Le Prof. Dr. med. Fruehauf propose des consultations Skype pour des seconds avis médicaux sur l'HIPEC à environ 760 $, couvrant l'analyse experte de la documentation du cas. Le centre de cancérologie du Klinikum Bremen-Mitte détient les certifications de la Société allemande de cancérologie et de la Société européenne de cancérologie, avec 66 % des patients HIPEC survivant plus de 5 ans après l'intervention. L'hôpital fait partie de Gesundheit Nord – le plus grand groupe médical du nord de l'Allemagne – et fournit une imagerie avancée avec la technologie IRM et PET-CT la plus récente.
","text_type":"mt_wow_description","best_texts":{"techniques":"HIPEC (Chimiothérapie hyperthermique intrapéritonéale)","good_fit_for":"Cancer péritonéal avancé","why_its_ranked":"Certifié par les sociétés allemande et européenne de cancérologie, propose l'HIPEC avec un taux de survie à 5 ans de 66 % pour les tumeurs péritonéales. Fait partie d'un grand groupe médical doté d'équipements de diagnostic modernes."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":40000,"price_to":70000,"currency":"USD","id":13554},"operation":{"id":293,"name":"Chimiothérapie intrapéritonéale hyperthermique (HIPEC)","alias":"hyperthermic-intraperitoneal-chemotherapy"}},{"prices":{"price_from":1800,"price_to":3000,"currency":"USD","id":8174},"diagnostic":{"id":1,"name":"TEP/TDM","alias":"pet-ct"}},{"prices":{"price_from":718.282712258259,"price_to":718.282712258259,"currency":"USD","id":17385},"diagnostic":{"id":523,"name":"Consultation en ligne avec un oncologue","alias":"online-consultation-with-oncologist"}}],"reviews":[],"clinic":{"id":295,"alias":"clinic-bremen-nord","name":"Bremen-Mitte Clinic","short_description":"Klinikum Bremen-Mitte est un hôpital multidisciplinaire inclus dans le réseau des centres médicaux Gesundheit Nord (Nord Klinik Allianz). Bremen-Mitte est spécialisé dans l'oncologie, l'orthopédie, la chirurgie, la neurologie et la neurochirurgie.
En 2015-2016, le magazine Focus, qui fait autorité dans le domaine de l'oncologie, a publié un article sur le sujet.\n
En 2015-2016, le magazine Focus, une édition allemande qui fait autorité, a inclus l'hôpital dans le TOP des principales institutions médicales en Allemagne. Le classement est basé sur les avis des patients et les qualifications des médecins.
Les patients choisissent l'hôpital en fonction de leur âge et de leur sexe.\n
40 000 patients choisissent Klinikum Bremen-Mitte pour se faire soigner chaque année.
","images":[{"base_url":"clinic/5c87d11cc61c4","title":"Entrée principale de la clinique Bremen-Mitte, façade moderne en verre à Brême, Allemagne"},{"base_url":"clinic/5b869c5f7eb24","title":"Cour-jardin avec bancs à la clinique Bremen-Mitte, Allemagne"},{"base_url":"clinic/5b869c5d8c3f7","title":"Vue extérieure de la clinique Bremen-Mitte, hôpital moderne à Brême, Allemagne"},{"base_url":"clinic/5b869c5ea9030","title":"Entrée principale de la clinique Bremen-Mitte, façade en verre moderne à Brême, Allemagne"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Allemagne","id":22,"alias":"germany","iso_code":"DE"},"city":{"name":"Brême","id":352,"alias":"bremen"},"address":"Sankt-Jürgen-Straße 1, 28205 Bremen, Germany"},"rating":{"rating":4.3,"google":2.5,"percent_of_satisfied_clients":80},"statistics":{"number_of_reviews":41,"doctors_number":0,"year_foundation":1851},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db982e01da4b.jpeg","name":"Organisation internationale de normalisation","country_code":"CH"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb72d2c6a2f.jpeg","name":"Meilleur hôpital allemand selon le classement Focus 2019","country_code":"DE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"Meilleurs hôpitaux du monde 2021 par Newsweek","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"La clinique Bremen-Ost est spécialisée dans la chimiothérapie intrapéritonéale hyperthermique (HIPEC) avec le professeur Rainer Porschen, l'un des 100 meilleurs gastro-entérologues d'Allemagne avec _doctor_564_years_ d'expérience en oncologie gastro-intestinale. L'intervention peut coûter entre 49 800 et 55 700 $. La clinique est reconnue par le magazine Focus pour ses taux de réussite élevés et traite 19 000 patients par an.
