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Laparoscopic repair often causes somewhat less early pain.","preparation":["Preoperative surgical and anesthetic assessment","Review of medical history and current medications with the surgeon","Fasting for several hours before general anesthesia","Smoking cessation in advance where possible","Arrange transport home and adult support for the first day","Blood tests or ECG if indicated by age, comorbidities"],"recovery_timeline":[{"phase":"First 48 hours","description":"Discharge the same day; rest, walking and oral analgesia; some bruising and swelling.","restrictions":["No driving until alert and able to brake comfortably","Avoid heavy lifting"]},{"phase":"Days 3-14","description":"Gradual increase in activity; desk work often resumed; bruising and swelling settle.","restrictions":["Avoid heavy lifting and straining","Avoid vigorous exercise"]},{"phase":"Weeks 2-6","description":"Return to full activity, including exercise and manual work, as tolerated.","restrictions":["Graded return to heavy lifting over several weeks"]}],"rehabilitation_days":{"min":3,"max":7,"unit":"days","qualifier":"Return to ordinary daily activities after uncomplicated primary repair; laparoscopic often shorter. Desk work and heavy exertion take longer."},"result_longevity":"Repair is intended to be permanent, especially with mesh, though recurrence can occur at any time and risk varies with technique and patient factors.","revision_rate_pct":{"min":1.4,"max":4.3,"unit":"percent","qualifier":"Reoperation for recurrence after mesh repair at long-term follow-up: about 1.4-1.6% open, 3.1% all techniques, 4.3% laparoscopic."},"scars":"Open repair leaves a roughly 5-8 cm groin crease incision; laparoscopic or robotic repair leaves three small incisions of about 0.5-1.5 cm. Scars usually fade over months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for primary unilateral repair."},"stages":[{"code":"hernia_repair","label":"Hernia repair operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial procedure."}}],"qualifier":"One surgical session; follow-up checks are not counted as treatment stages."},"success":{"metric":"Freedom from reoperation for recurrence after primary inguinal hernia repair","value":97,"unit":"percent","horizon":"About 5 years or longer; clinical recurrence is somewhat higher than reoperation","population":"Adults after elective primary inguinal hernia repair, predominantly mesh-based","evidence_status":"proven"},"techniques":[{"name":"Open mesh repair (Lichtenstein)","suits_whom":"Most adults with primary unilateral hernia; can be done under local or regional anesthesia in selected patients.","recovery":"Return to light activity within days; full activity about 2-6 weeks."},{"name":"Laparoscopic repair (TEP/TAPP)","suits_whom":"Bilateral or recurrent hernias and patients wanting faster return to activity; requires general anesthesia.","recovery":"Often slightly less early pain and quicker return to activity."},{"name":"Robotic-assisted repair","suits_whom":"Selected patients where minimally invasive repair is preferred and the platform is available.","recovery":"Similar to laparoscopic repair."},{"name":"Tissue (non-mesh) repair, e.g. Shouldice","suits_whom":"Selected patients where mesh is undesirable, or small hernias.","recovery":"Similar or slightly longer recovery than mesh repair."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"Operating time for one unilateral primary inguinal hernia repair; bilateral repair takes longer."},"initial_assessment_documents":["Groin ultrasound report","Groin or CT imaging report (if available)","Photos of the groin bulge standing","List of blood thinners","Previous abdominal or hernia surgery reports (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"One operation; stay about 3-7 days before flying home. Wound check and later follow-up can be done remotely or locally."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Find out whether the surgeon is fully trained in the procedure you want","scope":"treatment_type","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"It can be difficult to find out if a surgeon is fully trained in the procedure you want.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","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":"2026-11-12","http_status":200}},{"id":"C3","text":"Know 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":"C4","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","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":"Consultation offered only with sales staff, never with the surgeon","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"make sure you have a consultation with the surgeon (avoid meetings only with sales people)","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"Payment requested before you have met the surgeon","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"do not pay to see a surgeon you have not met","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Swollen or painful tummy getting worse","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/inguinal-hernia-repair/","host":"nhs.uk","quote":"you have a swollen or painful tummy that's getting worse","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Severe difficulty breathing","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/inguinal-hernia-repair/","host":"nhs.uk","quote":"you have severe difficulty breathing – you may be choking, gasping or have difficulty speaking","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Chest or upper-back pain","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/inguinal-hernia-repair/","host":"nhs.uk","quote":"you have pain in your chest or upper back","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"High temperature or feeling hot, cold, or shivery","urgency":"contact_clinic","general":true,"source":{"url":"https://www.nhs.uk/tests-and-treatments/inguinal-hernia-repair/","host":"nhs.uk","quote":"you have a high temperature, or feel hot, cold or shivery","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs written follow-up recommendations to continue care","document":"discharge summary in english","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":"2026-11-12","http_status":200}},{"id":"T2","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":"T3","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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You are a man with minimal or no symptoms","name":"Watchful waiting","source":{"url":"https://www.aafp.org/afp/2006/0515/p1814a.html","host":"aafp.org","quote":"Watchful waiting is a safe and acceptable option for men with asymptomatic or minimally symptomatic inguinal hernias.","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-mesh-repair","name":"Open mesh repair (Lichtenstein)","how_it_works":{"text":"Surgeons attach mesh to strengthen the abdominal tissues","source":{"url":"https://www.healthline.com/health/inguinal-hernia-repair","host":"healthline.com","quote":"More than likely, your surgeon will attach mesh to strengthen the abdominal tissues and reduce the risk of another hernia.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":2,"max":3,"unit":"days","label":"2–3 days","source":{"url":"https://www.guysandstthomas.nhs.uk/health-information/inguinal-hernia-repair/recovery-after-inguinal-hernia-repair","host":"guysandstthomas.nhs.uk","quote":"Most people can go back to doing their normal daily activities within a few days.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}}},{"id":"laparoscopic-repair","name":"Laparoscopic repair (TEP/TAPP)","how_it_works":{"text":"Small cuts let the surgeon insert tubes into the abdomen","source":{"url":"https://HealthDirect.gov.au/surgery/laparoscopic-inguinal-hernia-repair-tapp","host":"healthdirect.gov.au","quote":"They will make two small cuts on your abdomen so they can insert tubes (ports) into your abdomen.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":7,"max":7,"unit":"days","label":"7 days","source":{"url":"https://HealthDirect.gov.au/surgery/laparoscopic-inguinal-hernia-repair-tapp","host":"healthdirect.gov.au","quote":"You may return to normal activities when you feel comfortable to do so, usually after a week.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"robotic-assisted-repair","name":"Robotic-assisted repair","how_it_works":{"text":"A surgeon controls robotic instruments from a console","source":{"url":"https://my.clevelandclinic.org/health/procedures/17968-robotic-surgery-for-hernia-repair","host":"my.clevelandclinic.org","quote":"During the procedure, your surgeon sits at a console and maneuvers the surgical instruments (robot) from the console.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"tissue-repair","name":"Tissue (non-mesh) repair, e.g. Shouldice","how_it_works":{"text":"Muscles are sewn together with permanent stitches, without mesh","source":{"url":"https://www.stonybrookmedicine.edu/patientcare/surgery/patient-care/clinical/general-surgery/patient-education/faqs-about-the-shouldice-hernia-repair","host":"stonybrookmedicine.edu","quote":"The procedure involves repair of your muscles using permanent sutures (no mesh, patch, or screen).","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=litva/procedure=hirurgiceskoe-lecenie-pahovoj-gryzi/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"country_filter":[{"id":46,"name":"Turquie","alias":"turkey","iso_code":"TR"},{"id":36,"name":"République de 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