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discomfort.","restrictions":["Do not drive or sign legal documents for 24 hours","Arrange an adult to accompany you home"]},{"phase":"Days 1 to 7","description":"Discomfort eases; most return to light daily activities and desk work.","restrictions":["Avoid lifting heavy loads for about one week"]},{"phase":"Weeks 2 to 4","description":"Full activity and exercise resume; scars settle over months.","restrictions":["Avoid strenuous exercise until about two weeks"]}],"rehabilitation_days":null,"result_longevity":"Findings reflect the inspection date; any diagnosed condition needs separate management.","revision_rate_pct":null,"scars":"Two to three small port-site scars, about 5–12 mm, fading over months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single procedure"},"stages":[{"code":"laparoscopy","label":"Laparoscopic inspection with optional biopsy","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery"}}],"qualifier":"Single-stage procedure; results discussed at follow-up."},"success":{"metric":"Definitive diagnosis established at surgery","value":70,"unit":"percent","horizon":"At time of procedure","population":"Adults with unexplained abdominal or pelvic pain or suspected peritoneal disease","evidence_status":"limited"},"techniques":[{"name":"Standard multi-port laparoscopy under general anaesthesia","suits_whom":"Most adults needing direct visual inspection of the abdominal or pelvic cavity, with biopsy if required.","recovery":"Usually discharged the same day."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":3,"max":5,"unit":"hours","qualifier":"Includes admission, surgery and recovery; operation itself 20–60 minutes."},"initial_assessment_documents":["Abdominal or pelvic ultrasound report","CT or MRI abdomen report","Recent blood test results","Previous surgery operative reports","List of blood thinners","Referral letter stating suspected diagnosis"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage day-case surgery; stay 2-4 days including pre-op tests and follow-up; biopsy results can be sent remotely."},"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":"Expect two consultations with the treating surgeon before any surgery, which also gives you time to 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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":"Chest pain","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/laparoscopy/","host":"nhs.uk","quote":"you have pain in your chest","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Very fast heartbeat","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/laparoscopy/","host":"nhs.uk","quote":"you have a very fast heartbeat","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Heavy vaginal discharge or bleeding","urgency":"contact_clinic","general":false,"source":{"url":"https://www.cht.nhs.uk/fileadmin/site_setup/contentUploads/Services/Clinical/Gynaecology/Documents/OG06-English-Normal.pdf","host":"cht.nhs.uk","quote":"A heavy discharge or bleeding from your vagina.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"W4","text":"Increasing abdominal swelling","urgency":"contact_clinic","general":false,"source":{"url":"https://www.cht.nhs.uk/fileadmin/site_setup/contentUploads/Services/Clinical/Gynaecology/Documents/OG06-English-Normal.pdf","host":"cht.nhs.uk","quote":"Swelling of your abdomen.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"W5","text":"Shortness of breath or feeling faint","urgency":"emergency","general":false,"source":{"url":"https://www.cht.nhs.uk/fileadmin/site_setup/contentUploads/Services/Clinical/Gynaecology/Documents/OG06-English-Normal.pdf","host":"cht.nhs.uk","quote":"Dizziness, feeling faint or shortness of breath.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Lets doctors see treatment details when you call a GP after discharge","document":"discharge summary","source":{"url":"https://www.cuh.nhs.uk/patient-information/diagnostic-laparoscopy/","host":"cuh.nhs.uk","quote":"If, in the first few weeks after your discharge, you need to call your GP for any reason or to attend another hospital, please take this summary with you to allow the doctors to see details of your treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","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":"Your chronic pelvic pain is being investigated before surgery is considered","name":"Pelvic ultrasound","source":{"url":"https://evidence.nihr.ac.uk/alert/mri-scan-does-not-help-to-find-the-cause-of-pelvic-pain-in-women/","host":"evidence.nihr.ac.uk","quote":"The majority of diagnoses in chronic pelvic pain are still provided by medical history, examination and ultrasound.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"standard-multi-port","name":"Standard multi-port laparoscopy under general anaesthesia","how_it_works":{"text":"A camera tube shows the inside of the tummy on 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