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Dr. Rimantas Bausys hat in über 30 Jahren mehr als 900 Hämorrhoiden-Behandlungen durchgeführt und ist auf die minimalinvasive THD-Methode (Trilogy) spezialisiert. Der Eingriff kostet etwa 2.200 € – dies umfasst in der Regel die Operation, die Anästhesie, eine Übernachtung, präoperative Tests sowie postoperative Kontrolluntersuchungen. Das Meliva Kardiolita Krankenhaus besitzt die JCI-Akkreditierung und ist die einzige Einrichtung im Baltikum mit dieser Zertifizierung. Patienten bewerten die Klinik mit 4,7/5, wobei 93 % sie weiterempfehlen.

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Das Medizinische Diagnose- und Behandlungszentrum ist eine der größten Privatkliniken in Litauen. Spezialisten konzentrieren sich auf eine genaue Diagnose für eine effektivere Behandlung. Sie entwickeln auch hochwertige Rehabilitation für eine schnelle Genesung. Über 48.000 Patienten werden im Krankenhaus behandelt. 1 von 10 Patienten stammt aus dem Ausland. Die meisten Patienten kommen aus dem Vereinigten Königreich, Irland, Schweden und Norwegen.

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Rimantas Bausys ist im Meliva Kardiolita Hospital auf Abdominalchirurgie und Proktologie spezialisiert.

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Tag 1

Tag 2

Tag 3

Tag 4

Woche 1

Woche 2-3

Woche 4-6

Bitte beachten Sie, dass die Erholungszeiten je nach allgemeinem Gesundheitszustand des Patienten und den Besonderheiten seiner Operation variieren können.

"},"overview":{"text":"

Hämorrhoidektomie

Ein chirurgischer Eingriff zur Entfernung von Hämorrhoiden, d. h. geschwollenen Venen im unteren Rektum oder Anus.

[icon-pros]Vorteile: Hohe Erfolgsquote von über 90 % bei der Beseitigung der Symptome. Bietet eine dauerhafte Lösung für Hämorrhoiden-bedingte Beschwerden.
[icon-cons]Nachteile: Längere Erholungszeit im Vergleich zu weniger invasiven Optionen wie der Entfernung von Lipomen. Mögliche postoperative Schmerzen und Blutungen in 10 % der Fälle.
[icon-effect]Wirksamkeit: 95 % Erfolgsquote bei der Linderung von Symptomen und der Vorbeugung von Rezidiven.
[icon-clock]Dauer: 1-2 Stunden.
[iconon-run]Genesung: 2-4 Wochen.
[icon-thumbs]Am besten geeignet für: Schwere Hämorrhoiden, die erhebliche Schmerzen oder Blutungen verursachen. Geeignet für Hämorrhoiden der Grade 3 und 4.
[icon-price]Preise: [txt-country]
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Bei dieser Operation werden Hämorrhoiden entfernt und durch die chirurgische Entfernung werden Schmerzen und Blutungen gelindert.

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Mit dieser Operation werden Hämorrhoiden behandelt, indem sie schmerzlos entfernt werden, weniger Blutungen verursachen und sich schneller erholen.

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Bei dem Verfahren werden Hämorrhoiden mit Gummibändern abgebunden, um Beschwerden zu lindern und die Heilung zu fördern.

