Hospital Ruber Internacional is a JCI-accredited private hospital in Madrid, Spain. Ranked among Spain's top 6 hospitals by Forbes. Specializes in neurosurgery, orthopedics, and cardiology.
Hospital Ruber Internacional is a JCI-accredited private hospital in Madrid, Spain. Ranked among Spain's top 6 hospitals by Forbes. Specializes in neurosurgery, orthopedics, and cardiology.
Atlas University Hospital has extensive experience in complex neurosurgical procedures including Neurorrhaphy. The procedure may cost between $6,000 and $13,000. The hospital treats over 565,000 patients annually from 160 countries and maintains high success rates across surgical specialties.
","text_type":"mt_wow_description","best_texts":{"why_its_ranked":"Neurosurgery team of professors and associate professors specializes in nerve repair. Estimated cost $4,000–$15,000."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":4000,"price_to":15000,"currency":"USD","id":44887},"operation":{"id":885,"name":"Neurorrhaphy","alias":"neurorrhaphy"}},{"prices":{"price_from":56,"price_to":270,"currency":"USD","id":44866},"diagnostic":{"id":37,"name":"Ultrasound","alias":"u.s."}}],"reviews":[],"clinic":{"id":5926,"alias":"atlas-university-medicine-hospital","name":"Atlas University Hospital","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/5926-6ac3a2cf310b4.png","short_description":"Atlas University Hospital treats 565,000 patients each year. Success rates reach 99% for hip and knee replacements. It has 25 years of experience in neurosurgery, orthopedics, dental, and plastic surgery.
Fizyomer Terapia is a private multi-specialty center in Eskisehir with 24 years of experience. Its intensive rehab programs achieve a 98% success rate for cerebral palsy, stroke, and spinal cord injuries. Core specialties also include neurology, dental treatment, and aesthetic medicine.
Fizyomer Terapia is a private multi-specialty center in Eskisehir with 24 years of experience. Its intensive rehab programs achieve a 98% success rate for cerebral palsy, stroke, and spinal cord injuries. Core specialties also include neurology, dental treatment, and aesthetic medicine.
Helios Barmen performs microscope-assisted direct nerve sutures to preserve function after fresh injuries. The clinic uses precise operating microscopes for these delicate repairs. The Helios network treats over 5,000,000 patients annually and has tracked quality for over 25 years. Many locations serve as academic teaching hospitals for German universities. The medical team focuses on early treatment, as spontaneous recovery becomes unlikely after six months. Dedicated international coordinators help patients manage the process in English.
","text_type":"mt_wow_description","best_texts":{"techniques":"Microscope-assisted direct nerve suture","why_its_ranked":"Microscope-assisted direct nerve suture with precise operating microscopes preserves function after fresh nerve injuries. Early treatment is emphasized."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":221.8945889198381,"price_to":443.7891778396762,"currency":"USD","id":56468},"diagnostic":{"id":37,"name":"Ultrasound","alias":"u.s."}},{"prices":{"price_from":1109.4729445991904,"price_to":1109.4729445991904,"currency":"USD","id":56471},"diagnostic":{"id":455,"name":"Brain MRI","alias":"brain-mri"}}],"reviews":[],"clinic":{"id":7769,"alias":"helios-universitaetsklinikum-wuppertal","name":"Helios Gesundheit","short_description":"Helios Gesundheit is a multispecialty hospital network across Germany. Key departments include cardiology, gastroenterology, oncology, and orthopedics. The group also offers specialized pediatric care and maternity services. The network treats around 5.5 million people each year. About 78,000 employees support these clinical operations. Several locations are teaching hospitals for the University of Witten-Herdecke.
The network holds many certifications from the German Society of Cardiology. These include recognitions for Chest Pain Units and Heart Failure Units. Specialized centers are also certified for hernia surgery and trauma care. Oncology departments include DKG-certified centers for breast and skin cancer. Clinics use advanced technology like the Da Vinci robotic system. Specialized teams also perform custom-made shoulder joint replacements for complex cases.