Klinikum Bremen-Ost est un hôpital multidisciplinaire situé à Brême. L'hôpital fait partie du réseau d'hôpitaux Gesundheit Nord-Klinikverbund Bremen. L'hôpital de Brême-Ost est spécialisé dans la chirurgie pulmonaire, la neurologie, la psychothérapie et la psychiatrie.\n
Bremen-Ost fait partie des meilleurs établissements médicaux allemands en 2015-2016 selon le classement du magazine Focus. Le classement comprend des hôpitaux avec des retours positifs des patients et des taux élevés de réussite des traitements.
\nChaque année, Bremen-Ost reçoit 19 000 patients pour un traitement.
","images":[{"base_url":"clinic/5b87fd97014bb","title":"Façade de la clinique Bremen-Ost avec parking à Brême, Allemagne"},{"base_url":"clinic/5b87fdbc5cea8","title":"Vue aérienne du bâtiment principal de la clinique Bremen-Ost entouré de verdure à Brême, Allemagne"},{"base_url":"clinic/5b87fd9797ae2","title":"Entrée principale de la clinique Bremen-Ost à Brême, Allemagne"},{"base_url":"clinic/5b87fd9843863","title":"Extérieur de la clinique Bremen-Ost avec bâtiments modernes et traditionnels à Brême, Allemagne"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Allemagne","id":22,"alias":"germany","iso_code":"DE"},"city":{"name":"Brême","id":352,"alias":"bremen"},"address":"Züricher Straße 40 28325 Bremen"},"rating":{"rating":0,"google":2.9,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":0,"year_foundation":1904},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb72b016d77.jpeg","name":"Coopération pour la transparence et la qualité dans le service de santé","country_code":"DE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb72d2c6a2f.jpeg","name":"Meilleur hôpital allemand selon le classement Focus 2019","country_code":"DE"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":2,"total_pages":1}},"clinicsMeta":{"total_count":2,"total_pages":1},"clinicsCount":2,"clinicsCountByEntity":{"clinic_count":55},"doctors":{"doctors":[{"doctor":{"id":564,"alias":"rainer-porschen","name":"Rainer Porschen","clinic_id":404,"photo":"doctor/5acf608180487","first_year_working":0,"created_at":"2016-11-28T13:35:08.000+00:00","short_description":"Le médecin est un gastro-entérologue très bien noté en Europe, reconnu parmi les 100 meilleurs médecins en Allemagne pour le traitement des lésions gastro-intestinales. Le médecin contribue au développement des directives allemandes pour le traitement du cancer de l'œsophage et se spécialise dans les tumeurs du tractus gastro-intestinal.<\\/p>
Depuis 2000, le médecin est directeur de la Clinique de médecine interne à la Clinique de Brême-Ost en Allemagne. Les rôles précédents incluent des postes de chercheur à l'Institut du cancer MD Anderson et à l'Université Heinrich Heine. Le médecin détient un Prix clinique pour la gastro-entérologie et un Prix du mérite du Symposium sur les cancers gastro-intestinaux.<\\/p>
","statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":404,"alias":"bremen-ost-clinic","name":"Bremen-Ost Clinic","short_description":"Klinikum Bremen-Ost est un hôpital multidisciplinaire situé à Brême. L'hôpital fait partie du réseau d'hôpitaux Gesundheit Nord-Klinikverbund Bremen. L'hôpital de Brême-Ost est spécialisé dans la chirurgie pulmonaire, la neurologie, la psychothérapie et la psychiatrie.\n
Bremen-Ost fait partie des meilleurs établissements médicaux allemands en 2015-2016 selon le classement du magazine Focus. Le classement comprend des hôpitaux avec des retours positifs des patients et des taux élevés de réussite des traitements.
\nChaque année, Bremen-Ost reçoit 19 000 patients pour un traitement.
