ウィーン総合病院（AKH）は、ヨーロッパで最も革新的な医療機関の一つです。300年以上にわたる長い歴史を持ちます。ウィーン医科大学病院には、42以上の大学病院・研究所、6つの専属検査室、10,000名のスタッフが在籍しています。
\n\nオーストリアのAKHウィーン病院は、あらゆる医療分野において高水準の医療と革新的な技術を保証しています。ウィーン病院は、専門医療センター、商店、レストラン、銀行の支店を備えた「街の中の街」です。
","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":216,"alias":"vienna-general-hospital-akh","name":"Vienna General Hospital (AKH)","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/216-6ac3a2d15f7e9.png","short_description":"ウィーン総合病院（AKH）は、ヨーロッパで最も革新的な医療機関の一つです。300年以上にわたる長い歴史を持ちます。ウィーン医科大学病院には、42以上の大学病院・研究所、6つの専属検査室、10,000名のスタッフが在籍しています。
\n\nオーストリアのAKHウィーン病院は、あらゆる医療分野において高水準の医療と革新的な技術を保証しています。ウィーン病院は、専門医療センター、商店、レストラン、銀行の支店を備えた「街の中の街」です。
","images":[{"base_url":"clinic/5c87d2ec9ddf8","title":"Vienna General Hospital (AKH) main building exterior, modern medical facility in Austria"},{"base_url":"clinic/5b2bb249a1c91","title":"Vienna General Hospital (AKH) main building exterior in Vienna, Austria"},{"base_url":"clinic/5b2bb2483f71c","title":"Main lobby at Vienna General Hospital (AKH) with spacious modern interior"},{"base_url":"clinic/5b2bb0d7eae39","title":"Vienna General Hospital (AKH) main building exterior in Vienna, Austria"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"オーストリア","id":29,"alias":"austria","iso_code":"AT"},"city":{"name":"ウィーン","id":84,"alias":"vienna"},"address":"Währinger Gürtel 18-20, 1090 Wien, Austria"},"rating":{"rating":4.5,"google":3.2,"percent_of_satisfied_clients":94},"statistics":{"number_of_reviews":19,"doctors_number":1600,"year_foundation":1800},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db982e01da4b.jpeg","name":"国際標準化機構","country_code":"CH"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/69a5910c22133.jpeg","name":"ニューズウィーク「World's Best Hospitals 2026」","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/69a5905f804ff.jpeg","name":"ニューズウィーク「World's Best Hospitals 2025」","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6841934325139.jpeg","name":"ISO 9001:2015 品質マネジメントシステム"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"JUVENISメディカルセンターは、検証済みのDoctifyレビューで5点満点中4.95の評価を受けており、KURIERとIMWFにより、オーストリアの「人気グループ診療所2026」に選ばれました。手の手術の多くは20～60分で、局所麻酔による日帰り手術として行われます。同クリニックには専用の処置室と回復室があります。診断と医学的必要性に応じて、健康保険で費用の一部または全額がカバーされる場合があります。
","text_type":"mt_wow_description","best_texts":{"why_its_ranked":"手根管症候群、ばね指、デュピュイトラン拘縮、手関節の変形性関節症、手の腫瘍を治療します。外来手外科手術専用の院内処置・回復室を備えています。評価は5点満点中4.95点。"},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":8265,"alias":"juvenis","name":"JUVENIS","short_description":"JUVENISは、シュテファン広場近くのウィーン1区にある民間の外来診療センターです。8つの診療分野を専門とする16名の医師が、皮膚科、形成外科、予防医療を一か所で提供しています。4名の皮膚科専門医が、デジタルほくろマッピング、皮膚外科、皮膚がんに対する日光を利用した光線力学療法を行っています。また、2名の形成外科医が、鼻形成術、まぶたの手術、乳房手術、腹部形成術、脂肪吸引などの施術を行っています。
健康診断は、循環器、甲状腺、骨粗しょう症、アレルギー、超音波の各種検査と組み合わせることができます。2026年には、JUVENISの医師4名が、KURIERによりオーストリアで最も人気のある医師の一人に選ばれました。
","images":[{"base_url":"clinic/6acde2031b058","title":"Reception area at JUVENIS clinic with modern design and comfortable waiting lounge"},{"base_url":"clinic/6acde1954b4e0","title":"Consultation and treatment room at JUVENIS clinic with modern medical equipment"},{"base_url":"clinic/6acde19c77ecf","title":"Dermatology treatment room with laser equipment at JUVENIS clinic"},{"base_url":"clinic/6acde1a91a2dd","title":"Modern treatment room with medical equipment at JUVENIS clinic"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"オーストリア","id":29,"alias":"austria","iso_code":"AT"},"city":{"name":"ウィーン","id":84,"alias":"vienna"},"address":"Trattnerhof 2, 1010 Wien, Austria"},"rating":{"rating":0,"google":4.2,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":16,"year_foundation":2012},"accreditations":[],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":2,"total_pages":1}},"clinicsMeta":{"total_count":2,"total_pages":1},"clinicsCount":2,"clinicsCountByEntity":{"clinic_count":96},"doctors":{"doctors":[{"doctor":{"id":17353,"alias":"igor-pona","name":"Igor Pona","clinic_id":8265,"photo":"doctor/6a93582e2e240","first_year_working":2004,"created_at":"2026-08-29T22:07:41.132+00:00","short_description":"イーゴリ・ポナ医学博士（Dr. med. Igor Pona）は、ウィーンのJUVENISメディカルセンターに所属する形成外科・美容外科・再建外科の専門医です。顔面外科、神経外科、熱傷治療、およびマイクロサージャリーを含む再建外科の分野において豊富な経験を有しています。
\n学歴・認定：ウィーン医科大学にて博士号取得（2004年11月）。2005年から2007年までインターンシップ修了。2007年から2014年まで、ウィーン総合病院（AKH）およびマイドリング外傷病院にて専門医研修を修了。
