{"key":"op_612_LT","page":{"url":"https://us-uk.bookimed.com/clinics/country=lithuania/procedure=hiatal-hernia-repair/","procedure":{"id":612,"slug":"hiatal-hernia-repair","name":"Hiatal hernia repair","name_forms":{"plural":{"status":"missing","reason":"not_collected"},"genitive":{"status":"missing","reason":"not_collected"}},"type":"surgery","grammar_number":{"status":"missing","reason":"not_collected"},"parent_id":"surgery","family_attribute":{"status":"missing","reason":"not_collected"}},"country":{"id":215,"iso":"LT","name":"Lithuania"},"currency":"USD","data_date":"2026-09-27"},"pages":{"clinics_url":"https://us-uk.bookimed.com/clinics/country=lithuania/procedure=hiatal-hernia-repair/","cost_url":"https://us-uk.bookimed.com/clinics/country=lithuania/procedure=hiatal-hernia-repair/cost/","best_url":{"status":"missing","reason":"template not live"}},"price":{"from":4000,"to":4300,"avg":{"status":"missing","reason":"no_offers"},"us":{"from":16000,"to":28000},"uk":{"from":9200,"to":13500},"by_technique":{"status":"missing","reason":"not_collected"},"by_city":[{"city":"Vilnius","from":4000}],"per_unit":{"status":"missing","reason":"not_collected"},"factors":{"status":"missing","reason":"not_collected"},"tiers":{"status":"missing","reason":"no_offers"},"comparison":[{"country_iso":"UA","from":1800,"to":3800},{"country_iso":"FR","from":6200,"to":11500},{"country_iso":"GB","from":9200,"to":13500},{"country_iso":"US","from":16000,"to":28000},{"country_iso":"IL","from":11500,"to":15500},{"country_iso":"TR","from":3300,"to":14300},{"country_iso":"MX","from":5400,"to":8800},{"country_iso":"DE","from":7200,"to":11500},{"country_iso":"CA","from":9500,"to":17500},{"country_iso":"AE","from":7500,"to":11500},{"country_iso":"TH","from":3600,"to":7800},{"country_iso":"PL","from":4200,"to":5600},{"country_iso":"KR","from":5500,"to":9000},{"country_iso":"CZ","from":6500,"to":9500},{"country_iso":"AT","from":10000,"to":18000},{"country_iso":"ES","from":15500,"to":24400},{"country_iso":"IT","from":7500,"to":12000},{"country_iso":"CN","from":7500,"to":12000},{"country_iso":"AU","from":12500,"to":19000},{"country_iso":"IN","from":3500,"to":5600},{"country_iso":"MY","from":5200,"to":8500},{"country_iso":"VN","from":3800,"to":5800},{"country_iso":"BR","from":4800,"to":7500},{"country_iso":"RO","from":3900,"to":5000}],"base_country":"US","base_is_fallback":false},"savings":{"pct":75,"variant":">=15%"},"package":{"included":{"status":"missing","reason":"no_offers"},"excluded":{"status":"missing","reason":"no_offers"},"extra_charges":{"status":"missing","reason":"not_collected"}},"clinics":{"count":1,"items":[{"id":253,"name":"Meliva Kardiolita Hospital","city":"Vilnius","rating":4.7,"reviews_count":159,"accreditations":["Joint Commission International"],"rank":1,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}}]},"doctors":{"count":{"status":"missing","reason":"not_collected"},"languages":{"status":"missing","reason":"not_collected"}},"cities":[{"id":310,"slug":"vilnius","name":"Vilnius","clinics_count":1,"price_from":4000,"profile":{"city_type":"Capital and largest city of Lithuania","access":["Vilnius Airport (VNO), 6 km from the city center"],"sources":["https://en.wikipedia.org/wiki/Vilnius","https://en.wikipedia.org/wiki/Vilnius_Airport"],"checked_at":"2026-11-03","status":"ok"}}],"offers":{"active":{"status":"missing","reason":"no_offers"},"active_with_related":{"status":"missing","reason":"no_offers"},"hospital_nights_median":{"status":"missing","reason":"no_offers"},"days_in_country_median":{"status":"missing","reason":"no_offers"},"top_offers":{"status":"missing","reason":"no_offers"},"packages":{"status":"missing","reason":"no_offers"},"related_packages":{"status":"missing","reason":"no_offers"},"other_packages":{"status":"missing","reason":"no_offers"}},"medical":{"indications":["Symptomatic paraesophageal or mixed (type II–IV) hiatal hernia","Sliding hiatal hernia with GERD refractory to medical therapy","Hernia complications such as obstruction, volvulus, bleeding, or anemia","Respiratory or postprandial symptoms attributable to the hernia"],"contraindications":["Unfitness for general anesthesia due to severe cardiopulmonary disease","Uncorrected coagulopathy or bleeding disorder","Active severe infection or sepsis","Asymptomatic small sliding hernia (surgery generally not indicated)","Relative: severe obesity or esophageal dysmotility (higher risk)"],"operation_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Typical primary laparoscopic repair with fundoplication; longer for large or recurrent hernias."},"anesthesia":["general"],"sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation."},"stages":[{"code":"repair","label":"Hernia reduction, crural closure and usually fundoplication","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed in one operation."}}],"qualifier":"Primary adult repair performed in a single surgical session."},"hospital_nights":{"value":{"min":1,"max":3,"unit":"nights","qualifier":"Typical laparoscopic repair; open or complex repairs often need longer."