Appendices Appendix A: Classification of surgical procedures L.Special surgeries 1. Kidney Transplant 2. Bilateral total Knee Replacement (including implants) 3. Gran tomy for tumours: 5. Open Heart Surgery — 7._Liver transplant S 9. “Radical cystectomy and urinary diversion 4. Complex deformity corrections including Scoliosis, High cervical stabilization Coronary angioplasty with stent — ‘Aneurysm repair (0. Posterior Vitrectomy with éropped intra ‘ocular lens or vitreous foreign body. TT. Radical Paratidectomay ___implants ‘ 15. Posterior Segment Trauma surgery/Repair 17. Radical/moditied neck dissection (RAND) & ___Mandibulectomy/Maxillectomy 19. Radical/modified neck dissection (RMND) & 5 reconstruction plate/bone graft | _21. Radical/modified neck dissection (RND) & slossectomy/oral cancer resection "13. Bilateral Total Hip replacement (including 12. Posterior vitrectomy and gas Foil 14, Retinal Detachment surgery - Scleral buckle/Scleral Explant and Cryotherapy 16. Posterior vitrectomy, Delamination and gas __ rail 18. Combined Procedures (Vitvectomy, band oF buckle, gas or oil) 70. Combine procedyre (Posterior vitrectomy and cataract surgery and intraocular tens implant) 22. Combine procedure (Posterior vitrectomy, buckle or band and cataract surgery and {intraocular lens implant) 73. Radical/modified neck dissection (RMND)E (es pedicled flap/microvascualr free flap i. Major surgeries [Spina Bifida surgery — 24, Posterior Vitrectomy and Macula hole surgery Complex facial soft tue repair’ STR) Excision of spinal tumours Free-flap reconstruction [Anterior Resection of Rectum Nephrectomy ca Tuiai Gaserewut Cholecystectomy + CBD exploration | Partial Gastrectomy Excision of Biliary stricture ‘Total Oesophagectamny ‘Open cholecystectomy Unilateral Adrenalectomy Laparoscopic cholecystectomy [Total Resection of Colon ‘Splenectomy Radical mastectoniy Vagotomy = érainat ‘Repair of perforated duodenal ulcer Repair of hiatus hemia [Simple mastectomy ‘Abdominoperineal resection (APR) “Total thyroidectomy Intestinal resection + anastomosis Bilateral Adrenalectomy Exploration of retroperitoneal mass Partial Pancreatectom) Exploratory laparatomy Parathyroidectomy Bowel resection and anastomosis a ‘Abdominoperineal resection (APR) Laparatomy for pyloric stenosis Exteriorization of caecum ‘Hemicolectomy Stripping of bilateral varicose veins “Transverse colectom Bilateral inguinal hemniorrhaphy Unilateral femoral hemiorrhaphy Bilateral sympathectomy Repair of recurrent inguinal hernia Bilateral gymaecomastia correction Repair of strangulated herniasExcision of Liver hydatid eyst Laparoscopic appendicectomy Repair of epigastric hernia Laparoscopic herniorraphy Unilateral inguinal herniorehaphy Laparoscopic Niessens Fundoplication Laparoscopic gastrojejunostomy Lateral sphincterotomy Laparoscopic repair of perforated duodenal ulcer Excision of pilonidal sinus Unilateral Orchidopexy Fistulectomy for fistulae in ano Bilateral Orchidopexy — ‘Orchidectomy _ ‘Appendicectorny Microdiscectomny ~Diagnostic laparoscopy = Biopsy ‘Anterior cervical discectomy Unilateral herniotomy ‘Anterior cervical fusion - AO plating Bilateral hemiotomy z inectomy for cervical /thoracic / of lumbar spine | | Unilateral herniotomy sorchidopexy Spinal fusions with implants Bilateral hemniotomy + orchidopexy Burr holes for Extradural haematoma Haemormhoidectomy Ureteric meatotom Colostomy fashioning Cystoscopy (Incl biopsy) | Closure of colostomy Excision of urethral caruncle EVA and anorectal stretch —____—— F