","images":[{"base_url":"clinic/5b87fd97014bb","title":"Façade de la clinique Bremen-Ost avec parking à Brême, Allemagne"},{"base_url":"clinic/5b87fdbc5cea8","title":"Vue aérienne du bâtiment principal de la clinique Bremen-Ost entouré de verdure à Brême, Allemagne"},{"base_url":"clinic/5b87fd9797ae2","title":"Entrée principale de la clinique Bremen-Ost à Brême, Allemagne"},{"base_url":"clinic/5b87fd9843863","title":"Extérieur de la clinique Bremen-Ost avec bâtiments modernes et traditionnels à Brême, Allemagne"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Allemagne","id":22,"alias":"germany","iso_code":"DE"},"city":{"name":"Brême","id":352,"alias":"bremen"},"address":"Züricher Straße 40 28325 Bremen"},"rating":{"rating":0,"google":2.9,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":0,"year_foundation":1904},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb72b016d77.jpeg","name":"Coopération pour la transparence et la qualité dans le service de santé","country_code":"DE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb72d2c6a2f.jpeg","name":"Meilleur hôpital allemand selon le classement Focus 2019","country_code":"DE"}]}}],"meta":{"total_count":0,"total_pages":1}},"reviews":{"reviews":[{"id":1865,"user":{"id":56520,"name":"Алеся ","country_code":"UA","country_name":{"fr":"Ukraine"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":0},{"name":"coordination","value":0},{"name":"doctor","value":0},{"name":"manager","value":5},{"name":"personal","value":0},{"name":"translation","value":0},{"name":"relative_price","value":0}],"text":{"fr":"Bonjour !\nMon père a été traité dans la clinique pour un diagnostic : adénocarcinome gastrique de stade 3.\nLes médecins, infirmières et le personnel accompagnant sont des spécialistes qualifiés, très attentionnés ! Toutes les procédures sont effectuées par nécessité, et non dans le but de réaliser un profit.\nLa seule chose gênante, c'est le menu pour les personnes sans estomac. (Ils servaient des plats épicés et frits)\nLa société d'accompagnement vous prend en charge dès l'aéroport le jour de votre arrivée jusqu'à l'aéroport le jour de votre départ.\nEn résumé, depuis le premier appel jusqu'à aujourd'hui, nous sommes satisfaits de tout !\nJe recommande à tous de s'y adresser !","en":"Hello!\nMy dad was diagnosed with a diagnosis in the clinic: adenomatic stomach carcinoma of the 3rd stage.\nDoctors, nurses and accompanying personnel are qualified professionals, very attentive! All procedures are made as necessary, and not for profit.\nThe only thing that is embarrassing is the menu for people without a stomach. (They gave it hot and fried)\nAccompanying company takes you from the airport on the day of arrival to the airport on the day of departure.\nIn general, from the time of the first call to today, everyone is happy!\nI advise everyone here to contact!"},"order":{"operation":{"id":37,"name":{"fr":"Chimiothérapie","en":"Chemotherapy"}},"illness":{"id":51,"name":{"fr":"Cancer de l'estomac","en":"Stomach cancer"}}},"clinic_info":{"id":136,"name":"Nordwest Clinic (Krankenhaus)","alias":"clinic-nordwest","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2018-06-20T14:33:40.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"fr":"Je conseille à tout le monde ici de contacter!","en":"\"I advise everyone here to contact!\""}}}],"meta":{"total_count":5,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"promoClinics":{"clinics":[{"text":"Le Prof. Dr. med. Markus Hoyer possède 30 ans d'expérience en uro-oncologie et réalise 3 000 interventions par an dans cet hôpital académique de niveau JCI. Le diagnostic commence par un test PSA pour environ 80 $. Les options de traitement incluent la prostatectomie robotisée Da Vinci coûtant environ 16 410 $ à 23 000 $, un forfait couvrant 4 à 7 nuits, un diagnostic complet, un examen histologique et des visites quotidiennes.
","text_type":"mt_wow_description","best_texts":{"techniques":"Prostatectomie radicale, prostatectomie robotisée, hormonothérapie, chimiothérapie, thérapie ciblée","good_fit_for":"Cas complexes de cancer de la prostate","why_its_ranked":"Propose une prostatectomie robotisée avec le système Da Vinci, réalisée par des spécialistes effectuant plus de 3 000 interventions par an. Certifié par la Société allemande du cancer pour l'oncologie urologique."},"additional_data":{"advertising_id":"268:illness_kind:10"},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":15910,"price_to":15910,"currency":"USD","id":51641},"operation":{"id":253,"name":"Prostatectomie robotisée Da Vinci","alias":"radical-prostatectomy-via-da-vinci-robotic-surgery"}},{"prices":{"price_from":2200,"price_to":3200,"currency":"USD","id":28105},"operation":{"id":694,"name":"Chimiothérapie pour le cancer de la prostate","alias":"chemotherapy-for-prostate-cancer"}},{"prices":{"price_from":550,"price_to":700,"currency":"USD","id":47778},"diagnostic":{"id":96,"name":"CT (tomodensitométrie)","alias":"ct"}},{"prices":{"price_from":300,"price_to":900,"currency":"USD","id":12896},"diagnostic":{"id":209,"name":"Révision histopathologique","alias":"revision-of-biopsy-and-immunohistochemistry"}}],"reviews":[],"clinic":{"id":268,"alias":"medical-center-in-solingen","name":"Medical Center in Solingen","short_description":"Le centre médical de Solingen est un hôpital universitaire affilié à l'Université de Cologne. Il figure parmi les meilleures cliniques d'Allemagne selon le magazine Focus. Ses spécialités principales incluent la neurochirurgie, la gastro-entérologie, l'oncologie et le centre du sein.
