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Before the trip, he performed an operation to remove prostate adenoma, according to the results of a biopsy, he found signs of adenocarcinoma. In order to have different opinions, the doctors decided to consult with a local oncourologist from Manipal hospital. Ostap Bondarenko from Bookimed arranged for me to see a doctor. Before that, he attempted to contact the hospital on his own, but they did not respond.\r\n Everything is well organized there. I like it. All questions discussed. Translator Svetlana first discussed everything with me and clarified the terminology. 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About the Doctor: The doctor is very competent and explained to me all possible treatment options and the necessary research.About the Clinic: Everything is well organized there. I like it. About the Results: All questions discussed. About the Experience: Translator Svetlana first discussed everything with me and clarified the terminology. And then at"}}},{"id":5119,"user":{"id":29254,"name":"Фёдор ","country_code":"TJ"},"ratings":[{"name":"main","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":3}],"text":{"en":"My name is Firdavs (Feder). I want to express my gratitude for your hard work. Many thanks to the coordinator Julia Smirnova and Alexander. They are also supported 24 hours sometimes questions arise at night. She is always respectful from her patient. 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complication within 30 days excluding expected post-embolization syndrome; major ones about 3-6%"},"contraindications":["Decompensated liver disease (e.g., Child-Pugh C, refractory ascites, hepatic encephalopathy)","Main portal vein tumor occlusion without collateral flow (relative/absolute)","Severe hepatic or renal insufficiency","Uncorrectable coagulopathy","Active infection or sepsis","Biliary obstruction or biliary-enteric anastomosis (high abscess risk, relative)","Severe contrast allergy not manageable by premedication (relative)","Poor performance status or tumor replacing most of liver (relative)"],"days_in_clinic":{"min":1,"max":3,"unit":"nights","qualifier":"Usual short inpatient observation for post-embolization syndrome, pain and nausea control; some centers discharge same 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Procedure uses sedation and local anesthesia.","preparation":["Contrast CT or MRI; liver, kidney and coagulation blood tests","Multidisciplinary tumor board review and informed consent","Fasting for several hours before the procedure","Review of current medications and allergies by the treating team","Hydration and antibiotic prophylaxis according to local protocol"],"recovery_timeline":[{"phase":"Day 0-1","description":"Bed rest with leg straight for a few hours after arterial puncture closure; monitoring of pain, fever, nausea and liver tests.","restrictions":["Keep access leg straight as instructed","No driving"]},{"phase":"Days 2-14","description":"Post-embolization symptoms gradually settle; fatigue is common. Return to work usually around days 7-14.","restrictions":["Avoid heavy lifting and strenuous activity until cleared"]},{"phase":"Weeks 3-12","description":"Return to normal activity; imaging assessment of response at about 1-3 months. Seek urgent care for persistent fever, severe pain or jaundice.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery after a single session; formal rehabilitation not required."},"result_longevity":"TACE is not curative on its own; tumor control typically lasts several months and often needs repeat sessions. Duration depends on tumor size, number, and liver function.","revision_rate_pct":{"min":30,"max":60,"unit":"percent","qualifier":"Patients needing repeat TACE session within about 12 months for residual or recurrent tumor"},"scars":"No surgical scar; only a tiny puncture site at the femoral or radial artery.","sessions_or_stages":{"sessions":{"min":1,"max":3,"unit":"visits","qualifier":"On-demand repeat sessions are common depending on response; the number varies by protocol."},"stages":[{"code":"tace_session","label":"Transarterial chemoembolization session","after":{"min":0,"max":0,"unit":"days","qualifier":"First session"}},{"code":"repeat_tace","label":"Repeat session if residual viable tumor on imaging","after":{"min":30,"max":90,"unit":"days","qualifier":"Conditional on response imaging"}}],"qualifier":"Initial session, with repeat sessions guided by response and liver function."},"success":{"metric":"Objective tumor response on imaging (mRECIST)","value":55,"unit":"percent of 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