Weatoplasty % S Lumbar fusion 7 spondylosis7disc procedure ‘Orchidopexy abdominal [Excision of intracranial nerve lesions a ~ [Dilatation of female bladder outlet Repair of dura Urethoplasty simple ‘Acrylic cranioplast Urethoplasty complex Stereotactic intracranfal procedure Repair of bladder Clipping of cerebral artery ‘Gystoscopy rigid uretero, nephroscopy, laser ot lithotripsy, Elevation of depressed skull fracture Cystoscopy Flexible uretero, nephroscopy, laser Lithotrip: “Application oF skull calipers ‘Combined abdominal and vaginal operations on bladder . Percutaneous nephrostomy Endoscopic resection of lesion in Bladder Ureteroscopic extraction of calculus in ureter Flexible | Retropubic suspension of bladder neck Ureteroscopic extraction of calculus in ureter - rigid | Blepharoplasty Bilateral orchidectom ‘Anterior canthotomy & Zplasty under GA Laparoscopic orchidectomy, Nerve release and decompression under GA Primary repair of incisional hernia Tissue expander insertion [Primary repair of incisional hernia laparoscopic “Tissue expander removal and advancement Repair of previous incision in abdominal wall Lip reconstruction ze Repair of kidney wound = | Repair of vesico-colic fistula Repair of injury to penis Neck contracture & skin grafting under GA Radical nephrectom Dermabrasion/Chemical peel/Laser | Radical nephrectomy taparoscopie [Fat injection for scar repair | | Nephro-ureterectomy [Tendon/muscle repair extensor single under GA ‘Open removal of calculus from Kidns [Tendon/muscle repair flexor -single under GA Construction of ileal conduit “Tendon repair - multiple under GA | Bilateral re-implantation of uréter into bladder [Tendon repair Achilles tendon under GA Bilateral re-implantation of ureter into bowel “Tendon transfer ‘Orchidopexy bilateral Ectropion/ entropion correction -single and bilateral under GA, air of recurrent femoral hernia Excision of carotid body tumour Laparascopic Repair of recurrent femoral hernia, ‘Advancement flaps reconstruction under G.A. | Drainage of kidney Unilateral cleft lip repair under G.A, Drainage of pyonesphrosis Bilateral cleft lip repair under G.A. =a Excision of segment of ureter Cleft palate repair under Cystoscopy TURP Rotational myocutaneous flap reconstruction of pressure sores External meatotomy Fingertip injuries - advancement flaps or cross finger flapsExcision of lesion of testes Reconstruction of breast (using latissmuss dorsi flap Reconstruction of penis Reconstruction of breast (using TRAM flap) Bilateral herniotom) ‘Major flap reconstruction of head and neck Laparotomy for post-operative Reconstruction of the hand (groin flap - reversed radial ete) Tieal or colonic replacement of ureter ——[ Rhinoplasty i Repair of recurrent inguinal hernia - bitateral ‘Auriculoplast Repair of recurrent inguinal hernia - bilateral ‘Abdominoplasty laparascopic__ CNL per track Emergency laparotomy Radical prostatectomy Rotational flap for compound fracture Rotational flap for pressure sores Brachloplasty - bilateral Laparascopic Radical prostatectomy ‘Operations on ureteric orifice Excision of malignant tumours (BCC, SCC, MM) & reconstruction under GA. Corrective procedures for female genital anomalie Endoscopic insertion of prosthesis in ureter ‘Surgical treatment of vulvovaginal tumours Endoscopic extraction of bladder calculus Correction of asymmetric breast (including Poland syndrome) Brachial Plows repair_ Surgical treatment of penile tumours. Brachial Plexus repair ‘Otoplasty (surgery for bat ear)-bilateral