","images":[{"base_url":"clinic/6ac8a229ace62","title":"Helios Klinik Rottweil main entrance, modern brick medical facility in Germany"},{"base_url":"clinic/6ac8a22b7b107","title":"Modern glass facade of Helios Klinikum Krefeld hospital in Germany"},{"base_url":"clinic/6ac8a22d81c1d","title":"Helios Klinik Wesermarsch exterior view in Germany with modern building and flags"},{"base_url":"clinic/6ac8a22f88955","title":"Helios Klinik Wesermarsch modern clinic building in Germany"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Germany","id":22,"alias":"germany","iso_code":"DE"},"city":{"name":"Wuppertal","id":2687,"alias":"wuppertal"},"address":"Heusnerstraße 40, 42283 Barmen, Germany"},"rating":{"rating":0,"google":3.4,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":51},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/614dbaf74d46e.jpeg","name":"International Accreditation System for Interventional Oncology Services (IASIOS)"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db9832f9d8cf.jpeg","name":"German Cancer Society","country_code":"DE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6841934325139.jpeg","name":"ISO 9001:2015 Quality management systems"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88caba297f8.jpeg","name":"Fellow, American College of Surgeons","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Carolina Hospital is a private medical center in Warsaw, Poland, and a FIFA Medical Centre of Excellence. Its strongest specialties are orthopedics, neurosurgery, urology, and otorhinolaryngology. The hospital is the long-term medical partner of the Polish Olympic Committee and the Polish National Ballet.
Carolina Hospital is a private medical center in Warsaw, Poland, and a FIFA Medical Centre of Excellence. Its strongest specialties are orthopedics, neurosurgery, urology, and otorhinolaryngology. The hospital is the long-term medical partner of the Polish Olympic Committee and the Polish National Ballet.
Prof. Dr. Mehmet Aydogan brings _doctor_2827_years_ of spine surgery experience with 10,000+ procedures performed. The $27,000 neurorrhaphy package typically covers surgery, 7 nights hospitalization, pre-op tests, medications, and transfers. As a Eurospine-certified Surgical Spine Centre of Excellence, Emsey Hospital offers JCI-accredited care with international patient services. Prof. Aydogan holds memberships in North American and European Spine Societies.
Emsey Hospital is a multi-specialty medical center on the Asian side of Istanbul. It is the first hospital to receive the International Health Tourism Authorization Certificate (001) from the Turkish Ministry of Health. The hospital is especially known for orthopedics, spine surgery, bone marrow transplantation, and oncology.
Estophia Hospital is a private clinic in Istanbul with 87 doctors across 28 departments. Orthopedics, urology, aesthetic medicine, and weight loss surgery are its strongest areas.
Estophia Hospital is a private clinic in Istanbul with 87 doctors across 28 departments. Orthopedics, urology, aesthetic medicine, and weight loss surgery are its strongest areas.
Hermes Clinics is a doctor-founded healthcare center in Istanbul, Turkey. It specializes in bariatric surgery, plastic surgery, and dental care. A team of physicians founded the clinic in 2019. The medical team has coordinated care for over 30,000 patients. Treatment is provided through licensed partner hospitals and clinics across Istanbul.
Weight-loss services include gastric sleeve, bypass, and balloon procedures. Dental patients receive full-mouth restorations such as All-on-4 and All-on-6 implants. The clinic holds ISO 9001 certification for its international processes. Oncology care includes stereotactic radiosurgery with Gamma Knife and CyberKnife. Patients also get lifelong aftercare support after weight-loss surgery.
","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":1169,"alias":"hermes-clinics","name":"Hermes Clinics (Hermes Clinics A.Ş.)","short_description":"Hermes Clinics is a doctor-founded healthcare center in Istanbul, Turkey. It specializes in bariatric surgery, plastic surgery, and dental care. A team of physicians founded the clinic in 2019. The medical team has coordinated care for over 30,000 patients. Treatment is provided through licensed partner hospitals and clinics across Istanbul.