},"source":"parsed_details"},"treatment_conditions":["inpatient"],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Ordinary functional recovery after laparoscopic repair."},"fly_home_after_days":{"min":5,"max":10,"unit":"days","qualifier":"After laparoscopic repair, once discharged, first postoperative check is done and surgeon clears travel; longer after complications or open repair."},"back_to_work_days":{"min":14,"max":42,"unit":"days","qualifier":"After laparoscopic repair with fundoplication; desk work earlier, physically demanding work later."},"exercise_resume_weeks":{"min":4,"max":8,"unit":"weeks","qualifier":"Gentle exercise from about week 4; strenuous core work and heavy lifting from about week 8."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Time for swallowing and bloating symptoms to settle and for symptom relief to be judged."},"result_longevity":"Symptom relief is usually long-lasting, often many years. Anatomical recurrence is not rare over time, but most patients stay satisfied; durability depends on hernia size, crural repair, mesh use, weight and avoiding heavy straining.","main_risks":["Dysphagia or bloating after surgery","Hernia recurrence","Esophageal or gastric perforation","Bleeding","Infection","Injury to the spleen or vagus nerve","Pneumothorax","Anesthesia-related risks","Thromboembolism"],"complication_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Any perioperative complication within 30-90 days, mostly minor; serious complications under 3%."},"revision_rate_pct":{"min":2,"max":10,"unit":"percent","qualifier":"Reoperation for symptomatic recurrence or dysphagia within about 5 years; radiologic recurrence is higher."},"success":{"metric":"Patients with durable reflux and hernia symptom relief","value":85,"horizon":"1-5 years","source":{"status":"missing","reason":"not_collected"},"evidence_status":"limited"},"scars":"Laparoscopic repair leaves several small 5–12 mm abdominal scars; open repair leaves a larger upper abdominal or chest incision.","pain":"Moderate pain for the first several days, controlled with oral analgesics; shoulder-tip pain after laparoscopy is common. Temporary swallowing discomfort is usual.","preparation":["Endoscopy, barium swallow, often manometry or pH testing","Anesthesia assessment and routine labs","Fasting before surgery as instructed","Medication review with the surgeon","Smoking cessation and weight optimization where relevant"],"recovery_timeline":[{"phase":"Hospital stay (days 0–3)","description":"Progression from liquids to soft foods, early walking.","restrictions":["Liquid or puree diet initially"]},{"phase":"Weeks 1–6","description":"Gradual progression from soft to normal diet; swallowing difficulty and bloating settle.","restrictions":["Avoid heavy lifting","Avoid straining, vomiting and large meals"]},{"phase":"Weeks 6–12","description":"Return to normal activities and diet.","restrictions":["Avoid strenuous exercise and heavy lifting before about week 8"]}],"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"First postoperative review, before flying home."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":90,"unit":"days","qualifier":"Review of swallowing, reflux symptoms and diet progression."}}],"sources":{"status":"missing","reason":"not_collected"},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the surgeon has experience with stomach and esophageal surgery and repairing large hiatal hernias","scope":"procedure","source":{"url":"https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-q-a-surgery-for-hiatal-hernias/","host":"newsnetwork.mayoclinic.org","quote":"Given the complexity of your situation, it would be a good idea for you to find a surgeon with experience in stomach and esophageal surgery who is familiar with repairing large hiatal hernias.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"C2","text":"Check that the team discusses the risks and benefits of repair with you","scope":"procedure","source":{"url":"https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-q-a-surgery-for-hiatal-hernias/","host":"newsnetwork.mayoclinic.org","quote":"You also should have a conversation with your surgeon to discuss the risks and benefits of hiatal hernia repair, and determine which approach is most appropriate for your circumstances.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"C3","text":"Check that the team determines which surgical approach is appropriate for your circumstances","scope":"procedure","source":{"url":"https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-q-a-surgery-for-hiatal-hernias/","host":"newsnetwork.mayoclinic.org","quote":"You also should have a conversation with your surgeon to discuss the risks and benefits of hiatal hernia repair, and determine which approach is most appropriate for your circumstances.