Das Chiangmai Ram Hospital ist eine der bekanntesten medizinischen Einrichtungen in Chiang Mai, Thailand. Neurologie, Zahnmedizin, Augenheilkunde sind die stärksten Fachrichtungen. Die Qualität der medizinischen Leistungen und Behandlungen wird von der Joint Commission International bestätigt. Patienten aus den Vereinigten Staaten, Kanada, dem Vereinigten Königreich und anderen Ländern wählen das Chiangmai Ram Hospital für die Gesundheitsversorgung.
\n","text_type":"short_description","procedure_prices":[{"prices":{"price_from":1500,"price_to":2800,"currency":"USD","id":24765},"operation":{"id":310,"name":"Hämorrhoidektomie","alias":"hemorrhoidectomy"}}],"reviews":[],"clinic":{"id":599,"alias":"chiangmai-ram-hospital","name":"Chiangmai Ram Hospital","short_description":"Das Chiangmai Ram Hospital ist eine der bekanntesten medizinischen Einrichtungen in Chiang Mai, Thailand. Neurologie, Zahnmedizin, Augenheilkunde sind die stärksten Fachrichtungen. Die Qualität der medizinischen Leistungen und Behandlungen wird von der Joint Commission International bestätigt. Patienten aus den Vereinigten Staaten, Kanada, dem Vereinigten Königreich und anderen Ländern wählen das Chiangmai Ram Hospital für die Gesundheitsversorgung.
\n","images":[{"base_url":"clinic/65a0d9b8fc43d","title":"Empfangsbereich im Chiangmai Ram Hospital, modernes Design mit Personal am Schalter"},{"base_url":"clinic/d79d37a89319e","title":"Außenansicht des Chiangmai Ram Hospital in Chiang Mai, Thailand"},{"base_url":"clinic/241e4c275eab1","title":"Moderner Wartebereich im Chiangmai Ram Hospital mit blauer Decke und bequemen Sitzgelegenheiten"},{"base_url":"clinic/f1eef7a955d6d","title":"Außenansicht des Chiangmai Ram Hospital, modernes mehrstöckiges Krankenhaus in Chiang Mai, Thailand"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Thailand","id":45,"alias":"thailand","iso_code":"TH"},"city":{"name":"Chiangmai","id":420,"alias":"chiang-mai"},"address":"8 Boonreungrit Rd., A.Muang Chiang Mai, 50200, Chiang Mai, Thailand"},"rating":{"rating":0,"google":3.6,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":0,"year_foundation":0},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International","country_code":"US"}]}}],"meta":{"total_count":1,"total_pages":1}},"clinicsMeta":{"total_count":1,"total_pages":1},"clinicsCount":1,"clinicsCountByEntity":{"clinic_count":135},"doctors":{"doctors":[],"meta":{"total_count":0,"total_pages":1}},"reviews":{"reviews":[{"id":26879,"user":{"id":393684,"name":"David peter cooke","country_code":"GB","country_name":{"de":"Großbritannien","en":"United Kingdom"}},"ratings":[{"name":"main","value":5},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"translation","value":4},{"name":"recommend","value":10},{"name":"manager","value":0},{"name":"relative_price","value":0}],"text":{"de":"Der Grund, warum ich dieses Krankenhaus gewählt habe, war die Schnelligkeit, mit der sie alles für mich organisiert haben. Vom allerersten Kontakt bis hin zum kostenlosen Transport nach meiner Behandlung war der Service erstklassig. Ich hatte eine laparoskopische Leistenbruchoperation mit Netz und fühle mich besser, als ich erwartet hatte. Wichtig ist, dass keine zusätzlichen Kosten entstanden sind.\n\nDer Ansprechpartner im Krankenhaus war sehr nahbar und persönlich. Er war da, wenn er gebraucht wurde. Er organisierte den kostenlosen Transport zurück zu meiner Unterkunft, wofür wir dankbar waren.