O Ponderas Academic Hospital oferece cirurgia de cancro do ovário com o Dr. Paul Stanciu, o primeiro ginecologista a nível mundial acreditado pela SERGS para operar em duas plataformas robóticas. É especializado em procedimentos minimamente invasivos complexos, incluindo cirurgias de preservação da fertilidade para pacientes com cancro, com formação no Royal Marsden Hospital. O procedimento custa normalmente entre 10.500 $ e 18.000 $. O hospital possui acreditação JCI e fornece diagnósticos abrangentes e cuidados pós-operatórios.
A Clínica Acadêmica Ponderas — centro médico privado e multidisciplinar situado em Bucareste, Romênia. A clínica conta com cirurgiões que possuem mais de 30 anos de experiência prática, reunindo sob o mesmo teto especialistas de diversas áreas médicas e cirúrgicas.
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A Clínica Acadêmica Ponderas — centro médico privado e multidisciplinar situado em Bucareste, Romênia. A clínica conta com cirurgiões que possuem mais de 30 anos de experiência prática, reunindo sob o mesmo teto especialistas de diversas áreas médicas e cirúrgicas.
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planning.","restrictions":["No heavy lifting","No driving while on opioids"]},{"phase":"Return to normal activity (weeks 6-12)","description":"Return to work and exercise as cleared by surgeon, often alongside chemotherapy.","restrictions":["Avoid strenuous abdominal strain until cleared"]}],"rehabilitation_days":{"min":30,"max":60,"unit":"days","qualifier":"Ordinary functional recovery after open laparotomy; may be longer with chemotherapy or extensive surgery."},"result_longevity":"Surgical removal of tumor and ovaries is permanent. Cancer-free duration depends on stage, residual disease and chemotherapy response; recurrence is common in advanced disease, so long-term surveillance is needed.","revision_rate_pct":{"min":2,"max":8,"unit":"percent","qualifier":"Unplanned return to theatre within 30 days, e.g. for bleeding, leak or wound dehiscence."},"scars":"Midline vertical abdominal incision scar is typical for open surgery; smaller port scars if minimally invasive approach is used in selected early-stage cases.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single primary operation (staging/cytoreduction); interval surgery after neoadjuvant chemotherapy is a separate protocol."},"stages":[{"code":"surgery","label":"Staging or cytoreductive surgery (hysterectomy, bilateral salpingo-oophorectomy, omentectomy, as indicated)","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at first session."}}],"qualifier":"Primary surgery protocol; adjuvant chemotherapy is separate treatment."},"success":{"metric":"Complete gross resection (no residual disease) at primary cytoreduction","value":65,"unit":"percent of patients","horizon":"at surgery","population":"Adults with advanced epithelial ovarian cancer at experienced gynecologic oncology centers","evidence_status":"limited"},"techniques":[{"name":"Open comprehensive staging / primary cytoreductive surgery (TAH-BSO, omentectomy, peritoneal biopsies, lymph node assessment, tumor debulking)","suits_whom":"Suspected or confirmed ovarian cancer, including advanced disease amenable to maximal resection.","recovery":"Hospital stay about 4-7 nights; return to usual activity about 6-12 weeks."},{"name":"Fertility-sparing unilateral salpingo-oophorectomy with staging","suits_whom":"Selected young patients with early-stage, low-risk disease wishing to preserve fertility.","recovery":"Often shorter recovery, especially if minimally invasive."},{"name":"Interval cytoreductive surgery after neoadjuvant chemotherapy","suits_whom":"Advanced disease not initially resectable or patient unfit for primary surgery.","recovery":"Similar to primary open surgery."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":3,"max":6,"unit":"hours","qualifier":"Open staging/cytoreductive laparotomy; longer for extensive multivisceral resection."},"initial_assessment_documents":["Pelvic and abdominal CT or MRI report","Pelvic ultrasound report","CA-125 and other tumor marker results","Biopsy or cytology report (if available)","Recent preoperative blood test results","PET-CT report (if available)"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single operation; stay 2-3 weeks including hospital nights and wound check. Second trip only for adjuvant chemotherapy or follow-up."