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"C4","text":"Check whether additional tests are recommended before surgery","scope":"procedure","source":{"url":"https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-q-a-surgery-for-hiatal-hernias/","host":"newsnetwork.mayoclinic.org","quote":"To determine the best treatment approach for you, your care team may recommend additional tests before moving forward with surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"C5","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}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Surgery offered for a hernia that is not causing problems","scope":"procedure","source":{"url":"https://www.nhs.uk/conditions/hiatus-hernia/","host":"nhs.uk","quote":"It does not normally need treatment if it's not causing you problems.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"Surgery offered before other treatments have been tried","scope":"procedure","source":{"url":"https://www.nhs.uk/conditions/hiatus-hernia/","host":"nhs.uk","quote":"This usually only happens if other treatments have not worked and you keep having very bad symptoms.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"A surgeon cannot explain experience with stomach and esophageal surgery or large hiatal hernia repair","scope":"procedure","source":{"url":"https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-q-a-surgery-for-hiatal-hernias/","host":"newsnetwork.mayoclinic.org","quote":"Given the complexity of your situation, it would be a good idea for you to find a surgeon with experience in stomach and esophageal surgery who is familiar with repairing large hiatal hernias.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"F4","text":"The consultation does not discuss repair risks and benefits","scope":"procedure","source":{"url":"https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-q-a-surgery-for-hiatal-hernias/","host":"newsnetwork.mayoclinic.org","quote":"You also should have a conversation with your surgeon to discuss the risks and benefits of hiatal hernia repair, and determine which approach is most appropriate for your circumstances.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"F5","text":"The offer presents one surgical approach without determining whether it suits your circumstances","scope":"procedure","source":{"url":"https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-q-a-surgery-for-hiatal-hernias/","host":"newsnetwork.mayoclinic.org","quote":"You also should have a conversation with your surgeon to discuss the risks and benefits of hiatal hernia repair, and determine which approach is most appropriate for your circumstances.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Blood soaking through the dressing after surgery","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/17967-hernia-repair-surgery&rut=27561f4f71317b4abb9a2a906086015dc8473102171f7f395017fb9e64ccb939","host":"my.clevelandclinic.org","quote":"Blood seeping through your bandage.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Pus draining from the incision","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/17967-hernia-repair-surgery&rut=27561f4f71317b4abb9a2a906086015dc8473102171f7f395017fb9e64ccb939","host":"my.clevelandclinic.org","quote":"Pus draining from the incision.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Sudden swelling in your leg or groin","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/17967-hernia-repair-surgery&rut=27561f4f71317b4abb9a2a906086015dc8473102171f7f395017fb9e64ccb939","host":"my.clevelandclinic.org","quote":"Sudden swelling, warmth or redness in your leg or groin.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Infection at the incision site","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/17967-hernia-repair-surgery&rut=27561f4f71317b4abb9a2a906086015dc8473102171f7f395017fb9e64ccb939","host":"my.clevelandclinic.org","quote":"Infection at the incision site.","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}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":14,"max":42,"unit":"days","qualifier":"After laparoscopic repair with fundoplication; desk work earlier, physically demanding work later."},"complication_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Any perioperative complication within 30-90 days, mostly minor; serious complications under 3%."},"contraindications":["Unfitness for general anesthesia due to severe cardiopulmonary disease","Uncorrected coagulopathy or bleeding disorder","Active severe infection or sepsis","Asymptomatic small sliding hernia (surgery generally not indicated)","Relative: severe obesity or esophageal dysmotility (higher risk)"],"days_in_clinic":{"min":1,"max":3,"unit":"nights","qualifier":"Typical laparoscopic repair; open or complex repairs often need longer."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":8,"unit":"weeks","qualifier":"Gentle exercise from about week 4; strenuous core work and heavy lifting from about week 8."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Time for swallowing and bloating symptoms to settle and for symptom relief to be judged."