Le Helios Universitätsklinikum Wuppertal est un centre médical privé multi-spécialités situé à Düsseldorf, en Allemagne, spécialisé en orthopédie, urologie, chirurgie cardiaque et chirurgie générale. L'hôpital traite aussi bien les adultes que les enfants et est choisi par environ 150 000 patients chaque année. Il est principalement fréquenté par des patients issus des pays de la CEI, des Balkans et des États de la Ligue arabe.
","text_type":"short_description","best_texts":{"techniques":"Thérapie au laser mini-invasive","why_its_ranked":"Utilise une thérapie au laser mini-invasive qui cible précisément les tissus malades tout en préservant les tissus sains, et adapte la procédure à chaque patient afin de réduire la douleur."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":7769,"alias":"helios-universitaetsklinikum-wuppertal","name":"Helios Gesundheit","short_description":"Le Helios Universitätsklinikum Wuppertal est un centre médical privé multi-spécialités situé à Düsseldorf, en Allemagne, spécialisé en orthopédie, urologie, chirurgie cardiaque et chirurgie générale. L'hôpital traite aussi bien les adultes que les enfants et est choisi par environ 150 000 patients chaque année. Il est principalement fréquenté par des patients issus des pays de la CEI, des Balkans et des États de la Ligue arabe.
","images":[{"base_url":"clinic/6ac8a229ace62","title":"Entrée principale de Helios Klinik Rottweil, établissement médical moderne en brique en Allemagne"},{"base_url":"clinic/6ac8a22b7b107","title":"Façade en verre moderne de l’hôpital Helios Klinikum Krefeld en Allemagne"},{"base_url":"clinic/6ac8a22d81c1d","title":"Vue extérieure de la Helios Klinik Wesermarsch en Allemagne avec bâtiment moderne et drapeaux"},{"base_url":"clinic/6ac8a22f88955","title":"Bâtiment moderne de la clinique Helios Klinik Wesermarsch en Allemagne"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Allemagne","id":22,"alias":"germany","iso_code":"DE"},"city":{"name":"Wuppertal","id":2687,"alias":"wuppertal"},"address":"Heusnerstraße 40, 42283 Barmen, Germany"},"rating":{"rating":0,"google":3.4,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":51},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/614dbaf74d46e.jpeg","name":"Système d'Accréditation Internationale pour les Services d'Oncologie Interventionnelle (IASIOS)"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db9832f9d8cf.jpeg","name":"Société allemande du cancer","country_code":"DE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6841934325139.jpeg","name":"ISO 9001:2015 Systèmes de management de la qualité"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88caba297f8.jpeg","name":"Fellow, American College of Surgeons","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":1,"total_pages":1}},"clinicsMeta":{"total_count":1,"total_pages":1},"clinicsCount":1,"clinicsCountByEntity":{"clinic_count":21},"doctors":{"doctors":[{"doctor":{"id":12079,"alias":"lars-boenicke","name":"Lars Bönicke ","clinic_id":7769,"photo":"doctor/6a0ecbe42d99c","first_year_working":2011,"created_at":"2026-05-21T09:09:52.963+00:00","description":"Le professeur, docteur en médecine Lars Bönicke est spécialiste en chirurgie colorectale, proctologique et oncologique viscérale à la clinique universitaire Helios Wuppertal. Il dirige le service de proctologie ainsi que le centre de prise en charge du cancer anal certifié par la Société allemande de cancérologie.
Le Dr Bönicke est spécialisé dans le traitement chirurgical des maladies du côlon et du rectum, du cancer colorectal, des hémorroïdes, des fistules anales, des fissures anales et d’autres pathologies proctologiques complexes. Dans sa pratique, il recourt activement aux techniques chirurgicales mini-invasives, laparoscopiques et robotisées.
Le professeur Bönicke possède plus de 15 ans d’expérience en chirurgie générale, viscérale et oncologique. Il accorde une attention particulière aux interventions visant à préserver les organes, à la prise en charge pluridisciplinaire des cancers du tractus gastro-intestinal et aux technologies modernes de chirurgie intestinale.
Principaux domaines d’activité :
Le professeur Lars Bönicke participe aux réunions de concertation pluridisciplinaires en oncologie et compte parmi les spécialistes de premier plan de la clinique dans le domaine de la chirurgie intestinale et de l’oncologie proctologique.