\n業績：ウィーン総合病院（AKH）に10年以上勤務。2014年から2020年2月まで指導医（Senior Physician）を務める。顔面再建・美容外科外来の副部長を歴任。2014年に台湾および日本にてリンパ外科の研修を修了。2016年よりJUVENISに勤務。専門分野：顔面・乳房手術、ボディコントゥアリング、脂肪吸引および脂肪注入、手外科・神経外科、熱傷治療、マイクロサージャリー。対応言語：ドイツ語、英語、ウクライナ語、ロシア語。
","specialities":[{"id":"pls.001","name":"Plastic surgeon","illness_kind_id":38},{"id":"pls.003","name":"Reconstructive surgeon","illness_kind_id":38},{"id":"aes.001","name":"Aesthetic Doctor","illness_kind_id":39}],"statistics":{}},"clinic":{"id":8265,"alias":"juvenis","name":"JUVENIS","short_description":"JUVENISは、シュテファン広場近くのウィーン1区にある民間の外来診療センターです。8つの診療分野を専門とする16名の医師が、皮膚科、形成外科、予防医療を一か所で提供しています。4名の皮膚科専門医が、デジタルほくろマッピング、皮膚外科、皮膚がんに対する日光を利用した光線力学療法を行っています。また、2名の形成外科医が、鼻形成術、まぶたの手術、乳房手術、腹部形成術、脂肪吸引などの施術を行っています。
健康診断は、循環器、甲状腺、骨粗しょう症、アレルギー、超音波の各種検査と組み合わせることができます。2026年には、JUVENISの医師4名が、KURIERによりオーストリアで最も人気のある医師の一人に選ばれました。
","images":[{"base_url":"clinic/6acde2031b058","title":"Reception area at JUVENIS clinic with modern design and comfortable waiting lounge"},{"base_url":"clinic/6acde1954b4e0","title":"Consultation and treatment room at JUVENIS clinic with modern medical equipment"},{"base_url":"clinic/6acde19c77ecf","title":"Dermatology treatment room with laser equipment at JUVENIS clinic"},{"base_url":"clinic/6acde1a91a2dd","title":"Modern treatment room with medical equipment at JUVENIS clinic"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"オーストリア","id":29,"alias":"austria","iso_code":"AT"},"city":{"name":"ウィーン","id":84,"alias":"vienna"},"address":"Trattnerhof 2, 1010 Wien, Austria"},"rating":{"rating":0,"google":4.2,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":16,"year_foundation":2012},"accreditations":[]}},{"doctor":{"id":17362,"alias":"bernhard-moser","name":"Bernhard Moser","clinic_id":8265,"photo":"doctor/6a941b160f8cb","first_year_working":2008,"created_at":"2026-08-30T11:59:16.388+00:00","short_description":"ベルンハルト・モーザー医師（Dr. med. Bernhard Moser）は、ウィーンのJUVENISメディカルセンターに所属する、2つの専門医資格を有する外科医です。形成外科・美容外科、および口腔外科・顎顔面外科の専門医であり、さらに手外科、形成外科、マイクロサージャリーの追加資格、およびDEGUMレベル1の超音波診断認定を取得しています。
\n2014年から2016年までキール大学病院（UKSH Kiel）にてレジデンシー研修を修了。2017年に口腔顎顔面外科の専門医、同年に手外科・形成外科・マイクロサージャリーの専門医資格を取得しました。2021年には形成外科・美容外科の専門医資格を取得。2018年から2021年までアガプレシオン・ディアコニークリニック・ローテンブルク（Agaplesion Diakonieklinikum Rotenburg）にて上級医師を務め、2021年から2023年までベルグマン・クリニック・ドイツ（Bergman Clinics Germany）にて主任医師を務めました。2024年にJUVENISへ着任。
\n2015年よりキール大学にてマイクロサージャリー（微小外科）の研究に従事し、2018年にはflaplab.orgを設立しました。臨床における専門領域は、鼻形成術、手外科・神経外科、マイクロサージャリーです。また、顔面、乳房、ボディコントゥアリングの美容および再建手術、熱傷外科、脂肪吸引、脂肪注入も行っています。診療はドイツ語、英語、ロシア語、スペイン語で対応可能です。
","specialities":[{"id":"pls.001","name":"Plastic surgeon","illness_kind_id":38},{"id":"pls.002","name":"Facial plastic surgeon","illness_kind_id":38},{"id":"sur.015","name":"Oral and maxillofacial surgeon","illness_kind_id":66},{"id":"aes.001","name":"Aesthetic Doctor","illness_kind_id":39}],"statistics":{}},"clinic":{"id":8265,"alias":"juvenis","name":"JUVENIS","short_description":"JUVENISは、シュテファン広場近くのウィーン1区にある民間の外来診療センターです。8つの診療分野を専門とする16名の医師が、皮膚科、形成外科、予防医療を一か所で提供しています。4名の皮膚科専門医が、デジタルほくろマッピング、皮膚外科、皮膚がんに対する日光を利用した光線力学療法を行っています。また、2名の形成外科医が、鼻形成術、まぶたの手術、乳房手術、腹部形成術、脂肪吸引などの施術を行っています。
健康診断は、循環器、甲状腺、骨粗しょう症、アレルギー、超音波の各種検査と組み合わせることができます。2026年には、JUVENISの医師4名が、KURIERによりオーストリアで最も人気のある医師の一人に選ばれました。
","images":[{"base_url":"clinic/6acde2031b058","title":"Reception area at JUVENIS clinic with modern design and comfortable waiting lounge"},{"base_url":"clinic/6acde1954b4e0","title":"Consultation and treatment room at JUVENIS clinic with modern medical equipment"},{"base_url":"clinic/6acde19c77ecf","title":"Dermatology treatment room with laser equipment at JUVENIS clinic"},{"base_url":"clinic/6acde1a91a2dd","title":"Modern treatment room with medical equipment at JUVENIS clinic"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"オーストリア","id":29,"alias":"austria","iso_code":"AT"},"city":{"name":"ウィーン","id":84,"alias":"vienna"},"address":"Trattnerhof 2, 1010 Wien, 