Il Chiangmai Ram Hospital è una delle strutture mediche più note a Chiang Mai, in Thailandia. Neurologia, Odontoiatria, Oftalmologia sono le specialità più forti. La qualità dei servizi medici e dei trattamenti è confermata dalla Joint Commission International. Pazienti provenienti dagli Stati Uniti, dal Canada, dal Regno Unito e da altri paesi scelgono il Chiangmai Ram Hospital per l'assistenza sanitaria.
","text_type":"short_description","procedure_prices":[{"prices":{"price_from":1500,"price_to":2800,"currency":"USD","id":24765},"operation":{"id":310,"name":"Emorroidectomia","alias":"hemorrhoidectomy"}}],"reviews":[],"clinic":{"id":599,"alias":"chiangmai-ram-hospital","name":"Chiangmai Ram Hospital","short_description":"Il Chiangmai Ram Hospital è una delle strutture mediche più note a Chiang Mai, in Thailandia. Neurologia, Odontoiatria, Oftalmologia sono le specialità più forti. La qualità dei servizi medici e dei trattamenti è confermata dalla Joint Commission International. Pazienti provenienti dagli Stati Uniti, dal Canada, dal Regno Unito e da altri paesi scelgono il Chiangmai Ram Hospital per l'assistenza sanitaria.
","images":[{"base_url":"clinic/65a0d9b8fc43d","title":"Reception area at Chiangmai Ram Hospital, modern design with staff at front desk"},{"base_url":"clinic/d79d37a89319e","title":"Chiangmai Ram Hospital exterior building in Chiang Mai, Thailand"},{"base_url":"clinic/241e4c275eab1","title":"Modern waiting area at Chiangmai Ram Hospital with blue ceiling and comfortable seating"},{"base_url":"clinic/f1eef7a955d6d","title":"Chiangmai Ram Hospital exterior, modern multi-story medical facility in Chiang Mai, Thailand"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Thailandia","id":45,"alias":"thailand","iso_code":"TH"},"city":{"name":"Chiang Mai","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":{"it":"Regno Unito","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":{"it":"La ragione per cui ho scelto questo ospedale è stata la rapidità con cui hanno organizzato tutto per me. Dal primissimo contatto al trasporto gratuito dopo il mio trattamento, il servizio è stato di prima classe. Ho effettuato una riparazione laparoscopica dell'ernia inguinale con rete e mi sento meglio di quanto mi aspettassi. È importante sottolineare che non ci sono state spese aggiuntive.\n\nIl referente in ospedale è stato molto attento e disponibile. Presente quando necessario. Ha organizzato il trasporto gratuito verso la mia sistemazione e per questo siamo stati riconoscenti.\n\nHo portato la mia fidanzata che mi ha aiutato con la traduzione, assicurandosi che fossi a conoscenza di tutto ciò che stava accadendo. Sebbene fosse disponibile il supporto in inglese, nel mio caso non è stato realmente messo alla prova. La guida post-trattamento che mi hanno fornito era chiara e hanno continuato a mantenere i contatti. Per qualsiasi futuro paziente, consiglierei di portare un accompagnatore. Il personale era occupato e avevo una stanza privata, che poteva diventare solitaria. La mia amica è stata accolta molto bene e la sua sistemazione era confortevole.","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":{"it":"Chirurgia dell'ernia inguinale","en":"Inguinal hernia surgery"}}},"clinic_info":{"id":7583,"name":"Ospedale interdisciplinare 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":{"it":"Il motivo per cui ho scelto questo ospedale è stata la rapidità con cui hanno organizzato tutto per me. Dal primo contatto con Daryna tramite WhatsApp al trasporto gratuito verso il mio alloggio dopo il trattamento, il servizio è stato di prima classe."},"what_not_like_text":{"it":"Ho portato con me la mia ragazza che mi ha aiutato con la traduzione. Si è assicurata che fossi consapevole di tutto ciò che stava accadendo. Sebbene il supporto per la traduzione in inglese fosse presente, in realtà non è stato veramente messo alla prova."