\n\nIch habe meine Freundin mitgebracht, die bei der Übersetzung geholfen hat, was sicherstellte, dass ich über alles, was geschah, informiert war. Obwohl englische Unterstützung verfügbar war, wurde sie in meinem Fall nicht wirklich in Anspruch genommen. Der Nachsorgeleitfaden, den sie bereitstellten, war klar, und sie haben den Kontakt gehalten. Für zukünftige Patienten würde ich empfehlen, eine Begleitung mitzubringen. Das Personal war beschäftigt, und ich hatte ein privates Zimmer, das einsam werden konnte. Meine Freundin wurde sehr willkommen geheißen und ihre Unterkunft war komfortabel.","en":"If you are thinking about this surgery, my main piece of advice is to bring someone with you. The staff were all busy, and while having a private room was good, it could have become very lonely if I hadn’t brought my friend to stay. The hospital staff made her very welcome and the accommodation provided for her was comfortable. My surgeon was thorough. He clearly explained the mesh options for the laparoscopic repair and also personally checked on me after the procedure. I'm still in early recovery, but I'm feeling better than expected. It was also good that there were no additional expenses on top of the price I paid."},"order":{"operation":{"id":600,"name":{"de":"Leistenbruchchirurgie","en":"Inguinal hernia surgery"}}},"clinic_info":{"id":7583,"name":"Interdisziplinäres Krankenhaus Mali","alias":"mali-hospital","flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}]},"created_at":"2026-08-21T12:37:47.047+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":false},{"name":"coordinator_mentioned","value":false}],"client_response":{"what_like_text":{"de":"Der Grund, warum ich dieses Krankenhaus gewählt habe, war die Geschwindigkeit, mit der alles für mich organisiert wurde. Vom allerersten Kontakt mit Daryna über WhatsApp bis zum kostenlosen Transport zu meiner Unterkunft nach der Behandlung war alles erstklassig."},"what_not_like_text":{"de":"Ich nahm meine Freundin mit, die bei der Übersetzung half. Sie sorgte dafür, dass ich über alles informiert war, was geschah. Obwohl die Unterstützung für die englische Übersetzung vorhanden war, wurde sie nicht wirklich getestet."}},"summary":{"positive":{"de":"Vom ersten Kontakt bis hin zum kostenlosen Transport nach meiner Behandlung war der Service erstklassig.","en":"From the very first contact to the complimentary transport after my treatment, the service was first class."}}},{"id":19043,"user":{"id":785860,"name":"Gunnar Leu","country_code":"DE","country_name":{"de":"Deutschland","en":"Germany"}},"ratings":[{"name":"main","value":5},{"name":"relative_price","value":2},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"coordination","value":4},{"name":"translation","value":5},{"name":"nps","value":10},{"name":"manager","value":0}],"text":{"de":"Bookimed war eine perfekte Hilfe, um alle meine Bedürfnisse rund um meine Operation zu organisieren. Der Arzt in der Klinik hat einen tollen Job gemacht. Insgesamt wurden meine Erwartungen mehr als nur erfüllt.\nEin großes Dankeschön an alle Mitarbeiter von bookimed und der Klinik, die dafür gesorgt haben, dass alles so reibungslos ablief.","en":"Bookimed was a perfect help to organize all my needs around my surgery. The doctor at the clinic did an amazing job. Overall, my expectations were more than just met. \nA big thanks to everyone from bookimed and the clinic to make it such a smooth experience."