Weight-loss services include gastric sleeve, bypass, and balloon procedures. Dental patients receive full-mouth restorations such as All-on-4 and All-on-6 implants. The clinic holds ISO 9001 certification for its international processes. Oncology care includes stereotactic radiosurgery with Gamma Knife and CyberKnife. Patients also get lifelong aftercare support after weight-loss surgery.
","images":[{"base_url":"clinic/6a78a873f2c62","title":"Modern waiting area at Hermes Clinics with comfortable seating and decor"},{"base_url":"clinic/6a78a875d529d","title":"Patient room at Hermes Clinics with hospital bed, TV, and modern furnishings"},{"base_url":"clinic/6a78a87791497","title":"Modern clinic lobby at Hermes Clinics with grand piano and stylish decor"},{"base_url":"clinic/6a78a87971c3a","title":"Modern glass facade of Medical Park clinic in Istanbul, Turkey"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Turkey","id":46,"alias":"turkey","iso_code":"TR"},"city":{"name":"Ankara","id":386,"alias":"ankara"},"address":"FOLKART TIME, Kazım Dirik Mah Ankara Cad. 296 Sok. No:8 1.Blok K:3 Daire:306, 35080 Bornova/İzmir, Türkiye"},"rating":{"rating":4.5,"google":4.3,"percent_of_satisfied_clients":85},"statistics":{"number_of_reviews":20,"doctors_number":1,"year_foundation":2019},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Biruni University Hospital is a TEMOS-accredited university hospital with 134 doctors across 70 departments. It opened in 2016 and treats both adults and children. Its core specialties are neurosurgery, cardiology, oncology, and hematology oncology.
Biruni University Hospital is a TEMOS-accredited university hospital with 134 doctors across 70 departments. It opened in 2016 and treats both adults and children. Its core specialties are neurosurgery, cardiology, oncology, and hematology oncology.
Asan Medical Center is South Korea's largest multidisciplinary hospital, handling 11,800 daily outpatient visits. Its neurosurgery department specializes in complex nerve repair procedures. The center performs nearly half of South Korea's organ transplants with a 90% success rate.
","text_type":"mt_wow_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":100,"price_to":200,"currency":"USD","id":17880},"diagnostic":{"id":130,"name":"Consultation with a neurologist","alias":"consultation-neurologist"}}],"reviews":[],"clinic":{"id":413,"alias":"asan-medical-center","name":"Asan Medical Center","short_description":"Asan Medical Center is South Korea's largest multidisciplinary hospital, recognized by Newsweek's World's Best Hospitals list. It leads in organ transplant, oncology, cardiology, and cardiac surgery. ISO-certified and KOIHA-accredited, it has Korea's highest number of organ transplants per KONOS data.
With 28 years in neurosurgery and a focus on pediatric and tumor cases, Assist. Prof. Boran operates at the JCI-accredited Hisar Hospital. Diagnostics start from $50 for a blood count, with a CT brain scan around $280–$550. An endoscopic arachnoid cyst fenestration package costs around $15,500, covering the surgery, 4 nights hospital plus 1 night ICU, all imaging, and airport transfers.