}},"summary":{"positive":{"it":"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":{"it":"Germania","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":{"it":"Bookimed è stato perfetto nell'organizzare tutte le mie necessità per l'intervento chirurgico. Il medico della clinica ha svolto un lavoro straordinario. Complessivamente, le mie aspettative sono state più che soddisfatte. Un grande ringraziamento a tutti coloro di Bookimed e della clinica per aver reso l'esperienza così fluida.","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":{"it":"Vasectomia","en":"Vasectomy"}}},"clinic_info":{"id":5658,"name":"Menness Wellness Clinic","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":{"it":"Bookimed è stato di grande aiuto nell'organizzare tutte le mie esigenze intorno al mio intervento chirurgico. Il medico presso la clinica ha fatto un lavoro straordinario. In generale, le mie aspettative sono state più che soddisfatte. Un grande grazie a tutti da Bookimed e alla clinica per aver reso l'esperienza così agevole.","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":{"it":"Ho apprezzato molto il supporto completo da parte di Bookimed e il medico perfettamente professionale.","en":"I really appreciated the full support from Bookimed and the perfectly professional doctor."},"what_not_like_text":{"it":"L'esperienza in combinazione con Bookimed e la clinica è stata perfettamente soddisfacente.","en":"The experience in conjunction of bookimed and the clinic together was perfectly fine."}},"comment_about_bookimed":{"it":"Tutte le persone con cui sono entrato in contatto sono state estremamente cordiali e disponibili. A un certo punto, ero un po' confuso su quando parlare con la clinica e quando organizzare le cose tramite Bookimed, ma Bookimed è stato sempre pronto ad aiutarmi a rimettermi in carreggiata.","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":{"it":"Il medico presso la clinica ha svolto un lavoro eccezionale.","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":"L'emorroidectomia a Chiang Mai costa solitamente da _op_310_city_420_price_from_ a _op_310_city_420_price_to_. I costi totali dipendono dalla tecnica chirurgica utilizzata e dalla gravità del caso. Chiang Mai offre generalmente prezzi più competitivi rispetto a Bangkok, dove pacchetti chirurgici identici costano spesso il 15-20% in più. I pazienti risparmiano circa il _price_percent_discount_% rispetto agli Stati Uniti, dove questa procedura costa in media _price_compare_US_average_. La maggior parte dei pacchetti include esami preoperatori, anestesia, onorari del chirurgo e un breve soggiorno in ospedale.
\n\nApprofondimento dell'esperto Bookimed: Chiang Mai funge da centro principale della Thailandia per i pazienti che cercano cure di alta qualità senza i prezzi elevati di Bangkok. Centri leader come il Chiangmai Ram Hospital, accreditato JCI, offrono cure chirurgiche avanzate che attirano un numero significativo di pazienti internazionali. Scegliere Chiang Mai consente di ottenere risparmi significativi sulle spese amministrative ospedaliere, mantenendo gli stessi standard medici presenti nella capitale.
"}},"texts":{"guide_mc":{"text":"Giorno 1
\nGiorno 2
\nGiorno 3
\nGiorno 4
\nSettimana 1
\nSettimana 2-3
\nSettimana 4-6
\nSi prega di notare che i tempi di recupero possono variare in base alla salute generale dell'individuo e alle specificità dell'intervento.
"},"overview":{"text":"### EmorroidectomiaUna procedura chirurgica progettata per rimuovere le emorroidi, che sono vene gonfie nel retto inferiore o nell'ano.
Questo intervento rimuove le emorroidi, fornendo sollievo dal dolore e dal sanguinamento tramite la loro escissione chirurgica.
"},"748":{"operation":{"name":"Emorroidectomia con suturatrice","alias":"stapled-haemorrhoidectomy","use_for_listing":true},"country_price":{"US":{"amount":7500,"max_amount":13500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":1500,"max_amount":3600,"currency":"USD","clinic_count":3,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":3000,"max_amount":3400,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"AT":{"amount":4300,"max_amount":6500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":7500,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":true,"AT":false,"ES":true},"description":"Questo intervento tratta le emorroidi rimuovendole in modo indolore, con un minor sanguinamento e un recupero più rapido.
"},"755":{"operation":{"name":"Legatura elastica delle emorroidi","alias":"rubber-band-ligation-of-hemorrhoids","use_for_listing":true},"country_price":{"US":{"amount":1100,"max_amount":1800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3600,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"offer","scope":"country"},"TH":{"amount":650,"max_amount":1100,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":650,"max_amount":1300,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":5000,"max_amount":5500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":true},"description":"La procedura consiste nella legatura delle emorroidi con elastici per ridurre il fastidio e favorire la guarigione.
