Le Centre de diagnostic médical et de traitement est l'une des plus grandes cliniques privées de Lituanie. Les spécialistes se concentrent sur des diagnostics précis pour un traitement plus efficace. Ils développent également une rééducation de haute qualité pour un rétablissement rapide. Plus de 48 000 patients suivent un traitement à l'hôpital. 1 patient sur 10 vient de l'étranger. La plupart des patients sont originaires du Royaume-Uni, d'Irlande, de Suède et de Norvège.\n
","text_type":"short_description","best_texts":{"techniques":"Ligature élastique, chirurgies mini-invasives","good_fit_for":"Traitement des hémorroïdes sans chirurgie lourde","why_its_ranked":"L'établissement réalise 2 500 chirurgies par an avec un taux d'infection de 0 % sur 5 ans. Il se spécialise dans les interventions mini-invasives, notamment la ligature élastique."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":176,"alias":"medical-diagnostic-and-treatment-center","name":"Medical Diagnostic and Treatment Center","short_description":"Le Centre de diagnostic médical et de traitement est l'une des plus grandes cliniques privées de Lituanie. Les spécialistes se concentrent sur des diagnostics précis pour un traitement plus efficace. Ils développent également une rééducation de haute qualité pour un rétablissement rapide. Plus de 48 000 patients suivent un traitement à l'hôpital. 1 patient sur 10 vient de l'étranger. La plupart des patients sont originaires du Royaume-Uni, d'Irlande, de Suède et de Norvège.\n
","images":[{"base_url":"clinic/5c88c27baf303","title":"Façade moderne du bâtiment de la clinique Medical Diagnostic and Treatment Center"},{"base_url":"clinic/5ae9d0e407a9d","title":"room"},{"base_url":"clinic/5ae9d0dea6aea","title":"Salle d'examen ophtalmologique au Centre de Diagnostic et de Traitement Médical avec équipement de test oculaire"},{"base_url":"clinic/5ae9d0df66a10","title":"Salle d'examen gynécologique au Medical Diagnostic and Treatment Center avec équipement moderne"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Lituanie","id":215,"alias":"lithuania","iso_code":"LT"},"city":{"name":"Vilnius","id":310,"alias":"vilnius"},"address":"V. Grybo g. 32a, Vilnius 10318, Lietuva"},"rating":{"rating":4.6,"google":3.6,"percent_of_satisfied_clients":84},"statistics":{"number_of_reviews":26,"doctors_number":200,"year_foundation":1995},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb725c9b963.jpeg","name":"Accréditation Internationale en Soins de Santé TEMOS","country_code":"DE"}],"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":54},"doctors":{"doctors":[],"meta":{"total_count":0,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{},"texts":{}},"relations":{"countries":[{"name":"Allemagne","alias":"germany","iso_code":"DE"},{"name":"Chine","alias":"china","iso_code":"CN"},{"name":"Egypte","alias":"egypt","iso_code":"EG"},{"name":"Emirats Arabes Unis","alias":"united-arab-emirates","iso_code":"AE"},{"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":"Lituanie","alias":"lithuania","iso_code":"LT"},{"name":"Mexique","alias":"mexico","iso_code":"MX"},{"name":"Pologne","alias":"poland","iso_code":"PL"},{"name":"Roumanie","alias":"romania","iso_code":"RO"},{"name":"République de Corée","alias":"republic-of-korea","iso_code":"KR"},{"name":"République dominicaine","alias":"dominican-republic","iso_code":"DO"},{"name":"Suisse","alias":"switzerland","iso_code":"CH"},{"name":"Thaïlande","alias":"thailand","iso_code":"TH"},{"name":"Turquie","alias":"turkey","iso_code":"TR"},{"name":"Ukraine","alias":"ukraine","iso_code":"UA"}],"cities":[{"name":"Vilnius","alias":"vilnius"}],"operations":[{"name":"Myomectomie (ablation des fibromes utérins)","alias":"removal-of-uterine-fibroids"},{"name":"Résection de la vésicule biliaire","alias":"resection-of-gallbladder"},{"name":"Hystérectomie (ablation de l’utérus)","alias":"hysterectomy"},{"name":"Hémorroïdectomie","alias":"hemorrhoidectomy"},{"name":"Ligature élastique des hémorroïdes","alias":"rubber-band-ligation-of-hemorrhoids"},{"name":"Cholécystectomie","alias":"sholecystectomy"},{"name":"Chirurgie","alias":"surgery"}],"diagnostics":[{"name":"Consultation avec un chirurgien","alias":"surgical-consultation"}],"illnesses":[{"name":"Les