Le Centre européen de santé Otwock (Europejskie Centrum Zdrowia Otwock) est le premier hôpital privé de Pologne spécialisé dans l'oncologie et la cardiologie. La clinique dispose du seul service interdisciplinaire de cardio-oncologie du pays pour le traitement du cancer chez les patients souffrant de maladies cardiaques. L'Otwock Health Center est situé à 25 km du centre de Varsovie.
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J'ai choisi la clinique en raison de la qualité des diagnostics, du médecin proposé et de l'attitude générale lors de la préparation du voyage. J'ai apprécié le fait qu'il y ait un superviseur qui est toujours au téléphone et qui organise les analyses nécessaires, répond aux questions et parle russe. J'ai eu Yana, elle a tout organisé rapidement, efficacement et vous pouvez voir qu'elle se soucie des autres. La clinique dispose de très bons diagnostics. J'ai beaucoup apprécié le docteur Merchik. Il est très précis, bien informé et a beaucoup d'expérience. Il m'a dit que tout programme serait élaboré individuellement après analyse de mes résultats, mais que des changements pourraient être apportés en cours de route. Vous pouvez constater que la clinique n'a pas peur de bouleverser les statistiques et de prendre des patients difficiles comme moi. J'ai une réserve d'ovules très faible. 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Bonne année au personnel de Bokimed ! Merci pour votre travail ! Je vous souhaite beaucoup de succès dans votre travail moderne ! 🎄🎉🎆🎁🎁🎁","en":"So far, I’m happy with everything, fertilization treatment is in progress, I’ll write about it in the future!!! Happy New Year to the Bokimed staff! Thanks for your hard work! 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Je vous souhaite beaucoup de succès dans votre travail moderne ! 🎄🎉🎆🎁🎁🎁","en":"So far, I’m happy with everything, fertilization treatment is in progress, I’ll write about it in the future!!! Happy New Year to the Bokimed staff! Thanks for your hard work! I wish you success in your modern work!🎄🎉🎆🎁"},"what_like_text":{"fr":"La distance est de 600 km, c'est difficile mais le service est rapide et pertinent, les médecins et les infirmières sont très gentils. Ils sont aussi très gentils à l'enregistrement ! Jusqu'à présent, tout est satisfaisant et j'aime ça ! Je vous remercie !","en":"The distance is 600 km, it is difficult, but the service is fast and to the point, very nice doctors and nurses. Also nice at check-in! I feel that I can trust them. So far I’m happy with everything and like it! Thank you!"},"what_not_like_text":{"fr":"Il n'y a rien qui m'ait déplu.","en":"There didn't seem to be anything that I didn't like."}},"summary":{"positive":{"fr":"Pour l'instant, je suis content de tout, le traitement de fertilisation est en cours","en":"So far, I’m happy with everything, fertilization treatment is in progress"}}}],"meta":{"total_count":5,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{},"texts":{}},"relations":{"countries":[{"name":"Allemagne","alias":"germany","iso_code":"DE"},{"name":"Autriche","alias":"austria","iso_code":"AT"},{"name":"Azerbaïdjan","alias":"azerbaijan","iso_code":"AZ"},{"name":"Bulgarie","alias":"bulgaria","iso_code":"BG"},{"name":"Chine","alias":"china","iso_code":"CN"},{"name":"Chypre du Nord","alias":"northern-cyprus","iso_code":"CP"},{"name":"Egypte","alias":"egypt","iso_code":"EG"},{"name":"Emirats Arabes 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clinical outcome (clearance of disease) is assessed at follow-up cytology/HPV testing, typically around 6 months."},"fly_home_after_days":{"min":2,"max":5,"unit":"days","qualifier":"After same-day discharge; delayed bleeding can occur at days 7–14, so earlier flights depend on surgeon clearance."},"follow_up_visits":[{"purpose":"result_review","requirement":"routine","after":{"min":14,"max":28,"unit":"days","qualifier":"Histology review including margin status, counted from the procedure."}},{"purpose":"assessment","requirement":"routine","after":{"min":150,"max":210,"unit":"days","qualifier":"Test-of-cure cytology/HPV testing, commonly about 6 months after the procedure."}},{"purpose":"wound_check","requirement":"conditional","after":{"min":7,"max":28,"unit":"days","qualifier":"Only if heavy bleeding, fever, foul discharge or persistent pain."}}],"indications":["High-grade cervical intraepithelial neoplasia (CIN 2–3) or adenocarcinoma in situ","Persistent CIN/abnormal cytology with inadequate or discordant colposcopy/biopsy","Suspected microinvasive disease needing diagnostic excision","Endocervical lesion not fully visible at colposcopy"],"main_risks":["Bleeding during or after procedure (delayed at 1–2 weeks)","Infection","Cervical stenosis","Cervical insufficiency; higher preterm birth risk, especially with larger excisions","Anesthesia-related risks","Rarely, injury to adjacent organs"],"pain":"Mild to moderate cramping and lower abdominal discomfort for a few days, usually managed with simple analgesics.","preparation":["Pre-operative colposcopy and biopsy confirmation","Pregnancy test and scheduling away from menstruation","Pre-anesthesia assessment and fasting as instructed","Review of bleeding risk and medications with the surgeon","Treat active genital infection beforehand"],"recovery_timeline":[{"phase":"First 24–48 hours","description":"Cramping and light bleeding or discharge; rest advised.","restrictions":["No tampons or intercourse","Avoid heavy lifting"]},{"phase":"Days 3–14","description":"Brown or blood-stained discharge that gradually decreases; a bleed may occur as the scab separates around days 7–14.","restrictions":["No tampons, douching, baths or swimming","Avoid sexual intercourse"]},{"phase":"Weeks 2–4","description":"Discharge settles; return to normal activity and exercise.","restrictions":["Avoid intercourse until about 4 weeks or as advised"]},{"phase":"Weeks 4–8","description":"Cervix largely healed; follow-up cytology/HPV plan confirmed.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery to normal daily activity; cervical healing continues for several weeks."