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"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":2,"days_in_country":5,"rehabilitation_days":1,"satisfied_percent":78,"treatment_duration_hours":2},"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":14,"max":42,"unit":"days","qualifier":"After laparoscopic repair with fundoplication; desk work earlier, physically demanding work later."},"complication_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Any perioperative complication within 30-90 days, mostly minor; serious complications under 3%."},"contraindications":["Unfitness for general anesthesia due to severe cardiopulmonary disease","Uncorrected coagulopathy or bleeding disorder","Active severe infection or sepsis","Asymptomatic small sliding hernia (surgery generally not indicated)","Relative: severe obesity or esophageal dysmotility (higher risk)"],"days_in_clinic":{"min":1,"max":3,"unit":"nights","qualifier":"Typical laparoscopic repair; open or complex repairs often need longer."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":8,"unit":"weeks","qualifier":"Gentle exercise from about week 4; strenuous core work and heavy lifting from about week 8."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Time for swallowing and bloating symptoms to settle and for symptom relief to be judged."},"fly_home_after_days":{"min":5,"max":10,"unit":"days","qualifier":"After laparoscopic repair, once discharged, first postoperative check is done and surgeon clears travel; longer after complications or open repair."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"First postoperative review, before flying home."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":90,"unit":"days","qualifier":"Review of swallowing, reflux symptoms and diet progression."}}],"indications":["Symptomatic paraesophageal or mixed (type II–IV) hiatal hernia","Sliding hiatal hernia with GERD refractory to medical therapy","Hernia complications such as obstruction, volvulus, bleeding, or anemia","Respiratory or postprandial symptoms attributable to the hernia"],"main_risks":["Dysphagia or bloating after surgery","Hernia recurrence","Esophageal or gastric perforation","Bleeding","Infection","Injury to the spleen or vagus nerve","Pneumothorax","Anesthesia-related risks","Thromboembolism"],"pain":"Moderate pain for the first several days, controlled with oral analgesics; shoulder-tip pain after laparoscopy is common. 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Anatomical recurrence is not rare over time, but most patients stay satisfied; durability depends on hernia size, crural repair, mesh use, weight and avoiding heavy straining.","revision_rate_pct":{"min":2,"max":10,"unit":"percent","qualifier":"Reoperation for symptomatic recurrence or dysphagia within about 5 years; radiologic recurrence is higher."},"scars":"Laparoscopic repair leaves several small 5–12 mm abdominal scars; open repair leaves a larger upper abdominal or chest incision.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation."},"stages":[{"code":"repair","label":"Hernia reduction, crural closure and usually fundoplication","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed in one operation."}}],"qualifier":"Primary adult repair performed in a single surgical session."},"success":{"metric":"Patients with durable reflux and hernia symptom relief","value":85,"unit":"percent","horizon":"1-5 years","population":"Adults with symptomatic hiatal hernia after laparoscopic repair with fundoplication","evidence_status":"limited"},"techniques":[{"name":"Laparoscopic hiatal hernia repair with crural closure and fundoplication (e.g., Nissen or partial)","suits_whom":"Most adults with symptomatic sliding or paraesophageal hernia.","recovery":"Hospital stay of 1–3 nights; return to desk work in about 2–4 weeks."},{"name":"Open (transabdominal or transthoracic) repair","suits_whom":"Selected patients with complex anatomy, prior surgery or when laparoscopy is not suitable.","recovery":"Longer stay and recovery, often 4–8 weeks before normal activity."},{"name":"Robotic-assisted repair","suits_whom":"Similar to laparoscopic indications where available.","recovery":"Similar to laparoscopic repair."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Typical primary laparoscopic repair with fundoplication; longer for large or recurrent hernias."},"initial_assessment_documents":["Upper GI endoscopy report","Barium swallow report","CT chest or abdomen report","Esophageal manometry and pH study reports","Previous abdominal or anti-reflux surgery records","List of blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-10 days including 1-3 hospital nights and first postoperative check; later reviews done remotely or locally."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=israel/city=tel-aviv/procedure=plastika-gryzi-pisevodnogo-otverstia-diafragmy/"}],"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":2},"manualSeo":[],"updatedAt":"2026-11-03T21:20:07.888Z","activeCountries":["IL","ES","TR","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}