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Depends on tumour site, reconstruction and adjuvant therapy."},"complication_rate_pct":{"min":20,"max":40,"unit":"percent","qualifier":"Any surgical complication within 90 days, mainly wound problems; higher after radiotherapy or bone reconstruction."},"contraindications":["Unresectable tumour with unacceptable margins","Widespread uncontrolled metastatic disease","Unfit for general anaesthesia","Active uncontrolled infection","Severe uncorrected coagulopathy"],"days_in_clinic":{"min":10,"max":21,"unit":"nights","qualifier":"Includes local stay until wound check and fitness to fly; longer with flap or complications."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":12,"max":26,"unit":"weeks","qualifier":"Light activity first; impact or contact sport depends on bone healing and reconstruction type."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Functional recovery plateau; oncological outcome confirmed by surveillance imaging over years."},"fly_home_after_days":{"min":10,"max":21,"unit":"days","qualifier":"After wound check, mobility and thrombosis risk assessment; adjuvant therapy timing may influence."},"follow_up_visits":[{"purpose":"wound_check","after":{"min":10,"max":14,"unit":"days","qualifier":"Wound review and drain or dressing check"},"requirement":"routine"},{"purpose":"suture_removal","after":{"min":14,"max":21,"unit":"days","qualifier":"Depends on site and wound healing"},"requirement":"routine"},{"purpose":"result_review","after":{"min":14,"max":28,"unit":"days","qualifier":"Final histology and margin status discussion"},"requirement":"routine"},{"purpose":"rehabilitation","after":{"min":42,"max":90,"unit":"days","qualifier":"Functional review and weight-bearing progression"},"requirement":"routine"},{"purpose":"assessment","after":{"min":84,"max":120,"unit":"days","qualifier":"Surveillance MRI and chest imaging"},"requirement":"routine"}],"indications":["Biopsy-proven resectable localized bone or soft-tissue sarcoma (Ewing, osteosarcoma, rhabdomyosarcoma)","Tumour responding to neoadjuvant chemotherapy or radiotherapy","Selected resectable metastatic disease (e.g. limited lung metastases)","Local recurrence that is still resectable"],"main_risks":["Bleeding and need for transfusion","Wound infection, wound breakdown or delayed healing, especially after radiotherapy","Nerve or vessel injury with loss of function","Positive or close surgical margins with risk of local recurrence","Functional limitation, limb-length discrepancy in growing children, or implant/reconstruction failure","Lymphoedema and venous thromboembolism","Need for amputation in some cases","Anaesthetic and general perioperative risks"],"pain":"Postoperative pain is moderate to severe initially and is managed with multimodal analgesia, sometimes regional catheters; it generally decreases over weeks, with variation by site and extent.","preparation":["Staging imaging and image-guided biopsy at the treating sarcoma centre","Multidisciplinary tumour board planning of margins and reconstruction","Preoperative anaesthetic assessment and blood tests","Discussion of function, fertility and rehabilitation expectations","Smoking cessation and nutritional optimisation where relevant"],"recovery_timeline":[{"phase":"Hospital stay","description":"Pain control, drain management, early mobilisation and wound monitoring.","restrictions":["Limited weight-bearing"]},{"phase":"Weeks 1-3","description":"Wound healing and initial physiotherapy; travel home once cleared.","restrictions":["No heavy lifting","Protect wound and reconstruction","No long travel before clearance"]},{"phase":"Weeks 3-12","description":"Staged weight-bearing, range-of-motion and strengthening; adjuvant treatment may start.","restrictions":["Walking aids","No impact activity"]},{"phase":"Months 3-12","description":"Progressive strengthening and return to normal activities with surveillance imaging.","restrictions":["Avoid high-impact load until cleared"]}],"rehabilitation_days":{"min":90,"max":270,"unit":"days","qualifier":"Ordinary functional recovery; longer for bone reconstruction, endoprosthesis or amputation with prosthesis."},"result_longevity":"Local tumour control is judged by long-term surveillance, typically 5-10 years. Endoprostheses and reconstructions may need revision over time.","revision_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Unplanned reoperation for wound complications, re-excision or reconstruction failure within 5 years."},"scars":"Scar length and position depend on tumour site and extent; scars are often long and may include the previous biopsy tract, with possible adhesion, contour change or graft/flap scars.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One main resection operation; staged reconstruction or re-excision occasionally needed."},"stages":[{"code":"resection_reconstruction","label":"Tumour resection with reconstruction","after":{"min":0,"max":0,"unit":"days","qualifier":"Day 0 is the surgery date; neoadjuvant therapy, if used, comes earlier."}}],"qualifier":"Single operation typical; adjuvant chemotherapy or radiotherapy given separately."},"success":{"metric":"Limb salvage with local tumour control","value":85,"unit":"percent","horizon":"5 years","population":"Adults with resectable localized limb sarcoma treated at specialist centres","evidence_status":"limited"},"techniques":[{"name":"Wide local excision (limb-sparing resection) with reconstruction","suits_whom":"Resectable limb or trunk sarcomas where negative margins are achievable with acceptable function.","recovery":"Varies by site and reconstruction; often weeks to months of rehabilitation."},{"name":"Amputation or rotationplasty","suits_whom":"Tumours not safely resectable with limb preservation, e.g. major neurovascular involvement.","recovery":"Prosthetic rehabilitation typically takes months."},{"name":"En bloc bone resection with endoprosthetic or biological reconstruction","suits_whom":"Primary bone sarcomas such as Ewing sarcoma or osteosarcoma.","recovery":"Staged weight-bearing and prolonged rehabilitation; growing children may need expandable implants or later revision."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":3,"max":8,"unit":"hours","qualifier":"Depends on tumour site, size and reconstruction complexity."},"initial_assessment_documents":["Biopsy and histopathology report","MRI of tumour site with contrast","Staging CT of chest","PET-CT or bone scan","Oncologist or tumour board summary","Prior chemotherapy or radiotherapy records (if available)"],"travel_trips":{"min":2,"max":3,"one_trip_possible":false,"qualifier":"Surgery trip of 2-3 weeks, plus return trips for follow-up imaging and rehabilitation; chemo or radiotherapy often at home."},"clinic_checks":null,"red_flags":null,"warning_signs":null,"take_home":null,"alternatives":null,"technique_details":null}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=israel/city=ierusalim/procedure=udalenie-sarkomu-uinga/"}],"offerFilters":{"offer_count":0,"city_filter":[{"id":5,"name":"Ramat Gan","alias":"ramat-gan","country_iso_code":"IL"}],"price_filter":{"from":0,"to":0,"avg":0}},"illnessesByOperation":[{"id":99,"alias":"sarcoma","name":"Sarcome"},{"id":399,"alias":"ewing-sarcoma","name":"Sarcome d'Ewing"}],"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}