},"result_longevity":"Excision clears the lesion in roughly 90% of cases, but recurrence risk persists, so follow-up cytology/HPV testing is advised, depending on margin status and HPV persistence.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Repeat excision or further treatment for positive margins or residual/recurrent disease within 2 years."},"scars":"No external scar; the cervix heals with an internal scar that may slightly alter cervical shape or narrow the canal.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operative session."},"stages":[{"code":"conization","label":"Cone excision of the cervical transformation zone (cold-knife, laser or LEEP/LLETZ)","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial session."}}],"qualifier":"One-stage procedure; follow-up checks are not treatment sessions."},"success":{"metric":"Disease-free after excision (no residual or recurrent CIN)","value":90,"unit":"percent","horizon":"24 months","population":"Women with CIN 2–3 treated by conization","evidence_status":"proven"},"techniques":[{"name":"LEEP/LLETZ (loop electrosurgical excision)","suits_whom":"Most women with CIN 2–3 with ectocervical lesions of suitable size.","recovery":"Typically quick, with discharge for 2–4 weeks."},{"name":"Cold-knife conization (scalpel)","suits_whom":"Suspected microinvasion, glandular lesions or when an intact specimen without thermal artifact is needed.","recovery":"Often slightly longer, with somewhat higher bleeding risk."},{"name":"Laser conization","suits_whom":"Selected cases where precise excision is preferred and equipment is available.","recovery":"Similar to cold-knife conization."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":0.25,"max":0.75,"unit":"hours","qualifier":"Operative time for one conization; excludes anesthesia preparation and recovery."},"initial_assessment_documents":["Cervical biopsy histology report","Colposcopy report","Recent Pap smear (cytology) report","HPV test result","Colposcopy images (if available)","Gynecologist referral letter or summary"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage procedure; stay 2-5 days. Histology review can be remote; test-of-cure at about 6 months is done at home."},"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 a doctor is always present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care unit?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","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}}],"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 heavier than a normal period","urgency":"contact_clinic","general":false,"source":{"url":"https://ashfordstpeters.nhs.uk/leaflets/3688-gynaecology-leaflet-colposcopy-and-lletz-biopsy","host":"ashfordstpeters.nhs.uk","quote":"Bleeding heavier than a normal period.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Discharge with a strong or unpleasant smell","urgency":"contact_clinic","general":false,"source":{"url":"https://ashfordstpeters.nhs.uk/leaflets/3688-gynaecology-leaflet-colposcopy-and-lletz-biopsy","host":"ashfordstpeters.nhs.uk","quote":"Discharge with a strong or unpleasant smell.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Very heavy bleeding with clots","urgency":"emergency","general":false,"source":{"url":"https://www.wwl.nhs.uk/pdfreader/cnv-wwl-68ca8bcc8e01d1.75236655","host":"wwl.nhs.uk","quote":"If the bleeding is very heavy and you start to pass clots, or you have an offensive smelling discharge, please ring the ward for advice on one of the numbers at the end of this leaflet.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"High temperature (fever)","urgency":"contact_clinic","general":true,"source":{"url":"https://ashfordstpeters.nhs.uk/leaflets/3688-gynaecology-leaflet-colposcopy-and-lletz-biopsy","host":"ashfordstpeters.nhs.uk","quote":"A high temperature (fever).","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}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","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 need the womb removed as well as the cervix","name":"Hysterectomy","source":{"url":"https://www.wwl.nhs.uk/pdfreader/cnv-wwl-68ca8bcc8e01d1.75236655","host":"wwl.nhs.uk","quote":"Hysterectomy – removing the womb and the neck of the womb (in operating theatre) under general anaesthetic.","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":"leep","name":"LEEP/LLETZ (loop electrosurgical excision)","how_it_works":{"text":"A heated wire loop removes abnormal cervical tissue","source":{"url":"https://www.wwl.nhs.uk/pdfreader/cnv-wwl-68ca8bcc8e01d1.75236655","host":"wwl.nhs.uk","quote":"LLETZ (Large Loop Excision of Transformation Zone) – removing abnormal area of the neck of the womb with heated loop of wire, under local anaesthetic or general anaesthetic.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"cold-knife-conization","name":"Cold-knife conization (scalpel)","how_it_works":{"text":"Uses a surgical knife to remove cervical tissue","source":{"url":"https://my.clevelandclinic.org/health/procedures/23381-cone-biopsy","host":"my.clevelandclinic.org","quote":"Cold-knife conization uses a surgical knife (scalpel).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":1,"max":1,"unit":"weeks","label":"1 week","source":{"url":"https://my.clevelandclinic.org/health/procedures/23381-cone-biopsy","host":"my.clevelandclinic.org","quote":"Most people can return to their daily activities in about one week.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"laser-conization","name":"Laser conization","how_it_works":{"text":"A laser removes the abnormal area from the cervix","source":{"url":"https://www.whittington.nhs.uk/default.asp?c=12484","host":"whittington.nhs.uk","quote":"These all involve cutting out the area on the cervix to remove the abnormal cells, either using a loop, needle or laser.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"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=poland/city=otvock/procedure=konizaciya/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"illnessesByOperation":[{"id":22,"alias":"endometriosis","name":"Endométriose"},{"id":26,"alias":"cervical-cancer","name":"Cancer du col de l'utérus"},{"id":1147,"alias":"cervical-dysplasia","name":"Dysplasie 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