Dievo Surgery Center is a private multispecialty clinic in Kyiv with European Board of Urology accreditation. It focuses on urology, surgery, proctology, and plastic surgery. Over 4,000 patients from Europe, the US, and Australia come here each year.
Dievo Surgery Center is a private multispecialty clinic in Kyiv with European Board of Urology accreditation. It focuses on urology, surgery, proctology, and plastic surgery. Over 4,000 patients from Europe, the US, and Australia come here each year.
ADONIS Medical Group is a private women's health and fertility center in Kyiv, Ukraine. The group specializes in IVF, surrogacy, prenatal care, and operative gynecology. It also provides pediatric care and newborn diagnostics through its own maternity hospital. The clinic operates across 14 buildings with a team of over 900 employees. A key strength is its full-cycle system with an on-site embryo lab and cryobank.
The medical group has over 25 years of experience in reproductive health. More than 15,000 babies have been born through its programs. In 2020, the team performed over 1,300 cycles with a 56% cryoprotocol success rate. Dr. Maryna Sazonova leads the fertility center and has 24 years of experience. Families from 32 countries have traveled here for treatment.
Specialists use advanced diagnostic tools like CT scans, ultrasound, and X-ray imaging. The center also offers PGD NGS testing on a next-generation sequencing platform. International patients get support from a dedicated department with coordinators speaking 10 languages. This includes legal help and concierge-style coordination for surrogacy and donor programs.
","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":450,"price_to":700,"currency":"USD","id":31017},"diagnostic":{"id":524,"name":"Testicular Biopsy","alias":"testicular-biopsy"}}],"reviews":[],"clinic":{"id":1131,"alias":"adonis-medical-group-of-companies","name":"ADONIS Medical Group of Companies","short_description":"ADONIS Medical Group is a private women's health and fertility center in Kyiv, Ukraine. The group specializes in IVF, surrogacy, prenatal care, and operative gynecology. It also provides pediatric care and newborn diagnostics through its own maternity hospital. The clinic operates across 14 buildings with a team of over 900 employees. A key strength is its full-cycle system with an on-site embryo lab and cryobank.
The medical group has over 25 years of experience in reproductive health. More than 15,000 babies have been born through its programs. In 2020, the team performed over 1,300 cycles with a 56% cryoprotocol success rate. Dr. Maryna Sazonova leads the fertility center and has 24 years of experience. Families from 32 countries have traveled here for treatment.
Specialists use advanced diagnostic tools like CT scans, ultrasound, and X-ray imaging. The center also offers PGD NGS testing on a next-generation sequencing platform. International patients get support from a dedicated department with coordinators speaking 10 languages. This includes legal help and concierge-style coordination for surrogacy and donor programs.
","images":[{"base_url":"clinic/6a789e5ea644d","title":"Entrance to Meraki Health clinic with illuminated logo on wall"},{"base_url":"clinic/6a789e60712aa","title":"Reception desk at ADONIS Medical Group, modern minimalist clinic interior"},{"base_url":"clinic/6a789e6274644","title":"Reception area at Clínica Cuidarte with modern wood panel design"},{"base_url":"clinic/6a789e644598a","title":"Reception area at ADONIS Medical Group, Kyiv, modern interior with seating"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Ukraine","id":47,"alias":"ukraine","iso_code":"UA"},"city":{"name":"Kyiv","id":109,"alias":"kiev"},"address":"Dniprovska Embankment, 26К, Kyiv, Ukraine, 02132"},"rating":{"rating":4.7,"google":5,"percent_of_satisfied_clients":85},"statistics":{"number_of_reviews":41,"doctors_number":925},"accreditations":[],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Impuls Medical Center runs two multidisciplinary clinics in Kyiv with 25 doctors. Its core specialties are emergency care, diagnostics, neurology, and cardiology. Each clinic has its own lab and backup diesel generator for reliable power.
Impuls Medical Center runs two multidisciplinary clinics in Kyiv with 25 doctors. Its core specialties are emergency care, diagnostics, neurology, and cardiology. Each clinic has its own lab and backup diesel generator for reliable power.
Spizhenko Clinic is an oncology center in Kyiv, Ukraine. Over 70,000 patients from 32 countries have received care here. It provides full-cycle cancer treatment following NCCN protocols.
