El centro ha realizado más de 1.000 procedimientos con láser y ofrece tratamiento con láser fraccionado CO₂ Fotona. También están disponibles la ligadura con banda elástica, la escleroterapia, la coagulación infrarroja y la hemorroidectomía convencional. Las opciones de tratamiento se adaptan a la afección, y los abordajes con láser se centran en preservar el tejido y acelerar la recuperación. La Dra. Milossi Romero Machuca tiene un doctorado en Coloproctología y Cirugía Laparoscópica y está certificada como cirujana colorrectal. Es miembro de la Sociedad Dominicana de Coloproctología y del Colegio Dominicano de Cirugía.
","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":[]}},{"text":"Vitalie is a plastic surgery center in Santo Domingo, Dominican Republic. The clinic focuses on aesthetic procedures and functional corrections. Key specialties include rhinoplasty, body contouring, and breast surgery. The team also performs post-bariatric surgery and facial rejuvenation. Dr. Carlos López Collado leads the practice. He earned his medical degree in 1998 and trained in Brazil.
The facility uses VASER High Definition Liposuction for precise body shaping. Other technologies include BodyTite, FaceTite, and Morpheus8. Rhinoplasty patients typically stay in the hospital for one day. Vitalie holds accreditations from ISAPS, ASPS, and FILACP. International patients get online consultations and remote follow-up. Each treatment plan is tailored to the patient's needs.
","text_type":"short_description","reviews":[],"clinic":{"id":9469,"alias":"vitalie-center-for-rejuvenation-and-advanced-plastic-surgery","name":"Vitalie — Center for Rejuvenation and Advanced Plastic Surgery","short_description":"Vitalie is a plastic surgery center in Santo Domingo, Dominican Republic. The clinic focuses on aesthetic procedures and functional corrections. Key specialties include rhinoplasty, body contouring, and breast surgery. The team also performs post-bariatric surgery and facial rejuvenation. Dr. Carlos López Collado leads the practice. He earned his medical degree in 1998 and trained in Brazil.
The facility uses VASER High Definition Liposuction for precise body shaping. Other technologies include BodyTite, FaceTite, and Morpheus8. Rhinoplasty patients typically stay in the hospital for one day. Vitalie holds accreditations from ISAPS, ASPS, and FILACP. International patients get online consultations and remote follow-up. Each treatment plan is tailored to the patient's needs.
","images":[{"base_url":"clinic/6ae261680df1d","title":"Pasillo moderno en Vitalie — Centro de Rejuvenecimiento y Cirugía Plástica Avanzada"},{"base_url":"clinic/6ae2616a37474","title":"Sala de consultas en Vitalie Center, decoración moderna con pared verde y área de espera"},{"base_url":"clinic/6ae2616c095dd","title":"Médico con bata blanca en Vitalie Centro de Rejuvenecimiento y Cirugía Plástica Avanzada"},{"base_url":"clinic/6ae2616d7e987","title":"Pared de recepción de la clínica Vitalie con logotipo y flores decorativas"}],"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":"Santo Domingo","id":2524,"alias":"santo-domingo"},"address":"Av. Gustavo Mejía Ricart, Esq. Federico Geraldino, Piantini, Plaza Jenika, 3er Piso, Suite 301, Santo Domingo, Dominican Republic"},"rating":{"rating":0,"google":4.7,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/61779fac22b09.jpeg","name":"Otorgado al médico Certificado de la International Society of Aesthetic Plastic Surgery (ISAPS)","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88bd61a3cbb.jpeg","name":"Sociedad Americana de Cirujanos Plásticos","country_code":"US"}]}}],"meta":{"total_count":2,"total_pages":1}},"clinicsMeta":{"total_count":2,"total_pages":1},"clinicsCount":2,"clinicsCountByEntity":{"clinic_count":155},"doctors":{"doctors":[],"meta":{"total_count":0,"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":"China","alias":"china","iso_code":"CN"},{"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 Checa","alias":"czech-republic","iso_code":"CZ"},{"name":"República Dominicana","alias":"dominican-republic","iso_code":"DO"},{"name":"Rumania","alias":"romania","iso_code":"RO"},{"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"},{"name":"Santo