},"fly_home_after_days":{"min":5,"max":10,"unit":"days","qualifier":"After laparoscopic repair, once discharged, first postoperative check is done and surgeon clears travel; longer after complications or open repair."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"First postoperative review, before flying home."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":90,"unit":"days","qualifier":"Review of swallowing, reflux symptoms and diet progression."}}],"indications":["Symptomatic paraesophageal or mixed (type II–IV) hiatal hernia","Sliding hiatal hernia with GERD refractory to medical therapy","Hernia complications such as obstruction, volvulus, bleeding, or anemia","Respiratory or postprandial symptoms attributable to the hernia"],"main_risks":["Dysphagia or bloating after surgery","Hernia recurrence","Esophageal or gastric perforation","Bleeding","Infection","Injury to the spleen or vagus nerve","Pneumothorax","Anesthesia-related risks","Thromboembolism"],"pain":"Moderate pain for the first several days, controlled with oral analgesics; shoulder-tip pain after laparoscopy is common. Temporary swallowing discomfort is usual.","preparation":["Endoscopy, barium swallow, often manometry or pH testing","Anesthesia assessment and routine labs","Fasting before surgery as instructed","Medication review with the surgeon","Smoking cessation and weight optimization where relevant"],"recovery_timeline":[{"phase":"Hospital stay (days 0–3)","description":"Progression from liquids to soft foods, early walking.","restrictions":["Liquid or puree diet initially"]},{"phase":"Weeks 1–6","description":"Gradual progression from soft to normal diet; swallowing difficulty and bloating settle.","restrictions":["Avoid heavy lifting","Avoid straining, vomiting and large meals"]},{"phase":"Weeks 6–12","description":"Return to normal activities and diet.","restrictions":["Avoid strenuous exercise and heavy lifting before about week 8"]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Ordinary functional recovery after laparoscopic repair."},"result_longevity":"Symptom relief is usually long-lasting, often many years. Anatomical recurrence is not rare over time, but most patients stay satisfied; durability depends on hernia size, crural repair, mesh use, weight and avoiding heavy straining.","revision_rate_pct":{"min":2,"max":10,"unit":"percent","qualifier":"Reoperation for symptomatic recurrence or dysphagia within about 5 years; radiologic recurrence is higher."},"scars":"Laparoscopic repair leaves several small 5–12 mm abdominal scars; open repair leaves a larger upper abdominal or chest incision.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation."},"stages":[{"code":"repair","label":"Hernia reduction, crural closure and usually fundoplication","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed in one operation."}}],"qualifier":"Primary adult repair performed in a single surgical session."},"success":{"metric":"Patients with durable reflux and hernia symptom relief","value":85,"unit":"percent","horizon":"1-5 years","population":"Adults with symptomatic hiatal hernia after laparoscopic repair with fundoplication","evidence_status":"limited"},"techniques":[{"name":"Laparoscopic hiatal hernia repair with crural closure and fundoplication (e.g., Nissen or partial)","suits_whom":"Most adults with symptomatic sliding or paraesophageal hernia.","recovery":"Hospital stay of 1–3 nights; return to desk work in about 2–4 weeks."},{"name":"Open (transabdominal or transthoracic) repair","suits_whom":"Selected patients with complex anatomy, prior surgery or when laparoscopy is not suitable.","recovery":"Longer stay and recovery, often 4–8 weeks before normal activity."},{"name":"Robotic-assisted repair","suits_whom":"Similar to laparoscopic indications where available.","recovery":"Similar to laparoscopic repair."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Typical primary laparoscopic repair with fundoplication; longer for large or recurrent hernias."},"initial_assessment_documents":["Upper GI endoscopy report","Barium swallow report","CT chest or abdomen report","Esophageal manometry and pH study reports","Previous abdominal or anti-reflux surgery records","List of blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-10 days including 1-3 hospital nights and first postoperative check; later reviews done remotely or locally."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the surgeon has experience with stomach and esophageal surgery and repairing large hiatal hernias","scope":"procedure","source":{"url":"https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-q-a-surgery-for-hiatal-hernias/","host":"newsnetwork.mayoclinic.org","quote":"Given the complexity of your situation, it would be a good idea for you to find a surgeon with experience in stomach and esophageal surgery who is familiar with repairing large hiatal hernias.