La tecnología de láser fraccionado CO₂ Fotona está disponible en esta clínica de La Romana, junto con la ligadura con bandas elásticas y la cirugía convencional. La anoscopia, la colonoscopia y los exámenes proctológicos pueden ayudar a planificar el tratamiento. La clínica ofrece un plan de seguimiento personalizado desde la consulta hasta la recuperación. Su variedad de enfoques permite adaptar la atención a la gravedad de la afección y a las preferencias del paciente.
","text_type":"mt_wow_description","reviews":[],"clinic":{"id":9847,"alias":"dr-milossi-romero-machuca","name":"Dr. Milossi Romero Machuca","short_description":"La Dra. Milossi Romero Machuca dirige una clínica de coloproctología en La Romana, República Dominicana. La clínica atiende a adultos y niños con trastornos del colon, el recto y el ano. La Dra. Machuca es cirujana colorrectal certificada. Tiene un doctorado en Coloproctología y Cirugía Laparoscópica de la Asociación Brasileña de Coloproctología. También se formó en la Clínica Reis Neto, en Brasil.
La clínica utiliza tecnología láser de CO₂ para procedimientos mínimamente invasivos. Entre los tratamientos principales se incluyen la cirugía láser para hemorroides, fístulas anales y quistes pilonidales. Los servicios de diagnóstico incluyen colonoscopia, sigmoidoscopia y anoscopia para la detección temprana. El equipo acompaña a cada paciente desde la primera consulta hasta la recuperación. La Dra. Machuca es miembro activo de la Sociedad Dominicana de Coloproctología.
","images":[{"base_url":"clinic/6ae3d77e12130","title":"Pasillo limpio en la clínica Dr. Milossi Romero Machuca con iluminación moderna"},{"base_url":"clinic/6ae3d77fa0fe2","title":"Quirófano moderno en la clínica Dr. Milossi Romero Machuca con equipo quirúrgico"},{"base_url":"clinic/6ae3d7813281c","title":"Consultorio en la clínica Dr. Milossi Romero Machuca con libros y modelos médicos"},{"base_url":"clinic/6ae3d782dcd9f","title":"Sala de tomografía con equipo avanzado en la clínica Dr. Milossi Romero Machuca"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"República Dominicana","id":185,"alias":"dominican-republic","iso_code":"DO"},"city":{"name":"La Romana","id":2665,"alias":"la-romana"},"address":"null"},"rating":{"rating":0,"google":4.8,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1},"accreditations":[]}}],"meta":{"total_count":1,"total_pages":1}},"clinicsMeta":{"total_count":1,"total_pages":1},"clinicsCount":1,"clinicsCountByEntity":{"clinic_count":134},"doctors":{"doctors":[{"doctor":{"id":24027,"alias":"milossi-romero-machuca","name":"Milossi Romero Machuca","photo":"doctor/6ae3d852e2cca","first_year_working":0,"created_at":"2026-10-29T23:35:44.665+00:00","specialities":[{"id":"sur.006","name":"Cirujano colorectal","illness_kind_id":33}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":9847,"alias":"dr-milossi-romero-machuca","name":"Dr. Milossi Romero Machuca","short_description":"Dr. Milossi Romero Machuca runs a coloproctology clinic in La Romana, Dominican Republic. The clinic treats adults and children for disorders of the colon, rectum, and anus. Dr. Machuca is a certified colorectal surgeon. She holds a PhD in Coloproctology and Laparoscopic Surgery from the Brazilian Association of Coloproctology. She also trained at the Reis Neto Clinic in Brazil.
The practice uses CO₂ laser technology for minimally invasive procedures. Key treatments include laser surgery for hemorrhoids, anal fistulas, and pilonidal cysts. Diagnostic services cover colonoscopy, sigmoidoscopy, and anoscopy for early detection. The team follows each patient from the first consultation through recovery. Dr. Machuca is an active member of the Sociedad Dominicana de Coloproctología.