Domingo","alias":"santo-domingo"}],"operations":[{"name":"Hemorroidectomía","alias":"hemorrhoidectomy"},{"name":"Terapia de hemorroides","alias":"hemorrhoid-therapy"},{"name":"Hemorroidectomía con grapas","alias":"stapled-haemorrhoidectomy"},{"name":"Ligadura de hemorroides con banda elástica","alias":"rubber-band-ligation-of-hemorrhoids"}],"diagnostics":[{"name":"Consulta con un proctólogo","alias":"consultation-of-a-procologist"},{"name":"Tacto rectal","alias":"finger-rectal-examination"}],"illnessKinds":[{"name":"Proctología","alias":"proctology"}],"illness_kinds":[{"name":"Proctología","alias":"proctology"}]},"popularSearches":[{"name":"Hemorroidectomía","alias":"hemorrhoidectomy","type":"operation","id":310},{"name":"Terapia de hemorroides","alias":"hemorrhoid-therapy","type":"operation","id":1549},{"name":"Ligadura de hemorroides con banda elástica","alias":"rubber-band-ligation-of-hemorrhoids","type":"operation","id":755},{"name":"Cirugía láser de fístula","alias":"fistula-laser-surgery","type":"operation","id":1544},{"name":"Resección rectal","alias":"rectal-resection","type":"operation","id":454},{"name":"Consulta con creación de plan de tratamiento","alias":"consultation-with-creation-of-treatment-plan","type":"diagnostic","id":457},{"name":"Consulta con un proctólogo","alias":"consultation-of-a-procologist","type":"diagnostic","id":67},{"name":"Revisión de resultados de resonancia magnética","alias":"revision-of-mri-results","type":"diagnostic","id":453},{"name":"Tacto rectal","alias":"finger-rectal-examination","type":"diagnostic","id":374}],"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":{"days_in_clinic":0,"days_in_country":0,"rehabilitation_days":0,"satisfied_percent":78,"treatment_duration_hours":0},"illness_kind_details":{"requests_processed":494}},"direction":{"id":34,"name":"Proctología","alias":"proctology"},"illness_kind":{"id":34,"name":{"en":"Proctology"}},"parsed_details":{"procedure_type":"therapy","fields":{"anesthesia":["none"],"back_to_work_days":{"min":0,"max":2,"unit":"days","qualifier":"Most return next day; longer if pain or desk-sitting discomfort persists."},"complication_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Any complication after banding, mainly pain and minor bleeding; serious ones such as sepsis under 1%."},"contraindications":["Suspected anorectal cancer or unevaluated rectal bleeding","Active anorectal infection or abscess","Uncontrolled bleeding disorder or anticoagulation (relative; needs specialist planning)","Severe immunosuppression or anorectal inflammatory bowel disease (relative)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Office procedure; patient leaves within about an hour."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":0,"max":1,"unit":"weeks","qualifier":"Light activity next day; strenuous exercise and heavy lifting after several days if comfortable."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"After the last banding session; depends on number of hemorrhoids and sessions needed."},"fly_home_after_days":{"min":1,"max":3,"unit":"days","qualifier":"Short flights usually fine next day; delayed bleeding can occur around day 5-10."},"follow_up_visits":[{"purpose":"assessment","after":{"min":28,"max":42,"unit":"days","qualifier":"Review symptom response and decide on a further banding session."},"requirement":"routine"},{"purpose":"wound_check","after":{"min":7,"max":14,"unit":"days","qualifier":"Only for significant pain, bleeding or urinary difficulty after banding."},"requirement":"conditional"}],"indications":["Symptomatic hemorrhoids: bleeding, prolapse, pain, itching or discomfort","Persistent grade I–III internal hemorrhoids despite conservative care","High-grade, prolapsing, thrombosed or treatment-resistant hemorrhoids"],"main_risks":["Pain or anal discomfort after procedural treatment","Bleeding","Urinary retention (more with surgery)","Thrombosis or recurrence of hemorrhoids","Infection or abscess (uncommon)","Anal stenosis or continence disturbance (uncommon, mainly after surgery)"],"pain":"Mild to moderate pressure or aching for 1-3 days, usually managed with paracetamol and warm baths. Severe pain is uncommon and needs prompt review.","preparation":["Colonoscopy or sigmoidoscopy beforehand if indicated","Review blood thinners with the specialist","Fiber