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.
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.
يهدف الإجراء إلى القضاء على أورام العمود الفقري بأمان ، مما يساعد على تخفيف الألم والانزعاج المرتبطين به.
"},"969":{"operation":{"name":"انصمام ورم العمود الفقري","alias":"spine-tumor-embolization","use_for_listing":true},"country_price":{"US":{"amount":18000,"max_amount":35000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":7000,"max_amount":7800,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"DE":{"amount":6500,"max_amount":11500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":5000,"max_amount":7500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":7500,"max_amount":12500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"DE":false,"TH":false,"ES":false},"description":"يستهدف الإجراء أورام العمود الفقري ، ويعيق إمدادها بالدم ، ويقلل الحجم ويسهل الإزالة الجراحية.
"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":7,"days_in_country":14,"rehabilitation_days":30,"satisfied_percent":78,"treatment_duration_hours":4},"illness_kind_details":{"requests_processed":46119}},"responsibleDoctor":{"id":290,"alias":"yesim-yildirim","name":"Yesim Yildirim","photo":"doctor/699da18e34fa6","advisory_text":"20 عامًا من الخبرة في طب الأورام، حاصل على شهادة ESMO","linkedin":"","specialities":[{"id":"onc.001","name":"أخصائي الأورام السريرية","illness_kind_id":10}]},"direction":{"id":10,"name":"طب الأورام","alias":"oncology"},"illness_kind":{"id":10,"name":{"en":"Oncology"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":28,"max":90,"unit":"days","qualifier":"Office-type work after uncomplicated intradural tumor resection; varies with preoperative deficit, tumor type and job demands."},"complication_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Any complication within 90 days, including CSF leak, wound problems and new neurological deficit; serious ones fewer."},"contraindications":["Unfit for general anesthesia or major surgery (relative)","Uncorrected coagulopathy or active bleeding disorder","Active systemic or local spinal infection","Widespread metastases with very limited life expectancy (relative)","Tumor unresectable at acceptable neurological risk"],"days_in_clinic":{"min":3,"max":7,"unit":"nights","qualifier":"Typical stay after uncomplicated open resection, including monitoring and early mobilization; longer with deficits or complications."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":8,"max":16,"unit":"weeks","qualifier":"Gradual return to light activity first; strenuous exercise and heavy lifting only after surgeon clearance and wound/spinal stability assessment."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Neurological recovery typically plateaus over months; may continue longer depending on preoperative deficit and tumor type."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"Counted from surgery, after surgeon clearance of wound, CSF leak and mobility; 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neuropathic pain may occur.","preparation":["Contrast MRI of relevant spinal segment; other imaging if needed","Baseline neurological examination and preoperative anesthesia assessment","Blood tests and medication review with surgical team","Fasting before general anesthesia per hospital instructions","Discussion of goals, risks and possible intraoperative neuromonitoring"],"recovery_timeline":[{"phase":"Hospital stay (days 0-7)","description":"Neurological monitoring, pain control, early mobilization with physiotherapy and wound care.","restrictions":["Limited spinal flexion and rotation in the first postoperative days","Avoid bending, lifting and twisting"]},{"phase":"Early recovery (weeks 1-6)","description":"Home recovery with progressive walking, wound healing and outpatient rehabilitation if needed.","restrictions":["No heavy lifting","No driving until cleared"]},{"phase":"Later recovery (weeks 6-16)","description":"Gradual return to work and activities; imaging follow-up.","restrictions":["Avoid strenuous exercise until cleared"]},{"phase":"Long-term (6-12 months)","description":"Continued neurological recovery and surveillance imaging for recurrence.","restrictions":[]}],"rehabilitation_days":{"min":30,"max":90,"unit":"days","qualifier":"Ordinary functional recovery after uncomplicated surgery; longer when preoperative or new deficits require structured rehabilitation."},"result_longevity":"Tumor removal is usually permanent when resection is complete, as in most schwannomas and meningiomas. Recurrence risk varies with tumor type and extent of resection, so surveillance MRI is needed.","revision_rate_pct":{"min":2,"max":8,"unit":"percent","qualifier":"Reoperation for CSF leak, hematoma, wound problems or instability within first year; excludes tumor recurrence surgery."},"scars":"Midline linear posterior incision over the affected spinal levels, length depending on number of levels; usually heals as a fine line scar.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation in the usual uncomplicated case."},"stages":[{"code":"resection","label":"Laminectomy/laminoplasty with microsurgical tumor resection","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed in one operative session."}}],"qualifier":"Staged surgery or adjuvant radiotherapy are case-specific and not part of the typical standalone protocol."},"success":{"metric":"Gross total resection of intradural spinal tumor","value":85,"unit":"percent of patients","horizon":"Postoperative MRI, 3 months","population":"Adults with resectable intradural spinal cord tumors, mainly schwannoma, meningioma, ependymoma","evidence_status":"limited"},"techniques":[{"name":"Posterior laminectomy or laminoplasty with microsurgical resection and intraoperative neuromonitoring","suits_whom":"Most intradural extramedullary and intramedullary tumors accessible from the back.","recovery":"Inpatient stay of several days followed by weeks of gradual recovery."},{"name":"Minimally invasive (tubular) approach","suits_whom":"Selected small extramedullary tumors at limited levels.","recovery":"May allow less muscle trauma and somewhat shorter stay in selected cases."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":3,"max":8,"unit":"hours","qualifier":"Operative time for a single uncomplicated tumor resection; varies with tumor type, location and levels."},"initial_assessment_documents":["Spine MRI with contrast","Spine MRI DICOM images on disc or link","Neurological examination report","Biopsy or prior histology report (if available)","Spine CT or X-ray (if available)","List of blood thinners"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"One operation, 7-14 days stay. 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