{"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>Open 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 over 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 removes the thymus gland and anterior mediastinal fat through the transsternal approach. Transsternal access requires dissection of the sternum, but it allows removing the large thymus gland and examining all organs of the mediastinum thoroughly. The operation ends with the suture of the sternum and skin. If necessary, drainage is installed in the anterior mediastinum.&nbsp;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 7.<\/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>Open 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 over 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 removes the thymus gland and anterior mediastinal fat through the transsternal approach. Transsternal access requires dissection of the sternum, but it allows removing the large thymus gland and examining all organs of the mediastinum thoroughly. The operation ends with the suture of the sternum and skin. If necessary, drainage is installed in the anterior mediastinum.&nbsp;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 7.<\/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":"5ffc5585072bd.jpg","city":"Berlin","clinic_site":"https:\/\/www.vivantes.de\/fuer-sie-vor-ort\/klinikum-neukoelln\/","department_recommend":"0","country":"Germany","country_id":"1","clinic_name":"Vivantes Neuk\u00f6lln Hospital Berlin","cinic_name":"Vivantes Neuk\u00f6lln Hospital Berlin","department_id":"2188","duration":"7","direction":"Thoracic surgery","min_duration":0,"clinic_id":"1642","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":"Treatment of myasthenia gravis with open thymectomy","price":{"val":15710.62,"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":"200.00"},{"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":"20","distance":"174","airport_title":"Leipzig"}],"pakets":[],"lang":{"day":"Day","days":"days","ambulatory":"Outpatient","stationaryProgram":"Inpatient"}}