Otoplasty (surgery for bat ear)-bilateral Hemiarthroplasty Correction of tuberous breast ‘Surgical treatment of Fournier gangrene ‘Ankle and foot open reduction & intemal fixation ‘Open reduction & external fration Closed reduction & fixation of fractures Tinimal iivasive percutaneous osteosynthesis Imaging guided wire/ screw fixation ‘Open stabilization procedures. Repair of torn Tendon: “Tendon transfer Surgical treatment of amputations (ear, nose, lds lip, eyebrow, scalp) with reconstruction Static support in facial pats Dynamic support in facial palsy including free mus flap, Nervorafting in facial pal Caen fiscectomy (Open and Endoscopic) “Thoracolumbar discectomy (Open and Endoscopic) Laminectomy (without instrumentation) Kyphoplasty/ vertebroplast Interventional arthrotomy of Large joint ‘Major amputation ‘Arthrodesis of Large joint Correction of Moderate/ severe deformity Hand/foot deformity Digit reattachment & transfers Prosthesis - fitting surgery. Pelvis # fixation Elbow # fixation Gxeotany With as story with ORIF [osteotomy wrth External ation (tzarov) Long bones open reduction & intemal fixation Hand open reduction & internal fixat ‘Open Ligament repair Nerve exploration & repair ‘Major tumour excision Bone graft (without adcitional procedure) Excisional arthroplasty ~ with replacement Splenorenal shunt Fasciectom Portocaval shunt, joval of implants Spine & complex pelvis ‘Closed valvotomy yrectomy / decortication / ‘Mitral valvatomy /baloon, Preumonectomy / lobectomy ‘Surgery for achalasia of cardia Pericardectomy 5 ‘Vascular amputation ‘Vessel bypass surgery Repair of traumatic arterial transection ‘Gesophagectom) zi "Thoracotom Tnsertion of MB tube Resection of complex AV fistula Mediastinoscopy ‘Subfascial DVT ligation + skin graft “Thoracoscopy “Thromboembolectomy ‘Rinithoracotomy for open lung biopsy Carotid arterectomy Pacemaker implantation (single and Dual) PDA ligation Excision of mediastinal tumour “Thymectomy Ligation / stripping of varicose veins Pericardial window ‘Middle ear tumour excision 70[ Resection of simple AV fistula Excision of thyroglossal cyst /éuct ] Rib resection for thoracic outlet syndrome Excision of submandibular salivary gland TCD implantation Excision of branchial cyst / sinus/ fistula ‘CRID implantation Caldwell-Luc procedure Diagnostic right and left heart catheterization Coronary angiography with catheter placement(3) ih bypass graft(s) internal mammary, arterial, venous graft) including intraprocedural injections for bypass graft angiograph T.LT. and turbinoplasty_ TT.LT. and intranasal antrostomy Coronary angiography with right heart catheterization Tonsillectomy Coronary angiography with bypass graft angiography and right heart catheterization Submucous resection of nasal septum | Pulmonary artery catherisation Urulopalatopharyngoplasty Coronary thrombectomy (aspiration) Lateral rhinotomy Insertion of arterial closure device (eg angioseal, starclose Taryngocele excision Percutaneous transluminal coronary angioplasty ‘Maxillary artery Wgation Tisertion of implantable cardiac defibrillator (CD) Meatoplasty | Insertion of biventricular cardiac resynchronization device “Transplatatal excision of choanal atresia [Atrial septostomy recat core Tateralisation 2 Pulmonary valve valvuloplasty Bronchoscopy and removal of FB Aortic valve valvuloplasty Excision of head and neck lipoma ‘itral valve valvutoplasty, percutaeous balloon ‘Adenoidectomy Coarctation of the aorta, percutaneous balloon dilatation Closure of atrial septal