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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":"2026-10-23T07:20:10.214Z","activeCountries":["PL","TR","AT","ES","TH"],"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":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"],"back_to_work_days":{"min":0,"max":3,"unit":"days","qualifier":"Desk work usually next day; longer if sutures cause discomfort or friction."},"complication_rate_pct":{"min":2,"max":10,"unit":"percent","qualifier":"Any complication within 30 days, mainly minor bleeding, infection or wound opening; serious ones under 1%."},"contraindications":["Lesion suspicious for melanoma without prior specialist assessment","Active genital infection, such as herpes outbreak or warts","Allergy to local anesthetic","Uncontrolled bleeding disorder","Skin infection or open wound at the site"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Outpatient procedure; patient goes home the same day."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":1,"max":2,"unit":"weeks","qualifier":"Avoid friction-heavy exercise until the wound has healed."},"final_result_months":{"min":3,"max":12,"unit":"months","qualifier":"Scar maturation and fading take several months."},"fly_home_after_days":{"min":1,"max":3,"unit":"days","qualifier":"After pathology plan and wound check; sutured wounds may need a few days."},"follow_up_visits":[{"purpose":"wound_check","after":{"min":2,"max":3,"unit":"days","qualifier":"Optional if travelling; can be done remotely or locally."},"requirement":"conditional"},{"purpose":"suture_removal","after":{"min":7,"max":14,"unit":"days","qualifier":"Only if non-dissolvable sutures used; genital skin heals quickly."},"requirement":"conditional"},{"purpose":"result_review","after":{"min":7,"max":14,"unit":"days","qualifier":"Histology report review, usually remotely."},"requirement":"routine"}],"indications":["Benign-appearing mole in the genital area causing friction or irritation","Changing or atypical mole needing excision and histology","Mole that bleeds or is repeatedly traumatized"],"main_risks":["Bleeding or hematoma","Wound infection","Visible or widened scar","Pigment change at the site","Wound opening","Incomplete removal with recurrence of pigment","Pain or sensitivity at the scar"],"pain":"Local anesthetic injection stings briefly; mild to moderate soreness for 2-4 days, managed with simple analgesics.","preparation":["Dermatological assessment and dermoscopy of the lesion","Disclose blood thinners and allergies","Treat any active genital infection first","Avoid shaving the area just before the procedure"],"recovery_timeline":[{"phase":"Day 0-3","description":"Dressing in place; mild soreness, swelling or spotting possible.","restrictions":["Avoid sexual activity","Avoid tight clothing and friction","Keep dressing clean and dry"]},{"phase":"Day 4-14","description":"Wound closes; sutures dissolve or are removed.","restrictions":["No sexual activity until healed","No swimming or baths until healed","Avoid strenuous exercise"]},{"phase":"Week 3 onward","description":"Scar fades gradually; normal activity resumes.","restrictions":["Protect scar from friction"]}],"rehabilitation_days":{"min":3,"max":10,"unit":"days","qualifier":"Time to comfortable daily function; full wound healing takes about 2 weeks."},"result_longevity":"Removed mole is permanent; pigment may recur if cells remain. Histology confirms the diagnosis.","revision_rate_pct":{"min":2,"max":8,"unit":"percent","qualifier":"Re-excision for incomplete removal, pigment recurrence, atypia on histology or unsatisfactory scar within 12 months."},"scars":"Small linear or round scar, usually fine and well hidden on genital skin; may fade to a pale or slightly pigmented line.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single removal session for one mole."},"stages":[{"code":"removal","label":"Mole removal with histology","after":{"min":0,"max":0,"unit":"days","qualifier":"Same visit as assessment where possible."}}],"qualifier":"One session; wider re-excision only if histology requires."},"success":{"metric":"Complete mole removal without visible pigment recurrence","value":92,"unit":"percent of patients","horizon":"12 months","population":"Adults with benign-appearing genital moles treated by surgical excision with histology","evidence_status":"limited"},"techniques":[{"name":"Surgical excision with sutures","suits_whom":"Suspicious, deeper or larger moles needing histology","recovery":"Sutures removed at 7-14 days; linear scar; about 1-2 weeks to heal."},{"name":"Shave excision","suits_whom":"Small raised benign-appearing moles","recovery":"Open wound heals in 1-2 weeks; flat scar possible."},{"name":"Radiofrequency or electrosurgical removal","suits_whom":"Small clearly benign moles","recovery":"Crust falls off in 7-10 days; histology may be limited."},{"name":"Laser removal","suits_whom":"Small benign superficial moles; not for suspicious lesions","recovery":"Superficial wound heals in 7-14 days; no tissue for histology."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.25,"max":0.75,"unit":"hours","qualifier":"For one mole, including anesthesia."},"initial_assessment_documents":["Close-up photos of the mole with scale","Photos of mole location","Previous dermoscopy or dermatology report (if available)","Earlier biopsy or histology report (if available)","List of blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-session removal; stay 1-3 days, histology results can be reviewed remotely."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask how many of these procedures the surgeon has done","scope":"procedure","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/choosing-who-will-do-your-procedure/","host":"nhs.uk","quote":"how many of these procedures they've done","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Ask about the surgeon’s qualifications and training","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":"what qualifications and training they have","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Ask about common complications of 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":"about the most common complications of the procedure","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Ask what aftercare to expect and who will provide it","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":"what aftercare you can expect and who will look after you","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Ask what happens if something goes wrong or you are unhappy with the result","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":"what to do if something goes wrong or you're not happy with the result","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C6","text":"Book a consultation with the person performing the procedure","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-procedure-right-for-me/","host":"nhs.uk","quote":"Book a consultation with the person doing the procedure.","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":"The clinic does not offer a consultation with the surgeon who will perform the procedure","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":"2026-11-12","http_status":200}},{"id":"F2","text":"The surgeon cannot explain the procedure in a language you understand","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"if they speak a language you understand – they need to be able to explain the procedure to you and understand your concerns or questions","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"The surgeon does not explain the procedure’s limitations, alternatives, risks, or complications","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"what the procedure involves; the limitations of a procedure; what alternative procedures there are; any risks or complications","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":"Wound increasingly red and tender","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nbt.nhs.uk/our-services/a-z-services/dermatology/dermatology-patient-information/looking-after-your-wound-following-skin-surgery","host":"nbt.nhs.uk","quote":"If the wound takes more than three weeks to heal, becomes increasingly red and tender or leaks pus, contact your GP or Practice Nurse.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Pus leaking from the wound","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nbt.nhs.uk/our-services/a-z-services/dermatology/dermatology-patient-information/looking-after-your-wound-following-skin-surgery","host":"nbt.nhs.uk","quote":"If the wound takes more than three weeks to heal, becomes increasingly red and tender or leaks pus, contact your GP or Practice Nurse.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Bleeding that continues after pressure","urgency":"emergency","general":false,"source":{"url":"https://www.nbt.nhs.uk/our-services/a-z-services/dermatology/dermatology-patient-information/looking-after-your-wound-following-skin-surgery","host":"nbt.nhs.uk","quote":"If the bleeding continues, contact your GP or accident and emergency department.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Severe pain after two 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