","text_type":"mt_wow_description","best_texts":{"techniques":"Gamma Knife, endoscopic arachnoid cyst fenestration, cranioplasty surgery","good_fit_for":"Complex or recurrent brain cysts","why_its_ranked":"JCI-accredited neurosurgery department with Gamma Knife technology and endoscopic techniques. Offers comprehensive treatment packages including preoperative imaging and ICU care."},"additional_data":{"advertising_id":"426:illness_kind:2"},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":9500,"price_to":14000,"currency":"USD","id":14895},"operation":{"id":101,"name":"Brain tumor removal","alias":"removal-of-the-brain-tumor"}},{"prices":{"price_from":700,"price_to":700,"currency":"USD","id":17582},"diagnostic":{"id":287,"name":"Brain MRI with contrast","alias":"mri-of-the-brain-with-contrast-medium"}},{"prices":{"price_from":160,"price_to":160,"currency":"USD","id":16454},"diagnostic":{"id":182,"name":"Consultation with an ophthalmologist","alias":"consultation-ophthalmologist"}}],"reviews":[],"clinic":{"id":426,"alias":"hisar-intercontinental-hospital","name":"Hisar Hospital Intercontinental","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/426-6abe204028557.png","short_description":"Hisar Hospital Intercontinental is a JCI-accredited multi-specialty hospital in Istanbul. It treats 250,000 patients each year. Its core specialties are oncology, hematology, cardiovascular surgery, orthopedics, and bariatric surgery.
Dr. Tural Rajabov treats brain cysts at this JCI-accredited facility, which operates as part of the Turkish Liv Hospital network. He is a member of the North American Skull Base Society and the European Association of Neurosurgical Societies. A neurosurgeon consultation costs around $100. Diagnostic options include ultrasound for $100 and brain MRI with contrast for around $300. Surgical treatment typically runs $15,000–$20,000. The hospital provides international patient support, including translation services and billing assistance, across its seven-floor specialized center.
","text_type":"mt_wow_description","best_texts":{"good_fit_for":"Children with brain cysts","why_its_ranked":"On-site brain ultrasound and MRI with contrast for cyst evaluation. JCI-accredited hospital with neurosurgeons who are members of NASBS and EANS."},"additional_data":{"advertising_id":"3325:illness_kind:2"},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":15000,"price_to":20000,"currency":"USD","id":52492},"operation":{"id":729,"name":"Brain tumor surgery","alias":"brain-tumor-surgery"}},{"prices":{"price_from":460,"price_to":460,"currency":"USD","id":50114},"diagnostic":{"id":287,"name":"Brain MRI with contrast","alias":"mri-of-the-brain-with-contrast-medium"}},{"prices":{"price_from":100,"price_to":100,"currency":"USD","id":50113},"diagnostic":{"id":42,"name":"Consultation with a neurosurgeon","alias":"consultation-neurosurgeon"}}],"reviews":[],"clinic":{"id":3325,"alias":"liv-bona-dea-hospital-baku","name":"Liv Bona Dea Hospital Baku","short_description":"Liv Bona Dea Hospital Baku is a JCI-accredited hospital with 100% compliance. It is part of the Turkish Liv Hospital brand. The hospital specializes in heart surgery, plastic surgery, transplantology, and medical check-ups.
Dr. Melih Ucer specializes in neurosurgery with advanced training from the University of Wisconsin and extensive experience in complex nerve repair.
Dr. Melih Ucer is a neurosurgeon and associate professor at Biruni University Hospital in Istanbul. He served as a visiting scholar at the University of Wisconsin Clinic of Neurosurgery. Dr. Ucer specializes in complex brain and spine surgeries. He treats conditions like spinal stenosis, brain tumors, and cerebral aneurysms.
Biruni University Hospital is a TEMOS-accredited university hospital with 134 doctors across 70 departments. It opened in 2016 and treats both adults and children. Its core specialties are neurosurgery, cardiology, oncology, and hematology oncology.
Dr. Mehmet Aydogan is a professor and orthopedic spine surgeon at Emsey Hospital. He specializes in treating complex spinal deformities in both children and adults. Dr. Aydogan completed an international fellowship at the UCLA Comprehensive Spine Center in the US. He treats cases of scoliosis using non-fusion techniques to preserve spinal mobility.
Bookimed is a pediatric medical center in Turkey that treats 20,000 children each year. Its core specialties are neurosurgery, orthopedics, and cardiology.