"},"1543":{"operation":{"name":"Terapia delle fissure","alias":"fissure-therapy","use_for_listing":false},"country_price":{"US":{"amount":3500,"max_amount":7000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":2800,"max_amount":4500,"currency":"USD","clinic_count":5,"price_kind":"from_range","price_source":"mixed","scope":"country"},"TH":{"amount":1100,"max_amount":1900,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":2200,"max_amount":4000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":5500,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":true}},"1549":{"operation":{"name":"Terapia delle emorroidi","alias":"hemorrhoid-therapy","use_for_listing":true},"country_price":{"US":{"amount":3500,"max_amount":7500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3600,"max_amount":0,"currency":"USD","clinic_count":2,"price_kind":"from","price_source":"mixed","scope":"country"},"TH":{"amount":1500,"max_amount":3200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":1800,"max_amount":3500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":6100,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":true}},"1717":{"operation":{"name":"Asportazione di marische perianali","alias":"perianal-skin-tag-removal","use_for_listing":true},"country_price":{"US":{"amount":900,"max_amount":2400,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":350,"max_amount":850,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":450,"max_amount":750,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":550,"max_amount":1400,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":3300,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"offer","scope":"country"}},"available_clinics":{"US":false,"TR":false,"TH":false,"AT":false,"ES":true}}}},"cityPrices":{"operation_prices":{"310":{"operation":{"id":310,"name":"Emorroidectomia","alias":"hemorrhoidectomy"},"city_price":[{"amount":1500,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"city","city":{"id":420,"name":"Chiang Mai","alias":"chiang-mai","profile":{"city_id":420,"city_type":"Largest city in northern Thailand","access":["Chiang Mai Airport (CNX), 4 km from the city center"],"sources":["https://en.wikipedia.org/wiki/Chiang_Mai","https://www.worldtravelguide.net/guides/asia/thailand/chiang-mai/chiang-mai-international-airport/"],"status":"ok","checked_at":"2026-11-03"}}},{"amount":1500,"max_amount":0,"currency":"USD","clinic_count":4,"price_kind":"from","price_source":"tariff","scope":"city","city":{"id":75,"name":"Bangkok","alias":"bangkok","profile":{"city_id":75,"city_type":"Capital and largest city of Thailand","access":["Suvarnabhumi Airport (BKK), 25 km from downtown Bangkok","Don Mueang Airport (DMK), 23 km from the Grand Palace"],"sources":["https://en.wikipedia.org/wiki/Bangkok","https://en.wikipedia.org/wiki/Suvarnabhumi_Airport","https://www.worldtravelguide.net/guides/asia/thailand/bangkok/bangkok-don-mueang-international-airport/"],"status":"ok","checked_at":"2026-11-03"}}},{"amount":2400,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"offer","scope":"city","city":{"id":2751,"name":"Si Racha District","alias":"si-racha-district","profile":{"city_id":2751,"city_type":"Industrial coastal town in Chonburi, Thailand","access":["U-Tapao Airport (UTP), 69 km from Si Racha"],"sources":["https://en.wikipedia.org/wiki/Si_Racha","https://www.rome2rio.com/s/Utapao-Airport-UTP/Si-Racha"],"status":"ok","checked_at":"2026-11-03"}}},{"amount":1500,"max_amount":3200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"city","city":{"id":362,"name":"Phuket","alias":"phuket","profile":{"city_id":362,"city_type":"Island city, capital of Phuket province","access":["Phuket Airport (HKT), 32 km from the city center"],"sources":["https://en.wikipedia.org/wiki/Phuket_City","https://en.wikipedia.org/wiki/Phuket_International_Airport"],"status":"ok","checked_at":"2026-11-03"}}},{"amount":1900,"max_amount":3400,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"city","city":{"id":367,"name":"Pattaya","alias":"pattaya","profile":{"city_id":367,"city_type":"City