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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":["general"],"back_to_work_days":{"min":2,"max":7,"unit":"days","qualifier":"Typical for desk-based work after uncomplicated single-stage resection of submucosal fibroids; physically demanding work may need longer."},"complication_rate_pct":{"min":1,"max":5,"unit":"percent","qualifier":"Any intra- or postoperative complication; uterine perforation and fluid overload each about 1% or less."},"contraindications":["Pregnancy","Active pelvic or genital tract infection","Suspected uterine malignancy or unevaluated atypical abnormal bleeding","Mostly intramural or large fibroids, minimal submucosal part (relative)","Very large or multiple fibroids unresectable in one session (relative)","Unfit for anesthesia or uncorrected coagulopathy (relative)","Cervical stenosis preventing safe access (relative)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually same-day discharge; occasional overnight observation."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":1,"max":2,"unit":"weeks","qualifier":"Light activity soon after; strenuous exercise once bleeding has settled and surgeon agrees."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Time for endometrial healing and for bleeding pattern improvement to be assessed, approximately after one to three cycles."},"fly_home_after_days":{"min":2,"max":5,"unit":"days","qualifier":"After uncomplicated day surgery under general anesthesia; depends on bleeding, comfort, short-flight duration and surgeon clearance."},"follow_up_visits":[{"purpose":"result_review","requirement":"routine","after":{"min":14,"max":42,"unit":"days","qualifier":"Review of histology and symptoms; timing varies by surgeon."}},{"purpose":"assessment","requirement":"conditional","after":{"min":60,"max":120,"unit":"days","qualifier":"Ultrasound or repeat hysteroscopy to check for residual fibroid or adhesions, especially if fertility desired."}}],"indications":["Symptomatic submucosal fibroids (FIGO types 0–2) causing heavy menstrual bleeding","Submucosal fibroids associated with infertility or recurrent pregnancy loss","Fibroid-related intracavitary distortion","Prolapsed fibroid in cervical canal or vagina (often type 0)","Postmenopausal bleeding from submucosal fibroid"],"main_risks":["Uterine perforation","Fluid overload or hyponatremia from distension media","Bleeding","Infection","Intrauterine adhesions (Asherman syndrome)","Incomplete resection requiring repeat procedure","Anesthesia-related risks","Rare gas embolism"],"pain":"Mild to moderate cramping and discomfort for 1–3 days, usually controlled with simple analgesics.","preparation":["Pelvic ultrasound and/or MRI to map fibroid location and depth","Diagnostic hysteroscopy or saline sonography as needed","Exclude pregnancy and treat infection","Schedule in early follicular phase after menstruation when possible","Pre-anesthesia assessment and fasting as instructed","Review of medications with the surgical team","Optional pre-operative therapy to shrink fibroid or reduce bleeding"],"recovery_timeline":[{"phase":"Day of surgery","description":"Recovery from anesthesia and same-day discharge; mild cramping and vaginal bleeding.","restrictions":["Rest","No driving after anesthesia"]},{"phase":"Days 1–7","description":"Light spotting or bleeding for up to 1–2 weeks; most return to desk work.","restrictions":["No tampons, douching or intercourse until bleeding stops","Avoid heavy lifting"]},{"phase":"Weeks 2–6","description":"Normal activity resumes; follow-up review and next menses.","restrictions":["Follow surgeon advice on exertion and conception timing"]}],"rehabilitation_days":{"min":3,"max":10,"unit":"days","qualifier":"Ordinary functional recovery after uncomplicated resection."},"result_longevity":"Resected fibroids do not typically return, but new fibroids may develop over time; durability varies by patient.","revision_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Repeat hysteroscopy or further surgery within 5 years for residual fibroid, adhesions or recurrent bleeding."},"scars":"No skin incisions or visible scars; the procedure is performed through the cervix.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single procedure usually; larger fibroids may occasionally need a staged second resection."},"stages":[{"code":"resection","label":"Hysteroscopic resection of fibroid","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial procedure."}}],"qualifier":"Typical single-stage resection of a small to moderate submucosal fibroid."},"success":{"metric":"Improvement in heavy menstrual bleeding symptoms","value":85,"unit":"percent of patients","horizon":"1 year","population":"Premenopausal women with symptomatic submucosal fibroids (FIGO types 0–2) and heavy bleeding","evidence_status":"limited"},"techniques":[{"name":"Monopolar or bipolar resectoscope loop resection","suits_whom":"Patients with submucosal fibroids, including larger or partly intramural ones.","recovery":"Typically same-day discharge with return to usual activity in about 1 week."},{"name":"Hysteroscopic morcellation (mechanical tissue removal)","suits_whom":"Patients with small to moderate type 0–1 fibroids or polyps.","recovery":"Similar short recovery to resectoscopic surgery."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"Operative time for a single small to moderate submucosal fibroid; excludes anesthesia and recovery time."