D
AFTAR
P
EMBEDAHAN
ABDOMEN AND DIGESTIVE SYSTEM
ABDOMEN :
Exploratory Laparatomy, celiotomy ... Major Exploration, retroperitoneal ... Inter Peritoneum, abscess, drainage... Inter BILIARY TRACT :
Cholecystectomy... Major with exploration, of common bile duct ... Major Cholecystotomy ... Inter LIVER :
Biopsy, percutaneous... Minor Wedge resection... Inter Cyst or abcess, marsupialization... Inter Hepatectomy, partial lobectomy ... Major Hepatorrhapy, Suture of wound or injury ... Major Liver Transplant... Major PANCREAS :
Cyst, marsupialization, biopsy ... Inter Pancreatectomy, with pacreatico-jejunostomy... Major With Drainage ... Major Whipple type... Comp SPLEEN :
Splenectomy ... Major HERNIA :
ENDOSCOPY :
Colonoscopy with biopsy, removal of polyp... Inter Esophagoscopy, gastroscopy with biopsy... Minor Endoscopic Retroge Cholangio Pancreatography ( ERCP ) ... Inter With insercition of tube/stent ... Major ESOPHAGUS :
Esophagectomy, resection with gastric anatomosis... Major Esophagotomy with/without removal foreign body ... Inter STOMACH :
Gastronomy, with exploration or foreign body removal... Inter Subtotal or hemigastrectomy, with vagotomy ... Major Total gastrectomy with repair by instetinal transplant ... Major Vagotomy and pyloroplasty, with/without gastrotomy ... Major INTESTINES :
Enterotomy, with exploration or removal foreign body... Major Enterectomy, colectomy, resection small/large intestines ... Major With colostomy... Major Tube enterostomy or cecostom, ileostomy... Inter APPENDIX :
Abcess, incision and drainage... Inter Appendectomy... Inter RECTUM :
Incision and drainage, deep supra levetor, perirectal or retrorectal abcess... Minor Protectomy, complete, combined abdominoperineal... Major Proctopexy for prolapsed rectum... Major ANUS :
Fistulectomy, subcutaneous ... Minor Submuscular... Inter Fissurectomy, with/without sphincterotomy ... Minor Hemorrhoidectomy, internal and external... Inter Stapler or by laser ... Inter Rubber ban ligation... Minor
BRAIN, NERVOUS SYSTEM
SKULL :
Burr holes, not followed by other surgery... Inter Burr hole or trephine for drainage intracranial abcess or cyst... Major Craniectomy or craniotomy ... Major Elevation of depressed fracture, simple, extradual compound or comminuted... Major With debriment brain and repair of dura ... Major BRAIN :
Excision, brain tumour ... Comp Brain abscess... Major Foreign body from brain ... Major Lobectomy, partial or total ... Comp Lobotomy, including cingulotomy ... Major Hemispherectomy ... Comp SPINE :
Spinal puncture, lumbar for decompression ... Minor
CHEST, RESPIRATORY SYSTEM
Bronchoscopy with biopsy...Minor Pleurectomy, parieta... Major Pneumonectomy, total ... Major Lobectomy, total or segmental... Major Pneumonostomy, with open drainage abscess/cyst ... Inter Decoration, pulmonary... Major
Wedge resection/enucletion of Lession, single or multiple ... Major Resection, with thoracoplasty or resection/reconstruction, chest wall... Major Thoracotomy, with/without biopsy of lung/pleural ... Inter Thoracostomy, tube with waterseal... Minor With rib resection for empyema... Inter Thoracoplasty, resection ribs... Inter Tracheostomy ... Minor
EAR, NOSE THROAT
EAR :
Tympanotomy, with insertion of ventilating tube... Minor Conchotomy... Inter NOSE :
Cautery, biopsy PNS... Minor Excision polyp(s), cyst ... Minor Submucous resection, turbinate, partial/complete... Inter Removal foreign body, intranasal... Minor Sinuses, antral lavage... Minor Sinusotomy. Caldwell Lunc operation unilateral or bilateral... Inter Control Nasal Hermorrhage anterior simple ... Minor Control nasal hermorrghage posterior with posterior
Nasal pack ... Inter THROAT :
Larynx, laryngoscopy, with biopsy ... Minor Laryngotomy, with removal tumour ... Major Laryngectomy, total with/without radical neck dissection ... Major Stripping and/or excision of vocal cords... Minor Pharynx, Adenoids, Tonsils, drainage of abscess peritosillar... Minor Tonsilectomy, with/without Adenoidectomy ... Minor With abscess ... Inter
ENDOCRINE SYSTEM
THYROID :
EYE
CONJUCTIVA :
Incision and drainage of cyst, stye... Minor Chalazion, excision, one or multiple ... Minor Removal of foreign body... Minor CORNEA :
Excision or transposition of pterygium... Minor Excision of lesion... Inter Destruct of lesion of cornea by cyotherapy... Inter Keratoplasty... Major EXTRAOCULAR MUSCLE
