{"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>laboratory tests:\n\t<ul style=\"list-style-type:circle\">\n\t\t<li>complete blood count<\/li>\n\t\t<li>general urine analysis<\/li>\n\t\t<li>biochemical analysis of blood<\/li>\n\t\t<li>inflammation indicators (CRP, ESR)<\/li>\n\t\t<li>indicators of blood coagulation<\/li>\n\t\t<li>tumor markers (CEA, CA19-9, CA125)<\/li>\n\t<\/ul>\n\t<\/li>\n\t<li>gynecological examination<\/li>\n\t<li>ultrasound scan: pelvis, abdomen<\/li>\n\t<li>preoperative care<\/li>\n\t<li>da Vinci myomectomy<\/li>\n\t<li>symptomatic treatment<\/li>\n\t<li>control examinations<\/li>\n\t<li>the cost of essential medicines and materials<\/li>\n\t<li>nursing services<\/li>\n\t<li>full hospital accommodation<\/li>\n\t<li>explanation of future recommendations<br \/>\n\t&nbsp;<\/li>\n<\/ul>\n<div class=\"program_how_program_going mt-4\"><h4>How program is carried out<\/h4><p style=\"text-align: justify;\"><strong>During the first visit<\/strong>, the physician will conduct a clinical examination and go through the results of the available diagnostic tests. After that, you will undergo the necessary additional examination, such as the assessment of liver and kidney function, ultrasound scan of the abdominal and pelvic organs, CT scan and MRI (if necessary). Based on the results of an additional examination, the physician will clarify the size and location of the myomatous nodes, choose the surgical technique and the type of anesthesia.<\/p>\n\n<p style=\"text-align: justify;\"><strong>Surgery with the da Vinci robot<\/strong> starts with general anesthesia. After anesthesia, the surgeon makes small incisions through which he inserts the manipulators of the da Vinci robot and a video camera into the pelvic cavity. Using manipulators, the doctor removes myomatous nodes, and the video camera continuously transmits a three-dimensional image of the operating field in 12-fold magnification to the monitor.<\/p>\n\n<p style=\"text-align: justify;\">Due to the precise movements of the da Vinci robotic arms, the surgeon can successfully remove multiple and large myomatous nodes on any wall of the uterus. After that, the wall of the uterus is sutured with a multilayer suture. This ensures the consistency of the scar on the uterus in the future and contributes to the preservation of the reproductive function.<\/p>\n\n<p style=\"text-align: justify;\">Excessive body mass, which usually complicates endoscopic surgery, is also not a direct contraindication to robotic intervention.<\/p>\n\n<p style=\"text-align: justify;\"><strong>After the completion of the operation<\/strong>, you will be transferred back to the ward, under the supervision of the attending physician and nursing staff. Due to the minimal invasiveness of the operation and the short duration of general anesthesia, you will not need to stay in the intensive care unit for a long time.<\/p>\n\n<p style=\"text-align: justify;\">Finally, the attending physician will evaluate the results of <strong>control examinations<\/strong>, schedule the date of discharge from the hospital and give you detailed recommendations for further follow-up and treatment.<\/p>\n<\/div><div class=\"program_required_documents mt-4\"><h4>Required documents<\/h4><ul>\n\t<li style=\"text-align: justify;\">Medical records<\/li>\n\t<li style=\"text-align: justify;\">Ultrasound scan (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>laboratory tests:\n\t<ul style=\"list-style-type:circle\">\n\t\t<li>complete blood count<\/li>\n\t\t<li>general urine analysis<\/li>\n\t\t<li>biochemical analysis of blood<\/li>\n\t\t<li>inflammation indicators (CRP, ESR)<\/li>\n\t\t<li>indicators of blood coagulation<\/li>\n\t\t<li>tumor markers (CEA, CA19-9, CA125)<\/li>\n\t<\/ul>\n\t<\/li>\n\t<li>gynecological examination<\/li>\n\t<li>ultrasound scan: pelvis, abdomen<\/li>\n\t<li>preoperative care<\/li>\n\t<li>da Vinci myomectomy<\/li>\n\t<li>symptomatic treatment<\/li>\n\t<li>control examinations<\/li>\n\t<li>the cost of essential medicines and materials<\/li>\n\t<li>nursing