The procedure reconnects severed nerves to restore body function, using a microsurgical technique, and promotes fast healing.
"},"1074":{"operation":{"name":"Surgery for Klumpke's palsy","alias":"surgery-for-klumpke-s-palsy","use_for_listing":true},"country_price":{"US":{"amount":45000,"max_amount":80000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":19600,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"},"TH":{"amount":7500,"max_amount":11000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":14500,"max_amount":22500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":27700,"max_amount":33300,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":true},"description":"This operation restores arm function in Klumpke\"s palsy patients, repairing damaged nerves through precise surgical techniques.
"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":3,"days_in_country":7,"rehabilitation_days":14,"satisfied_percent":78,"treatment_duration_hours":4},"illness_kind_details":{"requests_processed":21657}},"responsibleDoctor":{"id":645,"alias":"ali-zirh","name":"Ali Zirh","photo":"doctor/6a5e1b08044b5","advisory_text":"","linkedin":"","specialities":[{"id":"nrs.001","name":"Neurosurgeon","illness_kind_id":2},{"id":"nrs.005","name":"Stereotactic and functional neurosurgeon","illness_kind_id":2}]},"direction":{"id":2,"name":"Neurosurgery","alias":"neurosurgery"},"illness_kind":{"id":2,"name":{"en":"Neurosurgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general","regional"],"back_to_work_days":{"min":14,"max":60,"unit":"days","qualifier":"Highly dependent on nerve involved, dominant limb and job demands; desk work with protected, splinted limb earlier, manual work later."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Wound infection, hematoma, painful neuroma, stiffness or repair disruption within first year; excludes incomplete recovery."},"contraindications":["Active infection or unsuitable soft-tissue coverage at the injury site","Medical instability making anesthesia unsafe","Gap too large for tension-free repair; graft or conduit preferred","Late presentation with irreversibly atrophied target muscle (relative)","Severely contaminated or crushed wound needing delayed repair (relative)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Typical uncomplicated peripheral nerve repair of a limb nerve; often same-day discharge or one night of observation."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":8,"max":16,"unit":"weeks","qualifier":"Graded return to strenuous or resisted activity after protected motion phase; depends on nerve and surgeon protocol."},"final_result_months":{"min":12,"max":36,"unit":"months","qualifier":"Axons regenerate about 1 mm/day, so recovery depends on distance to target; often incomplete."},"fly_home_after_days":{"min":10,"max":14,"unit":"days","qualifier":"After wound check and suture removal; depends on nerve repaired, splint stability and surgeon clearance for travel with limb elevated."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":10,"max":14,"unit":"days","qualifier":"From surgery"}},{"purpose":"suture_removal","requirement":"routine","after":{"min":10,"max":14,"unit":"days","qualifier":"From surgery; may be combined with wound check"}},{"purpose":"splint_removal","requirement":"conditional","after":{"min":14,"max":28,"unit":"days","qualifier":"From surgery; immobilization duration depends on nerve and tension"}},{"purpose":"rehabilitation","requirement":"routine","after":{"min":21,"max":42,"unit":"days","qualifier":"From surgery; start of therapist-guided motion and sensory re-education"}},{"purpose":"assessment","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"From surgery; clinical review of reinnervation (Tinel sign progression), with electrodiagnostics if indicated"}}],"indications":["Complete or high-grade nerve transection with tension-free approximation","Primary repair of acute sharp nerve injury, ideally within days","Delayed repair after neuroma resection when tension-free coaptation is possible"],"main_risks":["Incomplete or failed functional recovery","Painful neuroma formation","Chronic neuropathic pain or cold intolerance","Wound infection or hematoma","Repair site disruption or scarring/adhesions","Joint stiffness from immobilization","Anesthesia-related risks"],"pain":"Moderate postoperative pain for the first days, usually controlled with oral analgesics; neuropathic sensations (tingling, electric-shock feelings) may occur during regeneration.","preparation":["Motor and sensory exam; imaging or electrodiagnostics if needed","Preoperative anesthesia assessment and fasting as instructed","Wound assessment and management of associated injuries (bone, vessel, tendon)","Review