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مستشفى روبير إنترناشيونال (Hospital Ruber Internacional) هو مستشفى خاص معتمد من اللجنة الدولية المشتركة (JCI) في مدريد، إسبانيا. صُنف ضمن أفضل 6 مستشفيات في إسبانيا من قبل مجلة فوربس. متخصص في جراحة الأعصاب، وجراحة العظام، وأمراض القلب.

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مستشفى روبير إنترناشيونال (Hospital Ruber Internacional) هو مستشفى خاص معتمد من اللجنة الدولية المشتركة (JCI) في مدريد، إسبانيا. صُنف ضمن أفضل 6 مستشفيات في إسبانيا من قبل مجلة فوربس. متخصص في جراحة الأعصاب، وجراحة العظام، وأمراض القلب.

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gradual increase in walking and activity.","restrictions":["No heavy lifting or straining","No driving until cleared, especially if seizures","Keep the wound dry and clean"]},{"phase":"Return to activities (weeks 6-12)","description":"Return to work and normal activities for most patients after uncomplicated surgery; gradual return of exercise.","restrictions":["No contact sports until cleared by surgeon"]},{"phase":"Long-term (3-12 months)","description":"Continued neurological recovery and surveillance MRI.","restrictions":[]}],"rehabilitation_days":{"min":30,"max":90,"unit":"days","qualifier":"Ordinary functional recovery after uncomplicated craniotomy; formal neurorehabilitation may extend this when deficits are present."},"result_longevity":"Complete resection of low-grade tumors often gives long-term control, but recurrence is possible and depends on the extent of resection and WHO grade; long-term MRI surveillance is needed.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Reoperation within 30-90 days for hematoma, CSF leak, infection or wound problems; excludes later recurrence surgery."},"scars":"A scalp incision scar, usually within or behind the hairline, is typically well hidden; the scar location and length depend on the approach, and some temporary hair loss may occur around it.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"A single operation for a typical accessible meningioma; staged surgery or adjuvant radiotherapy is not part of the usual protocol."},"stages":[{"code":"craniotomy_resection","label":"Craniotomy and tumor resection","after":{"min":0,"max":0,"unit":"days","qualifier":"Single operation on the day of surgery."}}],"qualifier":"Single-stage surgery in the typical uncomplicated case."},"success":{"metric":"Progression-free survival after complete resection of WHO grade 1 meningioma","value":90,"unit":"percent","horizon":"5 years","population":"Adults with WHO grade 1 meningioma after gross total resection","evidence_status":"limited"},"techniques":[{"name":"Open craniotomy with microsurgical resection","suits_whom":"Most symptomatic or growing meningiomas, particularly convexity, falx and accessible skull base tumors.","recovery":"Hospital stay of several days; return to normal activities within about 1-3 months."},{"name":"Endoscopic endonasal or keyhole approach","suits_whom":"Selected small or midline skull base meningiomas, such as tuberculum sellae, in specialized centers.","recovery":"Often a shorter stay, though skull base reconstruction and CSF leak risks need attention."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":3,"max":6,"unit":"hours","qualifier":"Operating time for a typical craniotomy for a single accessible meningioma; complex skull base tumors can take longer."},"initial_assessment_documents":["Brain MRI with and without contrast (DICOM)","Brain CT scan (if available)","Radiology report of the tumor","Neurological symptoms summary and seizure history","List of blood thinners","Previous biopsy or surgery report (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 10-14 days including hospital stay and wound check. MRI follow-ups are usually done at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the medical team’s qualifications","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Ask questions about the treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that the clinic or hospital has satisfactory facilities and standards","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","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":"C5","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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","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":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Red, inflamed, painful surgical wound","urgency":"contact_clinic","general":false,"source":{"url":"https://www.plymouthhospitals.nhs.uk/display-pil/pil-planned-surgery-for-anterior-front-or-middle-meningioma-6996/","host":"plymouthhospitals.nhs.uk","quote":"If your wound becomes, red, inflamed, painful, and/or you have a temperature please contact the ward as soon as possible for a review, antibiotics or a neurosurgical consultation might be required.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"New weakness or paralysis","urgency":"emergency","general":false,"source":{"url":"https://www.cuh.nhs.uk/patient-information/skull-base-meningioma/","host":"cuh.nhs.uk","quote":"This can include weakness or paralysis, difficulty in breathing or impaired swallowing.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Difficulty breathing","urgency":"emergency","general":false,"source":{"url":"https://www.cuh.nhs.uk/patient-information/skull-base-meningioma/","host":"cuh.nhs.uk","quote":"This can include weakness or paralysis, difficulty in breathing or impaired swallowing.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Impaired swallowing","urgency":"emergency","general":false,"source":{"url":"https://www.cuh.nhs.uk/patient-information/skull-base-meningioma/","host":"cuh.nhs.uk","quote":"This can include weakness or paralysis, difficulty in breathing or impaired swallowing.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W5","text":"Fever after surgery","urgency":"contact_clinic","general":true,"source":{"url":"https://www.plymouthhospitals.nhs.uk/display-pil/pil-planned-surgery-for-anterior-front-or-middle-meningioma-6996/","host":"plymouthhospitals.nhs.uk","quote":"If your wound becomes, red, inflamed, painful, and/or you have a temperature please contact the ward as soon as possible for a review, antibiotics or a neurosurgical consultation might be required.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","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":"T2","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}},{"id":"T3","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":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare 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