Le Dr Marco Sariñana apporte _doctor_2515_years_ d'expertise en tant que chirurgien plasticien et généraliste, réalisant des hémorroïdectomies à l'Hospital de la Familia. L'intervention peut coûter environ 4 250 $, couvrant généralement la chirurgie, l'anesthésie, les tests préopératoires, 2 nuits d'hospitalisation, les médicaments et le transport depuis les villes frontalières américaines. La clinique accréditée JCI se trouve à 200 mètres de la frontière entre les États-Unis et le Mexique, alliant commodité et rôle du Dr Sariñana en tant que secrétaire du Conseil national de chirurgie esthétique du Mexique.
L'Hospital de la Familia est un établissement médical de charme doté de 32 chambres privées, situé à deux pas de la frontière entre Calexico (Californie, États-Unis) et Mexicali (Baja California, Mexique). Réputé pour ses tarifs abordables et l'excellence de ses interventions chirurgicales, il accueille des patients internationaux en quête de soins de pointe en gastro-entérologie, chirurgie cardiaque, neurochirurgie et autres spécialités.
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Le médecin propose des opérations telles que le bypass gastrique, la chirurgie de la manche gastrique, le ballon gastrique, les opérations de l'obésité et l'agrafage de l'estomac. Le médecin est diplômé de la Faculté de médecine de l'UABC à Mexicali, formé en chirurgie laparoscopique avancée et bariatrique à Tijuana, et détient une certification de maîtrise en chirurgie cosmétique et esthétique de Veracruz.<\\/p>
Le médecin est membre de l'Association mexicaine de chirurgie endoscopique et du Consejo Mexicano de Especialistas de Cirugia Estetica (CMEQCE).<\\/p>
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Symptomatic recurrence is higher (about 5–20%), mostly non-surgical."},"scars":"Healing wounds at the anal canal and perianal skin leave minimal visible scars; small skin tags may remain.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operative session."},"stages":[{"code":"hemorrhoidectomy","label":"Excisional hemorrhoidectomy under anesthesia","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"One operation; follow-up checks are not counted as treatment sessions."},"success":{"metric":"Resolution of bleeding and prolapse symptoms","value":90,"unit":"percent","horizon":"1 year","population":"Adults after excisional hemorrhoidectomy for grade III–IV hemorrhoids","evidence_status":"limited"},"techniques":[{"name":"Conventional excisional hemorrhoidectomy (Milligan-Morgan open / Ferguson closed)","suits_whom":"Grade III–IV or mixed internal-external hemorrhoids","recovery":"Most early pain; usually 1–2 weeks to ordinary activities"},{"name":"Vessel-sealing device hemorrhoidectomy (LigaSure/harmonic)","suits_whom":"Grade III–IV or mixed internal-external hemorrhoids","recovery":"Often slightly less early pain and shorter operating time"}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":0.5,"max":1,"unit":"hours","qualifier":"Operating time for one conventional hemorrhoidectomy, excluding anesthesia and recovery."},"initial_assessment_documents":["Colonoscopy or sigmoidoscopy report","Proctology or colorectal clinic consultation notes","List of blood thinners","Recent blood test results","Previous anorectal surgery reports (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single operation; stay about 7-14 days until wound check and safe flying. Later reviews can be remote or local."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask the surgeon to explain the risks and benefits and to obtain your informed consent before surgery","scope":"procedure","source":{"url":"https://my.clevelandclinic.org/health/procedures/hemorrhoidectomy","host":"my.clevelandclinic.org","quote":"Your surgeon will discuss the risks and benefits of the procedure and obtain your informed consent.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check that a follow-up appointment is booked a few weeks after the operation","scope":"procedure","source":{"url":"https://my.clevelandclinic.org/health/procedures/hemorrhoidectomy","host":"my.clevelandclinic.org","quote":"Schedule a follow-up appointment with your provider a few weeks after your hemorrhoidectomy.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check the qualifications of the clinician who will perform the operation","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Check the qualifications of the clinician who will be doing the procedure","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Ask whether follow-up care is scheduled at the same facility as the operation","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":"C5","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery 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operation","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","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":"Severe pain or bleeding","urgency":"contact_clinic","general":false,"source":{"url":"https://www.mayoclinic.org/diseases-conditions/hemorrhoids/diagnosis-treatment/drc-20360280","host":"mayoclinic.org","quote":"Contact a health professional sooner if you have severe pain or bleeding.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"W2","text":"Difficulty urinating","urgency":"contact_clinic","general":false,"source":{"url":"https://www.mayoclinic.org/diseases-conditions/hemorrhoids/diagnosis-treatment/drc-20360280","host":"mayoclinic.org","quote":"Complications can include having a hard time urinating, which can lead to urinary tract infections.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"W3","text":"Large amounts of rectal bleeding","urgency":"emergency","general":false,"source":{"url":"https://www.mayoclinic.org/diseases-conditions/hemorrhoids/symptoms-causes/syc-20360268","host":"mayoclinic.org","quote":"Seek emergency care if you have large amounts of rectal bleeding, lightheadedness, dizziness or faintness.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"W4","text":"Lightheadedness, dizziness or faintness","urgency":"emergency","general":false,"source":{"url":"https://www.mayoclinic.org/diseases-conditions/hemorrhoids/symptoms-causes/syc-20360268","host":"mayoclinic.org","quote":"Seek emergency care if you have large amounts of rectal bleeding, lightheadedness, dizziness or faintness.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"They specify activities to avoid while the wound heals","document":"activity restrictions","source":{"url":"https://www.royalfree.nhs.uk/patients-and-visitors/patient-information-leaflets/having-a-haemorrhoidectomy","host":"royalfree.nhs.uk","quote":"Avoid heavy lifting or strenuous exercise such as fast running, cycling or horse riding which could be uncomfortable or cause the wound to bleed for 1 week after surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"T2","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":"T3","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":"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 hemorrhoids do not improve with home treatment","name":"Rubber band ligation","source":{"url":"https://www.healthline.com/health/hemorrhoid-banding","host":"healthline.com","quote":"Hemorrhoid banding, also called rubber band ligation, is a treatment method for hemorrhoids that don't respond to 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