of regular medications with the surgical team","Planning of postoperative immobilization and hand therapy"],"recovery_timeline":[{"phase":"Weeks 0-3","description":"Protected immobilization in a splint so the repair is free of tension; wound healing; suture removal at about 2 weeks.","restrictions":["Keep limb elevated and splinted","No lifting or stretching of the repaired nerve"]},{"phase":"Weeks 3-6","description":"Therapist-guided protected motion begins; edema and scar management.","restrictions":["Avoid forceful stretch of the repair","No heavy use of the limb"]},{"phase":"Months 2-4","description":"Progressive strengthening and sensory re-education as regeneration advances.","restrictions":["Avoid heavy resisted activity until cleared"]},{"phase":"Months 4-24+","description":"Ongoing nerve regeneration (about 1 mm/day) with gradual functional gains; outcome depends on nerve, age and distance to target.","restrictions":[]}],"rehabilitation_days":{"min":60,"max":180,"unit":"days","qualifier":"Therapy and functional adaptation period; nerve regeneration itself continues longer."},"result_longevity":"Successful reinnervation is generally permanent, though the degree of recovery varies and may remain partial.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Repeat surgery for neuroma, failed regeneration or repair disruption, within several years."},"scars":"A linear or extended incision scar over the injury site, often incorporating the original laceration; usually fades over months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single surgical session for primary direct epineurial repair."},"stages":[{"code":"repair","label":"Microsurgical epineurial (end-to-end) nerve repair","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the surgery visit"}}],"qualifier":"Describes single-stage direct repair; grafting or nerve transfer are separate procedures."},"success":{"metric":"Useful functional recovery (motor or sensory M3+/S3+)","value":60,"unit":"percent of patients","horizon":"12-24 months after repair","population":"Adults with sharp transection of a limb nerve, repaired primarily within days","evidence_status":"limited"},"techniques":[{"name":"Epineurial end-to-end repair","suits_whom":"Patients with clean sharp transection and tension-free approximation.","recovery":"Short splinting of about 2-4 weeks, then guided therapy."},{"name":"Group fascicular repair","suits_whom":"Patients with larger nerves whose fascicular groups can be aligned.","recovery":"Similar protected mobilization protocol as epineurial repair."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1,"max":3,"unit":"hours","qualifier":"Single peripheral nerve direct repair under operating microscope, uncomplicated; longer if associated injuries."},"initial_assessment_documents":["Injury or operative report","Photos of the wound and affected limb","MRI or ultrasound of injured nerve (if available)","Nerve conduction study or EMG report (if available)","Hand or limb motor and sensation exam notes"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage repair; stay about 10-14 days until wound check and suture removal. Therapy and later reviews usually done at home."},"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 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unit?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask whether the surgeon and the facility use a surgical safety checklist, which can reduce complications","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Do the surgeon and his/her facility use a safety checklist?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advertisement does not provide comprehensive details about facility or provider qualifications","scope":"treatment_abroad","source":{"url":"https://stacks.cdc.gov/view/cdc/115458/cdc_115458_DS2.xml","host":"stacks.cdc.gov","quote":"Be aware that advertisers marketing directly to travelers may not include comprehensive details on the qualifications of a facility or provider.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"F2","text":"An offer emphasizes convenience while downplaying treatment risks","scope":"treatment_abroad","source":{"url":"https://stacks.cdc.gov/view/cdc/115458/cdc_115458_DS2.xml","host":"stacks.cdc.gov","quote":"They may be targeted by advertising tailored towards them, often in their native language, emphasizing the convenience of combining a family visit with medical care, while downplaying risks.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"F3","text":"An advert or information that guarantees complete success should raise 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 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