{"translation_price":"50","translation_doc_price":"40","child_coefficient":"1.1","transfer_price":"2.00","transfer_price_vip":"5.00","constant_transfer_price_vip":350,"constant_transfer_price":150,"constant_transfer_distanse":60,"type":"treatment","program_full_story":"<ul>\n\t<li>Initial presentation in the clinic<\/li>\n\t<li>Clinical history taking<\/li>\n\t<li>Review of medical records<\/li>\n\t<li>Physical examination<\/li>\n\t<li>Neurological examination (if indicated)<\/li>\n\t<li>Laboratory tests:\n\t<ul>\n\t\t<li>Complete blood count<\/li>\n\t\t<li>Biochemical blood tests<\/li>\n\t\t<li>Inflammation indicators (CRP, ESR)<\/li>\n\t\t<li>Coagulation tests<\/li>\n\t<\/ul>\n\t<\/li>\n\t<li>Chest MRI\/CT scan<\/li>\n\t<li>Preoperative care<\/li>\n\t<li>Endoscopic thymectomy<\/li>\n\t<li>Histological examination of the removed tissues (if indicated)<\/li>\n\t<li>Symptomatic treatment<\/li>\n\t<li>Cost of medicines and medical materials<\/li>\n\t<li>Nursing services<\/li>\n\t<li>Control examinations<\/li>\n\t<li>Full hospital accommodation<\/li>\n\t<li>Elaboration of further recommendations<\/li>\n<\/ul>\n<div class=\"program_indications_for_surgery\"><h4>Indications<\/h4><ul>\n\t<li>Treatment-resistant myasthenia gravis<\/li>\n\t<li>Thymus size under 8 cm<\/li>\n<\/ul>\n<\/div><div class=\"program_how_program_going mt-4\"><h4>How program is carried out<\/h4><p style=\"text-align:justify\"><strong>Day 1<\/strong>.&nbsp; Initial presentation at the clinic. After consultation with the attending physician, examination and neurological examination, the patient undergoes the necessary laboratory and instrumental examination.<\/p>\n\n<p style=\"text-align:justify\"><strong>Day 2<\/strong>. On the 2nd day of hospitalization, after receiving the examination results and their assessment by the attending physician, the operation is performed under general anesthesia. The surgeon endoscopically removes the thymus gland and anterior mediastinal fat through the transcervical approach. With endoscopic surgery, there is no need to open the sternum, as the surgery is performed through a small incision in the neck. This allows the patient to recover faster after surgery and to reduce pain in the postoperative period. The operation ends with the suture of the soft tissues and skin. If necessary, drainage is installed in the anterior mediastinum. The patient is disconnected from the ventilator. After the restoration of spontaneous breathing he is transferred to the intensive care unit. As a rule, the operation lasts up to 1-1.5 hours.<\/p>\n\n<p style=\"text-align:justify\"><strong>From day 3<\/strong>. In the absence of complications and good general condition, the patient is transferred from the intensive care unit to a regular ward. If positive dynamics is present and complications are absent, the patient is discharged from the hospital on average at day 5.<\/p>\n<\/div><div class=\"program_required_documents mt-4\"><h4>Required documents<\/h4><ul>\n\t<li>Medical records<\/li>\n\t<li>Chest MRI\/CT scan (not older than 3 months)<\/li>\n\t<li>Biopsy results (if thymic carcinoma is suspected and if available)<\/li>\n<\/ul>\n<\/div>","program_full_story_crm":"<ul>\n\t<li>Initial presentation in the clinic<\/li>\n\t<li>Clinical history taking<\/li>\n\t<li>Review of medical records<\/li>\n\t<li>Physical examination<\/li>\n\t<li>Neurological examination (if indicated)<\/li>\n\t<li>Laboratory tests:\n\t<ul>\n\t\t<li>Complete blood count<\/li>\n\t\t<li>Biochemical blood tests<\/li>\n\t\t<li>Inflammation indicators (CRP, ESR)<\/li>\n\t\t<li>Coagulation