hémorroïdes","alias":"hemorrhoids"},{"name":"Lymphostase","alias":"lymphostasis"},{"name":"Hémangiome du foie","alias":"liver-hemangioma"},{"name":"Hernie inguinale","alias":"inguinal-hernia"},{"name":"Hernie ombilicale","alias":"umbilical-hernia"}],"illnessKinds":[{"name":"Chirurgie","alias":"surgery"},{"name":"Proctologie","alias":"proctology"}],"illness_kinds":[{"name":"Chirurgie","alias":"surgery"},{"name":"Proctologie","alias":"proctology"}]},"popularSearches":[{"name":"Circoncision","alias":"circumcision","type":"operation","id":824},{"name":"Enlèvement des lipomes","alias":"lipoma-removal","type":"operation","id":889},{"name":"Chirurgie de la hernie inguinale","alias":"inguinal-hernia-surgery","type":"operation","id":600},{"name":"Hystérectomie (ablation de l’utérus)","alias":"hysterectomy","type":"operation","id":278},{"name":"Chirurgie","alias":"surgery","type":"operation","id":859},{"name":"Consultation avec élaboration du plan de traitement","alias":"consultation-with-creation-of-treatment-plan","type":"diagnostic","id":457},{"name":"Détection précoce des maladies malignes chez les femmes","alias":"early-detection-of-malignant-diseases-for-women","type":"diagnostic","id":630},{"name":"Consultation avec un chirurgien","alias":"surgical-consultation","type":"diagnostic","id":107},{"name":"Consultation en ligne avec un chirurgien","alias":"online-consultation-with-surgeon","type":"diagnostic","id":593},{"name":"Révision des résultats IRM","alias":"revision-of-mri-results","type":"diagnostic","id":453},{"name":"Les hémorroïdes","alias":"hemorrhoids","type":"illness","id":14},{"name":"Cicatrices chéloïdes","alias":"keloid-scars","type":"illness","id":2055},{"name":"Hernie inguinale","alias":"inguinal-hernia","type":"illness","id":519},{"name":"Lymphostase","alias":"lymphostasis","type":"illness","id":171},{"name":"Hernie ombilicale","alias":"umbilical-hernia","type":"illness","id":569}],"operationPrices":{"operation_prices":{"310":{"operation":{"name":"Hémorroïdectomie","alias":"hemorrhoidectomy","use_for_listing":true},"country_price":{"US":{"amount":9000,"max_amount":15000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":1300,"max_amount":3300,"currency":"USD","clinic_count":13,"price_kind":"from_range","price_source":"mixed","scope":"country"},"TH":{"amount":1500,"max_amount":2900,"currency":"USD","clinic_count":6,"price_kind":"from_range","price_source":"mixed","scope":"country"},"ES":{"amount":6100,"max_amount":11700,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"LT":{"amount":1800,"max_amount":2000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":true,"ES":true,"LT":true}},"748":{"operation":{"name":"Hémorroïdectomie agrafée","alias":"stapled-haemorrhoidectomy","use_for_listing":true},"country_price":{"US":{"amount":7500,"max_amount":13500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":1500,"max_amount":3600,"currency":"USD","clinic_count":3,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":3000,"max_amount":3400,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":7500,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":true,"ES":true}},"755":{"operation":{"name":"Ligature élastique des hémorroïdes","alias":"rubber-band-ligation-of-hemorrhoids","use_for_listing":true},"country_price":{"US":{"amount":1100,"max_amount":1800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3600,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"offer","scope":"country"},"TH":{"amount":650,"max_amount":1100,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":5000,"max_amount":5500,"currency":"USD","clinic_count":1,"price_kind":"from_range","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":false,"CZ":true,"AT":false,"ES":true,"IT":false,"CN":false,"AU":false,"IN":false,"MY":false,"VN":false,"BR":false}},"1543":{"operation":{"name":"Thérapie de la fissure anale","alias":"fissure-therapy","use_for_listing":false},"country_price":{"US":{"amount":3500,"max_amount":7000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":2800,"max_amount":4500,"currency":"USD","clinic_count":5,"price_kind":"from_range","price_source":"mixed","scope":"country"},"TH":{"amount":1100,"max_amount":1900,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":5500,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"ES":true}},"1549":{"operation":{"name":"Thérapie