defect “Adenotonsillectomy (Ts 7 AS) Tid tumour excision + reconstruction Closure of patent ductus arteriosus Socket Evisceration + orbital implant ‘Microlaryngeal surgery Enucleation + orbital implant. ‘Microlaryngoscop) Socket/Fornix reconstruction Intranasal ethmoidectomy orbital Dermoid excision Cochlea operations, ‘Anterior orbitotomy ital wall repair Lateral orbitotomy Orbital wall decompression Trabeculectomy Mucocele incision and drainage Goniotomy a Combined Phacolwab i Combined ECCE/Trab DCR + Jones tube Posterior segment trauma surgery/repar ‘| ‘Combined Phaco/ GDI Alsicofma Drainage ImplantsTGDT] Silicon Oil Removal Laparatomy for Tumours Cataract surgery with Silicon Oil removal Laparatomy for Intestinal resection + anastomasis Scleral Buckle/Explant removal Exploration of retroperitoneal mass ‘Comeal repair Hemicotectomy =i Gontotomy Excision of liver hydatid eyst [TOL exchange ‘Nephrectorm =| [Lensectomny and IOL Reflux hydrorephrosis ( re -implantation ) Correction of Small bowel atresia Urethroplasty for hypospadias and epispadias “Thoracatomy for oesophageal atresia Repair of fistula after Urethroplasty Pyloric stenosis Biliary atresia (Kasai Kimura procedures, porto = enterostomy } ‘Umbilicoplasty ‘Gut duplications procedure Herniotomy + unilateral orchidectomy Hirschsprung’s disease procedure (Laparotomy, bioosy, colostomy) Herniotomy + unilaterat orchidopexy “Abdominoperineal pull through (Soave, Swenson) for Hirchsprung’s disease Fistula in ano Hellers cadiomyotomy. Excision of pitonidal sinus Bladder neck reconstruction Fissure in ano 7[ Reciosigmoidostomy Posterior sagittal anorecRoplaaty (PSARP ) for anorectal malformation [ Resection of posterior / anterior urethral valves | Torsion of testis ‘Splenectomy; Ear Extrophy of bladder (repair) Laparotomy for Intussusception [Cystic hygroma Laparatomy for Volvulus [Skin grafting (bums) Lapatatomy for Matrotation & plication ‘Small Incision Cataract surgery with Implant Phacoemulsification Cataract surgery with Implant ‘Combined Phacoomulsfication with Trab Intraocular lens implant with vitrectom, Wertheim’s hysterectomy [Ovarian cancer resection (pelvic Clearance) [ Repair of vesicovaginal fistula Repair of rectovaginal fistula [AP colpoperineorrhaphiy Perforating eye injury repair Repair of ruptured uterus /caesarian hysterectomy) ‘Conjuctival lesion excision with graft Radical vulvectomy surgery+ intraocular lens) [Corneal transplant (PKP) ‘Manchester repair ‘Comeal Transplant (Camellar Keratoplasty) Ropair of pelvic floor Triple Procedure (Comeal transplant+cataract Tuboplasty LASIK procedure per eye Hysterectomy (abdominal ) | Surface Ablation per [intraocular Contact Lens per eye aw Photokeratectomy (removal of corneal scar) Myomectorny ‘Ovarian cystectorny Ruptured ectopic pregnancy Colposuspension + DEC Taparatomy for Pelvic abscess Ventrosuspension Exploratory /adhesiolysis [ Salpingo - oopherectomy_ Endometriosis surgery Synechiolysis / septolysis Resection of submucous fibroid | Metroplasty 7 uteroplasty, Simple vulvectomy | Vaginal hysterectori Diagnostic / dye laparoscopy * D&C Closure of oro-antral fistula Caldweit‘Luc procedure Elevation # zygoma: closed Exploration of submandibular/parotid gland duct Tubopiast Ennucleation of mancibular/ maxillary mass Endometriosis surgery Excision of head and neck lipoma. Vestibuloplasty & skin graft Submancibular gland Sialedenectomy Excision of oral/faclal flbroosseous lesion Sublingual gland Sialadenectomy [ Goronoidectom Primary repair bilateral/complete