Spizhenko Clinic is an oncology center in Kyiv, Ukraine. Over 70,000 patients from 32 countries have received care here. It provides full-cycle cancer treatment following NCCN protocols.
Dobrobut Medical Network is an ISO-certified private healthcare network in Kyiv, Ukraine. It treats over 330,000 patients annually across 18 medical centers. Its main specialties are oncology, cardiac surgery, and orthopedics.
Dobrobut Medical Network is an ISO-certified private healthcare network in Kyiv, Ukraine. It treats over 330,000 patients annually across 18 medical centers. Its main specialties are oncology, cardiac surgery, and orthopedics.
Universal Clinic Oberig is a multidisciplinary hospital in Kyiv, Ukraine. It provides evidence-based care for adults and children. The clinic specializes in oncology, neurology, pediatrics, and transplantation. Its Center of Transplantation has performed over 220 organ transplants since 2020. Patient survival after these procedures exceeds 85%.
Founded in 2008, Oberig employs more than 160 doctors. The hospital has 148 beds and 6 modern operating rooms. It holds ESMO accreditation for its cancer services. Advanced Varian TrueBeam STX and Halcyon linear accelerators allow precise, bloodless stereotactic radiosurgery.
HEPA 14 filtration with 99.995% efficiency supports infection safety. The team joins international clinical trials for lung cancer and melanoma. Specialists also lead training through the clinic's own Medical Academy.
","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":8421,"alias":"universal-clinic-oberig","name":"Universal Clinic “Oberig”","short_description":"Universal Clinic Oberig is a multidisciplinary hospital in Kyiv, Ukraine. It provides evidence-based care for adults and children. The clinic specializes in oncology, neurology, pediatrics, and transplantation. Its Center of Transplantation has performed over 220 organ transplants since 2020. Patient survival after these procedures exceeds 85%.
Founded in 2008, Oberig employs more than 160 doctors. The hospital has 148 beds and 6 modern operating rooms. It holds ESMO accreditation for its cancer services. Advanced Varian TrueBeam STX and Halcyon linear accelerators allow precise, bloodless stereotactic radiosurgery.
HEPA 14 filtration with 99.995% efficiency supports infection safety. The team joins international clinical trials for lung cancer and melanoma. Specialists also lead training through the clinic's own Medical Academy.
","images":[{"base_url":"clinic/6a85b8f1c2610","title":"Main entrance of Universal Clinic Oberig in Kyiv, modern medical facility exterior"},{"base_url":"clinic/6a85b8f379b5a","title":"Modern exterior of Universal Clinic Oberig in Kyiv, Ukraine"},{"base_url":"clinic/6a85b8f53961d","title":"Modern exterior of Universal Clinic Oberig in Kyiv, Ukraine"},{"base_url":"clinic/6a85b8f6a92f9","title":"Waiting area hallway at Universal Clinic Oberig, Kyiv with chairs and framed art"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Ukraine","id":47,"alias":"ukraine","iso_code":"UA"},"city":{"name":"Kyiv","id":109,"alias":"kiev"},"address":"Building “V” and “G”, Zoolohichna St, 3, Kyiv, Ukraine, 03057"},"rating":{"rating":4,"google":4,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":8,"year_foundation":2008},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d1129badf6c5.jpeg","name":"European Society for Medical Oncology","country_code":"CH"}],"agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":6,"total_pages":1}},"clinicsMeta":{"total_count":6,"total_pages":1},"clinicsCount":6,"clinicsCountByEntity":{"clinic_count":77},"doctors":{"doctors":[{"card_text":"Specializes in laparoscopic rectal resection – a minimally invasive approach that typically means faster recovery and less pain.
Dr. Abu Shamsiya Rami Nuamanovych is a surgical oncologist and gastrointestinal specialist at Dievo Surgery Center. He serves as a consultant for the World Health Organization regarding laparoscopic procedures. Dr. Nuamanovych has performed thousands of surgeries, including bariatric and complex cancer operations. He is the President of the Association of Arab Doctors of Ukraine.