des hémorroïdes","alias":"hemorrhoid-therapy","use_for_listing":true},"country_price":{"US":{"amount":3500,"max_amount":7500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3600,"max_amount":0,"currency":"USD","clinic_count":2,"price_kind":"from","price_source":"mixed","scope":"country"},"TH":{"amount":1500,"max_amount":3200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","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,"TH":false,"ES":true}},"1717":{"operation":{"name":"Ablation de marisque périanale","alias":"perianal-skin-tag-removal","use_for_listing":true},"country_price":{"US":{"amount":900,"max_amount":2400,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":350,"max_amount":850,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":450,"max_amount":750,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":3300,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"offer","scope":"country"}},"available_clinics":{"US":false,"TR":false,"TH":false,"ES":true}}}},"operationIndicators":{"details":{"anesthesia":"local","days_in_clinic":1,"days_in_country":1,"rehabilitation_days":1,"satisfied_percent":78,"treatment_duration_hours":1},"illness_kind_details":{"requests_processed":7852}},"responsibleDoctor":{"id":619,"alias":"abduelcabbar-kartal","name":"Abdulcabbar Kartal","photo":"doctor/620a4b22b682d","advisory_text":"Le professeur agrégé Abdulcabbar Kartal est chirurgien colorectal et général, spécialisé en chimiothérapie intrapéritonéale hyperthermique (CHIP) et en chirurgie bariatrique. Il est certifié par la Société européenne de coloproctologie (FEBS-C) et a réalisé plus de 500 interventions de chirurgie bariatrique.","linkedin":"","specialities":[{"id":"sur.006","name":"Colorectal surgeon","illness_kind_id":33},{"id":"sur.010","name":"General surgeon","illness_kind_id":33}]},"direction":{"id":33,"name":"Chirurgie","alias":"surgery"},"illness_kind":{"id":33,"name":{"en":"Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["none"],"back_to_work_days":{"min":0,"max":2,"unit":"days","qualifier":"Most people resume desk work the same or next day; longer if significant discomfort."},"complication_rate_pct":{"min":2,"max":10,"unit":"percent","qualifier":"Significant complications (severe pain, delayed bleeding, retention, thrombosis); sepsis under 0.1%. Mild pain is more common."},"contraindications":["Anticoagulant/antiplatelet therapy or bleeding disorder (relative; specialist assessment needed)","Thrombocytopenia or coagulopathy","Severe immunosuppression or neutropenia","Acute anorectal sepsis or thrombosed/strangulated external hemorrhoids","Grade IV (irreducible) hemorrhoids or large external component","Severe anal fissure or untreated anorectal IBD (relative)","Portal hypertension with rectal varices (relative)","Latex allergy if latex bands are used"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Performed as an office/clinic procedure with no overnight stay."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":0.5,"max":1,"unit":"weeks","qualifier":"Strenuous exercise and heavy lifting usually avoided for several days to a week."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"After the course of banding sessions; symptom relief builds as banded tissue sloughs and fixes."},"fly_home_after_days":{"min":1,"max":2,"unit":"days","qualifier":"Short flights usually fine next day; delayed bleeding risk peaks days 5-14, so clinicians may advise waiting."},"follow_up_visits":[{"purpose":"assessment","requirement":"routine","after":{"min":14,"max":42,"unit":"days","qualifier":"Review of response and, if needed, next banding session."}},{"purpose":"other","requirement":"conditional","after":{"min":1,"max":14,"unit":"days","qualifier":"Urgent review for heavy bleeding, severe pain, fever or urinary retention."