},"order":{"operation":{"id":891,"name":{"de":"Vasektomie","en":"Vasectomy"}}},"clinic_info":{"id":5658,"name":"Menness Wellness Klinik","alias":"menness-wellness-clinic","flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}]},"created_at":"2025-03-09T10:18:59.403+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":true},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"coordinator_mentioned","value":true},{"name":"deactivated_clinic","value":false}],"client_response":{"preview_to_review_text":{"de":"Bookimed war eine perfekte Hilfe, um alle meine Bedürfnisse rund um meine Operation zu organisieren. Der Arzt in der Klinik hat einen tollen Job gemacht. Insgesamt wurden meine Erwartungen mehr als nur erfüllt.\nEin großes Dankeschön an alle Mitarbeiter von bookimed und der Klinik, die dafür gesorgt haben, dass alles so reibungslos ablief.","en":"Bookimed was a perfect help to organize all my needs around my surgery. The doctor at the clinic did an amazing job. Overall, my expectations were more than just met. \nA big thanks to everyone from bookimed and the clinic to make it such a smooth experience."},"what_like_text":{"de":"Ich habe die volle Unterstützung von Bookimed und den absolut professionellen Arzt sehr geschätzt.","en":"I really appreciated the full support from Bookimed and the perfectly professional doctor."},"what_not_like_text":{"de":"Die Erfahrung in Verbindung von bookimed und der Klinik zusammen war perfekt.","en":"The experience in conjunction of bookimed and the clinic together was perfectly fine."}},"comment_about_bookimed":{"de":"Jeder, mit dem ich in Kontakt war, war super freundlich und hilfsbereit. An einem Punkt war ich etwas verwirrt, wann ich mit der Klinik sprechen und wann ich die Dinge über bookimed organisieren sollte, aber bookimed war immer da, um mir wieder auf den richtigen Weg zu helfen.","en":"Everyone I was in contact with was super friendly and helpful. I was a bit confused at one point when to talk to the clinic and when to organize things through bookimed, but bookimed was always there to help me back on track."},"summary":{"positive":{"de":"Der Arzt in der Klinik hat großartige Arbeit geleistet.","en":"The doctor at the clinic did an amazing job."}}}],"meta":{"total_count":5,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{"txt_price":{"text":"Eine Hämorrhoidektomie in Chiang Mai kostet in der Regel zwischen _op_310_city_420_price_from_ und _op_310_city_420_price_to_. Die Gesamtkosten hängen von der angewandten Operationstechnik und dem Schweregrad des Falls ab. Chiang Mai bietet im Allgemeinen wettbewerbsfähigere Preise als Bangkok, wo identische Chirurgie-Pakete oft 15-20 % teurer sind. Patienten sparen etwa _price_percent_discount_% im Vergleich zu den USA, wo dieser Eingriff durchschnittlich _price_compare_US_average_ kostet. Die meisten Pakete beinhalten präoperative Tests, Anästhesie, Chirurgenhonorare und einen kurzen Krankenhausaufenthalt.
\n\nBookimed-Expertenmeinung: Chiang Mai dient als Thailands wichtigstes Zentrum für Patienten, die eine qualitativ hochwertige Versorgung ohne die Premiumpreise Bangkoks suchen. Führende Zentren wie das JCI-akkreditierte Chiangmai Ram Hospital bieten eine fortschrittliche chirurgische Versorgung, die eine beträchtliche Anzahl internationaler Patienten anzieht. Die Wahl von Chiang Mai ermöglicht erhebliche Einsparungen bei den administrativen Krankenhausgebühren, während die gleichen medizinischen Standards wie in der Hauptstadt beibehalten werden.
"}},"texts":{"guide_mc":{"text":"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":"Ein chirurgischer Eingriff zur Entfernung von Hämorrhoiden, d. h. geschwollenen Venen im unteren Rektum oder Anus.
Bei dieser Operation werden Hämorrhoiden entfernt und durch die chirurgische Entfernung werden Schmerzen und Blutungen gelindert.