},"initial_assessment_documents":["Pelvic ultrasound report","Pelvic MRI report","Previous hysteroscopy report","Gynecological history summary","Recent hemoglobin blood test"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage day surgery; stay 2-5 days. Routine review can be remote; imaging can be done locally."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask about problems linked to the fluid used during the procedure, since hysteroscopy can cause them","scope":"procedure","source":{"url":"https://www.acog.org/womens-health/faqs/uterine-fibroids","host":"acog.org","quote":"Hysteroscopy may cause other problems related to the use of fluid during the procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Ask the surgeon to explain all the risks of the operation to you","scope":"procedure","source":{"url":"https://www.acog.org/womens-health/faqs/uterine-fibroids","host":"acog.org","quote":"Your health care professional can explain all of the risks to you.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Confirm your fibroids are not deep in the uterine wall, since hysteroscopy cannot remove those","scope":"procedure","source":{"url":"https://www.acog.org/womens-health/faqs/uterine-fibroids","host":"acog.org","quote":"Although it cannot remove fibroids deep in the walls of the uterus, it can often control the bleeding these fibroids cause.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Discuss your plans for having children before agreeing to surgery","scope":"treatment_type","source":{"url":"https://www.nhs.uk/conditions/fibroids/","host":"nhs.uk","quote":"If you plan on having children, talk to a doctor about your options.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Ask whether fibroid surgery is suitable for you, since it is not suitable for everyone","scope":"treatment_type","source":{"url":"https://www.nhs.uk/conditions/fibroids/","host":"nhs.uk","quote":"Fibroid surgery and procedures are not suitable for everyone.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Ask whether the surgery suits your fibroids' size, number and location","scope":"treatment_type","source":{"url":"https://www.nhs.uk/conditions/fibroids/","host":"nhs.uk","quote":"The type of surgery recommended for you depends on the size, number and location of your fibroids.","tier":"tier1_medical","fetched_at":"2026-11-13","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":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/conditions/hysteroscopy/","host":"nhs.uk","quote":"you have bleeding that gets worse or does not stop after a few days","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Worsening abdominal pain despite painkillers","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/hysteroscopy/","host":"nhs.uk","quote":"you have tummy pain that gets worse and painkillers or your usual period pain tablets have not helped","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Smelly vaginal discharge","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/hysteroscopy/","host":"nhs.uk","quote":"you have smelly vaginal discharge","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"High temperature","urgency":"contact_clinic","general":true,"source":{"url":"https://www.nhs.uk/tests-and-treatments/hysteroscopy/","host":"nhs.uk","quote":"you have a high temperature","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":"Your fibroid symptoms are mainly heavy bleeding or pain","name":"Tranexamic acid","source":{"url":"https://www.nhs.uk/conditions/fibroids/","host":"nhs.uk","quote":"painkillers such as ibuprofen, naproxen or diclofenac tranexamic acid or a hormone medicine such as the combined pill to help with heavy bleeding","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"You would prefer a non-surgical option to surgery","name":"Uterine artery embolization","source":{"url":"https://www.nhs.uk/conditions/fibroids/","host":"nhs.uk","quote":"Sometimes, a non-surgical procedure called uterine artery embolization (UAE) may be an option.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":870}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"monopolar-or-bipolar-resectoscope-loop","name":"Monopolar or bipolar resectoscope loop resection","how_it_works":{"text":"A resectoscope removes the fibroid bit by bit inside the womb","source":{"url":"https://gloshospitals.nhs.uk/your-visit/patient-information-leaflets/hysteroscopic-removal-fibroid-ghpi0634_08_19","host":"gloshospitals.nhs.uk","quote":"Fluid is circulated inside the womb so that the fibroid can be seen and removed bit by bit using the resectoscope.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":null},{"id":"hysteroscopic-morcellation","name":"Hysteroscopic morcellation (mechanical tissue removal)","how_it_works":{"text":"A mechanical device cuts or destroys fibroids","source":{"url":"https://www.nichd.nih.gov/health/topics/uterine/conditioninfo/treatments/other-treatments","host":"nichd.nih.gov","quote":"The doctor then uses electricity or a mechanical device to cut or destroy the fibroids.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":null}],"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=rumuniya/procedure=gisteroskopicheskaya-miomektomiya/"}],"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"}],"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":53915},"manualSeo":[],"updatedAt":"2026-11-11T01:40:52.103Z","activeCountries":["RO","TR","ES","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}