","specialities":[{"id":"sur.006","name":"Colorectal surgeon","illness_kind_id":33},{"id":"sur.007","name":"Surgical oncologist","illness_kind_id":33},{"id":"sur.010","name":"General surgeon","illness_kind_id":33}],"statistics":{"review_count":0,"review_score":0}},"clinic":{"id":7769,"alias":"helios-universitaetsklinikum-wuppertal","name":"Helios Gesundheit","short_description":"Le Helios Universitätsklinikum Wuppertal est un centre médical privé multi-spécialités situé à Düsseldorf, en Allemagne, spécialisé en orthopédie, urologie, chirurgie cardiaque et chirurgie générale. L'hôpital traite aussi bien les adultes que les enfants et est choisi par environ 150 000 patients chaque année. Il est principalement fréquenté par des patients issus des pays de la CEI, des Balkans et des États de la Ligue arabe.
","images":[{"base_url":"clinic/6ac8a229ace62","title":"Entrée principale de Helios Klinik Rottweil, établissement médical moderne en brique en Allemagne"},{"base_url":"clinic/6ac8a22b7b107","title":"Façade en verre moderne de l’hôpital Helios Klinikum Krefeld en Allemagne"},{"base_url":"clinic/6ac8a22d81c1d","title":"Vue extérieure de la Helios Klinik Wesermarsch en Allemagne avec bâtiment moderne et drapeaux"},{"base_url":"clinic/6ac8a22f88955","title":"Bâtiment moderne de la clinique Helios Klinik Wesermarsch en Allemagne"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Allemagne","id":22,"alias":"germany","iso_code":"DE"},"city":{"name":"Wuppertal","id":2687,"alias":"wuppertal"},"address":"Heusnerstraße 40, 42283 Barmen, Germany"},"rating":{"rating":0,"google":3.4,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":51},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/614dbaf74d46e.jpeg","name":"Système d'Accréditation Internationale pour les Services d'Oncologie Interventionnelle (IASIOS)"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db9832f9d8cf.jpeg","name":"Société allemande du cancer","country_code":"DE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6841934325139.jpeg","name":"ISO 9001:2015 Systèmes de management de la qualité"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88caba297f8.jpeg","name":"Fellow, American College of Surgeons","country_code":"US"}]}}],"meta":{"total_count":1,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{},"texts":{}},"relations":{"countries":[{"name":"Allemagne","alias":"germany","iso_code":"DE"},{"name":"Azerbaïdjan","alias":"azerbaijan","iso_code":"AZ"},{"name":"Emirats Arabes Unis","alias":"united-arab-emirates","iso_code":"AE"},{"name":"Espagne","alias":"spain","iso_code":"ES"},{"name":"Pologne","alias":"poland","iso_code":"PL"},{"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":"Wuppertal","alias":"wuppertal"}],"operations":[{"name":"Hémorroïdectomie","alias":"hemorrhoidectomy"},{"name":"Thérapie des hémorroïdes","alias":"hemorrhoid-therapy"},{"name":"Ligature élastique des hémorroïdes","alias":"rubber-band-ligation-of-hemorrhoids"},{"name":"Chirurgie au laser de la fistule","alias":"fistula-laser-surgery"},{"name":"Résection rectale","alias":"rectal-resection"},{"name":"Chirurgie au laser du sinus pilonidal","alias":"pilonidal-sinus-laser-surgery"},{"name":"Hémorroïdectomie agrafée","alias":"stapled-haemorrhoidectomy"},{"name":"Chirurgie du prolapsus rectal","alias":"rectal-prolapse-surgery"},{"name":"Chirurgie des abcès périanaux","alias":"perianal-abscess-surgery"},{"name":"Chirurgie du saignement rectal","alias":"rectal-bleeding-surgery"}],"illnessKinds":[{"name":"Proctologie","alias":"proctology"}],"illness_kinds":[{"name":"Proctologie","alias":"proctology"}]},"popularSearches":[{"name":"Hémorroïdectomie","alias":"hemorrhoidectomy","type":"operation","id":310},{"name":"Thérapie des hémorroïdes","alias":"hemorrhoid-therapy","type":"operation","id":1549},{"name":"Ligature élastique des hémorroïdes","alias":"rubber-band-ligation-of-hemorrhoids","type":"operation","id":755},{"name":"Chirurgie au laser de la fistule","alias":"fistula-laser-surgery","type":"operation","id":1544},{"name":"Résection rectale","alias":"rectal-resection","type":"operation","id":454},{"name":"Consultation avec élaboration du plan de traitement","alias":"consultation-with-creation-of-treatment-plan","type":"diagnostic","id":457},{"name":"Consultation avec un proctologue","alias":"consultation-of-a-procologist","type":"diagnostic","id":67},{"name":"Révision des résultats IRM","alias":"revision-of-mri-results","type":"diagnostic","id":453},{"name":"Examen rectal du doigt","alias":"finger-rectal-examination","type":"diagnostic","id":374}],"operationPrices":{"operation_prices":{"84":{"operation":{"name":"Réparation d'une hernie ombilicale","alias":"surgical-correction-of-umbilical-hernias","use_for_listing":true},"country_price":{"US":{"amount":6000,"max_amount":11500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":2200,"max_amount":6000,"currency":"USD","clinic_count":13,"price_kind":"from_range","price_source":"mixed","scope":"country"},"DE":{"amount":3200,"max_amount":5200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":9400,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"},"ES":{"amount":6700,"max_amount":11100,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"mixed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"DE":false,"TH":true,"ES":true}},"218":{"operation":{"name":"Résection