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The surgeon and staff were incredibly supportive and professional throughout. My laparoscopic procedure went smoothly, leaving me with fewer than ten sutures, and I can see my incision is already healing perfectly. Of course, I’m still very tired, and daily activities like bending or lifting are the main challenge for now, which is to be expected. I feel I was in very capable hands. Based on the care I received, I would definitely suggest this clinic to anyone."},"order":{"operation":{"id":859,"name":{"jp":"手術","en":"Surgery"}},"illness":{"id":60,"name":{"jp":"子宮筋腫","en":"Uterine fibroids"}}},"clinic_info":{"id":6184,"name":"Dr. Enrique Pliego Private Practice","alias":"riviera-surgeons","flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}]},"created_at":"2026-05-25T16:42:21.378+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":false},{"name":"coordinator_mentioned","value":false}],"client_response":{"what_like_text":{"jp":"最初から最後まで、絶え間なく明確な連絡をいただき、大変お世話になりました。プロセス全体を通して、安心感があり、信頼できる方々に任せておけば大丈夫だと感じられました。","en":"I was helped from start to finish with ongoing, clear communication. I felt safe and in good hands throughout the process."},"what_not_like_text":{"jp":"ただ一点、看護スタッフ全員が英語を話せるわけではなかったので、スペイン語の基礎知識がある程度必要でした。","en":"The only comment would be that the nursing staff didn’t all speak English so having a good introductory knowledge of Spanish was necessary."}},"summary":{"positive":{"jp":"私は非常に有能な手に委ねられていると感じました。","en":"I feel I was in very capable hands."}}},{"id":23641,"user":{"id":961884,"name":"Dawn  Hentz","country_code":"CA","country_name":{"jp":"カナダ","en":"Canada"}},"ratings":[{"name":"main","value":5},{"name":"relative_price","value":1},{"name":"doctor","value":5},{"name":"personal","value":0},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"translation","value":5},{"name":"nps","value":10},{"name":"manager","value":5}],"text":{"jp":"これまで受けた手術の中で断トツで最高の体験でした。医師は最高にプロフェッショナルでありながら温かく迎え入れてくれ、周囲で働くスタッフも素晴らしい方々ばかりでした。強くお勧めします。","en":"This was by far the best experience I have ever had to ever have an operation the most professional Dr, but warm and welcoming, and a wonderful staff that works all around him. I would highly recommend."},"order":{"illness":{"id":1023,"name":{"jp":"子宮脱","en":"Uterine prolapse"}}},"doctor_info":{"id":10452,"name":"Brenda Pastrana","alias":"brenda-pastrana"},"clinic_info":{"id":6184,"name":"Dr. Enrique Pliego Private Practice","alias":"riviera-surgeons","flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}]},"created_at":"2026-01-29T19:41:54.043+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":false},{"name":"coordinator_mentioned","value":false},{"name":"deactivated_clinic","value":false}],"client_response":{"preview_to_review_text":{"jp":"これまで受けた手術の中で断トツで最高の体験でした。医師は最もプロフェッショナルでありながら温かく迎え入れてくれ、周囲を支えるスタッフも素晴らしい方々ばかりです。強くお勧めします。","en":"This was by far the best experience I have ever had to ever have an operation the most professional Dr, but warm and welcoming, and a wonderful staff that works all around him. I would highly recommend."},"what_like_text":{"jp":"非常にプロフェッショナルでありながら温かく迎え入れてくれ、医師は素晴らしかったです","en":"So very professional but warm and welcoming and Dr was amazing"},"what_not_like_text":{"jp":"まったく不満はありません","en":"I have no complaints at all"}},"comment_about_bookimed":{"jp":"ブックメッドはプロフェッショナルで、私のニーズを的確に把握し、即座に2つの見積もりを提示してくれました。その後もフォローアップを欠かさず、全てがスムーズかつ容易に進むよう配慮してくれました。この支援に心から感謝しており、既にこのグループを紹介しています。","en":"Book med was professional and right on top of what my needs were and got me two quotes immediately and have followed up to be sure that everything has gone smoothly and easily for me. I really appreciate their help in this assistance and I have already referred this group on"},"summary":{"positive":{"jp":"これまでの中で最も素晴らしい手術経験でした。","en":"This was by far the best experience I have ever had to ever have an operation"}}},{"id":7747,"user":{"id":269091,"name":"Katherine ","country_code":"US","country_name":{"jp":"アメリカ合衆国","en":"United States of America"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":3},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":3}],"text":{"jp":"アメリカでの経験よりも優れた病院体験でした。施設はよく整備されており、スタッフは専門的でした。サービスは素晴らしかったです。","en":"Better hospital experience than any I've had in the United States.  Place was well maintained, staff were professional.  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Comert","photo":"doctor/6564e3b672960","advisory_text":"エスラ・カブク・コメルト医師は産婦人科医です。体外受精、膣美容、腹腔鏡手術を専門とし、2万件以上の症例を扱っています。コメルト医師は、欧州美容医療外科協会（ACEA）の性器美容外科認定資格を取得しています。また、トルコ保健省の認定を受けた婦人科腹腔鏡検査と子宮鏡検査の資格も取得しています。","advisoryText":"エスラ・カブク・コメルト医師は産婦人科医です。体外受精、膣美容、腹腔鏡手術を専門とし、2万件以上の症例を扱っています。コメルト医師は、欧州美容医療外科協会（ACEA）の性器美容外科認定資格を取得しています。