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"C2","text":"Check that the team discusses the risks and benefits of repair with you","scope":"procedure","source":{"url":"https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-q-a-surgery-for-hiatal-hernias/","host":"newsnetwork.mayoclinic.org","quote":"You also should have a conversation with your surgeon to discuss the risks and benefits of hiatal hernia repair, and determine which approach is most appropriate for your circumstances.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"C3","text":"Check that the team determines which surgical approach is appropriate for your circumstances","scope":"procedure","source":{"url":"https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-q-a-surgery-for-hiatal-hernias/","host":"newsnetwork.mayoclinic.org","quote":"You also should have a conversation with your surgeon to discuss the risks and benefits of hiatal hernia repair, and determine which approach is most appropriate for your circumstances.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"C4","text":"Check whether additional tests are recommended before surgery","scope":"procedure","source":{"url":"https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-q-a-surgery-for-hiatal-hernias/","host":"newsnetwork.mayoclinic.org","quote":"To determine the best treatment approach for you, your care team may recommend additional tests before moving forward with surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"C5","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}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Surgery offered for a hernia that is not causing problems","scope":"procedure","source":{"url":"https://www.nhs.uk/conditions/hiatus-hernia/","host":"nhs.uk","quote":"It does not normally need treatment if it's not causing you problems.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"Surgery offered before other treatments have been tried","scope":"procedure","source":{"url":"https://www.nhs.uk/conditions/hiatus-hernia/","host":"nhs.uk","quote":"This usually only happens if other treatments have not worked and you keep having very bad symptoms.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"A surgeon cannot explain experience with stomach and esophageal surgery or large hiatal hernia repair","scope":"procedure","source":{"url":"https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-q-a-surgery-for-hiatal-hernias/","host":"newsnetwork.mayoclinic.org","quote":"Given the complexity of your situation, it would be a good idea for you to find a surgeon with experience in stomach and esophageal surgery who is familiar with repairing large hiatal hernias.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"F4","text":"The consultation does not discuss repair risks and benefits","scope":"procedure","source":{"url":"https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-q-a-surgery-for-hiatal-hernias/","host":"newsnetwork.mayoclinic.org","quote":"You also should have a conversation with your surgeon to discuss the risks and benefits of hiatal hernia repair, and determine which approach is most appropriate for your circumstances.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"F5","text":"The offer presents one surgical approach without determining whether it suits your circumstances","scope":"procedure","source":{"url":"https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-q-a-surgery-for-hiatal-hernias/","host":"newsnetwork.mayoclinic.org","quote":"You also should have a conversation with your surgeon to discuss the risks and benefits of hiatal hernia repair, and determine which approach is most appropriate for your circumstances.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Blood soaking through the dressing after surgery","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/17967-hernia-repair-surgery&rut=27561f4f71317b4abb9a2a906086015dc8473102171f7f395017fb9e64ccb939","host":"my.clevelandclinic.org","quote":"Blood seeping through your bandage.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Pus draining from the incision","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/17967-hernia-repair-surgery&rut=27561f4f71317b4abb9a2a906086015dc8473102171f7f395017fb9e64ccb939","host":"my.clevelandclinic.org","quote":"Pus draining from the incision.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Sudden swelling in your leg or groin","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/17967-hernia-repair-surgery&rut=27561f4f71317b4abb9a2a906086015dc8473102171f7f395017fb9e64ccb939","host":"my.clevelandclinic.org","quote":"Sudden swelling, warmth or redness in your leg or groin.