","images":[{"base_url":"clinic/6ae3d77e12130","title":"Pasillo limpio en la clínica Dr. Milossi Romero Machuca con iluminación moderna"},{"base_url":"clinic/6ae3d77fa0fe2","title":"Quirófano moderno en la clínica Dr. Milossi Romero Machuca con equipo quirúrgico"},{"base_url":"clinic/6ae3d7813281c","title":"Consultorio en la clínica Dr. Milossi Romero Machuca con libros y modelos médicos"},{"base_url":"clinic/6ae3d782dcd9f","title":"Sala de tomografía con equipo avanzado en la clínica Dr. Milossi Romero Machuca"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"República Dominicana","id":185,"alias":"dominican-republic","iso_code":"DO"},"city":{"name":"La Romana","id":2665,"alias":"la-romana"},"address":"null"},"rating":{"rating":0,"google":4.8,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1},"accreditations":[]}}],"meta":{"total_count":1,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{},"texts":{}},"relations":{"countries":[{"name":"Alemania","alias":"germany","iso_code":"DE"},{"name":"Austria","alias":"austria","iso_code":"AT"},{"name":"Azerbaiyán","alias":"azerbaijan","iso_code":"AZ"},{"name":"Colombia","alias":"colombia","iso_code":"CO"},{"name":"Corea del Sur","alias":"republic-of-korea","iso_code":"KR"},{"name":"Egipto","alias":"egypt","iso_code":"EG"},{"name":"Emiratos Árabes Unidos","alias":"united-arab-emirates","iso_code":"AE"},{"name":"España","alias":"spain","iso_code":"ES"},{"name":"Grecia","alias":"greece","iso_code":"GR"},{"name":"Hungría","alias":"hungary","iso_code":"HU"},{"name":"India","alias":"india","iso_code":"IN"},{"name":"Israel","alias":"israel","iso_code":"IL"},{"name":"Italia","alias":"italy","iso_code":"IT"},{"name":"Lituania","alias":"lithuania","iso_code":"LT"},{"name":"México","alias":"mexico","iso_code":"MX"},{"name":"Polonia","alias":"poland","iso_code":"PL"},{"name":"República Dominicana","alias":"dominican-republic","iso_code":"DO"},{"name":"Suiza","alias":"switzerland","iso_code":"CH"},{"name":"Tailandia","alias":"thailand","iso_code":"TH"},{"name":"Turquía","alias":"turkey","iso_code":"TR"},{"name":"Ucrania","alias":"ukraine","iso_code":"UA"}],"cities":[{"name":"La Romana","alias":"la-romana"}],"operations":[{"name":"Hemorroidectomía","alias":"hemorrhoidectomy"},{"name":"Hemorroidectomía con grapas","alias":"stapled-haemorrhoidectomy"},{"name":"Ligadura de hemorroides con banda elástica","alias":"rubber-band-ligation-of-hemorrhoids"}],"illnessKinds":[{"name":"Proctología","alias":"proctology"}],"illness_kinds":[{"name":"Proctología","alias":"proctology"}]},"popularSearches":[{"name":"Circuncisión","alias":"circumcision","type":"operation","id":824},{"name":"Eliminación de lipomas","alias":"lipoma-removal","type":"operation","id":889},{"name":"Cirugía de hernia inguinal","alias":"inguinal-hernia-surgery","type":"operation","id":600},{"name":"Histerectomía (extirpación del útero)","alias":"hysterectomy","type":"operation","id":278},{"name":"Cirugía","alias":"surgery","type":"operation","id":859},{"name":"Consulta con creación de plan de tratamiento","alias":"consultation-with-creation-of-treatment-plan","type":"diagnostic","id":457},{"name":"Detección temprana de enfermedades malignas en la mujer","alias":"early-detection-of-malignant-diseases-for-women","type":"diagnostic","id":630},{"name":"Consulta con un cirujano","alias":"surgical-consultation","type":"diagnostic","id":107},{"name":"Consulta online con Cirujano","alias":"online-consultation-with-surgeon","type":"diagnostic","id":593},{"name":"Revisión de resultados de resonancia magnética","alias":"revision-of-mri-results","type":"diagnostic","id":453}],"operationPrices":{"operation_prices":{"310":{"operation":{"name":"Hemorroidectomía","alias":"hemorrhoidectomy","use_for_listing":true},"country_price":{"TR":{"amount":1800,"max_amount":3300,"currency":"USD","clinic_count":13,"price_kind":"from_range","price_source":"mixed","scope":"country"},"TH":{"amount":1700,"max_amount":2900,"currency":"USD","clinic_count":6,"price_kind":"from_range","price_source":"mixed","scope":"country"},"ES":{"amount":2600,"max_amount":4100,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"TR":true,"TH":true,"ES":true},"description":"Esta operación elimina las hemorroides y alivia el dolor y el sangrado al extirparlas quirúrgicamente.