cleft palate Temporalis/Masseter Nyotom Pharyngoplesty Cryotherapy to V Nerve branches/Minor Haemangioma | Cheiloplast z [ Minor oral/facial bone/ cartilage onlay graft_ Torticolis/ripromacosis Coll correction —_[ Seamental osteotomy mandible/maxilla Revision cleft lip/nose/palatoplasty (Closed reduction # mandible/mavilla Excision of thyroglossal cyst | Lip shave & Mucosal Advancement Flap Weilge excision & primary closure ip | Excision facial BCC & local flap reconstruction Excision/revision of facial scar Removal of branchial/thyroglossal neck Oat Superficaial parotidectomy Extraoral/intraoral implants Ridge augmentation/sinus fe Primary repair bilateral cleft lip Genioplasty:augmentation/ reduction ORI # Maxilla (Le Fort I) ORIF # Mandible ‘Tongue recuction ‘Open joint procedure TMI ‘Closure cleft oronasal fistula & bone graft ‘ajor facial soft tissue repair Mandibular ostectomy (Le Fort I/elef) (65/VS/EO) Maxillary Osteotomy (Le Fort I/cleft) Excision of scalp lesion & Wolfe graft Postcondylar cartilage graft ‘Open rhinoplastry & auricular cartilage grafts Salivary duct redirection (Wilkie procedure) Partial thickness skin graft to oral defect - minor Cleft alveolar bone graft Full thickness skin/composite graft oral defect, Excision facial hemangioma/Iymphangioma ‘ORIF # Zygoma Nerve exploration & microsurgical repair: Exploration /graft orbital # Primary repair unilateral cleft lip ‘ORIF Nasoethmoid frontal # Primary repair unilaterat/incomplete cleft palate ‘Closed Rhinoplasty ‘Complex facial STR & Viln/parotid duct repair 2ORE Faygoma & orbit complex comminated Radical Parotidectomy & Viin graft ORIF # nasoethmoid Le Fort Il/Kufener midfacial osteotomy. Frontal & Canthopexy Bimaxillary osteotomy ORIF # maxila (Le Fort W7il) -unilaterat Costochondral graft to mandible ORIF # maxilla (Le Fort Ii) -bilateral RIF # mandible - complex communited Hypertetorism correction Secondary craniofacial reconstruction Closed rhinoplasty ‘Microsurgical nerve graft nerve repair 7 exploration microsurgical anastomosis, ‘Minor amputation (finger, toe) Ml. Minor Surgeries Breast lumpectomy Repair of burst abdomen Drainage of breast abscess _ Segmental resection of breast Repair of umbilical hernia Repair. of incisional hernia ‘Stripping of unilateral varicose veins Unilateral sympathectomy Unilateral gynaecomastia correction “Repair of burst abdomen. Interventional arthrotomy of Small joint ‘Minor skin graft ‘Arthrodesis of Sinall joint ‘Minor release of contractures Repair minor scalp wounds /lacerations | Excision of sternomastoid tumour Lumbar puncture Repair of hydrecele Repair minor scalp wounds /lacerations Excision of thyroglossal Gyst Syndactyly/polydaciyly correction (single) ‘Lymph node biopsy Surgical toilet Syndactyly/ polydaetyly correction (multiple) Lipoma (more than 5cm) under GA Needle biopsy of liver Gynaecomastia Secondary suturing of wounds ‘Ganglion under GA ‘Microsurgical nerve graft 7 nerve repair 7 exploration ‘microsurgical anastomosis, Sebaceous cyst Cystosty and insertion of SP catheter ‘Surgical toilet under GA Panendoscopy laser urethrotomy Excision of lesions (multiple sites & reconstruction) under GA [ Orchidectomy & excision of spermatic cord Release of minor contractures under GA Hiyrocele repair Kepait of rupwired ureuiva | Correction of Minor deformity Removal of D J Stent Myocardial biopsy ‘Cleaning and dressing of burn wounds under G.A, ‘Major pressure sores debridement Bronchoscopy and removal of FB Direct laryngoscopy and biopsy Excision