de l'estomac","alias":"stomach-resection","use_for_listing":true},"country_price":{"US":{"amount":38000,"max_amount":68000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":2800,"max_amount":8000,"currency":"USD","clinic_count":8,"price_kind":"from_range","price_source":"tariff","scope":"country"},"DE":{"amount":18000,"max_amount":27500,"currency":"USD","clinic_count":3,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":9500,"max_amount":16500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":20000,"max_amount":35000,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"DE":true,"TH":false,"ES":true},"description":"La procédure consiste à retirer une partie de l’estomac pour traiter des affections telles que le cancer, offrant ainsi des résultats potentiellement curatifs.
"},"416":{"operation":{"name":"Amputation","alias":"amputation","use_for_listing":true},"country_price":{"US":{"amount":22000,"max_amount":45000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":1200,"max_amount":7000,"currency":"USD","clinic_count":3,"price_kind":"from_range","price_source":"tariff","scope":"country"},"DE":{"amount":7500,"max_amount":14500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":4500,"max_amount":9000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":6500,"max_amount":11000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"DE":false,"TH":false,"ES":false}},"600":{"operation":{"name":"Chirurgie de la hernie inguinale","alias":"inguinal-hernia-surgery","use_for_listing":true},"country_price":{"US":{"amount":5500,"max_amount":13000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":2000,"max_amount":7000,"currency":"USD","clinic_count":15,"price_kind":"from_range","price_source":"mixed","scope":"country"},"DE":{"amount":2900,"max_amount":5000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":1800,"max_amount":4500,"currency":"USD","clinic_count":7,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":7200,"max_amount":16600,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"DE":false,"TH":true,"ES":true}},"612":{"operation":{"name":"Réparation d'une hernie hiatale","alias":"hiatal-hernia-repair","use_for_listing":true},"country_price":{"US":{"amount":16000,"max_amount":28000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3300,"max_amount":14300,"currency":"USD","clinic_count":9,"price_kind":"from_range","price_source":"mixed","scope":"country"},"DE":{"amount":7200,"max_amount":11500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":3600,"max_amount":7800,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":15500,"max_amount":24400,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"DE":false,"TH":true,"ES":true}},"829":{"operation":{"name":"Cholécystectomie","alias":"sholecystectomy","use_for_listing":true},"country_price":{"US":{"amount":12000,"max_amount":22000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":2000,"max_amount":4700,"currency":"USD","clinic_count":15,"price_kind":"from_range","price_source":"tariff","scope":"country"},"DE":{"amount":11000,"max_amount":12800,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":3200,"max_amount":5000,"currency":"USD","clinic_count":5,"price_kind":"from_range","price_source":"mixed","scope":"country"},"ES":{"amount":7800,"max_amount":17800,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"DE":true,"TH":true,"ES":true}},"859":{"operation":{"name":"Chirurgie","alias":"surgery","use_for_listing":true},"country_price":{"US":{"amount":14000,"max_amount":32000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":2000,"max_amount":8400,"currency":"USD","clinic_count":7,"price_kind":"from_range","price_source":"mixed","scope":"country"},"DE":{"amount":1700,"max_amount":9000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":1500,"max_amount":4200,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":5500,"max_amount":7500,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"DE":true,"TH":true,"ES":true}},"886":{"operation":{"name":"Athérectomie","alias":"atherectomy","use_for_listing":true},"country_price":{"US":{"amount":14000,"max_amount":28000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":1400,"max_amount":9000,"currency":"USD","clinic_count":3,"price_kind":"from_range","price_source":"tariff","scope":"country"},"DE":{"amount":9500,"max_amount":16000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":7500,"max_amount":11000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":7500,"max_amount":12500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"DE":false,"TH":false,"ES":false}},"888":{"operation":{"name":"Appendicectomie","alias":"appendectomy","use_for_listing":true},"country_price":{"US":{"amount":9500,"max_amount":21000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":1500,"max_amount":7800,"currency":"USD","clinic_count":14,"price_kind":"from_range","price_source":"mixed","scope":"country"},"DE":{"amount":4800,"max_amount":7800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":2500,"max_amount":5800,"currency":"USD","clinic_count":4,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":7200,"max_amount":15500,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"DE":false,"TH":true,"ES":true}},"889":{"operation":{"name":"Enlèvement