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_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"},"TH":{"amount":3500,"max_amount":5500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":4800,"max_amount":9200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":16800,"max_amount":22400,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"UA":false,"FR":false,"GB":false,"US":false,"IL":false,"TR":true,"MX":false,"DE":false,"CA":false,"AE":false,"TH":false,"PL":false,"KR":false,"CZ":false,"AT":false,"ES":true,"IT":false,"CN":false,"AU":false,"IN":false,"MY":false,"VN":false,"BR":false}}}},"operationIndicators":{"details":{"days_in_clinic":0,"days_in_country":0,"rehabilitation_days":0,"satisfied_percent":78,"treatment_duration_hours":0},"illness_kind_details":{"requests_processed":23249}},"responsibleDoctor":{"id":3065,"alias":"kayhan-turan","name":"Kayhan Turan ","photo":"doctor/612e235a45616","advisory_text":"カイハン・トゥラン医師は、ロボット支援関節置換術およびスポーツ医学を専門とする整形外科医です。同医師はトルコ初のロボット支援膝関節置換術および股関節置換術を執刀し、3500件以上のロボット支援手術を施行しています。","linkedin":"https://www.linkedin.com/in/drkayhanturan/","specialities":[{"id":"sur.016","name":"Orthopedic surgeon ","illness_kind_id":33}]},"direction":{"id":3,"name":"整形外科","alias":"orthopedics-and-traumatology"},"illness_kind":{"id":3,"name":{"en":"Orthopedics"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["regional","general"],"back_to_work_days":{"min":14,"max":90,"unit":"days","qualifier":"Desk work with one-handed use from about 2 weeks; manual or heavy work usually 2-3 months."},"complication_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Any complication within 3 months, mainly stiffness, scar adhesions, infection, nerve symptoms; serious ones under 5%."},"contraindications":["Active infection in the hand or arm","Poor skin or soft-tissue condition at the surgical site","Uncontrolled diabetes or other conditions unfit for surgery","Heavy smoking or nicotine use that cannot be paused","Severely compromised hand circulation"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually same-day discharge; one night if monitoring is needed after a longer operation."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":8,"max":16,"unit":"weeks","qualifier":"Light activity earlier under therapist guidance; sports and heavy gripping after bone or tendon healing is confirmed."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Strength, motion and scar maturation continue to improve for up to a year."},"fly_home_after_days":{"min":10,"max":14,"unit":"days","qualifier":"After suture removal and surgeon clearance; keep hand elevated during the flight."},"follow_up_visits":[{"purpose":"wound_check","after":{"min":2,"max":5,"unit":"days","qualifier":"First dressing change and splint check."},"requirement":"routine"},{"purpose":"suture_removal","after":{"min":10,"max":14,"unit":"days","qualifier":"Suture removal and splint adjustment."},"requirement":"routine"},{"purpose":"rehabilitation","after":{"min":14,"max":28,"unit":"days","qualifier":"Start or review of hand therapy, often with a local therapist."},"requirement":"routine"},{"purpose":"result_review","after":{"min":42,"max":90,"unit":"days","qualifier":"Function and strength review, usually remote or local."},"requirement":"routine"}],"indications":["Hand injury with loss of tendon, nerve or skin function","Post-traumatic deformity or malunion of hand bones","Congenital hand differences","Tendon rupture or contracture from arthritis or Dupuytren disease","Lost grip or pinch needing tendon transfer or joint reconstruction","Thumb base arthritis with pain and weakness"],"main_risks":["Infection","Stiffness of fingers or wrist","Scar adhesions or tendon re-rupture","Numbness or nerve injury","Persistent pain or complex regional pain syndrome","Poor wound or graft healing"],"pain":"Moderate pain for the first 3-7 days, controlled with oral analgesics and elevation; swelling and tenderness fade over several weeks.","preparation":["Hand and upper-limb examination with imaging review","Stop smoking and nicotine several weeks before surgery","Pre-operative blood tests and fitness assessment","Fasting as instructed before anesthesia","Arrange help with daily tasks for the first weeks","Plan hand therapy after returning home"],"recovery_timeline":[{"phase":"Days 0-14","description":"Splint or cast, elevation, wound healing, gentle finger movement as allowed.","restrictions":["No lifting or gripping","Keep dressing dry","Keep hand elevated"]},{"phase":"Weeks 2-6","description":"Sutures removed; supervised hand therapy begins with protected motion.","restrictions":["No weight bearing","No forceful gripping","Wear splint as directed"]},{"phase":"Weeks 6-12","description":"Strengthening and return to daily tasks and light work.","restrictions":["No heavy lifting","No contact sports"]},{"phase":"Months 3-12","description":"Gradual gain in strength, motion and scar softening.","restrictions":["Avoid heavy impact until surgeon clears"]}],"rehabilitation_days":{"min":42,"max":90,"unit":"days","qualifier":"Supervised hand therapy several times weekly, then home exercises."