualifier":"After surgeon clearance, wound check and imaging; later if seizures, CSF leak, neurological deficits or complications occur."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":10,"max":14,"unit":"days","qualifier":"Wound check and suture or staple removal, counted from surgery."}},{"purpose":"result_review","requirement":"routine","after":{"min":30,"max":90,"unit":"days","qualifier":"Pathology review and postoperative MRI to assess extent of resection, counted from surgery."}},{"purpose":"assessment","requirement":"routine","after":{"min":180,"max":365,"unit":"days","qualifier":"Surveillance MRI and neurological review for recurrence, counted from surgery; continues periodically afterwards."}}],"indications":["Symptomatic meningioma causing neurological deficits, seizures, headache or mass effect","Growing meningioma on serial imaging","Large meningioma or one with significant edema","Meningioma where histology is needed or atypical/malignant features are suspected"],"main_risks":["Bleeding or hematoma","Neurological deficit (weakness, speech, vision or cranial nerve problems)","Seizures","Infection or meningitis","Cerebrospinal fluid leak","Brain swelling","Venous sinus injury or thrombosis","Stroke","Blood clots in the legs or lungs","Incomplete tumor resection","Anesthesia-related risks"],"pain":"Moderate headache and scalp/incision pain for the first days to weeks, usually controlled with analgesics; jaw pain may occur with temporal approaches.","preparation":["MRI with contrast, sometimes CT or angiography","Anesthesia and medical assessment, blood tests","Medication review, including blood thinners and anti-seizure drugs","Fasting before general anesthesia","Discussion of risks, goals and consent","Steroids may be prescribed for edema"],"recovery_timeline":[{"phase":"Hospital stay (days 0-7)","description":"Monitoring in ICU or high-dependency unit, neurological checks, early mobilization, postoperative imaging.","restrictions":["No driving","Assisted mobility initially"]},{"phase":"Early home recovery (weeks 1-6)","description":"Fatigue, headache and wound healing; gradual increase in walking and activity.","restrictions":["No heavy lifting or straining","No driving until cleared, especially if seizures","Keep the wound dry and clean"]},{"phase":"Return to activities (weeks 6-12)","description":"Return to work and normal activities for most patients after uncomplicated surgery; gradual return of exercise.","restrictions":["No contact sports until cleared by surgeon"]},{"phase":"Long-term (3-12 months)","description":"Continued neurological recovery and surveillance MRI.","restrictions":[]}],"rehabilitation_days":{"min":30,"max":90,"unit":"days","qualifier":"Ordinary functional recovery after uncomplicated craniotomy; formal neurorehabilitation may extend this when deficits are present."},"result_longevity":"Complete resection of low-grade tumors often gives long-term control, but recurrence is possible and depends on the extent of resection and WHO grade; long-term MRI surveillance is needed.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Reoperation within 30-90 days for hematoma, CSF leak, infection or wound problems; excludes later recurrence surgery."},"scars":"A scalp incision scar, usually within or behind the hairline, is typically well hidden; the scar location and length depend on the approach, and some temporary hair loss may occur around it.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"A single operation for a typical accessible meningioma; staged surgery or adjuvant radiotherapy is not part of the usual protocol."},"stages":[{"code":"craniotomy_resection","label":"Craniotomy and tumor resection","after":{"min":0,"max":0,"unit":"days","qualifier":"Single operation on the day of surgery."}}],"qualifier":"Single-stage surgery in the typical uncomplicated case."},"success":{"metric":"Progression-free survival after complete resection of WHO grade 1 meningioma","value":90,"unit":"percent","horizon":"5 years","population":"Adults with WHO grade 1 meningioma after gross total resection","evidence_status":"limited"},"techniques":[{"name":"Open craniotomy with microsurgical resection","suits_whom":"Most symptomatic or growing meningiomas, particularly convexity, falx and accessible skull base tumors.","recovery":"Hospital stay of several days; return to normal activities within about 1-3 months."},{"name":"Endoscopic endonasal or keyhole approach","suits_whom":"Selected small or midline skull base meningiomas, such as tuberculum sellae, in specialized centers.","recovery":"Often a shorter stay, though skull base reconstruction and CSF leak risks need attention."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":3,"max":6,"unit":"hours","qualifier":"Operating time for a typical craniotomy for a single accessible meningioma; complex skull base tumors can take longer."},"initial_assessment_documents":["Brain MRI with and without contrast (DICOM)","Brain CT scan (if available)","Radiology report of the tumor","Neurological symptoms summary and seizure history","List of blood thinners","Previous biopsy or surgery report (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 10-14 days including hospital stay and wound check. MRI follow-ups are usually done at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the medical team’s qualifications","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":"Ask questions about the 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":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that the clinic or hospital has satisfactory facilities and standards","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":"C4","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":"C5","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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","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":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Red, inflamed, painful surgical wound","urgency":"contact_clinic","general":false,"source":{"url":"https://www.plymouthhospitals.nhs.uk/display-pil/pil-planned-surgery-for-anterior-front-or-middle-meningioma-6996/","host":"plymouthhospitals.nhs.uk","quote":"If your wound becomes, red, inflamed, painful, and/or you have a temperature please contact the ward as soon as possible for a review, antibiotics or a neurosurgical consultation might be required.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"New weakness or paralysis","urgency":"emergency","general":false,"source":{"url":"https://www.cuh.nhs.uk/patient-information/skull-base-meningioma/","host":"cuh.nhs.uk","quote":"This can include weakness or paralysis, difficulty in breathing or impaired swallowing.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Difficulty breathing","urgency":"emergency","general":false,"source":{"url":"https://www.cuh.nhs.uk/patient-information/skull-base-meningioma/","host":"cuh.nhs.uk","quote":"This can include weakness or paralysis, difficulty in breathing or impaired swallowing.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Impaired swallowing","urgency":"emergency","general":false,"source":{"url":"https://www.cuh.nhs.uk/patient-information/skull-base-meningioma/","host":"cuh.nhs.uk","quote":"This can include weakness or paralysis, difficulty in breathing or impaired swallowing.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W5","text":"Fever after surgery","urgency":"contact_clinic","general":true,"source":{"url":"https://www.plymouthhospitals.nhs.uk/display-pil/pil-planned-surgery-for-anterior-front-or-middle-meningioma-6996/","host":"plymouthhospitals.nhs.uk","quote":"If your wound becomes, red, inflamed, painful, and/or you have a temperature please contact the ward as soon as possible for a review, antibiotics or a neurosurgical consultation might be required.","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":"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":"T2","text":"Ask for copies of all prescriptions before you leave","document":"prescription 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