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Er ist von der Europäischen Gesellschaft für Koloproktologie (FEBS-C) zertifiziert und hat über 500 Adipositasoperationen durchgeführt.","specialities":[{"id":"sur.006","name":"Dickdarmchirurg/-in","illness_kind_id":33},{"id":"sur.010","name":"Allgemeinchirurg/-in","illness_kind_id":33}]},"updatedAt":"2026-11-11T22:13:52.000Z","activeCountries":["TH","TR","AT","ES"],"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":1,"days_in_country":7,"rehabilitation_days":14,"satisfied_percent":78,"treatment_duration_hours":1},"illness_kind_details":{"requests_processed":7852}},"direction":{"id":33,"name":"Operation","alias":"surgery","name_forms":{"base_form":"Operation","form_1":"der Operation","form_2":"Operation","form_3":"Operation","form_4":"Chirurg","form_11":"Chirurgen"}},"illness_kind":{"id":33,"name":{"en":"Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":7,"max":21,"unit":"days","qualifier":"Desk-based work after conventional excisional hemorrhoidectomy; manual work may need longer."},"complication_rate_pct":{"min":1,"max":5,"unit":"percent","qualifier":"Major events: secondary hemorrhage needing readmission, transfusion or reoperation, abscess or sepsis, symptomatic stenosis. 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 the operation","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Check the qualifications of the clinician who will be doing the procedure","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Ask whether follow-up care is scheduled at the same facility as the operation","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C5","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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Offers that seem too good to be true are a warning sign in holiday surgery marketing","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/tourism","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":"F2","text":"Surgery offered with no consultation with the treating surgeon before the operation","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/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":"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":"Severe pain or bleeding","urgency":"contact_clinic","general":false,"source":{"url":"https://www.mayoclinic.org/diseases-conditions/hemorrhoids/diagnosis-treatment/drc-20360280","host":"mayoclinic.org","quote":"Contact a health professional sooner if you have severe pain or bleeding.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"W2","text":"Difficulty urinating","urgency":"contact_clinic","general":false,"source":{"url":"https://www.mayoclinic.org/diseases-conditions/hemorrhoids/diagnosis-treatment/drc-20360280","host":"mayoclinic.org","quote":"Complications can include having a hard time urinating, which can lead to urinary tract infections.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"W3","text":"Large amounts of rectal bleeding","urgency":"emergency","general":false,"source":{"url":"https://www.mayoclinic.org/diseases-conditions/hemorrhoids/symptoms-causes/syc-20360268","host":"mayoclinic.org","quote":"Seek emergency care if you have large amounts of rectal bleeding, lightheadedness, dizziness or faintness.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"W4","text":"Lightheadedness, dizziness or faintness","urgency":"emergency","general":false,"source":{"url":"https://www.mayoclinic.org/diseases-conditions/hemorrhoids/symptoms-causes/syc-20360268","host":"mayoclinic.org","quote":"Seek emergency care if you have large amounts of rectal bleeding, lightheadedness, dizziness or faintness.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"They specify activities to avoid while the wound heals","document":"activity restrictions","source":{"url":"https://www.royalfree.nhs.uk/patients-and-visitors/patient-information-leaflets/having-a-haemorrhoidectomy","host":"royalfree.nhs.uk","quote":"Avoid heavy lifting or strenuous exercise such as fast running, cycling or horse riding which could be uncomfortable or cause the wound to bleed for 1 week after surgery.","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 information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","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":"T4","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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your hemorrhoids do not improve with home treatment","name":"Rubber band ligation","source":{"url":"https://www.healthline.com/health/hemorrhoid-banding","host":"healthline.com","quote":"Hemorrhoid banding, also called rubber band ligation, is a treatment method for hemorrhoids that don't respond to home treatments.","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-excisional","name":"Conventional excisional hemorrhoidectomy (Milligan-Morgan open / Ferguson closed)","how_it_works":{"text":"Hemorrhoid tissue is cut away with a scalpel or laser","source":{"url":"https://www.healthline.com/health/hemorrhoidectomy","host":"healthline.com","quote":"They'll then cut the hemorrhoidal tissue with a scalpel or laser and close the wound with dissolvable sutures.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":1,"max":2,"unit":"weeks","label":"1–2 weeks","source":{"url":"https://www.healthline.com/health/hemorrhoidectomy","host":"healthline.com","quote":"Recovery is different for everyone, but you should be able to return to normal activities within 1 to 2 weeks.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"vessel-sealing-device","name":"Vessel-sealing device hemorrhoidectomy (LigaSure/harmonic)","how_it_works":{"text":"An electrothermal device cuts and seals tissue and blood vessels","source":{"url":"https://my.clevelandclinic.org/health/procedures/hemorrhoidectomy","host":"my.clevelandclinic.org","quote":"More recently, surgeons have begun using an electrothermal device to both cut and seal the tissues and blood vessels.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=thailand/city=chiang-mai/procedure=gemorroidektomiya/"}],"offerFilters":{"offer_count":0,"city_filter":[{"id":2751,"name":"Si Racha District","alias":"si-racha-district","country_iso_code":"TH"}],"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}