in Eastern Thailand, Chonburi province","access":["U-Tapao Airport (UTP), 50 km from Pattaya's Walking Street","Suvarnabhumi Airport (BKK), 120 km from Pattaya by road"],"sources":["https://en.wikipedia.org/wiki/Pattaya","https://en.wikipedia.org/wiki/U-Tapao_International_Airport"],"status":"ok","checked_at":"2026-11-03"}}}]}}},"videoReviews":[{"id":"cd689b88-8416-40ed-b934-862782950d37","link":"https://player.vimeo.com/video/1074627805?badge=0&autopause=0&player_id=0&app_id=58479","description":"Traveling from Spain to Istanbul for a liposuction was a life-changing experience.","userName":"Valentina","user_name":"Valentina","preview":"https://i.vimeocdn.com/video/2004017747-38ebfea0f81718d5e24dcd17c32b8d8e297a42128dff0f5fb7951fcd06d9ea12-d?mw=900&mh=1600&q=70","updated_at":"2025-06-13T13:49:59.847+00:00","clinicName":"Istanbul Aesthetic Plastic Surgery Center","clinic":{"name":"Istanbul Aesthetic Plastic Surgery Center","alias":"istanbul-aesthetic-plastic-surgery-clinic"},"clinicUrl":"/clinic/istanbul-aesthetic-plastic-surgery-clinic/","relations":{"operations":[{"name":"Liposuzione","alias":"liposuction"},{"name":"Liposuzione tumescente","alias":"tumescent-liposuction"}]}},{"id":"b7a1e6f5-3dff-4271-a473-718866134d6d","link":"https://player.vimeo.com/video/1096286146?badge=0&autopause=0&player_id=0&app_id=58479","description":"Stay strong, stay informed, and never underestimate the power of cutting-edge treatments and a solid support system.","userName":"Randolph","user_name":"Randolph","preview":"https://i.vimeocdn.com/video/2030316574-2e75554b099788479c44c329a4e0921804438f5ec01b95cf5caf584c386aeb01-d?mw=600&mh=1067&q=70","updated_at":"2025-06-26T11:53:30.932+00:00","clinicName":"Confraternitaet & Goldenes Kreuz Private Hospital","clinic":{"name":"Confraternitaet & Goldenes Kreuz Private Hospital","alias":"private-clinic-confraternitat-josefstadt"},"clinicUrl":"/clinic/private-clinic-confraternitat-josefstadt/","relations":{"operations":[{"name":"Radioembolizzazione per il cancro al fegato","alias":"radioembolization-for-liver-cancer"},{"name":"Ablazione con radiofrequenza","alias":"radiofrequency-ablation"}]}}],"hasVideoReviewsByContext":true,"externalReviews":[{"id":"5e58f0df3e298b10350ade3d","source":"google","clinic_id":599},{"id":"5e58f0df3e298b10350ade3e","source":"google","clinic_id":599},{"id":"5e58f0df3e298b10350ade3f","source":"google","clinic_id":599},{"id":"5e58f0df3e298b10350ade40","source":"google","clinic_id":599},{"id":"5e58f0df3e298b10350ade41","source":"google","clinic_id":599},{"id":"5e76289f321b9c3f5090ed91","source":"facebook","clinic_id":599},{"id":"5e76289f321b9c3f5090ed92","source":"facebook","clinic_id":599},{"id":"5e76289f321b9c3f5090ed93","source":"facebook","clinic_id":599},{"id":"5e76289f321b9c3f5090ed94","source":"facebook","clinic_id":599}],"responsibleDoctor":{"id":619,"alias":"abduelcabbar-kartal","name":"Abdulcabbar Kartal","photo":"doctor/620a4b22b682d","advisory_text":"Il Prof. Associato Dr. Abdulcabbar Kartal è un chirurgo colorettale e generale specializzato in chirurgia bariatrica e HIPEC. È certificato dalla Società Europea di Coloproctologia (FEBS-C) e ha eseguito oltre 500 interventi di chirurgia bariatrica.","advisoryText":"Il Prof. Associato Dr. Abdulcabbar Kartal è un chirurgo colorettale e generale specializzato in chirurgia bariatrica e HIPEC. È certificato dalla Società Europea di Coloproctologia (FEBS-C) e ha eseguito oltre 500 interventi di chirurgia bariatrica.","specialities":[{"id":"sur.006","name":"Colorectal surgeon","illness_kind_id":33},{"id":"sur.010","name":"General surgeon","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":"Chirurgia","alias":"surgery","name_forms":{"base_form":"Chirurgia","form_4":"chirurgo","form_6":"chirurghi","form_11":"chirurghi"}},"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}