{"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>\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>CT scan\/MRI of the abdomen and pelvis<\/li>\n\t<li>preoperative care<\/li>\n\t<li>aa Vinci hysterectomy<\/li>\n\t<li>histological&nbsp;and immunohistochemical<br \/>\n\texamination of the removed tissues<\/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<\/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. Based on the results of an additional examination, the physician will clarify the stage of the oncological process, 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 dissects the ligamentous apparatus of the uterus, ligates or coagulates the blood vessels and, finally, cuts off the uterus from the vagina. The video camera continuously transmits a three-dimensional image of the operating field in 12-fold magnification to the monitor. The uterus is removed through the vagina, and the vaginal stump is sutured with an atraumatic needle. The surgeon installs a drain into the abdominal cavity and finishes the operation.<\/p>\n\n<p style=\"text-align: justify;\">Hysterectomy with the da Vinci robot allows not only to remove the uterus, but also to fix the preserved ovaries in the anatomical position. If radiation therapy is planned after the hysterectomy, the surgeon can dislocate the ovaries from the irradiation region and maintain their function. 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;\">MRI\/CT scan (not older than 3 months)<\/li>\n\t<li style=\"text-align: justify;\">Biopsy results (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>\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>CT scan\/MRI of the abdomen and pelvis<\/li>\n\t<li>preoperative care<\/li>\n\t<li>aa Vinci hysterectomy<\/li>\n\t<li>histological&nbsp;and immunohistochemical<br \/>\n\texamination of the removed tissues<\/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<\/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. Based on the results of an additional examination, the physician will clarify the stage of the oncological process, 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 dissects the ligamentous apparatus of the uterus, ligates or coagulates the blood vessels and, finally, cuts off the uterus from the vagina. The video camera continuously transmits a three-dimensional image of the operating field in 12-fold magnification to the monitor. The uterus is removed through the vagina, and the vaginal stump is sutured with an atraumatic needle. The surgeon installs a drain into the abdominal cavity and finishes the operation.<\/p>\n\n<p style=\"text-align: justify;\">Hysterectomy with the da Vinci robot allows not only to remove the uterus, but also to fix the preserved ovaries in the anatomical position. If radiation therapy is planned after the hysterectomy, the surgeon can dislocate the ovaries from the irradiation region and maintain their function. 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":"6","direction":"Gynecology","min_duration":0,"clinic_id":"1578","paketPrice":4900,"paket":"<ul>\n <li>Interpreter up to 12 hours<\/li>\n <li>Translation up to 10 pages<\/li>\n <li>Visa support<\/li>\n\n \n<\/ul>","title":"Surgical treatment of endometrial cancer (uterine cancer) by da Vinci hysterectomy","price":{"val":16173.11,"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":"3895.31","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"}}