des lipomes","alias":"lipoma-removal","use_for_listing":true},"country_price":{"US":{"amount":1800,"max_amount":4800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":400,"max_amount":720,"currency":"USD","clinic_count":7,"price_kind":"from_range","price_source":"tariff","scope":"country"},"DE":{"amount":900,"max_amount":2300,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":370,"max_amount":1500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":6100,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"DE":false,"TH":true,"ES":true}},"899":{"operation":{"name":"Cholangiopancréatographie rétrograde endoscopique (CPRE)","alias":"endoscopic-retrograde-cholangiopancreatography-ercp","use_for_listing":true},"country_price":{"US":{"amount":9500,"max_amount":17500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":1500,"max_amount":4300,"currency":"USD","clinic_count":7,"price_kind":"from_range","price_source":"tariff","scope":"country"},"DE":{"amount":3600,"max_amount":6200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":2400,"max_amount":5200,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":4400,"max_amount":5800,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"DE":false,"TH":true,"ES":true}},"982":{"operation":{"name":"Anesthésie générale","alias":"general-anesthesia","use_for_listing":false},"country_price":{"US":{"amount":1500,"max_amount":3500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":200,"max_amount":1200,"currency":"USD","clinic_count":12,"price_kind":"from_range","price_source":"tariff","scope":"country"},"DE":{"amount":650,"max_amount":1300,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":500,"max_amount":1100,"currency":"USD","clinic_count":3,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":610,"max_amount":1300,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"DE":false,"TH":true,"ES":true}},"1012":{"operation":{"name":"Réparation d'une hernie incisionnelle","alias":"incisional-hernia-repair","use_for_listing":true},"country_price":{"US":{"amount":16000,"max_amount":28000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":2700,"max_amount":9000,"currency":"USD","clinic_count":7,"price_kind":"from_range","price_source":"mixed","scope":"country"},"DE":{"amount":7200,"max_amount":11500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":3600,"max_amount":7000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":6300,"max_amount":8500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"offer","scope":"country"}},"available_clinics":{"US":false,"TR":true,"DE":false,"TH":true,"ES":true}},"1544":{"operation":{"name":"Chirurgie au laser de la fistule","alias":"fistula-laser-surgery","use_for_listing":true},"country_price":{"US":{"amount":6500,"max_amount":12500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":1800,"max_amount":5900,"currency":"USD","clinic_count":8,"price_kind":"from_range","price_source":"mixed","scope":"country"},"DE":{"amount":3200,"max_amount":5600,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":1800,"max_amount":2800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":7200,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"}},"available_clinics":{"UA":true,"FR":false,"GB":false,"US":false,"IL":false,"TR":true,"MX":false,"DE":false,"CA":false,"AE":false,"TH":false,"PL":true,"KR":true,"CZ":false,"AT":false,"ES":true,"IT":false,"CN":false,"AU":false,"IN":false,"MY":false,"VN":false,"BR":false}},"1545":{"operation":{"name":"Chirurgie au laser du sinus pilonidal","alias":"pilonidal-sinus-laser-surgery","use_for_listing":true},"country_price":{"US":{"amount":5500,"max_amount":9500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":1600,"max_amount":3100,"currency":"USD","clinic_count":3,"price_kind":"from_range","price_source":"tariff","scope":"country"},"DE":{"amount":3800,"max_amount":6000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":2200,"max_amount":4200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":5800,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"offer","scope":"country"}},"available_clinics":{"US":false,"TR":true,"DE":false,"TH":false,"ES":true}},"1546":{"operation":{"name":"Chirurgie du prolapsus rectal","alias":"rectal-prolapse-surgery","use_for_listing":true},"country_price":{"US":{"amount":22000,"max_amount":38000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":4800,"max_amount":5300,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"DE":{"amount":7800,"max_amount":12500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":3800,"max_amount":6500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":8900,"max_amount":9500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"DE":false,"TH":false,"ES":true}},"1547":{"operation":{"name":"Chirurgie des abcès