}}],"indications":["Symptomatic grade I–III internal hemorrhoids with bleeding or prolapse","Hemorrhoids not controlled by diet, fiber and medical measures"],"main_risks":["Pelvic or anal pain and rectal fullness/tenesmus","Bleeding, usually at band slough (days 5–14), occasionally significant","Urinary retention","Vasovagal reaction","Thrombosed external hemorrhoid","Rare pelvic sepsis: severe pain, fever, retention need urgent care"],"pain":"Usually mild to moderate: dull ache or pressure for 1–3 days, controlled with simple analgesics and sitz baths; severe pain is a warning sign.","preparation":["Anoscopy to confirm internal hemorrhoids and exclude other pathology","Colonoscopy considered per age/risk or bleeding evaluation","Review of bleeding risk and medications with the clinician","Often no bowel prep or an enema only","Avoid constipation; fiber and fluids"],"recovery_timeline":[{"phase":"Day 0–4","description":"Rectal pressure or mild ache; light activity possible.","restrictions":["Avoid straining","Avoid heavy lifting"]},{"phase":"Day 5–14","description":"Band falls off with a small amount of bleeding or spotting possible; report heavy bleeding or fever urgently.","restrictions":["Avoid heavy lifting until about day 7","Avoid constipation and prolonged straining"]},{"phase":"Weeks 2–6","description":"Healing of the ulcer at the banding site and symptom improvement.","restrictions":[]}],"rehabilitation_days":{"min":1,"max":3,"unit":"days","qualifier":"Return to ordinary function after a single banding session."},"result_longevity":"Symptom relief often lasts several years, but hemorrhoids can recur in roughly 10-30% of patients within 5 years. Constipation, straining and low fiber intake shorten results; repeat banding is possible.","revision_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Repeat banding or further treatment for recurrent symptoms within about 5 years."},"scars":"No external incisions or visible scars; a small mucosal ulcer heals internally.","sessions_or_stages":{"sessions":{"min":1,"max":3,"unit":"visits","qualifier":"Typical course of banding visits; often 1–2 hemorrhoids banded per session, depending on practice."},"stages":[{"code":"first_banding","label":"First banding session","after":{"min":0,"max":0,"unit":"days","qualifier":"Initial session."}},{"code":"repeat_banding","label":"Repeat banding if symptoms persist","after":{"min":14,"max":42,"unit":"days","qualifier":"Interval commonly 2–6 weeks after the first session."}}],"qualifier":"Number of sessions depends on the extent of disease and individual response."},"success":{"metric":"Symptom improvement (bleeding/prolapse control)","value":80,"unit":"percent of patients","horizon":"1-3 months after banding course","population":"Adults with symptomatic grade I–III internal hemorrhoids","evidence_status":"limited"},"techniques":[{"name":"Suction rubber band ligation via anoscope","suits_whom":"Adults with symptomatic grade I–III internal hemorrhoids.","recovery":"Same-day return home; mild discomfort for a few days."},{"name":"Forceps-assisted rubber band ligation via anoscope","suits_whom":"Adults with grade II–III hemorrhoids that suction captures poorly.","recovery":"Same-day return home; mild discomfort for a few days."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.1,"max":0.25,"unit":"hours","qualifier":"Per banding session, about 6–15 minutes."},"initial_assessment_documents":["Proctology or anoscopy exam report","Recent colonoscopy report","List of blood thinners","Recent hemoglobin blood test"],"travel_trips":{"min":1,"max":3,"one_trip_possible":true,"qualifier":"One session fits a 2-3 day trip; each repeat banding 2-6 weeks later needs another trip or extended stay."},"clinic_checks":{"status":"ok","items":[{"id":"C1","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}},{"id":"C2","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":"C3","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}},{"id":"C4","text":"Ask whether the surgeon and the facility use a surgical safety checklist, which can reduce complications","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Do the surgeon and his/her facility use a safety checklist?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Decide before you travel where check-ups after the operation will take place, because follow-up abroad may be missing or weaker","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You need to think about where check-ups will take place.