and fluids to avoid constipation","Enema or empty bowel as advised","Eat normally; no fasting usually required","Avoid NSAIDs and aspirin unless advised"],"recovery_timeline":[{"phase":"Day 0-3","description":"Rectal fullness or mild aching; small amount of spotting possible.","restrictions":["Avoid straining","Avoid NSAIDs and aspirin","Avoid heavy lifting"]},{"phase":"Day 4-10","description":"Bands and treated tissue slough off; light bleeding can occur around day 5-10.","restrictions":["Keep stools soft","Avoid long-distance travel if bleeding concerns"]},{"phase":"Weeks 2-6","description":"Ulcer heals and symptoms improve; reassess for further banding.","restrictions":["Continue fiber and hydration","Avoid prolonged toilet sitting"]}],"rehabilitation_days":{"min":1,"max":3,"unit":"days","qualifier":"Time to ordinary comfort and function; depends on band count and individual pain tolerance."},"result_longevity":"Symptom relief often lasts years, but recurrence occurs in a notable minority. Diet, stool regulation and avoiding straining help maintain results.","revision_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Repeat banding or surgery for recurrent symptoms within about 2-5 years; surgery needed in under 10%."},"scars":"No external incisions or visible scars. The banded internal tissue forms a small healing ulcer that resolves within weeks.","sessions_or_stages":{"sessions":{"min":1,"max":3,"unit":"visits","qualifier":"Usually one to three banding sessions, often one to two hemorrhoids each."},"stages":[{"code":"first_banding","label":"First banding session","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of initial treatment."}},{"code":"repeat_banding","label":"Repeat banding if symptoms persist","after":{"min":28,"max":42,"unit":"days","qualifier":"Interval of about 4-6 weeks between sessions."}}],"qualifier":"Sessions depend on hemorrhoid grade, number of columns and symptom response."},"success":{"metric":"Symptom improvement after rubber band ligation","value":80,"unit":"percent of patients","horizon":"1-3 months after last session","population":"Adults with symptomatic grade I-III internal hemorrhoids","evidence_status":"limited"},"techniques":[{"name":"Rubber band ligation","suits_whom":"Persistent grade I–III internal hemorrhoids","recovery":"Office procedure; most patients resume usual activities quickly, with mild discomfort possible."},{"name":"Sclerotherapy","suits_whom":"Lower-grade bleeding internal hemorrhoids","recovery":"Office procedure with short recovery."},{"name":"Conventional hemorrhoidectomy","suits_whom":"High-grade, prolapsing, thrombosed or refractory hemorrhoids","recovery":"Longer recovery with more postoperative pain than office methods."},{"name":"Stapled hemorrhoidectomy","suits_whom":"Circumferential prolapsing internal hemorrhoids, grade III–IV","recovery":"Less postoperative pain than conventional excision; usually back to activity within two weeks."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.1,"max":0.5,"unit":"hours","qualifier":"Procedure takes about 5-15 minutes plus assessment and brief observation."},"initial_assessment_documents":["Colonoscopy or sigmoidoscopy report","Previous proctology or colorectal surgeon report","Photos of external prolapse or swelling (if available)","Recent complete blood count","List of blood thinners"],"travel_trips":{"min":1,"max":3,"one_trip_possible":true,"qualifier":"One trip if one session suffices; repeat banding needs return trips."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=dominikanskaya-respublika/procedure=terapiya-gemorroya/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"country_filter":[{"id":135,"name":"Azerbaiyán","alias":"azerbaijan","iso_code":"AZ"},{"id":46,"name":"Turquía","alias":"turkey","iso_code":"TR"},{"id":34,"name":"España","alias":"spain","iso_code":"ES"},{"id":17,"name":"Polonia","alias":"poland","iso_code":"PL"},{"id":36,"name":"Corea del Sur","alias":"republic-of-korea","iso_code":"KR"},{"id":45,"name":"Tailandia","alias":"thailand","iso_code":"TH"}],"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":6},"manualSeo":[],"updatedAt":"2026-11-05T00:00:11.594Z","activeCountries":["DO","ES","TR","TH"],"hasVideoReviewsByContext":false,"hasCriticalApiFallback":false}