また、トルコ保健省の認定を受けた婦人科腹腔鏡検査と子宮鏡検査の資格も取得しています。","linkedin":"https://www.linkedin.com/in/dr-esra-%C3%A7abuk-c%C3%B6mert-a12a08205/?originalSubdomain=tr","specialities":[{"id":"frt.002","name":"Fertility specialist","illness_kind_id":68},{"id":"oag.001","name":"Obstetrician-gynecologist","illness_kind_id":35},{"id":"oag.002","name":"Gynecologist","illness_kind_id":35}]},"updatedAt":"2026-11-13T09:00:13.532Z","activeCountries":["MX","TR","AT","ES","TH"],"operationIndicators":{"details":{"anesthesia":"local","days_in_clinic":1,"days_in_country":2,"rehabilitation_days":7,"satisfied_percent":78,"treatment_duration_hours":1},"illness_kind_details":{"requests_processed":13013}},"direction":{"id":35,"name":"産婦人科","alias":"obstetrics-and-gynecology","name_forms":{"base_form":"産婦人科","form_4":"産婦人科","form_6":"産婦人科","form_11":"産婦人科"}},"illness_kind":{"id":35,"name":{"en":"Obstetrics and Gynecology"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["local","local_sedation","general","regional"],"back_to_work_days":{"min":3,"max":10,"unit":"days","qualifier":"Office-type work after cold-knife or LEEP conization; physically demanding work may need longer."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Any complication within 30 days, mainly bleeding or infection; serious ones under 2%."},"contraindications":["Active acute cervical or pelvic infection (usually treated first)","Invasive cervical cancer where conization isn't definitive treatment","Pregnancy (relative; performed only for strong indication)","Uncorrected bleeding disorder or unplanned therapeutic anticoagulation (relative)","Unfitness for anesthesia"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually same-day discharge; one night only if bleeding risk or anesthesia needs observation."},"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 after bleeding and discharge settle; longer after large excisions."},"final_result_months":{"min":1,"max":2,"unit":"months","qualifier":"Approximate cervical healing; clinical outcome (clearance of disease) is assessed at follow-up cytology/HPV testing, typically around 6 months."},"fly_home_after_days":{"min":2,"max":5,"unit":"days","qualifier":"After same-day discharge; delayed bleeding can occur at days 7–14, so earlier flights depend on surgeon clearance."},"follow_up_visits":[{"purpose":"result_review","requirement":"routine","after":{"min":14,"max":28,"unit":"days","qualifier":"Histology review including margin status, counted from the procedure."}},{"purpose":"assessment","requirement":"routine","after":{"min":150,"max":210,"unit":"days","qualifier":"Test-of-cure cytology/HPV testing, commonly about 6 months after the procedure."}},{"purpose":"wound_check","requirement":"conditional","after":{"min":7,"max":28,"unit":"days","qualifier":"Only if heavy bleeding, fever, foul discharge or persistent pain."}}],"indications":["High-grade cervical intraepithelial neoplasia (CIN 2–3) or adenocarcinoma in situ","Persistent CIN/abnormal cytology with inadequate or discordant colposcopy/biopsy","Suspected microinvasive disease needing diagnostic excision","Endocervical lesion not fully visible at colposcopy"],"main_risks":["Bleeding during or after procedure (delayed at 1–2 weeks)","Infection","Cervical stenosis","Cervical insufficiency; higher preterm birth risk, especially with larger excisions","Anesthesia-related risks","Rarely, injury to adjacent organs"],"pain":"Mild to moderate cramping and lower abdominal discomfort for a few days, usually managed with simple analgesics.","preparation":["Pre-operative colposcopy and biopsy confirmation","Pregnancy test and scheduling away from menstruation","Pre-anesthesia assessment and fasting as instructed","Review of bleeding risk and medications with the surgeon","Treat active genital infection beforehand"],"recovery_timeline":[{"phase":"First 24–48 hours","description":"Cramping and light bleeding or discharge; rest advised.","restrictions":["No tampons or intercourse","Avoid heavy lifting"]},{"phase":"Days 3–14","description":"Brown or blood-stained discharge that gradually decreases; a bleed may occur as the scab separates around days 7–14.","restrictions":["No tampons, douching, baths or swimming","Avoid sexual intercourse"]},{"phase":"Weeks 2–4","description":"Discharge settles; return to normal activity and exercise.","restrictions":["Avoid intercourse until about 4 weeks or as advised"]},{"phase":"Weeks 4–8","description":"Cervix largely healed; follow-up cytology/HPV plan confirmed.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery to normal daily activity; cervical healing continues for several weeks."},"result_longevity":"Excision clears the lesion in roughly 90% of cases, but recurrence risk persists, so follow-up cytology/HPV testing is advised, depending on margin status and HPV persistence.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Repeat excision or further treatment for positive margins or residual/recurrent disease within 2 years."},"scars":"No external scar; the cervix heals with an internal scar that may slightly alter cervical shape or narrow the canal.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operative session."},"stages":[{"code":"conization","label":"Cone excision of the cervical transformation zone (cold-knife, laser or LEEP/LLETZ)","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial session."