Dievo Surgery Center is a private multispecialty clinic in Kyiv with European Board of Urology accreditation. It focuses on urology, surgery, proctology, and plastic surgery. Over 4,000 patients from Europe, the US, and Australia come here each year.
\n\tRectal cancer management depends on the extent of tumor, its stage and proximity to the anus. In most cases, surgeons preserve patient’s quality of life and ability to carry out self-care. The success rate of tumor treatment in early stages is up to 98%.\n
\n\n \n \t\n\n\t\n\tPhysicians utilize the following diagnostic methods to determine tumor size, its location and metastatic spread:\n
\n\n\tThere are following indications for rectal tumor surgery:\n
\nContraindications for the operation include:\n
\n\n\tSurgery is the main and the most effective tumor treatment option. The type of preferred operation depends on tumor localization and its size.\n
\nDay 1 - Arrival
\nDay 2 - Pre-Operation
\nDay 3 - Rectal Resection
\nDay 4-10 - Post-Operation
\nWeek 2-6 - Rehabilitation
\nWeek 7 onwards
\nPlease note that the timeline may vary depending on individual patient circumstances, and the recovery process can be different for each person.
"},"overview":{"text":"This procedure involves the surgical removal of a portion of the rectum, typically to treat rectal cancer or other rectal diseases.
This operation eliminates malignant colon growths, improving quality of life and preventing metastasis.
"},"331":{"operation":{"name":"Total robotic mesorectumectomy","alias":"robotic-total-mezorektumektomiya","use_for_listing":true},"country_price":{"UA":{"amount":6500,"max_amount":9500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"US":{"amount":55000,"max_amount":78000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":9500,"max_amount":15000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":12000,"max_amount":17500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":21000,"max_amount":31000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":15500,"max_amount":22000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"UA":false,"US":false,"TR":false,"TH":false,"AT":false,"ES":false},"description":"The operation is a robot-assisted removal of the rectum, enhancing accuracy, reducing trauma and speeding patient recovery.
"},"411":{"operation":{"name":"Photocoagulation","alias":"photocoagulation","use_for_listing":true},"country_price":{"UA":{"amount":130,"max_amount":280,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"US":{"amount":1200,"max_amount":2800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":300,"max_amount":450,"currency":"USD","clinic_count":4,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":450,"max_amount":700,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":450,"max_amount":900,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":280,"max_amount":600,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"UA":false,"US":false,"TR":true,"TH":false,"AT":false,"ES":false},"description":"This therapy uses heat from light to shrink or seal blood vessels, often curing conditions like retinal detachment.
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"},"454":{"operation":{"name":"Rectal resection","alias":"rectal-resection","use_for_listing":true},"country_price":{"UA":{"amount":4000,"max_amount":6500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"US":{"amount":55000,"max_amount":85000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":7000,"max_amount":28100,"currency":"USD","clinic_count":7,"price_kind":"from_range","price_source":"mixed","scope":"country"},"TH":{"amount":9000,"max_amount":14500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":17500,"max_amount":27500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":17700,"max_amount":22500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"offer","scope":"country"}},"available_clinics":{"UA":true,"FR":false,"GB":false,"US":false,"IL":false,"TR":true,"MX":false,"DE":true,"CA":false,"AE":false,"TH":false,"PL":false,"KR":true,"CZ":true,"AT":false,"ES":true,"IT":true,"CN":false,"AU":false,"IN":false,"MY":false,"VN":false,"BR":false,"EG":true,"RO":true},"description":"The procedure removes a part of the rectum to treat conditions like cancer, ensuring a higher survival rate.
"},"493":{"operation":{"name":"Laparoscopic mesorectumrctonomy","alias":"laparoscopic-mesorectumrctonomy","use_for_listing":true},"country_price":{"UA":{"amount":4500,"max_amount":6000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"US":{"amount":55000,"max_amount":82000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":37900,"max_amount":0,"currency":"USD","clinic_count":2,"price_kind":"from","price_source":"offer","scope":"country"},"TH":{"amount":9500,"max_amount":15000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":17500,"max_amount":25500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":18800,"max_amount":21000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"UA":true,"US":false,"TR":true,"TH":false,"AT":false,"ES":true},"description":"The operation involves minimally invasive surgery to remove the rectum, typically for rectal cancer; offers quick recovery and less pain.
