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También posee certificaciones en Laparoscopia Ginecológica y Histeroscopia, ambas aprobadas por el Ministerio de Salud de Turquía.","linkedin":"https://www.linkedin.com/in/dr-esra-%C3%A7abuk-c%C3%B6mert-a12a08205/?originalSubdomain=tr","specialities":[{"id":"frt.002","name":"Especialista en fertilidad","illness_kind_id":68},{"id":"oag.001","name":"Obstetra-ginecóloga","illness_kind_id":35},{"id":"oag.002","name":"Ginecólogo","illness_kind_id":35}]},"direction":{"id":35,"name":"Obstetricia y Ginecología","alias":"obstetrics-and-gynecology"},"illness_kind":{"id":35,"name":{"en":"Obstetrics and Gynecology"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":14,"max":28,"unit":"days","qualifier":"Typical for desk-based work after uncomplicated robotic myomectomy; physically demanding work often takes longer, depending on fibroid number and size."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Any perioperative complication within 30 days, mostly minor; transfusion about 1-3%, conversion to open 1-5%."},"contraindications":["Pregnancy","Suspected or confirmed uterine malignancy (e.g., leiomyosarcoma)","Unfit for general anesthesia or Trendelenburg pneumoperitoneum","Uncorrected coagulopathy or severe anemia not optimized","Active pelvic infection"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually same-day discharge or one overnight stay after uncomplicated robotic myomectomy."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":6,"unit":"weeks","qualifier":"Light walking early; strenuous exercise and heavy lifting typically resumed after surgeon clearance, often around 4-6 weeks."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Symptom relief (e.g., bleeding, pressure) usually evident after the first cycles; uterine healing continues for months."},"fly_home_after_days":{"min":5,"max":8,"unit":"days","qualifier":"After surgeon clearance; depends on pain control, absence of complications and airline rules after abdominal laparoscopic surgery."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":10,"max":21,"unit":"days","qualifier":"Typical first postoperative visit."}},{"purpose":"result_review","requirement":"routine","after":{"min":35,"max":60,"unit":"days","qualifier":"Review of recovery and pathology results; imaging if indicated."}}],"indications":["Symptomatic fibroids with heavy bleeding or pelvic pain/pressure","Fibroids with infertility or recurrent pregnancy loss, no other cause","Intramural or subserosal fibroids, moderate number and size"],"main_risks":["Bleeding, possible transfusion","Conversion to open surgery","Infection","Injury to bladder, bowel, ureter or vessels","Adhesion formation","Fibroid recurrence or persistence","Weak uterine scar; pregnancy rupture risk, so cesarean delivery","Possible hysterectomy if uncontrollable bleeding","Anesthesia and positioning-related complications","Port-site hernia","Unexpected sarcoma and risk of tissue spread with morcellation"],"pain":"Mild to moderate postoperative pain in the first few days, including incisional and shoulder-tip pain from gas; usually controlled with oral analgesics.","preparation":["Pelvic ultrasound and/or MRI to map fibroids","Evaluation for malignancy and endometrial assessment as indicated","Blood tests and anemia correction if needed","Anesthesia assessment","Fasting before surgery per anesthesia instructions","Review of current medications with the surgical team","Discussion of fertility goals and possible conversion to open surgery"],"recovery_timeline":[{"phase":"Day 0-3","description":"Discharge same day or next day; mild pain, fatigue, shoulder-tip discomfort, light vaginal spotting.","restrictions":["No driving while taking opioid analgesics","Avoid heavy lifting"]},{"phase":"Week 1-2","description":"Gradual return to daily activities and walking; port-site healing.","restrictions":["Avoid lifting heavy objects","No tub baths or swimming until wounds heal"]},{"phase":"Week 2-4","description":"Return to desk work for most patients; energy improves.","restrictions":["Avoid intercourse and tampons until cleared by surgeon","Avoid strenuous exertion"]},{"phase":"Week 4-6","description":"Resume full activity after surgeon clearance.","restrictions":["Delay conception about 3-6 months after surgery"]}],"rehabilitation_days":{"min":14,"max":28,"unit":"days","qualifier":"Ordinary functional recovery for daily activities after uncomplicated surgery; no formal physiotherapy normally required."},"result_longevity":"Symptom relief from removed fibroids is usually long-lasting. 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