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Infection at the incision site","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/17967-hernia-repair-surgery&rut=27561f4f71317b4abb9a2a906086015dc8473102171f7f395017fb9e64ccb939","host":"my.clevelandclinic.org","quote":"Infection at the incision site.","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 want to avoid surgery for mild to moderate hernia","name":"TIF procedure","source":{"url":"https://my.clevelandclinic.org/health/procedures/tif-procedure","host":"my.clevelandclinic.org","quote":"The TIF procedure is an option for people with mild to moderate GERD and/or hiatal hernias who want a lasting solution, but don’t want or can’t have surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"Your reflux is mild and you can manage it with medicines","name":"Acid reflux medicines","source":{"url":"https://my.clevelandclinic.org/health/diseases/8098-hiatal-hernia","host":"my.clevelandclinic.org","quote":"You might be able to manage mild acid reflux with medications.","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":"laparoscopic-hiatal-hernia","name":"Laparoscopic hiatal hernia repair with crural closure and fundoplication (e.g., Nissen or partial)","how_it_works":{"text":"A camera tube and thin tools enter through small holes","source":{"url":"https://my.clevelandclinic.org/health/diseases/15757-hernia&rut=b85257ebda664ffdcb18f0ab9837bc7a8466363815c1eb011b7c14c11903071f","host":"my.clevelandclinic.org","quote":"The laparoscope goes in one small hole and long, thin surgical tools go through another.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":2,"max":4,"unit":"weeks","label":"2–4 weeks","source":{"url":"https://www.worcsacute.nhs.uk/leaflets/laparoscopic-hiatus-hernia-repair/","host":"worcsacute.nhs.uk","quote":"You can usually return to normal activities within 2–4 weeks.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"open-repair","name":"Open (transabdominal or transthoracic) repair","how_it_works":{"text":"One incision lets the surgeon operate on the herniated tissue","source":{"url":"https://my.clevelandclinic.org/health/procedures/17967-hernia-repair-surgery&rut=27561f4f71317b4abb9a2a906086015dc8473102171f7f395017fb9e64ccb939","host":"my.clevelandclinic.org","quote":"A surgeon makes a single incision (cut) that allows them to operate on the herniated tissue.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"robotic-assisted-repair","name":"Robotic-assisted repair","how_it_works":{"text":"The surgeon controls robotic arms from a computer console during repair","source":{"url":"https://my.clevelandclinic.org/health/diseases/15757-hernia&rut=b85257ebda664ffdcb18f0ab9837bc7a8466363815c1eb011b7c14c11903071f","host":"my.clevelandclinic.org","quote":"Robotic surgery for hernia repair is similar, but the surgeon controls the tools from a computer console, using robotic arms.","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}}},"techniques":[{"id":"laparoscopic-hiatal-hernia","name":"Laparoscopic hiatal hernia repair with crural closure and fundoplication (e.g., Nissen or partial)","how_it_works":{"id":"H1","text":"A camera tube and thin tools enter through small holes","source":{"url":"https://my.clevelandclinic.org/health/diseases/15757-hernia&rut=b85257ebda664ffdcb18f0ab9837bc7a8466363815c1eb011b7c14c11903071f","host":"my.clevelandclinic.org","quote":"The laparoscope goes in one small hole and long, thin surgical tools go through another.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":2,"max":4,"unit":"weeks","label":"2–4 weeks","source":{"url":"https://www.worcsacute.nhs.uk/leaflets/laparoscopic-hiatus-hernia-repair/","host":"worcsacute.nhs.uk","quote":"You can usually return to normal activities within 2–4 weeks.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"suits_whom":"Most adults with symptomatic sliding or paraesophageal hernia.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Hospital stay of 1–3 nights; return to desk work in about 2–4 weeks."},{"id":"open-repair","name":"Open (transabdominal or transthoracic) repair","how_it_works":{"id":"H1","text":"One incision lets the surgeon operate on the herniated tissue","source":{"url":"https://my.clevelandclinic.org/health/procedures/17967-hernia-repair-surgery&rut=27561f4f71317b4abb9a2a906086015dc8473102171f7f395017fb9e64ccb939","host":"my.clevelandclinic.org","quote":"A surgeon makes a single incision (cut) that allows them to operate on the herniated tissue.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Selected patients with complex anatomy, prior surgery or when laparoscopy is not suitable.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Longer stay and recovery, often 4–8 weeks before normal activity."},{"id":"robotic-assisted-repair","name":"Robotic-assisted repair","how_it_works":{"id":"H1","text":"The surgeon controls robotic arms from a computer console during repair","source":{"url":"https://my.clevelandclinic.org/health/diseases/15757-hernia&rut=b85257ebda664ffdcb18f0ab9837bc7a8466363815c1eb011b7c14c11903071f","host":"my.clevelandclinic.org","quote":"Robotic surgery for hernia repair is similar, but the surgeon controls the tools from a computer console, using robotic arms.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Similar to laparoscopic indications where available.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Similar to laparoscopic repair."