"},"1011":{"operation":{"name":"Hemicolectomy","alias":"hemicolectomy","use_for_listing":true},"country_price":{"UA":{"amount":3200,"max_amount":5500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"US":{"amount":42000,"max_amount":68000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":14000,"max_amount":20000,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":9500,"max_amount":13000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":14500,"max_amount":23000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":9100,"max_amount":18500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"offer","scope":"country"}},"available_clinics":{"UA":false,"US":false,"TR":true,"TH":false,"AT":false,"ES":true},"description":"This operation removes half the colon to treat colorectal diseases, aiding patient recovery and minimizing future risks.
"}}},"cityPrices":{"operation_prices":{"454":{"operation":{"id":454,"name":"Rectal resection","alias":"rectal-resection"},"city_price":[{"amount":4000,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"city","city":{"id":109,"name":"Kyiv","alias":"kiev","profile":{"city_id":109,"city_type":"Capital and largest city of Ukraine","access":["No flights to Kyiv; travel overland from Poland"],"sources":["https://en.wikipedia.org/wiki/Kyiv","https://visitkyiv.com/visitor-essentials/how-to-get-from-poland-to-kyiv/"],"status":"ok","checked_at":"2026-11-03"}}},{"amount":4200,"max_amount":8100,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"city","city":{"id":1777,"name":"Odesa","alias":"odessa","profile":{"city_id":1777,"city_type":"Major Black Sea seaport of Ukraine","access":["Chișinău Airport (KIV), Moldova, about 4 hours from Odesa"],"sources":["https://en.wikipedia.org/wiki/Odesa","https://unn.ua/en/amp/it-will-take-4-hours-to-get-to-chisinau-and-40-minutes-to-pass-the-checkpoint-air-transfer-will-be-launched-in-odesa-region-next-week"],"status":"ok","checked_at":"2026-11-03"}}}]}}},"videoReviews":[{"id":"b8c75ace-4f1f-46d8-9887-d9e0b74bfdb6","link":"https://player.vimeo.com/video/1096293607?badge=0&autopause=0&player_id=0&app_id=58479","description":"My companion and I were treated with such kindness — I have nothing but admiration for the entire team.","userName":"Amanda","user_name":"Amanda","preview":"https://i.vimeocdn.com/video/2030326588-92c5121ee6fb5bedb09b0cf12abe66667acab73d0dea713b5168e6353daa6b76-d?mw=600&mh=1067&q=70","updated_at":"2025-06-26T10:47:55.613+00:00","clinicName":"Lokman Hekim Istanbul Hospital","clinic":{"name":"Lokman Hekim Istanbul Hospital","alias":"lokman-hekim-istanbul"},"clinicUrl":"/clinic/lokman-hekim-istanbul/","relations":{"operations":[{"name":"Mastectomy","alias":"mastectomy"},{"name":"Sarcoma surgery","alias":"removal-of-ewing-s-sarcoma"}]}},{"id":"b7a1e6f5-3dff-4271-a473-718866134d6d","link":"https://player.vimeo.com/video/1096286146?badge=0&autopause=0&player_id=0&app_id=58479","description":"Stay strong, stay informed, and never underestimate the power of cutting-edge treatments and a solid support system.","userName":"Randolph","user_name":"Randolph","preview":"https://i.vimeocdn.com/video/2030316574-2e75554b099788479c44c329a4e0921804438f5ec01b95cf5caf584c386aeb01-d?mw=600&mh=1067&q=70","updated_at":"2025-06-26T11:53:30.932+00:00","clinicName":"Confraternitaet & Goldenes Kreuz Private Clinic","clinic":{"name":"Confraternitaet & Goldenes Kreuz Private Clinic","alias":"private-clinic-confraternitat-josefstadt"},"clinicUrl":"/clinic/private-clinic-confraternitat-josefstadt/","relations":{"operations":[{"name":"Radioembolization for liver cancer ","alias":"radioembolization-for-liver-cancer"},{"name":"Radiofrequency ablation","alias":"radiofrequency-ablation"}]}}],"hasVideoReviewsByContext":true,"externalReviews":[{"id":"68f3e3e81e946bc8760e6c1b","source":"google","clinic_id":1591},{"id":"68f3e3eea1ec9be6ca0b991f","source":"google","clinic_id":1591},{"id":"68f3e3f09c26ceb15303600b","source":"google","clinic_id":1591},{"id":"68f3e3f51e946bc8760e6c1c","source":"google","clinic_id":1591},{"id":"68f3e4059c26ceb15303600c","source":"google","clinic_id":1591}],"responsibleDoctor":{"id":290,"alias":"yesim-yildirim","name":"Yesim Yildirim","photo":"doctor/699da18e34fa6","advisory_text":"20 years of experience\nMedical oncologist, ESMO certified","advisoryText":"20 years of experience\nMedical oncologist, ESMO certified","specialities":[{"id":"onc.001","name":"Clinical oncologist","illness_kind_id":10}]},"updatedAt":"2026-11-11T08:11:04.000Z","activeCountries":["UA","TR","AT","ES","TH"],"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":7,"days_in_country":14,"rehabilitation_days":30,"satisfied_percent":78,"treatment_duration_hours":4},"illness_kind_details":{"requests_processed":46119}},"direction":{"id":10,"name":"Oncology","alias":"oncology","name_forms":{"base_form":"Oncology","form_4":"oncologist","form_6":"oncologists","form_11":"oncologists"}},"illness_kind":{"id":10,"name":{"en":"Oncology"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":28,"max":60,"unit":"days","qualifier":"Typical for desk work after uncomplicated rectal resection; physical jobs take longer. Varies with surgical approach and stoma."