},"result_longevity":"Durable for most reconstructions; implants and transferred tissues may need later revision.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Repeat surgery such as tenolysis, re-repair or implant revision within 1-2 years; varies by reconstruction type."},"scars":"Linear or zigzag scars on the palm, fingers or back of hand; usually fade over 6-12 months, and graft or flap sites leave extra scars.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single-stage reconstruction; complex injuries may need staged surgery."},"stages":[{"code":"reconstruction","label":"Single-stage hand reconstruction","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery."}}],"qualifier":"Standard protocol is one operation followed by therapy."},"success":{"metric":"Meaningful improvement in hand function and pain","value":80,"unit":"percent of patients","horizon":"6-12 months","population":"Adults with tendon, nerve or joint hand problems, standard single-stage reconstruction","evidence_status":"limited"},"techniques":[{"name":"Tendon repair, graft or transfer","suits_whom":"Tendon rupture or loss of finger or thumb function.","recovery":"Splinting 3-6 weeks, therapy 2-3 months."},{"name":"Nerve repair or nerve graft","suits_whom":"Nerve injury with sensory or motor loss.","recovery":"Protected 3-4 weeks; nerve recovery takes months."},{"name":"Bone and joint reconstruction (fusion, arthroplasty, fixation)","suits_whom":"Malunion, arthritis or joint destruction.","recovery":"Immobilisation 4-6 weeks, therapy 2-3 months."},{"name":"Skin graft or flap coverage","suits_whom":"Soft-tissue loss or burn contracture.","recovery":"Dressings 2-3 weeks; therapy from about 3 weeks."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1.5,"max":4,"unit":"hours","qualifier":"Depends on the number of structures reconstructed."},"initial_assessment_documents":["Hand X-rays","Photos of hand in open and closed positions","Hand MRI or ultrasound report (if available)","Previous operation reports","Short video of finger movement"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay 10-14 days until suture removal, then therapy at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the surgeon or clinic has the right insurance to carry out the procedure","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/choosing-who-will-do-your-procedure/","host":"nhs.uk","quote":"They should have the right training, skills and insurance to safely carry out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C2","text":"Check you can book a consultation with the person who will do the procedure before deciding","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/choosing-who-will-do-your-procedure/","host":"nhs.uk","quote":"Always book a consultation with the person who will do the procedure before making your final decision.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C3","text":"Check that the specialist explains the benefits and risks of each treatment option","scope":"treatment_type","source":{"url":"https://www.nhs.uk/conditions/dupuytrens-contracture/","host":"nhs.uk","quote":"The specialist will explain what the benefits and risks of each treatment option are.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C4","text":"Check that the surgeon is fully trained in the procedure you want, because this can be hard to confirm","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"It can be difficult to find out if a surgeon is fully trained in the procedure you want.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C5","text":"Check the surgeon can show before and after pictures of their work","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"They should be able to show before and after pictures of their work.