Repair wound... Minor Blepharoplasty, lower eyelid ... Inter Repair of blepharoptosis, frontalis muscle technique with suture/other material... Inter EYEBALL :
Removal with implant... Major LACRIMAL SYSTEM :
Incision and drainage of lacrimal gland or sac... Minor Excision of lacrimal gland or sac ... Inter Closure of the lacrimal puncture ... Inter Discission of lens capsule (needling of lens)... Major LENS :
Cataract extration ... Major With implant ... Major Discission of lens capsule (needling of lens )... Minor RETINA :
Destruction, localized lesion, retina or choroid... Major SCLERA :
Fistulization for glaucoma, trephine with ireidectomy... Inter Repair, scleral staphyloma, with graft ... Major Iridotomy, stab incision... Inter Iridotomy, with cycletomy... Major Iridotomy/Iridectomy by laser surgery ... Inter
GENITAL SYSTEM FEMALE
PERINEUM :
Abscess, incision and drainage or biopsy... Minor VULVA and INTROITUS :
Barhtolin s cyst incision and drainage ... Minor Marsupialization ... Minor Excision, Bartholin s tumour or gland... Minor VAGINA :
Biopsy, vaginal mucosa... Minor Colpotomy with exploration ... Minor Colpectomy, complete obliteration... Inter Anterior, colporraphy, repair cystocele with/without urethrocole... Inter Posterior, colporraphy, repair of rectocele ... Minor Combined anterior/posterior colporraphy... Inter Repair of enterocele ... Inter CERVIX UTERI
Biopsy or local excision of lesion, Cauterization, cryosurgery, laser therapy... Minor Repair of cervix / amputation ... Minor CORPUS UTERI :
Dilatation and curettage (non-obsterical) ... Minor Myomectomy, sigle or multiple, abdominal approach... Inter Hysterectomy, total, abdominal approach with/without tube and/or ovaries one or both... Major OVIDUCT :
Transection fallopian tube, unilateral/bilateral... Inter Salpingo-oophorectomy, complete, unilateral/bilateral ... Inter OVARY :
Drainage of cyst(s) abscess, unilateral/bilateral vaginal approach ... Minor Abdominal approach... Inter Oophorectomy, with total omentectomy... Inter Laparoscopy, with fulguration of lesions, lysis of adhesions... Inter
GENITAL SYSTEM MALE
PENIS :
Biopsy... Minor Circumcision... Minor Excision... Inter SPERMATIC CORD :
Operation of varicocele ...Inter TESTES :
Hydrocele, aspiration, incision, and drainage, biopsy ... Minor Excision, local lesion... Minor Orchiectomy, simple,unilateral... Minor Radical, bilateral... Inter PROSTATE :
Prostatectomy, sub total or total... Major
HEART AND CIRCULATORY SYSTEM
PERICARDIUM :
Pericardiotomy for removal clot or foreign body... Major Partial resection for chronic constructive pericarditis, with bypass... Major Without bypass ... Major HEART :
Intracardiac tumour, resection with bypass ... Comp Pacemaker insertion with epicardial electrode ... Inter Repair, cardiac wound, with bypass ... Major Cardiotomy and removal foreign body with bypass... Major Insertion/replacement of implantable cardioverter-defibrilator (pace maker)... Inter VALVES :
Commissurotomy, open, with bypass... Major Valvuloplasty, with bypass... Comp Replacement, sigle valve... Comp Double valve with commissurotomy/valvuloplasty one valve ... Comp Triple valve... Comp Pulmonary, commissurotomy with bypass... Major AORTA AND GRAET VESSELS :
Suture repair, with bypass ... Major Repair post infarction ventricular septal defect ... Comp Myocardial resection ... Major CORONARY ARTERY
Anomalous ligation ... Major With bypass... Comp PULMONARY ARTERY :
ARTERIES and VEINS :
Arterial embolectomy... Inter Venous thrombectomy ... Inter Varicose, ligation/division/stripping, long saphenous, complete unilateral ... Minor Bilateral... Inter Short or lesser saphenous, unilateral ... Minor Bilateral... Inter Ligation and excision minor veins... Minor
MUSCULO SKELETAL SYSTEM
AMPUTATIONS AND DISARTICULATION :
Arms, through humerus, radius and ulna ... Inter Finger or thumb, toe, amputation at any joint including neurectomies ... Minor Hand or foot, amputation... Inter Hip, interpelvi-abdominal amputation ... Comp Leg, through tibia and fibula, with immediate fitting technique... Inter Thigh, amputation through femur, any level... Inter
DISLOCATION
ANKLE :
Closed, manipulative reduction... Minor Closed or open, open reduction ... Inter ELBOW :
Closed, manipulative reduction... Minor Closed or open, open reduction ... Inter
FINGERS :
Closed or open, open reduction ... Minor HIP :