},"complication_rate_pct":{"min":25,"max":45,"unit":"percent","qualifier":"Any postoperative complication within 30-90 days; anastomotic leak about 5-15%, serious complications fewer."},"contraindications":["Unfit for anesthesia or major surgery due to severe comorbidity","Unresectable or widely metastatic disease with no resection benefit","Uncorrected coagulopathy or active uncontrolled sepsis, unless surgery is urgent"],"days_in_clinic":{"min":4,"max":7,"unit":"nights","qualifier":"Typical with enhanced recovery; longer with open surgery or complications."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":6,"max":12,"unit":"weeks","qualifier":"Light walking early; gradually resume strenuous exercise and heavy lifting after surgeon clearance, especially with incision or stoma."},"final_result_months":{"min":3,"max":12,"unit":"months","qualifier":"Bowel function adaptation (e.g., low anterior resection syndrome) often improves over months; any stoma reversal is a separate later procedure."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"After discharge and surgeon clearance; longer with open surgery, stoma, complications, or thrombosis risk. Long-haul flights need clearance."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":10,"max":21,"unit":"days","qualifier":"First postoperative review after surgery; often done remotely."}},{"purpose":"result_review","requirement":"routine","after":{"min":14,"max":42,"unit":"days","qualifier":"Review of histopathology and decision on further oncological treatment, if the indication was cancer."}},{"purpose":"assessment","requirement":"routine","after":{"min":60,"max":120,"unit":"days","qualifier":"Functional and recovery assessment; later surveillance depends on diagnosis."}}],"indications":["Rectal cancer, particularly when resectable","Large rectal polyps or tumors not suitable for endoscopic removal","Rectal prolapse (in selected patients)","Selected inflammatory bowel or diverticular disease involving rectum or rectosigmoid","Severe radiation injury, stricture or fistula in selected cases"],"main_risks":["Anastomotic leak","Infection (wound, pelvic abscess)","Bleeding","Bowel dysfunction (low anterior resection syndrome)","Urinary and sexual dysfunction from pelvic nerve injury","Temporary or permanent stoma","Venous thromboembolism","Postoperative ileus or bowel obstruction","Incisional hernia","Adhesions and anesthesia-related risks"],"pain":"Moderate to significant pain in the first days, managed with multimodal analgesia (often epidural or regional blocks plus oral medication); typically settles over 1–3 weeks.","preparation":["Preoperative staging and fitness assessment (imaging, colonoscopy, labs, anesthetic review)","Multidisciplinary team discussion when cancer is the indication","Stoma counselling and site marking","Bowel preparation and fasting before surgery","Smoking cessation and nutrition optimization","Individual instructions on regular medications from surgical team"],"recovery_timeline":[{"phase":"Hospital stay (days 0–7)","description":"Early mobilization, gradual diet resumption, pain control, return of bowel function, stoma teaching if present.","restrictions":["No heavy lifting","Follow staged diet advice"]},{"phase":"Early home recovery (weeks 1–4)","description":"Increasing walking, fatigue gradually improving, bowel habits adjusting. Report fever, wound problems or worsening abdominal pain promptly.","restrictions":["Avoid heavy lifting and straining"]},{"phase":"Return to work and normal activity (weeks 4–12)","description":"Gradual return to work and exercise; bowel function continues to adapt.","restrictions":["No heavy lifting until surgeon clearance","Strenuous exercise only after surgeon clearance"]}],"rehabilitation_days":{"min":28,"max":60,"unit":"days","qualifier":"Ordinary functional recovery for daily activities after uncomplicated resection; full bowel-function adaptation takes longer."