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C6","text":"Check where follow-up check-ups will take place","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You need to think about where check-ups will take place.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Asked to pay before any consultation has taken place","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/choosing-who-will-do-your-procedure/","host":"nhs.uk","quote":"Do not pay for a procedure until you've had a consultation to make sure it's right for you.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F2","text":"No time offered after the consultation to decide whether to go ahead","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/choosing-who-will-do-your-procedure/","host":"nhs.uk","quote":"Your practitioner should give you time after your consultation to decide whether you want to go ahead with the procedure.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F3","text":"Surgery offered as part of a holiday package","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"Be cautious of websites selling cosmetic surgery as part of a holiday.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F4","text":"Only one consultation, or none, with the operating surgeon before surgery","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F5","text":"The clinic cannot provide follow-up treatment after you leave","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"Overseas clinics may not provide follow-up treatment, or they may not provide it to the same standard as in the UK.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Sudden loss of movement in hand","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/hand-tendon-repair/","host":"nhs.uk","quote":"sudden loss of movement in your hand","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W2","text":"Pain, swelling and redness in hand","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/hand-tendon-repair/","host":"nhs.uk","quote":"pain, swelling and redness in your hand – redness may be harder to see on brown or black skin","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W3","text":"Pus, blood or other fluids leaking from wound","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/hand-tendon-repair/","host":"nhs.uk","quote":"pus, blood or other fluids leaking from a wound","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","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}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, 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":"2026-11-14","next_check_at":"2027-11-14","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Other treatments like physiotherapy have not yet been tried","name":"Physiotherapy","source":{"url":"https://www.nhs.uk/tests-and-treatments/hand-tendon-repair/","host":"nhs.uk","quote":"Sometimes other treatments, such as physiotherapy, may be tried first.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":128}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"technique_details":{"status":"ok","items":[{"id":"tendon-repair","name":"Tendon repair, graft or transfer","how_it_works":{"text":"Damaged tendons are stitched together during the operation","source":{"url":"https://www.nhs.uk/tests-and-treatments/hand-tendon-repair/","host":"nhs.uk","quote":"The damaged tendons in your hand are stitched together","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"nerve-repair","name":"Nerve repair or nerve graft","how_it_works":{"text":"The surgeon repairs the outer tube of the injured nerve","source":{"url":"https://www.plymouthhospitals.nhs.uk/display-pil/pil-digital-nerve-repairs-6941/","host":"plymouthhospitals.nhs.uk","quote":"The surgeon will repair the outer tube, but the tiny fibres inside will die off from the level of the cut to the fingertip.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"bone","name":"Bone and joint reconstruction (fusion, arthroplasty, fixation)","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"skin-graft","name":"Skin graft or flap coverage","how_it_works":{"text":"A skin 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