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the medical team’s qualifications","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Ask the medical team questions about the treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check whether the clinic or hospital’s facilities and standards satisfy you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Discuss treatment options and necessity with a doctor for a second opinion","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"A doctor can give you a valuable second opinion as well as advice about treatment options and whether it's necessary.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Ensure you understand possible complications and side effects","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C6","text":"Ensure aftercare coordination is clear","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"You cannot ask the treatment team questions before booking","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"You are not satisfied with the clinic or hospital’s facilities and standards","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"The clinic cannot explain how aftercare will be coordinated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Heavy bleeding after surgery","urgency":"emergency","general":false,"source":{"url":"https://www.gatesheadhealth.nhs.uk/resources/surgery-for-ovarian-cancer/","host":"gatesheadhealth.nhs.uk","quote":"Bleeding (haemorrhage) – This may occur during the surgery or rarely afterwards.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Pain and swelling in one leg","urgency":"emergency","general":false,"source":{"url":"https://www.gatesheadhealth.nhs.uk/resources/surgery-for-ovarian-cancer/","host":"gatesheadhealth.nhs.uk","quote":"This will normally cause pain and swelling in the affected leg and is relatively simply to treat using blood thinning drugs.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Sudden difficulty breathing or chest pain","urgency":"emergency","general":true,"source":{"url":"https://www.nhs.uk/conditions/pulmonary-embolism/","host":"nhs.uk","quote":"difficulty breathing that comes on suddenly, chest pain that's worse when you breathe in","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You need treatment before or after surgery, or surgery is unsuitable","name":"Chemotherapy","source":{"url":"https://www.nhs.uk/conditions/ovarian-cancer/treatment/","host":"nhs.uk","quote":"It may be given before and after surgery, or it may be used on its own.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":37}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"open-comprehensive-staging-primary","name":"Open comprehensive staging / primary cytoreductive surgery (TAH-BSO, omentectomy, peritoneal biopsies, lymph node assessment, tumor debulking)","how_it_works":{"text":"Surgeons remove most or all of the cancerous tumor","source":{"url":"https://my.clevelandclinic.org/health/procedures/debulking-surgery","host":"my.clevelandclinic.org","quote":"Debulking (cytoreduction) surgery is cancer surgery to remove most or all of a cancerous tumor.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"fertility-sparing-unilateral-salpingo","name":"Fertility-sparing unilateral salpingo-oophorectomy with staging","how_it_works":{"text":"One ovary and tube are removed with complete staging","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC6299391/","host":"pmc.ncbi.nlm.nih.gov","quote":"Patients with stage IA and Grade 1 tumors are treated with unilateral salpingoophorectomy and complete staging (including peritoneal washing and omental biopsy).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"interval-cytoreductive-surgery-after","name":"Interval cytoreductive surgery after neoadjuvant chemotherapy","how_it_works":{"text":"Surgery follows chemotherapy when cancer responds or remains stable","source":{"url":"https://experts.umn.edu/en/publications/neoadjuvant-chemotherapy-for-newly-diagnosed-advanced-ovarian-can/","host":"experts.umn.edu","quote":"Interval cytoreductive surgery (ICS) should be performed after ≤four cycles of NACT for patients with a response to chemotherapy or stable disease.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":6,"max":12,"unit":"weeks","label":"6–12 weeks","source":{"url":"https://www.gloshospitals.nhs.uk/your-visit/patient-information-leaflets/interval-debulking-surgery-ids-ovarian-cancer-ghpi1564/","host":"gloshospitals.nhs.uk","quote":"most women are able to resume light daily activities and tasks within 6 to 12 weeks.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=rumuniya/procedure=operacia-pri-rake-aicnikov/"}],"offerFilters":{"offer_count":0,"country_filter":[{"id":46,"name":"Turquia","alias":"turkey","iso_code":"TR"}],"price_filter":{"from":0,"to":0,"avg":0}},"illnessesByOperation":[{"id":6,"alias":"ovarian-cancer","name":"Cancro do ovário"}],"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}