services<\/li>\n\t<li>full hospital accommodation<\/li>\n\t<li>explanation of future recommendations<br \/>\n\t&nbsp;<\/li>\n<\/ul>\n<div class=\"program_how_program_going mt-4\"><h4>How program is carried out<\/h4><p style=\"text-align: justify;\"><strong>During the first visit<\/strong>, the physician will conduct a clinical examination and go through the results of the available diagnostic tests. After that, you will undergo the necessary additional examination, such as the assessment of liver and kidney function, ultrasound scan of the abdominal and pelvic organs, CT scan and MRI (if necessary). Based on the results of an additional examination, the physician will clarify the size and location of the myomatous nodes, choose the surgical technique and the type of anesthesia.<\/p>\n\n<p style=\"text-align: justify;\"><strong>Surgery with the da Vinci robot<\/strong> starts with general anesthesia. After anesthesia, the surgeon makes small incisions through which he inserts the manipulators of the da Vinci robot and a video camera into the pelvic cavity. Using manipulators, the doctor removes myomatous nodes, and the video camera continuously transmits a three-dimensional image of the operating field in 12-fold magnification to the monitor.<\/p>\n\n<p style=\"text-align: justify;\">Due to the precise movements of the da Vinci robotic arms, the surgeon can successfully remove multiple and large myomatous nodes on any wall of the uterus. After that, the wall of the uterus is sutured with a multilayer suture. This ensures the consistency of the scar on the uterus in the future and contributes to the preservation of the reproductive function.<\/p>\n\n<p style=\"text-align: justify;\">Excessive body mass, which usually complicates endoscopic surgery, is also not a direct contraindication to robotic intervention.<\/p>\n\n<p style=\"text-align: justify;\"><strong>After the completion of the operation<\/strong>, you will be transferred back to the ward, under the supervision of the attending physician and nursing staff. Due to the minimal invasiveness of the operation and the short duration of general anesthesia, you will not need to stay in the intensive care unit for a long time.<\/p>\n\n<p style=\"text-align: justify;\">Finally, the attending physician will evaluate the results of <strong>control examinations<\/strong>, schedule the date of discharge from the hospital and give you detailed recommendations for further follow-up and treatment.<\/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":"2","clinic_icon":"5ffc5f632d6ff.jpg","city":"Berlin","clinic_site":"https:\/\/www.vivantes.de\/fuer-sie-vor-ort\/klinikum-am-urban\/","department_recommend":"0","country":"Germany","country_id":"1","clinic_name":"Vivantes Am Urban Hospital Berlin","cinic_name":"Vivantes Am Urban Hospital Berlin","department_id":"2087","duration":"5","direction":"Gynecology","min_duration":0,"clinic_id":"1578","paketPrice":3900,"paket":"<ul>\n <li>Interpreter up to 10 hours\n <\/li>\n <li>Translation up to 5 pages<\/li>\n <li>Visa support\n <\/li>\n \n<\/ul>","title":"Da Vinci myomectomy in uterine fibroids (myoma uteri)","price":{"val":11638.130000000001,"type":"val"},"price_surcharge":0,"price_surcharge_clear":0,"extra_service_clinic":[{"id":"need_to_use_head_doctor","title":"Treatment by leading experts","type":"val","val":"2893.38","req":0},{"id":"1_person_room","title":" Single room (whole period)","parent":"duration","type":"count_val","val":"153.00"},{"id":"2_person_room","title":" double room (whole period)","parent":"duration","type":"count_val","val":"82.00"},{"id":"attendant_place","title":"Accommodation for the accompanying person ","parent":"duration","type":"count_val","val":"120.00"}],"extra_service":[],"translation_hours":"0","translation_doc_count":null,"roads":[{"id":"8","distance":"30","airport_title":"Berlin"},{"id":"22","distance":"35","airport_title":"Berlin-Tegel"},{"id":"9","distance":"234","airport_title":"Hamburg"}],"pakets":[],"lang":{"day":"Day","days":"days","ambulatory":"Outpatient","stationaryProgram":"Inpatient"}}