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Excludes minor events. Grade III–IV hemorrhoids."},"contraindications":["Uncontrolled bleeding disorder or unmanageable therapeutic anticoagulation","Active anorectal sepsis or severe perianal infection (relative)","Severe uncontrolled cardiopulmonary disease making anesthesia unsafe","Active severe inflammatory bowel disease with anorectal involvement (relative)","Anorectal malignancy requiring different management","Pregnancy (relative; usually managed conservatively)","Poor baseline continence (relative precaution)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Typically day surgery or one night of observation for conventional excisional hemorrhoidectomy."},"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":"Walking earlier; strenuous exercise and heavy lifting after 2–4 weeks."},"final_result_months":{"min":1,"max":2,"unit":"months","qualifier":"Complete wound healing and resolution of swelling after conventional hemorrhoidectomy."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"Delayed bleeding peaks around days 5–14. Fly after the 7–14 day check, once sitting is comfortable."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"First postoperative review, typically 1–2 weeks after surgery."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":60,"unit":"days","qualifier":"Final review of healing, bowel function and symptoms."}}],"indications":["Symptomatic grade III–IV internal hemorrhoids","Grade II hemorrhoids failing conservative or office-based treatment","Combined internal and external hemorrhoids with prolapse","Thrombosed or strangulated hemorrhoids in selected cases","Recurrent bleeding causing anemia"],"main_risks":["Significant postoperative pain","Urinary retention","Bleeding, including delayed bleeding","Infection or abscess","Constipation or fecal impaction","Anal stenosis","Temporary or permanent incontinence (flatus/stool/soiling)","Skin tags or recurrence","Anesthesia-related risks"],"pain":"Moderate to severe pain for the first several days, especially with bowel movements, gradually improving over 1–2 weeks; managed with multimodal analgesia, stool softeners and sitz baths.","preparation":["Surgical and anorectal assessment, sometimes colonoscopy by age and symptoms","Routine anesthesia assessment and blood tests as indicated","Review of medicines with the surgical team","Fasting before general anesthesia as instructed","Rectal enema or bowel preparation as advised","Arrange transport and adult support after discharge","Dietary fiber and stool softening plan"],"recovery_timeline":[{"phase":"First 48 hours","description":"Recovery from anesthesia, pain control, first bowel movement management, and monitoring for urinary retention and bleeding.","restrictions":["No driving","Avoid straining","Rest"]},{"phase":"Days 3–14","description":"Pain and discharge gradually decrease; sitz baths, fiber and stool softeners continue; light activity resumes and desk work often starts around day 7–14.","restrictions":["Avoid heavy lifting","Avoid prolonged sitting or straining"]},{"phase":"Weeks 2–4","description":"Most return to normal daily activity; mild bleeding or discharge may continue.","restrictions":["Avoid strenuous exercise until cleared"]},{"phase":"Weeks 4–8","description":"Wounds heal fully and bowel habits normalize.","restrictions":[]}],"rehabilitation_days":{"min":5,"max":14,"unit":"days","qualifier":"Time to ordinary activities. Median about 6 days in outpatient series; conventional surgery 1–2 weeks. Energy devices may shorten."},"result_longevity":"Excised hemorrhoids do not regrow, and long-term results are usually durable, though new hemorrhoidal disease can develop, particularly with constipation or straining.","revision_rate_pct":{"min":1,"max":5,"unit":"percent","qualifier":"Repeat surgery for recurrent prolapse, symptoms or stenosis, over about 1–5 years. Symptomatic recurrence is higher (about 5–20%), mostly non-surgical."},"scars":"Healing wounds at the anal canal and perianal skin leave minimal visible scars; small skin tags may remain.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operative session."},"stages":[{"code":"hemorrhoidectomy","label":"Excisional hemorrhoidectomy under anesthesia","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"One operation; follow-up checks are not counted as treatment sessions."},"success":{"metric":"Resolution of bleeding and prolapse symptoms","value":90,"unit":"percent","horizon":"1 year","population":"Adults after excisional hemorrhoidectomy for grade III–IV hemorrhoids","evidence_status":"limited"},"techniques":[{"name":"Conventional excisional hemorrhoidectomy (Milligan-Morgan open / Ferguson closed)","suits_whom":"Grade III–IV or mixed internal-external hemorrhoids","recovery":"Most early pain; usually 1–2 weeks to ordinary activities"},{"name":"Vessel-sealing device hemorrhoidectomy (LigaSure/harmonic)","suits_whom":"Grade III–IV or mixed internal-external hemorrhoids","recovery":"Often slightly less early pain and shorter operating time"}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":0.5,"max":1,"unit":"hours","qualifier":"Operating time for one conventional hemorrhoidectomy, excluding anesthesia and recovery."},"initial_assessment_documents":["Colonoscopy or sigmoidoscopy report","Proctology or colorectal clinic consultation notes","List of blood thinners","Recent blood test results","Previous anorectal surgery reports (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single operation; stay about 7-14 days until wound check and safe flying. Later reviews can be remote or local."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask the surgeon to explain the risks and benefits and to obtain your informed consent before surgery","scope":"procedure","source":{"url":"https://my.clevelandclinic.org/health/procedures/hemorrhoidectomy","host":"my.clevelandclinic.org","quote":"Your surgeon will discuss the risks and benefits of the procedure and obtain your informed consent.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check that a follow-up appointment is booked a few weeks after the operation","scope":"procedure","source":{"url":"https://my.clevelandclinic.org/health/procedures/hemorrhoidectomy","host":"my.clevelandclinic.org","quote":"Schedule a follow-up appointment with your provider a few weeks after your hemorrhoidectomy.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check the qualifications of the clinician who will perform 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