HIPEC ou chimiothérapie intrapéritonéale hyperthermique (« chimio chaude ») est une méthode de traitement visant à détruire les tumeurs malignes lors d'une intervention chirurgicale. L’option est appliquée pour les cancers métastatiques (estomac, côlon, rectal) de l’abdomen.
Un médecin remplit la cavité abdominale de médicaments chimiothérapeutiques chauffés à 40-42°C. Les médicaments circulent dans l'abdomen en 1,5 heure. Pendant cette période, les médicaments affectent le reste des cellules cancéreuses et les détruisent.
La chimiothérapie chaude permet d'administrer des doses élevées de médicaments précisément aux cellules malignes sans endommager les cellules saines. Les médicaments chauffés ne pénètrent presque pas dans le sang. Cela aide à réduire les effets secondaires.
HIPEC n'a presque aucune contre-indication. Une telle méthode est appliquée lorsque les autres options se sont révélées inefficaces.
Le coût HIPEC le moins cher se trouve en Inde – à partir de 17 000 $ selon les données des centres médicaux locaux. Ce faible coût s'explique par la politique des prix du pays, où les revenus de la population sont également faibles. Concernant la qualité des soins de santé en Inde, elle est au plus haut niveau comme aux États-Unis ou en Allemagne.
Après une chirurgie du cancer colorectal , les spécialistes utilisent HIPEC pour les stades 3-4. Cela contribue à augmenter le taux de survie et à faire vivre les patients plus longtemps. Une telle méthode a donné des résultats positifs dans le traitement des cancers du côlon et du rectum.
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"}}},"relations":{"countries":[{"name":"Allemagne","alias":"germany","iso_code":"DE"},{"name":"Azerbaïdjan","alias":"azerbaijan","iso_code":"AZ"},{"name":"Chine","alias":"china","iso_code":"CN"},{"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":"Malaisie","alias":"malaysia","iso_code":"MY"},{"name":"République de Corée","alias":"republic-of-korea","iso_code":"KR"},{"name":"Thaïlande","alias":"thailand","iso_code":"TH"},{"name":"Turquie","alias":"turkey","iso_code":"TR"},{"name":"Ukraine","alias":"ukraine","iso_code":"UA"}],"cities":[{"name":"Brême","alias":"bremen"},{"name":"Francfort-sur-le-Main","alias":"frankfurt-am-main"}],"operations":[{"name":"Mastectomie","alias":"mastectomy"},{"name":"Chimiothérapie","alias":"chemotherapy"},{"name":"Résection thyroïdienne","alias":"thyroid-resection"},{"name":"Élimination du cancer du foie","alias":"removal-of-liver-cancer"},{"name":"Élimination du cancer du côlon","alias":"removal-of-colon-cancer"},{"name":"Ablation d'une tumeur cérébrale","alias":"removal-of-the-brain-tumor"},{"name":"Curiethérapie","alias":"brachytherapy"},{"name":"Prostatectomie","alias":"prostatectomy"},{"name":"Ablation par radiofréquence","alias":"radiofrequency-ablation"},{"name":"Ablation d'une tumeur de la moelle épinière","alias":"removal-of-spinal-cord-tumor"},{"name":"Chirurgie du mélanome","alias":"melanoma-surgery"},{"name":"Chirurgie du cancer de l'estomac","alias":"gastrectomy"},{"name":"Radiothérapie","alias":"radiotherapy"},{"name":"Omentectomie","alias":"omentectomy"},{"name":"Œsophagectomie","alias":"esophagectomy"},{"name":"Résection de l'intestin grêle","alias":"small-intestine-surgery"},{"name":"Thérapie hormonale","alias":"hormonal-therapy"},{"name":"Thérapie SIRT","alias":"sirt-therapy"},{"name":"Résection transurétrale de la prostate (TURP)","alias":"transurethral-resection-of-the-prostate-turp"},{"name":"Thérapie à l'iode radioactif","alias":"radioiodine-therapy"},{"name":"Chirurgie du cancer du sein","alias":"operation-on-breast-cancer"},{"name":"Trachélectomie (cervicectomie)","alias":"trachelectomy-cervicectomy"},{"name":"Hystérectomie (ablation de l’utérus)","alias":"hysterectomy"},{"name":"Immunothérapie","alias":"immunotherapy"},{"name":"Thérapie ciblée","alias":"targeted-therapy"},{"name":"Lumpectomie","alias":"lumpectomy"},{"name":"Thyroïdectomie subtotale","alias":"subtotal-thyroidectomy"},{"name":"Chimiothérapie intrapéritonéale hyperthermique (HIPEC)","alias":"hyperthermic-intraperitoneal-chemotherapy"},{"name":"Ovariectomie","alias":"oophorectomy"},{"name":"Chirurgie de Whipple","alias":"whipple-surgery"},{"name":"Orchidectomie","alias":"orchiectomy"},{"name":"Résection transurétrale de la vessie","alias":"transurethral-resection-of-the-bladder"},{"name":"Microchirurgie de Mohs","alias":"mohs-surgery"},{"name":"Large excision du mélanome","alias":"wide-excision-of-melanoma"},{"name":"Lobectomie","alias":"lobectomy"},{"name":"Opération