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2-4%."},"contraindications":["Pregnancy","Unfit for general anesthesia or pneumoperitoneum (severe cardiopulmonary disease; relative)","Very large uterus or dense adhesions (relative; may need laparotomy)","Active untreated pelvic infection","Uncorrected bleeding disorder"],"days_in_clinic":{"min":0,"max":2,"unit":"nights","qualifier":"Typical uncomplicated total laparoscopic hysterectomy; many patients are discharged same day or after 1 night."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":8,"unit":"weeks","qualifier":"Gradual return; light walking earlier, strenuous exercise and heavy lifting after surgeon clearance."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Time to full recovery and healing of the vaginal vault after uncomplicated surgery."},"fly_home_after_days":{"min":7,"max":10,"unit":"days","qualifier":"After early wound check and surgeon clearance; longer if complications or thrombosis risk."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":10,"unit":"days","qualifier":"Early wound check before the flight home."}},{"purpose":"result_review","requirement":"routine","after":{"min":28,"max":56,"unit":"days","qualifier":"Postoperative review including pathology results and clearance for intercourse/activity."}}],"indications":["Symptomatic uterine fibroids","Abnormal uterine bleeding unresponsive to other treatment","Adenomyosis or endometriosis with persistent symptoms","Chronic pelvic pain of uterine origin","Uterine prolapse","Endometrial hyperplasia with atypia or selected early-stage endometrial cancer","Other benign or premalignant uterine or cervical conditions"],"main_risks":["Bleeding or need for transfusion","Infection (wound, pelvic, urinary tract)","Injury to bladder, ureter or bowel","Venous thromboembolism","Vaginal cuff dehiscence or granulation tissue","Conversion to open surgery","Anesthesia and pneumoperitoneum-related complications","Port-site hernia","Early menopause if ovaries are removed"],"pain":"Moderate postoperative pain, with shoulder-tip pain from gas for 1–2 days; generally controlled with oral analgesics and diminishing over 1–2 weeks.","preparation":["Gynecologic assessment, imaging, endometrial sampling or cervical screening if indicated","Routine blood tests and anesthesia assessment","Fasting before general anesthesia per hospital instructions","Discussion of ovary/tube removal, fertility loss and menopause implications","Medication review with the surgical team","Thromboprophylaxis; bowel preparation in selected cases"],"recovery_timeline":[{"phase":"Day 0–2","description":"Hospital recovery, early mobilization, pain and nausea control.","restrictions":["No driving","Avoid lifting heavy items"]},{"phase":"Weeks 1–2","description":"Home rest with progressive walking; vaginal spotting and mild discomfort are common.","restrictions":["No heavy lifting","Nothing in the vagina"]},{"phase":"Weeks 2–4","description":"Return to light daily activity; desk work often resumes within 2–6 weeks; fatigue gradually resolves.","restrictions":["Avoid strenuous exercise and heavy lifting","No intercourse until surgeon clearance"]},{"phase":"Weeks 4–8","description":"Review, clearance for intercourse and full activity if healing is complete.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Ordinary functional recovery to routine daily activities after uncomplicated surgery; formal physiotherapy is not usually required."},"result_longevity":"Permanent: the uterus is removed, so menstruation and pregnancy are no longer possible; symptom relief is typically durable, depending on the underlying condition.","revision_rate_pct":{"min":1,"max":4,"unit":"percent","qualifier":"Unplanned return to theatre, e.g. for bleeding, cuff dehiscence or organ injury repair, within 90 days."},"scars":"Several small abdominal incisions (about 0.5–1.5 cm), usually fading to inconspicuous scars; no visible scar for the vaginal cuff.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operative procedure."},"stages":[{"code":"surgery","label":"Laparoscopic hysterectomy (single operation)","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"Standalone single-stage operation."},"success":{"metric":"Relief of presenting symptoms (bleeding, pain, pressure)","value":90,"unit":"percent of patients","horizon":"12 months","population":"Adult women with benign uterine conditions, e.g. fibroids or abnormal bleeding","evidence_status":"limited"},"techniques":[{"name":"Total laparoscopic hysterectomy","suits_whom":"Women with benign or selected malignant uterine conditions with uterus size amenable to laparoscopic removal.","recovery":"Usually 0–2 nights in hospital and return to desk work in roughly 2–6 weeks."},{"name":"Laparoscopic-assisted vaginal hysterectomy","suits_whom":"Patients with adequate vaginal access, where part of the procedure is done vaginally.","recovery":"Similar to total laparoscopic hysterectomy."},{"name":"Laparoscopic supracervical hysterectomy","suits_whom":"Selected benign cases where the cervix is retained.","recovery":"Similar or slightly quicker; cyclic spotting may persist and cervical screening continues."}],"treatment_conditions":["day_case","inpatient"],"treatment_duration_hours":{"min":1.5,"max":3.5,"unit":"hours","qualifier":"Operating time for uncomplicated laparoscopic hysterectomy; varies with uterine size and adhesions."},"initial_assessment_documents":["Pelvic ultrasound report","Pelvic MRI report (if available)","Recent Pap smear or cervical screening result","Endometrial biopsy report (if available)","Recent blood count and hemoglobin results","Previous abdominal or pelvic surgery records"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-10 days for surgery, early wound check and flight clearance. Later reviews done remotely."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team treating you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that you are satisfied with the facilities and standards at the clinic or hospital","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Make sure you understand the possible complications and side effects of 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":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check how your 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":"2026-11-13","http_status":200}},{"id":"C5","text":"Ask the medical team questions about the 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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":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Heavy 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own","name":"Watch and wait","source":{"url":"https://www.acog.org/womens-health/faqs/hysterectomy","host":"acog.org","quote":"Depending on your condition, you may want to try other options first that do not involve surgery or to “watch and wait” to see if your condition improves on its own.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"You want to try an alternative method instead of surgery","name":"Intrauterine system","source":{"url":"https://www.uhsussex.nhs.uk/resources/laparoscopic-hysterectomy/","host":"uhsussex.nhs.uk","quote":"Hormone preparations such as an intrauterine system","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A3","text":"You want surgery to destroy the lining of your womb","name":"Endometrial ablation","source":{"url":"https://www.uhsussex.nhs.uk/resources/laparoscopic-hysterectomy/","host":"uhsussex.nhs.uk","quote":"Endometrial ablation, a surgical 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is removed through keyhole surgery while the cervix remains","source":{"url":"https://www.plymouthhospitals.nhs.uk/display-pil/pil-having-a-hysterectomy-6258","host":"plymouthhospitals.nhs.uk","quote":"A laparoscopic subtotal hysterectomy is removal of the uterus through keyhole surgery but the cervix is left behind.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":3,"max":3,"unit":"weeks","label":"3 weeks","source":{"url":"https://www.buckshealthcare.nhs.uk/pifs/laparoscopic-hysterectomy-and-assisted-vaginal-hysterectomy/","host":"buckshealthcare.nhs.uk","quote":"Overall you should be able to carry out light activities during the second week and you should be resuming normal activity during the third 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