}],"alternatives":{"status":"ok","items":[{"id":"A1","text":"You want to avoid surgery for mild to moderate hernia","name":"TIF procedure","source":{"url":"https://my.clevelandclinic.org/health/procedures/tif-procedure","host":"my.clevelandclinic.org","quote":"The TIF procedure is an option for people with mild to moderate GERD and/or hiatal hernias who want a lasting solution, but don’t want or can’t have surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"Your reflux is mild and you can manage it with medicines","name":"Acid reflux medicines","source":{"url":"https://my.clevelandclinic.org/health/diseases/8098-hiatal-hernia","host":"my.clevelandclinic.org","quote":"You might be able to manage mild acid reflux with medications.","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},"diagnostic":{"status":"not_applicable"},"country":{"why":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-11","next_check_at":"2027-02-09"},"travel":{"status":"ok","items":[{"id":"V1","item":"visa","audience":"uk","volatile":true,"text":"UK passport holders can visit Lithuania without a visa for up to 90 days in any 180-day period","source":{"url":"https://www.gov.uk/foreign-travel-advice/lithuania/entry-requirements","host":"gov.uk","quote":"You can travel without a visa to the Schengen area, which includes Lithuania, for up to 90 days in any 180-day period.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"passport_validity","audience":"uk","volatile":true,"text":"A UK passport must expire at least 3 months after the day you plan to leave the Schengen area","source":{"url":"https://www.gov.uk/foreign-travel-advice/lithuania/entry-requirements","host":"gov.uk","quote":"have an ‘expiry date’ at least 3 months after the day you plan to leave the Schengen area (the expiry date does not need to be within 10 years of the date of issue)","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V3","item":"passport_validity","audience":"us","volatile":true,"text":"A US passport should be valid for at least three months beyond the period of stay in Lithuania","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Lithuania.html","host":"travel.state.gov","quote":"Your passport should be valid for at least three months beyond the period of stay.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V4","item":"medicines","audience":"us","volatile":false,"text":"Carry prescription medication into Lithuania in its original packaging, together with your doctor's prescription","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Lithuania.html","host":"travel.state.gov","quote":"Always carry your prescription medication in original packaging with your doctor’s prescription.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V5","item":"ghic","audience":"uk","volatile":false,"text":"A UK GHIC or EHIC is needed to get medically necessary state healthcare in Lithuania","source":{"url":"https://www.gov.uk/foreign-travel-advice/lithuania/health","host":"gov.uk","quote":"To get medically necessary state healthcare in Lithuania, you need a Global Health Insurance Card ( GHIC ) or a European Health Insurance Card ( EHIC ).","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V6","item":"hospital_payment","audience":"all","volatile":false,"text":"Private hospitals in Lithuania expect payment upon admission","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Lithuania.html","host":"travel.state.gov","quote":"Payment is expected upon admission at private hospitals.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V7","item":"emergency_number","audience":"all","volatile":false,"text":"Dial 112 and ask for an ambulance in Lithuania","source":{"url":"https://www.gov.uk/foreign-travel-advice/lithuania/health","host":"gov.uk","quote":"Dial 112 and ask for an ambulance.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2026-12-11","version":1},"other_countries_with_page":["armenia","azerbaijan","colombia","egypt","germany","greece","india","israel","italy","mexico","poland","republic-of-korea","romania","spain","switzerland","thailand","turkey","united-states"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":4.7,"count":159,"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":{"status":"missing","reason":"not_collected"},"faq":{"status":"missing","reason":"not_collected"},"h2":[{"text":"How Much Does Hiatal hernia repair Cost in Lithuania?","kind":"content"},{"text":"Your Benefits and Guarantees with Bookimed","kind":"content"},{"text":"Your personal Bookimed medical coordinator","kind":"content"},{"text":"Discover the Best Hiatal hernia repair Clinics in Lithuania: 1 Verified Option and Prices","kind":"content"},{"text":"Hiatal hernia repair Overview in Lithuania","kind":"content"},{"text":"Video Stories from Bookimed Patients","kind":"ui"},{"text":"Share this content","kind":"ui"},{"text":"Fast Facts about Hiatal hernia repair","kind":"content"},{"text":"Get a free consultation","kind":"ui"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[]}