de Wertheim-Meigs","alias":"the-wertheim-meigs-operation"},{"name":"Chirurgie du cancer du poumon","alias":"lung-cancer-surgery"},{"name":"Ablation de la vessie","alias":"rezekcia-mocevogo-puzyra"},{"name":"Résection en coin","alias":"wedge-resection"},{"name":"Pneumonectomie","alias":"pneumonectomy"},{"name":"Résection osseuse","alias":"resection-of-the-bone"},{"name":"Ablation des polypes gastriques","alias":"polypectomy"},{"name":"Résection hépatique","alias":"liver-resection"},{"name":"Ablation du méningiome","alias":"removal-of-meningioma"},{"name":"Résection rectale","alias":"rectal-resection"},{"name":"Traitement complexe du cancer de la thyroïde","alias":"complex-treatment-of-thyroid-cancer"},{"name":"Ablation d'une tumeur 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Durability varies by tumour type and completeness of cytoreduction; some patients remain disease-free for years, others recur and need surveillance.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Unplanned return to theatre within 30-90 days, e.g. for leak, bleeding or abscess"},"scars":"Long midline abdominal incision (xiphoid to pubis) is typical, plus drain sites; a stoma may be needed in some patients.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One combined operation: cytoreductive surgery followed by HIPEC perfusion."},"stages":[{"code":"cytoreduction","label":"Cytoreductive surgery removing visible tumour and affected tissue","after":{"min":0,"max":0,"unit":"days","qualifier":"Same operation"}},{"code":"hipec_perfusion","label":"Heated intraperitoneal chemotherapy perfusion (typically 30-90 minutes)","after":{"min":0,"max":0,"unit":"days","qualifier":"Same operation, after cytoreduction"}},{"code":"reconstruction","label":"Bowel reconstruction or closure","after":{"min":0,"max":0,"unit":"days","qualifier":"Same operation"}}],"qualifier":"Single operative session with sequential stages."},"success":{"metric":"5-year overall survival after complete cytoreduction with HIPEC","value":50,"unit":"percent","horizon":"5 years","population":"Adults with peritoneal metastases, mixed tumour types, complete or near-complete cytoreduction","evidence_status":"limited"},"techniques":[{"name":"Open (coliseum) HIPEC with cytoreductive surgery","suits_whom":"Patients with peritoneal surface malignancy where abdomen is kept open during perfusion for uniform heat distribution and surgeon access.","recovery":"Inpatient stay of about 10-21 nights; recovery over several weeks to months."},{"name":"Closed-abdomen HIPEC with cytoreductive surgery","suits_whom":"Patients with peritoneal surface malignancy where the abdomen is closed before perfusion to maintain temperature and reduce exposure.","recovery":"Similar to open technique: about 10-21 nights inpatient and recovery over weeks to months."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":6,"max":12,"unit":"hours","qualifier":"Complete operation, cytoreductive surgery plus HIPEC perfusion; varies with disease extent."},"initial_assessment_documents":["Histopathology report of primary tumour or biopsy","Contrast CT of chest, abdomen and pelvis","Abdominopelvic MRI report","Tumour marker blood results","Previous operative and chemotherapy reports","Recent kidney and liver function blood tests"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single combined operation; about 10-21 nights inpatient until discharge and fitness to fly. Surveillance usually at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the surgeon's established track record with these complex operations. Why: the operation is complex, so experience matters","scope":"procedure","source":{"url":"https://stonybrookmedicine.edu/node/2289","host":"stonybrookmedicine.edu","quote":"Patients should seek surgeons with established track records of performing these complex operations.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check the qualifications of the medical team that will treat 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":"2026-11-12","http_status":200}},{"id":"C3","text":"Get a second opinion from a doctor at home on whether the treatment is necessary and what options exist","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 doctor can give you a valuable second opinion as well as advice about treatment options and whether it's necessary.