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","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":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Bleeding that does not stop","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/conditions/piles-haemorrhoids/treatment/","host":"nhs.uk","quote":"you are bleeding non-stop","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Severe pain after banding","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/hemorrhoid-banding","host":"my.clevelandclinic.org","quote":"Bleeding from your rectum Fever or chills Severe pain","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Unusual discharge from your rectum","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/hemorrhoid-banding","host":"my.clevelandclinic.org","quote":"Unusual discharge from your rectum","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Fever or chills","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/procedures/hemorrhoid-banding","host":"my.clevelandclinic.org","quote":"Bleeding from your rectum Fever or chills","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","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":"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":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You want an injectable treatment that destroys hemorrhoid tissue","name":"Sclerotherapy","source":{"url":"https://my.clevelandclinic.org/health/diseases/15120-hemorrhoids","host":"my.clevelandclinic.org","quote":"Sclerotherapy . Your provider injects a chemical into the swollen vein to destroy hemorrhoid tissue.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"You have large external or prolapsed internal hemorrhoids","name":"Hemorrhoidectomy","source":{"url":"https://my.clevelandclinic.org/health/diseases/15120-hemorrhoids","host":"my.clevelandclinic.org","quote":"Hemorrhoidectomy . Surgery removes large external hemorrhoids or prolapsed internal ones.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":310},{"id":"A3","text":"Your internal hemorrhoids are large or prolapsed","name":"Hemorrhoidopexy","source":{"url":"https://my.clevelandclinic.org/health/procedures/hemorrhoidopexy","host":"my.clevelandclinic.org","quote":"Providers mostly use hemorrhoidopexy to treat large or prolapsed hemorrhoids.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"suction-rubber-band","name":"Suction rubber band ligation via anoscope","how_it_works":{"text":"A suction device pulls the hemorrhoid into a rubber-band cylinder","source":{"url":"https://my.clevelandclinic.org/health/procedures/hemorrhoid-banding","host":"my.clevelandclinic.org","quote":"Many providers use a suction device to “suck” the hemorrhoid into the cylinder.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":0,"max":0,"unit":"days","label":"Same day","source":{"url":"https://my.clevelandclinic.org/health/procedures/hemorrhoid-banding","host":"my.clevelandclinic.org","quote":"You can usually go back to your usual activities right after hemorrhoid banding.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}},{"id":"forceps-assisted-rubber-band","name":"Forceps-assisted rubber band ligation via anoscope","how_it_works":{"text":"Forceps grasp the hemorrhoid, then a cylinder slides over it","source":{"url":"https://my.clevelandclinic.org/health/procedures/hemorrhoid-banding","host":"my.clevelandclinic.org","quote":"Once they grasp the hemorrhoid with the forceps, your provider slides the cylinder up over the hemorrhoid.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":0,"max":0,"unit":"days","label":"Same day","source":{"url":"https://my.clevelandclinic.org/health/procedures/hemorrhoid-banding","host":"my.clevelandclinic.org","quote":"You can usually go back to your usual activities right after hemorrhoid banding.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=litva/procedure=ligirovanie-gemorroidalnyh-uzlov-lateksnymi-kolcami/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"country_filter":[{"id":17,"name":"Pologne","alias":"poland","iso_code":"PL"},{"id":46,"name":"Turquie","alias":"turkey","iso_code":"TR"}],"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":1},"manualSeo":[],"updatedAt":"2026-11-11T22:13:52.000Z","activeCountries":["LT","TR","ES","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}