},"result_longevity":"Removal of the diseased rectum is permanent. Long-term outcome depends on diagnosis and stage; for cancer, oncological surveillance continues for about 5 years. Bowel function usually stabilizes within 3-12 months.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Unplanned reoperation within 30-90 days, mainly for anastomotic leak, bleeding or obstruction; excludes planned stoma reversal."},"scars":"Several small port scars with laparoscopic or robotic approach plus a small extraction incision; a longer midline incision with open surgery; a stoma site if a stoma is created.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for uncomplicated resection with primary anastomosis."},"stages":[{"code":"resection","label":"Rectal resection with reconstruction (anastomosis) or end stoma","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery."}}],"qualifier":"Staged stoma reversal or neoadjuvant therapy are separate treatments and not included."},"success":{"metric":"Local recurrence-free survival after curative rectal cancer resection","value":95,"unit":"percent","horizon":"5 years","population":"Adults with resectable stage I-III rectal cancer undergoing total mesorectal excision","evidence_status":"limited"},"techniques":[{"name":"Anterior resection (high or low) with total or partial mesorectal excision","suits_whom":"Most rectal tumors where the sphincter can be preserved","recovery":"Hospital stay about 4–7 days; possible temporary diverting stoma."},{"name":"Abdominoperineal resection","suits_whom":"Very low tumors involving the sphincter complex","recovery":"Permanent end colostomy; perineal wound healing may extend recovery."},{"name":"Laparoscopic or robotic approach","suits_whom":"Selected patients with suitable anatomy and surgeon expertise","recovery":"Often shorter hospital stay and quicker early recovery than open surgery."},{"name":"Open resection","suits_whom":"Complex, bulky or previously operated cases","recovery":"Longer incision and typically somewhat longer recovery."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":3,"max":6,"unit":"hours","qualifier":"Operating time for uncomplicated elective rectal resection; varies with approach and complexity."},"initial_assessment_documents":["Colonoscopy report with biopsy histology","Pelvic MRI report and images","CT chest and abdomen report","CEA blood test result","Recent blood tests and ECG","Previous abdominal surgery operative reports (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single operation; stay 7-14 days including hospital stay and discharge clearance. Follow-up usually done at home; stoma reversal is separate."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Understand the possible complications and side effects of the treatment before booking","scope":"treatment_type","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Get a second opinion from a doctor before deciding on the treatment","scope":"treatment_type","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"A doctor can give you a valuable second opinion as well as advice about treatment options and whether it's necessary.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check the qualifications of the medical team treating you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check that you can ask the team questions about your treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Check the facilities and standards at the clinic or hospital where you will be treated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Confirm how your aftercare will be coordinated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","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":"A hard sell for treatment abroad is a warning sign","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"A lack of information about the treatment is a warning sign","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"Pressure to make a quick decision is a warning sign","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F4","text":"No discussion of possible complications is a warning sign","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of 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surgery.","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=ukraine/city=kiev/procedure=rezekcia-pramoj-kiski/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"offersBlock":{},"illnessesByOperation":[{"id":416,"alias":"rectal-cancer","name":"Rectal cancer"}],"rendersOffersList":false,"fewClinics":false,"topCountriesCount":0}