périanaux","alias":"perianal-abscess-surgery","use_for_listing":true},"country_price":{"US":{"amount":4200,"max_amount":7500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":2600,"max_amount":0,"currency":"USD","clinic_count":3,"price_kind":"from","price_source":"mixed","scope":"country"},"DE":{"amount":2200,"max_amount":4000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":1500,"max_amount":2800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":3900,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"DE":false,"TH":false,"ES":true}},"1551":{"operation":{"name":"Chirurgie du saignement rectal","alias":"rectal-bleeding-surgery","use_for_listing":true},"country_price":{"US":{"amount":5500,"max_amount":9500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":2400,"max_amount":3000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"DE":{"amount":2600,"max_amount":4600,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":1500,"max_amount":3500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":2300,"max_amount":3900,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"DE":false,"TH":false,"ES":false}},"1593":{"operation":{"name":"Réparation laparoscopique d'une hernie inguinale","alias":"laparoscopic-inguinal-hernia-repair","use_for_listing":true},"country_price":{"US":{"amount":7500,"max_amount":14000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":2800,"max_amount":8200,"currency":"USD","clinic_count":8,"price_kind":"from_range","price_source":"mixed","scope":"country"},"DE":{"amount":3600,"max_amount":5600,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":2700,"max_amount":4200,"currency":"USD","clinic_count":4,"price_kind":"from_range","price_source":"mixed","scope":"country"},"ES":{"amount":9100,"max_amount":13700,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"DE":false,"TH":true,"ES":true}}}},"operationIndicators":{"details":{"days_in_clinic":0,"days_in_country":0,"rehabilitation_days":0,"satisfied_percent":78,"treatment_duration_hours":0},"illness_kind_details":{"requests_processed":494}},"direction":{"id":34,"name":"Proctologie","alias":"proctology"},"illness_kind":{"id":34,"name":{"en":"Proctology"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["regional"],"back_to_work_days":{"min":1,"max":7,"unit":"days","qualifier":"Office-type work after laser closure (e.g., FiLaC) of an uncomplicated anal fistula tract; varies with fistula complexity and job demands."},"complication_rate_pct":{"min":3,"max":15,"unit":"percent","qualifier":"Any early complication (pain, bleeding, infection, retention, discharge); minor continence change under 3%."},"contraindications":["Active abscess or untreated sepsis; drainage first","Very short or superficial tract better treated by other methods","Anorectal malignancy as cause of the fistula","Active severe Crohn's proctitis or uncontrolled IBD (relative)","Unfitness for anesthesia (relative)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually same-day discharge; one night if needed for anesthesia recovery."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":4,"unit":"weeks","qualifier":"Strenuous exercise, once the wound is comfortable and surgeon agrees."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Time to assess healing of the tract; may take longer in complex fistulas."},"fly_home_after_days":{"min":5,"max":7,"unit":"days","qualifier":"After wound check and once pain, discharge and bowel function are settled; surgeon clearance for sitting during travel."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":4,"max":7,"unit":"days","qualifier":"From the procedure; in-person check before flying home."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":90,"unit":"days","qualifier":"From the procedure; assessment of healing."}}],"indications":["Primary cryptoglandular transsphincteric anal fistula","Recurrent or complex fistula after sepsis drainage and seton placement"],"main_risks":["Persistent or recurrent fistula","Pain, swelling, bleeding","Infection or abscess formation","Temporary discharge","Minor continence disturbance (uncommon)","Urinary retention after regional anesthesia"],"pain":"Usually mild to moderate for several days; controlled with simple analgesics.","preparation":["MRI or endoanal ultrasound to map the tract","Bowel preparation or enema","Fasting per anesthesia instructions","Preliminary drainage or seton placement if sepsis is present"],"recovery_timeline":[{"phase":"First days","description":"Mild pain and some discharge; walking is allowed.","restrictions":["Avoid heavy lifting"]},{"phase":"Weeks 1-4","description":"Gradual return to normal activity as the external opening heals.","restrictions":["Avoid strenuous exercise for 2-4 weeks"]},{"phase":"Months 1-3","description":"Healing is assessed clinically; recurrence may appear in this period.","restrictions":[]}],"rehabilitation_days":{"min":3,"max":14,"unit":"days","qualifier":"Ordinary functional recovery for uncomplicated cases."},"result_longevity":"Healing is permanent when the tract closes fully. Recurrence, if any, usually appears within the first 3-12 months; long-term success is moderate and lower in complex fistulas.","revision_rate_pct":{"min":20,"max":40,"unit":"percent","qualifier":"Persistent or recurrent fistula needing repeat or further surgery within 12 months."