"},"748":{"operation":{"name":"Hemorroidectomía con grapas","alias":"stapled-haemorrhoidectomy","use_for_listing":true},"country_price":{"TR":{"amount":1800,"max_amount":3600,"currency":"USD","clinic_count":3,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":3300,"max_amount":3400,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":2200,"max_amount":4000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"TR":true,"TH":true,"ES":true},"description":"Esta operación trata las hemorroides extirpándolas sin dolor, con menos sangrado y una recuperación más rápida.
"},"755":{"operation":{"name":"Ligadura de hemorroides con banda elástica","alias":"rubber-band-ligation-of-hemorrhoids","use_for_listing":true},"country_price":{"TR":{"amount":350,"max_amount":800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":650,"max_amount":1100,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":550,"max_amount":1100,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"TR":true,"TH":false,"ES":true},"description":"El procedimiento consiste en atar las hemorroides con bandas elásticas para reducir la incomodidad y promover la curación.
"},"1543":{"operation":{"name":"Terapia de fisuras anales","alias":"fissure-therapy","use_for_listing":false},"country_price":{"TR":{"amount":4500,"max_amount":0,"currency":"USD","clinic_count":5,"price_kind":"from","price_source":"mixed","scope":"country"},"TH":{"amount":1100,"max_amount":1900,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":1900,"max_amount":2900,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"TR":true,"TH":false,"ES":true}},"1549":{"operation":{"name":"Terapia de hemorroides","alias":"hemorrhoid-therapy","use_for_listing":true},"country_price":{"TR":{"amount":1100,"max_amount":2200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":1500,"max_amount":3200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":3500,"max_amount":4100,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"TR":true,"TH":false,"ES":true}},"1717":{"operation":{"name":"Extirpación de colgajo cutáneo anal","alias":"perianal-skin-tag-removal","use_for_listing":true},"country_price":{"TR":{"amount":350,"max_amount":850,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":450,"max_amount":750,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":650,"max_amount":1300,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"TR":false,"TH":false,"ES":true}}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":1,"days_in_country":7,"rehabilitation_days":14,"satisfied_percent":78,"treatment_duration_hours":1},"illness_kind_details":{"requests_processed":7852}},"direction":{"id":33,"name":"Cirugía","alias":"surgery"},"illness_kind":{"id":33,"name":{"en":"Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":7,"max":21,"unit":"days","qualifier":"Desk-based work after conventional excisional hemorrhoidectomy; manual work may need longer."},"complication_rate_pct":{"min":1,"max":5,"unit":"percent","qualifier":"Major events: secondary hemorrhage needing readmission, transfusion or reoperation, abscess or sepsis, symptomatic stenosis. Excludes minor events. Grade III–IV hemorrhoids."},"contraindications":["Uncontrolled bleeding disorder or unmanageable therapeutic anticoagulation","Active anorectal sepsis or severe perianal infection (relative)","Severe uncontrolled cardiopulmonary disease making anesthesia unsafe","Active severe inflammatory bowel disease with anorectal involvement (relative)","Anorectal malignancy requiring different management","Pregnancy (relative; usually managed conservatively)","Poor baseline continence (relative precaution)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Typically day surgery or one night of observation for conventional excisional hemorrhoidectomy."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":4,"unit":"weeks","qualifier":"Walking earlier; strenuous exercise and heavy lifting after 2–4 weeks."},"final_result_months":{"min":1,"max":2,"unit":"months","qualifier":"Complete wound healing and resolution of swelling after conventional hemorrhoidectomy."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"Delayed bleeding peaks around days 5–14. Fly after the 7–14 day check, once sitting is comfortable."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"First postoperative review, typically 1–2 weeks after surgery."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":60,"unit":"days","qualifier":"Final review of healing, bowel function and symptoms."