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.
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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.
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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.
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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. 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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. 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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. 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