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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 setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"A provider who insists diagnostic surgery is required is a warning sign","scope":"procedure","source":{"url":"https://www.acog.org/womens-health/faqs/endometriosis","host":"acog.org","quote":"But you are not required to have this surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"A provider who does not explain the risks and side effects of treatment is a warning sign","scope":"treatment_type","source":{"url":"https://www.nhs.uk/conditions/endometriosis/","host":"nhs.uk","quote":"Your doctor will talk to you about the risks and possible side effects of each treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"Having no talk with the surgeon about removing lesions before surgery is a warning sign","scope":"procedure","source":{"url":"https://www.acog.org/womens-health/faqs/endometriosis","host":"acog.org","quote":"They should talk with you about this option first so that you know what to expect.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F4","text":"A clinic promising a cure for endometriosis is a warning sign","scope":"treatment_type","source":{"url":"https://www.nhs.uk/conditions/endometriosis/","host":"nhs.uk","quote":"It's not known what causes endometriosis and there are currently no treatments that can cure it.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Swelling of the abdomen that is getting worse","urgency":"emergency","general":false,"source":{"url":"https://www.uclh.nhs.uk/patients-and-visitors/patient-information-pages/surgical-management-endometriosis","host":"uclh.nhs.uk","quote":"Swelling of the abdomen that is getting worse.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"W2","text":"Being unable to pass urine","urgency":"emergency","general":false,"source":{"url":"https://www.uclh.nhs.uk/patients-and-visitors/patient-information-pages/surgical-management-endometriosis","host":"uclh.nhs.uk","quote":"Being unable to pass urine, or passing very little.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"W3","text":"Swelling, redness, or tenderness in lower legs","urgency":"emergency","general":false,"source":{"url":"https://www.uclh.nhs.uk/patients-and-visitors/patient-information-pages/surgical-management-endometriosis","host":"uclh.nhs.uk","quote":"Swelling, redness, or tenderness in the lower legs.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"W4","text":"Difficulty breathing or chest pain","urgency":"emergency","general":false,"source":{"url":"https://www.uclh.nhs.uk/patients-and-visitors/patient-information-pages/surgical-management-endometriosis","host":"uclh.nhs.uk","quote":"Difficulty breathing, or chest pain.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You mainly need relief from pain","name":"Painkillers for endometriosis","source":{"url":"https://www.nhs.uk/conditions/endometriosis/","host":"nhs.uk","quote":"painkillers, such as paracetamol and ibuprofen","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"You prefer a hormone treatment given as a shot or implant","name":"GnRH agonists","source":{"url":"https://www.acog.org/womens-health/faqs/endometriosis","host":"acog.org","quote":"GnRH agonists can be given as a shot, implant, or nasal spray.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A3","text":"You want to slow lesion growth without surgery","name":"Hormone treatment","source":{"url":"https://www.acog.org/womens-health/faqs/endometriosis","host":"acog.org","quote":"Hormones may help slow the growth of the endometriosis lesions and may keep new lesions from forming.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":263}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"laparoscopic-excision","name":"Laparoscopic excision of endometriotic lesions","how_it_works":{"text":"Surgeons try to remove endometriosis lesions found during the laparoscopy","source":{"url":"https://www.acog.org/womens-health/faqs/endometriosis","host":"acog.org","quote":"If your surgeon finds endometriosis lesions or endometriomas during the laparoscopy, they can try to remove them 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deposits","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"laparoscopic-ovarian","name":"Laparoscopic ovarian cystectomy for endometrioma","how_it_works":{"text":"Fluid-filled ovarian cysts caused by endometriosis are removed during surgery","source":{"url":"https://www.nhs.uk/conditions/endometriosis/","host":"nhs.uk","quote":"remove areas of endometriosis or fluid-filled sacs (ovarian cysts) caused by endometriosis","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"adhesiolysis","name":"Adhesiolysis","how_it_works":{"text":"The procedure removes scar tissue that restricts organ movement","source":{"url":"https://www.uclh.nhs.uk/our-services/find-service/womens-health-1/gynaecology/endometriosis/surgical-treatment-endometriosis","host":"uclh.nhs.uk","quote":"Removal of scar tissue (adhesiolysis) which often forms web-like bands from one organ to another, restricting their movement.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=spain/city=madrid/procedure=laparoskopiya-pri-endometrioze/"}],"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":9},"manualSeo":[],"updatedAt":"2026-11-12T16:16:19.000Z","activeCountries":["ES","TR","MX","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}