}}],"indications":["Symptomatic grade III–IV internal hemorrhoids","Grade II hemorrhoids failing conservative or office-based treatment","Combined internal and external hemorrhoids with prolapse","Thrombosed or strangulated hemorrhoids in selected cases","Recurrent bleeding causing anemia"],"main_risks":["Significant postoperative pain","Urinary retention","Bleeding, including delayed bleeding","Infection or abscess","Constipation or fecal impaction","Anal stenosis","Temporary or permanent incontinence (flatus/stool/soiling)","Skin tags or recurrence","Anesthesia-related risks"],"pain":"Moderate to severe pain for the first several days, especially with bowel movements, gradually improving over 1–2 weeks; managed with multimodal analgesia, stool softeners and sitz baths.","preparation":["Surgical and anorectal assessment, sometimes colonoscopy by age and symptoms","Routine anesthesia assessment and blood tests as indicated","Review of medicines with the surgical team","Fasting before general anesthesia as instructed","Rectal enema or bowel preparation as advised","Arrange transport and adult support after discharge","Dietary fiber and stool softening plan"],"recovery_timeline":[{"phase":"First 48 hours","description":"Recovery from anesthesia, pain control, first bowel movement management, and monitoring for urinary retention and bleeding.","restrictions":["No driving","Avoid straining","Rest"]},{"phase":"Days 3–14","description":"Pain and discharge gradually decrease; sitz baths, fiber and stool softeners continue; light activity resumes and desk work often starts around day 7–14.","restrictions":["Avoid heavy lifting","Avoid prolonged sitting or straining"]},{"phase":"Weeks 2–4","description":"Most return to normal daily activity; mild bleeding or discharge may continue.","restrictions":["Avoid strenuous exercise until cleared"]},{"phase":"Weeks 4–8","description":"Wounds heal fully and bowel habits normalize.","restrictions":[]}],"rehabilitation_days":{"min":5,"max":14,"unit":"days","qualifier":"Time to ordinary activities. Median about 6 days in outpatient series; conventional surgery 1–2 weeks. Energy devices may shorten."},"result_longevity":"Excised hemorrhoids do not regrow, and long-term results are usually durable, though new hemorrhoidal disease can develop, particularly with constipation or straining.","revision_rate_pct":{"min":1,"max":5,"unit":"percent","qualifier":"Repeat surgery for recurrent prolapse, symptoms or stenosis, over about 1–5 years. Symptomatic recurrence is higher (about 5–20%), mostly non-surgical."},"scars":"Healing wounds at the anal canal and perianal skin leave minimal visible scars; small skin tags may remain.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operative session."},"stages":[{"code":"hemorrhoidectomy","label":"Excisional hemorrhoidectomy under anesthesia","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"One operation; follow-up checks are not counted as treatment sessions."},"success":{"metric":"Resolution of bleeding and prolapse symptoms","value":90,"unit":"percent","horizon":"1 year","population":"Adults after excisional hemorrhoidectomy for grade III–IV hemorrhoids","evidence_status":"limited"},"techniques":[{"name":"Conventional excisional hemorrhoidectomy (Milligan-Morgan open / Ferguson closed)","suits_whom":"Grade III–IV or mixed internal-external hemorrhoids","recovery":"Most early pain; usually 1–2 weeks to ordinary activities"},{"name":"Vessel-sealing device hemorrhoidectomy (LigaSure/harmonic)","suits_whom":"Grade III–IV or mixed internal-external hemorrhoids","recovery":"Often slightly less early pain and shorter operating time"}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":0.5,"max":1,"unit":"hours","qualifier":"Operating time for one conventional hemorrhoidectomy, excluding anesthesia and recovery."},"initial_assessment_documents":["Colonoscopy or sigmoidoscopy report","Proctology or colorectal clinic consultation notes","List of blood thinners","Recent blood test results","Previous anorectal surgery reports (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single operation; stay about 7-14 days until wound check and safe flying. Later reviews can be remote or local."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=dominikanskaya-respublika/city=la-romana/procedure=gemorroidektomiya/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":3},"manualSeo":[],"updatedAt":"2026-11-05T00:00:11.594Z","activeCountries":["DO","ES","TR","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}