tests<\/li>\n\t<\/ul>\n\t<\/li>\n\t<li>Chest MRI\/CT scan<\/li>\n\t<li>Preoperative care<\/li>\n\t<li>Endoscopic thymectomy<\/li>\n\t<li>Histological examination of the removed tissues (if indicated)<\/li>\n\t<li>Symptomatic treatment<\/li>\n\t<li>Cost of medicines and medical materials<\/li>\n\t<li>Nursing services<\/li>\n\t<li>Control examinations<\/li>\n\t<li>Full hospital accommodation<\/li>\n\t<li>Elaboration of further recommendations<\/li>\n<\/ul>\n<div class=\"program_indications_for_surgery\"><h4>Indications<\/h4><ul>\n\t<li>Treatment-resistant myasthenia gravis<\/li>\n\t<li>Thymus size under 8 cm<\/li>\n<\/ul>\n<\/div><div class=\"program_how_program_going mt-4\"><h4>How program is carried out<\/h4><p style=\"text-align:justify\"><strong>Day 1<\/strong>.&nbsp; Initial presentation at the clinic. After consultation with the attending physician, examination and neurological examination, the patient undergoes the necessary laboratory and instrumental examination.<\/p>\n\n<p style=\"text-align:justify\"><strong>Day 2<\/strong>. On the 2nd day of hospitalization, after receiving the examination results and their assessment by the attending physician, the operation is performed under general anesthesia. The surgeon endoscopically removes the thymus gland and anterior mediastinal fat through the transcervical approach. With endoscopic surgery, there is no need to open the sternum, as the surgery is performed through a small incision in the neck. This allows the patient to recover faster after surgery and to reduce pain in the postoperative period. The operation ends with the suture of the soft tissues and skin. If necessary, drainage is installed in the anterior mediastinum. The patient is disconnected from the ventilator. After the restoration of spontaneous breathing he is transferred to the intensive care unit. As a rule, the operation lasts up to 1-1.5 hours.<\/p>\n\n<p style=\"text-align:justify\"><strong>From day 3<\/strong>. In the absence of complications and good general condition, the patient is transferred from the intensive care unit to a regular ward. If positive dynamics is present and complications are absent, the patient is discharged from the hospital on average at day 5.<\/p>\n<\/div>","is_ambulant":"0","bh_fee":0,"only_for_children":"0","no_service":"0","with_prepayment":"1","show_calculator":"1","paket_type":"1","btn_type":"0","clinic_icon":"60005cc02bcd1.jpg","city":"Bern","clinic_site":"http:\/\/www.hirslanden.ch\/global\/de\/startseite\/kliniken_zentren\/salem-spital.html","department_recommend":"0","country":"Switzerland","country_id":"2","clinic_name":"Hirslanden Salem-Spital Bern","cinic_name":"Hirslanden Salem-Spital Bern","department_id":"777","duration":"5","direction":"Thoracic surgery","min_duration":0,"clinic_id":"329","paketPrice":0,"paket":"<ul>\n <li>Interpreter up to 15 hours<\/li>\n <li>Translation up to 10 pages<\/li>\n <li>Visa support<\/li>\n\n\n<\/ul>","title":"Treatment of myasthenia gravis with endoscopic thymectomy","price":{"val":0,"type":"val"},"price_surcharge":0,"price_surcharge_clear":0,"extra_service_clinic":[{"id":"attendant_place","title":"Accommodation for the accompanying person ","parent":"duration","type":"count_val","val":"150.00"}],"extra_service":[],"translation_hours":"0","translation_doc_count":null,"roads":[{"id":"1","distance":"125","airport_title":"Zurich"},{"id":"17","distance":"155","airport_title":"Geneve"},{"id":"19","distance":"334","airport_title":"Stuttgart"}],"pakets":[],"lang":{"day":"Day","days":"days","ambulatory":"Outpatient","stationaryProgram":"Inpatient"}}