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A temperature 2. Fresh bleeding or bruising 3. Redness or swelling at the operation site 4. Pus or drainage from the operation site","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Redness or swelling at the operation site","urgency":"contact_clinic","general":false,"source":{"url":"https://www.leedsth.nhs.uk/patients/resources/haemorrhoid-surgery-surgery-for-piles/","host":"leedsth.nhs.uk","quote":"1. A temperature 2. Fresh bleeding or bruising 3. Redness or swelling at the operation site","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W5","text":"Prolonged or severe pain","urgency":"contact_clinic","general":true,"source":{"url":"https://www.leedsth.nhs.uk/patients/resources/haemorrhoid-surgery-surgery-for-piles/","host":"leedsth.nhs.uk","quote":"1. A temperature 2. Fresh bleeding or bruising 3. Redness or swelling at the operation site 4. Pus or drainage from the operation site 5. Prolonged or severe pain","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":"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":"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":"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 want relief from itch and discomfort without a procedure","name":"Hemorrhoid creams and ointments","source":{"url":"https://www.ncic.nhs.uk/patients-visitors/patient-information-leaflets/General-surgery-Haemorrhoids","host":"ncic.nhs.uk","quote":"Ointments, creams, and suppositories - various preparations and brands are commonly used.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"You want a treatment that is not usually painful","name":"Hemorrhoidal artery ligation","source":{"url":"https://www.ncic.nhs.uk/patients-visitors/patient-information-leaflets/General-surgery-Haemorrhoids","host":"ncic.nhs.uk","quote":"This procedure is not usually painful and is gaining in popularity as a treatment option","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":"rubber-band-ligation","name":"Rubber band ligation","how_it_works":{"text":"A band is placed around hemorrhoids to make them drop off","source":{"url":"https://www.nhs.uk/conditions/piles-haemorrhoids/","host":"nhs.uk","quote":"a band is placed around your piles to make them drop off","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":"2026-11-12","http_status":200}}},{"id":"sclerotherapy","name":"Sclerotherapy","how_it_works":{"text":"A liquid is injected into hemorrhoids to make them shrink","source":{"url":"https://www.nhs.uk/conditions/piles-haemorrhoids/","host":"nhs.uk","quote":"a liquid is injected into your piles to make them shrink","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://www.ucsfhealth.org/education/hemorrhoids/","host":"ucsfhealth.org","quote":"You may return to daily activities right away.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"conventional","name":"Conventional hemorrhoidectomy","how_it_works":{"text":"An operation cuts away the hemorrhoids during surgery","source":{"url":"https://www.ncic.nhs.uk/patients-visitors/patient-information-leaflets/General-surgery-Haemorrhoids","host":"ncic.nhs.uk","quote":"Haemorrhoidectomy (the traditional operation) - An operation to cut away the haemorrhoid(s) is an option to treat grade 4 haemorrhoids, and for grade 2 and 3 haemorrhoids not successfully treated by banding or other methods.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":1,"max":2,"unit":"weeks","label":"1–2 weeks","source":{"url":"https://www.healthline.com/health/hemorrhoidectomy","host":"healthline.com","quote":"Recovery is different for everyone, but you should be able to return to normal activities within 1 to 2 weeks.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"stapled-hemorrhoidectomy","name":"Stapled hemorrhoidectomy","how_it_works":{"text":"A stapler pulls hemorrhoids back up by removing tissue above them","source":{"url":"https://www.ncic.nhs.uk/patients-visitors/patient-information-leaflets/General-surgery-Haemorrhoids","host":"ncic.nhs.uk","quote":"What happens in this procedure is a circular stapling 'gun' is used to cut out a circular section of the lining of the anal canal above the haemorrhoids.","tier":"tier1_medical","fetched_at":"2026-11-13","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=germany/city=vuppertal/procedure=terapiya-gemorroya/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":28},"manualSeo":[],"updatedAt":"2026-11-11T22:13:52.000Z","activeCountries":["DE","TR","AT","TH"],"hasVideoReviewsByContext":false,"hasCriticalApiFallback":false}