of multiple grows or complicated keloid growth and reconstruction under G.A, Single partial thickness graft under G.A. ‘Oesophagoscopy biopsy /dilatation 7 removal | of FB Feeding gastrostomy /jejunostom) Single partial thickness graft following excision | of ulcer or growth under G.A, Full thickness grafting under G.A. Other rib resection Pericardial catheterisation Revision of multiple scars under GA Repair of ruptured diaphram Sequestrectomy (excluding spine) Loop recorder implantation Closed fracture/ joint reduction under GA& | IVC filter casting ‘Major surgical debridement CHP insertion Removal of a foreign body from a joint ‘Aspiration thrombectomy of intracoronary thrombus. Removal of a foreign body from long and short bones ‘Transcatheter placement of intracoronary stent, percutaneous initial vessel alk BTntra-aortic ballon pump insertion Tnsertion of temporary transvenous pacemaker Right heart catheterization including measurement of oxygen saturation pulmonary pressures and cardiac output Left heart catheterization Renewal of pacemaker generator (battery change) Insertion of implantable loop recorder Catheter placement & coronary angiography, imaging supervision and interpretation Pericardiocentesis without drainage “Trans septal puncture. Myringotomy intra-aortic ballon pump insertion — ‘Myringoplasty ‘Nasal polypectomy ‘Marsupialisation of Batholins Cyst / abscess ‘Oesophagoscopy and removal of FS Surgical Iridectomy_ EUA and biopsy of nasopharynx,ear, nose. EUA for congenital glaucoma: Tntranasal antrostomy Bleb Revision [inciston + drainage head and neck abscess (ID) | Cyclocryotherapy Pharyngeal abscess drainage. ‘Trabeculoplasty. a Breauricular sinus excision Bilateral antronasal washout (BAWO) —FFTrans-Scleral cyclophotocoagutation Laser Peripheral Iridotomy Lid tumour excision/incisional biops ‘Conjuctival lesion excision Upper and lower lid blepharoplasty Cross Linking per €} Lid abscess 1D _ Retrieval of lost / fragmented 1UCD_ Socket Evisceration Resuturing of burst abdomen. Enucleation “Termination of pregnan Syringing, Probing & tntubation D & C hysterosalpingogram Retina Photocoagulation Central laser per | session PRP on slit lamp per session — D&C + cone biopsy Ttanuabtémoval of retained placenta RP Laser indirect with parabulbar per eye per session Cervical cauterisation Laser retinopexy Fanton’s operation = DC Cyclo-Cryo per eye Diagnostic D & C Cyclo-photo per eye. Diagnostic hysteroscopy EVA Repair of cervical tears Pars Plana Posterior Capsulutom« Cautersation excision of vulval warts Iridectomy/ Iridotomy Repair of third degree tear Pupiltoplasty ‘Cone biospy of cervix Squint Repair Per Muscle Evacuation of uterus (RPOC'S ) Optical Irdectomy Byamination under GA (EUA) /bi0057 Closure of colostomy” Colposcopy a Rectal biopsies | Gmphatocele Urinary diversion — Ez Release of contractures ‘Avulsion of endometrial polyps aah + insertion of DU-stent Endometrial ablation “TY athroscopy Pyloric balloon ditatation Band ligation EG tube insertion ‘Stricture dilatation ‘Upper GI polypectomy Lower GI polypectom Preumatic dilatation ‘Sphicterotomy (and stone removal) Corneal FB removal Posterior apicectomy MUA # nose ‘Sequestrectomy/Decortication Mandible/Maxilla EUA Intranasal antrostomy Removal of bone plates, ‘Septoplasty - simple Reduction of alveolar fracture: ‘Sinus Lift intermediate facial soft tissue repair Surgical removal of Impacted third molars Surgical expasure/removal of impacted Exploration ‘removal facial foreign bodies canines