}}],"qualifier":"One-stage procedure; follow-up checks are not treatment sessions."},"success":{"metric":"Disease-free after excision (no residual or recurrent CIN)","value":90,"unit":"percent","horizon":"24 months","population":"Women with CIN 2–3 treated by conization","evidence_status":"proven"},"techniques":[{"name":"LEEP/LLETZ (loop electrosurgical excision)","suits_whom":"Most women with CIN 2–3 with ectocervical lesions of suitable size.","recovery":"Typically quick, with discharge for 2–4 weeks."},{"name":"Cold-knife conization (scalpel)","suits_whom":"Suspected microinvasion, glandular lesions or when an intact specimen without thermal artifact is needed.","recovery":"Often slightly longer, with somewhat higher bleeding risk."},{"name":"Laser conization","suits_whom":"Selected cases where precise excision is preferred and equipment is available.","recovery":"Similar to cold-knife conization."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":0.25,"max":0.75,"unit":"hours","qualifier":"Operative time for one conization; excludes anesthesia preparation and recovery."},"initial_assessment_documents":["Cervical biopsy histology report","Colposcopy report","Recent Pap smear (cytology) report","HPV test result","Colposcopy images (if available)","Gynecologist referral letter or summary"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage procedure; stay 2-5 days. Histology review can be remote; test-of-cure at about 6 months is done at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Ask whether a doctor is always present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care unit?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask whether the surgeon and the facility use a surgical safety checklist, which can reduce complications","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Do the surgeon and his/her facility use a safety checklist?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","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}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Bleeding heavier than a normal period","urgency":"contact_clinic","general":false,"source":{"url":"https://ashfordstpeters.nhs.uk/leaflets/3688-gynaecology-leaflet-colposcopy-and-lletz-biopsy","host":"ashfordstpeters.nhs.uk","quote":"Bleeding heavier than a normal period.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Discharge with a strong or unpleasant smell","urgency":"contact_clinic","general":false,"source":{"url":"https://ashfordstpeters.nhs.uk/leaflets/3688-gynaecology-leaflet-colposcopy-and-lletz-biopsy","host":"ashfordstpeters.nhs.uk","quote":"Discharge with a strong or unpleasant smell.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Very heavy bleeding with clots","urgency":"emergency","general":false,"source":{"url":"https://www.wwl.nhs.uk/pdfreader/cnv-wwl-68ca8bcc8e01d1.75236655","host":"wwl.nhs.uk","quote":"If the bleeding is very heavy and you start to pass clots, or you have an offensive smelling discharge, please ring the ward for advice on one of the numbers at the end of this leaflet.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"High temperature (fever)","urgency":"contact_clinic","general":true,"source":{"url":"https://ashfordstpeters.nhs.uk/leaflets/3688-gynaecology-leaflet-colposcopy-and-lletz-biopsy","host":"ashfordstpeters.nhs.uk","quote":"A high temperature (fever).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","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 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cervix","name":"Hysterectomy","source":{"url":"https://www.wwl.nhs.uk/pdfreader/cnv-wwl-68ca8bcc8e01d1.75236655","host":"wwl.nhs.uk","quote":"Hysterectomy – removing the womb and the neck of the womb (in operating theatre) under general anaesthetic.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"leep","name":"LEEP/LLETZ (loop electrosurgical excision)","how_it_works":{"text":"A heated wire loop removes abnormal cervical tissue","source":{"url":"https://www.wwl.nhs.uk/pdfreader/cnv-wwl-68ca8bcc8e01d1.75236655","host":"wwl.nhs.uk","quote":"LLETZ (Large Loop Excision of Transformation Zone) – removing abnormal area of the neck of the womb with heated loop of wire, under local anaesthetic or general anaesthetic.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"cold-knife-conization","name":"Cold-knife conization (scalpel)","how_it_works":{"text":"Uses a surgical knife to remove cervical tissue","source":{"url":"https://my.clevelandclinic.org/health/procedures/23381-cone-biopsy","host":"my.clevelandclinic.org","quote":"Cold-knife conization uses a surgical knife (scalpel).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":1,"max":1,"unit":"weeks","label":"1 week","source":{"url":"https://my.clevelandclinic.org/health/procedures/23381-cone-biopsy","host":"my.clevelandclinic.org","quote":"Most people can return to their daily activities in about one week.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"laser-conization","name":"Laser conization","how_it_works":{"text":"A laser 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