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Ele possui certificação da Sociedade Europeia de Coloproctologia (FEBS-C) e já realizou mais de 500 cirurgias bariátricas.","linkedin":"","specialities":[{"id":"sur.006","name":"Colorectal surgeon","illness_kind_id":33},{"id":"sur.010","name":"General surgeon","illness_kind_id":33}]},"direction":{"id":33,"name":"Cirurgia","alias":"surgery"},"illness_kind":{"id":33,"name":{"en":"Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["local"],"back_to_work_days":{"min":1,"max":7,"unit":"days","qualifier":"Single small to medium subcutaneous lipoma; desk work often next day, manual work longer depending on site and size."},"complication_rate_pct":{"min":2,"max":10,"unit":"percent","qualifier":"Any complication within 30 days (hematoma, seroma, infection, dehiscence); serious complications under 1%."},"contraindications":["Active infection at the surgical site","Uncorrected bleeding disorder or unmanaged anticoagulation (relative)","Suspected liposarcoma or deep/large lesion needing oncologic work-up","Unfitness for the planned anesthesia","Pregnancy for elective timing (relative)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Typical small to medium subcutaneous lipoma excised under local anesthesia."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":4,"unit":"weeks","qualifier":"Strenuous exercise resumes after suture removal; longer for large excisions, joint or back wounds, seroma or hematoma."},"final_result_months":{"min":3,"max":12,"unit":"months","qualifier":"Scar maturation and resolution of swelling or firmness."},"fly_home_after_days":{"min":2,"max":7,"unit":"days","qualifier":"Small uncomplicated lipoma under local anesthesia. 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Excludes scar revision."},"scars":"A linear scar, usually about the length of the lipoma or shorter, which typically fades over several months; the position depends on the site and surgeon's technique.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single excision of one lipoma."},"stages":[{"code":"excision","label":"Excision of lipoma with wound closure","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial procedure."}}],"qualifier":"Follow-up checks are not counted as treatment sessions."},"success":{"metric":"Lipoma free of local recurrence after complete excision","value":95,"unit":"percent","horizon":"long-term follow-up, 1-5 years","population":"Adults with a single small to medium subcutaneous lipoma excised conventionally","evidence_status":"limited"},"techniques":[{"name":"Conventional surgical excision","suits_whom":"Most small to medium subcutaneous lipomas, and cases where complete capsule removal is desired.","recovery":"Wound healing in about 2 weeks; linear scar."},{"name":"Minimal-incision (enucleation) excision","suits_whom":"Soft, well-defined small lipomas.","recovery":"Smaller scar and often quicker recovery."},{"name":"Liposuction-assisted removal","suits_whom":"Soft, larger lipomas where a smaller scar is preferred and the lesion is suitable.","recovery":"Bruising and swelling for 1-2 weeks; higher recurrence potential if the capsule is left."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":1,"unit":"hours","qualifier":"Excision of a single small to medium subcutaneous lipoma."},"initial_assessment_documents":["Clear photos of the lump from two angles","Ultrasound report of the lump","MRI report (if available)","Previous biopsy or histology report, if any","List of blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-session excision under local anesthesia; stay 2–7 days; follow-up checks can be done at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the removed tissue is submitted for histologic analysis","scope":"procedure","source":{"url":"https://www.aafp.org/pubs/afp/issues/2002/0301/p901.html","host":"aafp.org","quote":"Specimens should be submitted for histologic analysis.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check the qualifications of the medical team that will treat 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":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that you can put your questions about the treatment to the treating team","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":"C4","text":"Check that you understand the possible complications and side effects of 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":"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":"C5","text":"Check how your aftercare will be coordinated before you agree to 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sign","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/blog/why-plastic-surgery-tourism-isnt-necessarily-a-good-deal","host":"plasticsurgery.org","quote":"Just be weary of any deal that seems too good to be true.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Surgical site infection","urgency":"contact_clinic","general":false,"source":{"url":"https://consultqd.clevelandclinic.org/liposuction-common-techniques-and-complications","host":"consultqd.clevelandclinic.org","quote":"Complications include ecchymosis, edema, surgical site infection, seroma, hematoma and venous thromboembolism.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Surgical wound does not heal","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/diseases/21142-liposarcoma","host":"my.clevelandclinic.org","quote":"Reaction to general anesthesia. Blood loss. Surgical wounds that don’t heal. Infection. Damage to organs or tissues affected by the tumor. Pain that isn’t managed by pain medication.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Pain not managed by medication","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/diseases/21142-liposarcoma","host":"my.clevelandclinic.org","quote":"Reaction to general anesthesia. Blood loss. Surgical wounds that don’t heal. Infection. Damage to organs or tissues affected by the tumor. Pain that isn’t managed by pain medication.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs the medicines given and prescribed to continue care","document":"medication list from treatment","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/what-to-do-when-sick-abroad.html","host":"cdc.gov","quote":"Remind travelers to request documentation of any medical care received during travel, including a list of medications received.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"T2","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 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as well as any dates that blood tests and follow-up appointments must be carried out.","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":"Your lipoma is not painful or causing health problems","name":"Watchful waiting","source":{"url":"https://my.clevelandclinic.org/health/diseases/15008-lipomas","host":"my.clevelandclinic.org","quote":"Most lipomas aren't painful and don't cause health problems so they rarely need treatment.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"conventional-surgical","name":"Conventional surgical excision","how_it_works":{"text":"A cut in the skin lets the surgeon remove the whole 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