},"scars":"No incision; only a small external opening and internal opening site, with minimal scarring.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single laser procedure; a preliminary seton stage may be needed in complex cases."},"stages":[{"code":"laser_closure","label":"Laser closure of fistula tract","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of procedure."}}],"qualifier":"Typical uncomplicated case; repeat treatment only if recurrence."},"success":{"metric":"Complete fistula tract healing","value":65,"unit":"percent of patients","horizon":"12 months","population":"Adults with uncomplicated cryptoglandular transsphincteric fistula treated with FiLaC","evidence_status":"limited"},"techniques":[{"name":"FiLaC (fistula laser closure) with radial laser fiber","suits_whom":"Transsphincteric fistulas with a well-defined tract, after curettage and internal opening closure.","recovery":"Rapid, with minimal wound and low sphincter-injury risk."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":0.5,"max":1,"unit":"hours","qualifier":"Per procedure for a single uncomplicated fistula tract."},"initial_assessment_documents":["Pelvic or perianal fistula MRI report","Colonoscopy report","Previous fistula surgery operative reports","Perianal photos (if available)","Endoanal ultrasound report (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single laser procedure, same- or next-day discharge; stay 5-7 days for wound check; later healing review remote."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the medical team’s qualifications before 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 checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Ask the medical 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":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that the clinic’s facilities and standards are satisfactory","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":"Ensure aftercare will be coordinated","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":"2026-11-12","http_status":200}},{"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":"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":"Abscess formation","urgency":"contact_clinic","general":false,"source":{"url":"https://pubmed.ncbi.nlm.nih.gov/39239958/","host":"pubmed.ncbi.nlm.nih.gov","quote":"Complications can include abscess formation and fistula migration to adjacent anatomic locations (vagina).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":203}},{"id":"W2","text":"Fistula recurrence","urgency":"contact_clinic","general":false,"source":{"url":"https://pubmed.ncbi.nlm.nih.gov/38557527/","host":"pubmed.ncbi.nlm.nih.gov","quote":"Of those initially successfully treated, 3.0% developed a recurrence.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":203}},{"id":"W3","text":"Throbbing pain and swelling in one leg","urgency":"contact_clinic","general":true,"source":{"url":"https://www.nhs.uk/conditions/deep-vein-thrombosis-dvt/","host":"nhs.uk","quote":"throbbing pain in 1 leg (rarely both legs), usually in the calf or thigh","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","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":"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}},{"id":"T4","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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your fistula is simple","name":"Fistulotomy","source":{"url":"https://pubmed.ncbi.nlm.nih.gov/41607971/","host":"pubmed.ncbi.nlm.nih.gov","quote":"Traditional procedures such as fistulotomy and fistulectomy remain the standard of care for simple fistulae but may be associated with postoperative discomfort, delayed healing, and potential sphincter injury.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":429},"operation_id":null},{"id":"A2","text":"You want a sphincter-preserving alternative","name":"Medicated seton","source":{"url":"https://pubmed.ncbi.nlm.nih.gov/41607971/","host":"pubmed.ncbi.nlm.nih.gov","quote":"Medicated seton offers a sphincter-preserving alternative that may enhance healing and reduce morbidity.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":429},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"filac","name":"FiLaC (fistula laser closure) with radial laser fiber","how_it_works":{"text":"The laser closes the fistula while preserving continence","source":{"url":"https://pubmed.ncbi.nlm.nih.gov/39239958/","host":"pubmed.ncbi.nlm.nih.gov","quote":"Radially emitting diode laser closure is a continence-preserving option to consider when treating transsphincteric fistula-in-ano.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":429}},"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=vuppertal/procedure=lazernaya-hirurgiya-fistuly/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":1},"manualSeo":[],"updatedAt":"2026-11-12T21:00:15.919Z","activeCountries":["TR","ES","DE","TH"],"hasVideoReviewsByContext":false,"hasCriticalApiFallback":false}