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Find out whether follow-up care is scheduled at the same facility as the procedure","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C5","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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Pressure to make a quick decision about booking treatment abroad","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":"pressure to make a quick decision","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"Booking advice from sales staff or travel agents is a red flag","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Do not accept advice from a travel agent, sales representatives or administrators.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"Being unable to speak directly with the treating clinician before booking is a red flag","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Speak directly to the doctor, dentist or nurse who will be carrying out your treatment before you book your trip.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F4","text":"Being denied the chance to change your mind during the consultation is a red flag","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"You should be given the opportunity to change your mind during this consultation.","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":"Severe swelling, warmth or drainage at the incision","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/21569-hyperthermic-intraperitoneal-chemotherapy-hipec","host":"my.clevelandclinic.org","quote":"Severe swelling, warmth or drainage around your incision site","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Nausea and vomiting that do not improve","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/21569-hyperthermic-intraperitoneal-chemotherapy-hipec","host":"my.clevelandclinic.org","quote":"Nausea and vomiting that don’t improve","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Fever above 101 degrees F (38.3 degrees C)","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/treatments/21569-hyperthermic-intraperitoneal-chemotherapy-hipec","host":"my.clevelandclinic.org","quote":"Fever above 101 degrees F (38.3 degrees C)","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 treatment details and future care needs","document":"discharge letter for gp","source":{"url":"https://www.nhs.uk/nhs-services/hospitals/going-into-hospital/being-discharged-from-hospital","host":"nhs.uk","quote":"You'll also be given a letter for your GP, providing information about your treatment and future care needs.","tier":"tier1_medical","fetched_at":"2026-11-12","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 had.","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":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You would rather have several rounds of chemotherapy","name":"Systemic chemotherapy","source":{"url":"https://my.clevelandclinic.org/health/treatments/21569-hyperthermic-intraperitoneal-chemotherapy-hipec","host":"my.clevelandclinic.org","quote":"With systemic chemotherapy, treatment usually involves several sessions, or “rounds,” of chemotherapy.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null},{"id":"A2","text":"You want the standard surgery and IV chemotherapy option","name":"Surgery and IV chemotherapy","source":{"url":"https://www.healthline.com/health/cancer/hyperthermic-intraperitoneal-chemotherapy","host":"healthline.com","quote":"multiple studies have found that HIPEC has no greater benefit than the current standard of care (surgery and IV chemotherapy).","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":"open-hipec","name":"Open (coliseum) HIPEC with 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surgeon.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=germany/city=bremen/procedure=gipertermicheskaya-vnutribrushinnaya-himioterapiya-hipec/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"illnessesByOperation":[{"id":6,"alias":"ovarian-cancer","name":"Cancer des ovaires"},{"id":51,"alias":"stomach-cancer","name":"Cancer de l'estomac"},{"id":100,"alias":"bladder-cancer","name":"Cancer de la vessie"},{"id":145,"alias":"adenocarcinoma","name":"Adénocarcinome"},{"id":309,"alias":"small-intestine-cancer","name":"Cancer de l'intestin grêle"},{"id":416,"alias":"rectal-cancer","name":"Cancer rectal"},{"id":524,"alias":"colon-cancer","name":"Cancer du colon"},{"id":747,"alias":"sarcinomatosis","name":"Сarcinomatose"},{"id":2226,"alias":"colon-cancer-stage-4","name":"Cancer du côlon de stade 4"}],"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}