Traumatic dislocation, manipulative... Minor Closed or open, with acetabular hip fixation... Major JAW :
Temporo-mandibular, simple, closed reduction ... Minor Open reduction with interdental fixation... Major KNEE :
Closed, manipulative reduction... Minor Close or open, open reduction ... Major KNEE CAP :
Closed, manipulative reduction... Minor closed or open, open reduction, with/without patellectomy ... Inter closed or open, open reduction/ repair, including obtaining graft ... Inter SHOULDER :
Sternoclavicular, manipulative, reduction... Minor Closed or open, open reduction/repair, including obtaining graft... Inter TOES :
Tarsalbone, closed or open manipulative... Minor Closed or open, open reduction ... Minor WRIST :
EXCISION, FIXATION OR REPAIR BY CUTTING
OPERATIONS ANKLE :
Achilles tendon repair ; primary ... Inter Repair, torn or severed collateral ligament... Inter Both collateral ligaments ... Major ELBOW :
Arthroplasty, radial head with implant... Inter FEMUR :
Excision bone cyst, benign tumour, with/without graft ... Inter with autogenous graft... Major HAND and FINGERS :
Excision/curettage bone csyr benign tumour,
with autogeneous graft... Inter HIP ;
Arthroplasty with acetabuloplasty... Major Acetabular and proximal femoral prosthetic replacement ... Major Osteotomy, lilac or acetabular ... Major Arthrodesis, hio joint, with subtrochanteric osteotomy ... Major HUMERUS :
Excision / curettage bone cyst / benign tumour... Inter KNEE :
Suture intrapatellar tendon, primary lengthening of hamstring tendon, multiple, one leg ... Inter Repair, primary, torn severed collateral ligament with/without meniscectomy ... Major Capsulotomy, posterior capsular release ... Major PELVIS :
FRACTURES
ANKLE :
Closed, manipulative reduction... Minor Closed or open, open reduction, with skeletal fixation... Inter CLAVICLE :
Closed, manipulative reduction... Minor Closed or open, open reduction, with/without skeletal fixation... Inter ELBOW :
Comminuted, closed, manipulative reduction ... Inter Closed or open, open reduction, with/without skeletal fixation... Inter FEMUR :
Closed, manipulative reduction... Minor Closed or open, open reduction, with/without skeletal fixation ... Major FIBULA :
Proximal or distal end, closed, manipulative, reduction... Minor Closed or open. Open reduction, with skeletal fixation... Inter FINGERS :
Closed, manipulative reduction... Minor Closed or open, open reduction, with/without skeletal fixation ... Inter FOOT :
Tarsal, metatarsal, closed, manipulative... Minor HUMERUS :
Closed, manipulative reduction... Minor Closed or open, open reduction, with/without skeletal fixation ... Major JAW :
KNEE CAP :
Open reduction... Minor RADIUS :
Shaft, closed, manipulative reduction... Minor Closed or open, open reduction, with skeletal fixation ... Inter RIBS :
Simple, 1 rib... Minor SCAPULA :
Closed, manipulative reduction... Minor Closed or open, open reduction, with/without skeletal fixation ... Inter SPINE :
Vertebral process, one more one, manipulative reduction, cervical, open reduction & fusion, posterior approach... Major Anterior approach, with iliac or other bone graft... Major TIBIA :
Shaft, closed, manipulative reduction... Minor Closed or open, open reduction, with skeletal fixation ... Inter TIBIA and FIBULA :
Closed, manipulative, with/without external pinning... Inter Closed or open, open reduction with/without skeletal fixation ... Major ULNA :
Closed, manipulative reduction... Minor Closed or open, open reduction, with skeletal fixation ... Inter ULNA and RADIUS :
Closed, manipulative reduction... Minor Closed or open, open reduction, with skeletal fixation ... Major WRIST :
Closed, complex, with external skeletal fixation percutaneous pinning... Inter Removal of implant, superficial... Minor Deep ... Minor
SKIN, INTERGUMENTARY, LYMPHATIC SYSTEM ANS BREAST
ABSCESS :
Carbuncle or furuncle, incision and drainage... Minor BENIGN LESIONS :
Skin tags excision... Minor Paring or curettement, with/without cauterization... Minor MALIGNANT LESIONS :
Excision... Minor Biopsy, skin or subcutaneous tissue, including closure... Minor CYST :
Infected or non-infected, incision and drainage ... Minor Excision with removal sac treatment or cavity ... Minor PILONDIAL SINUS or CYST :
Incision and drainage excision... Minor GANGLION :
Excision... Minor LYMPH NODE :
Biopsy or excision, superfaicial... Minor Deep ... Minor NAILS :
Avulsion, nail plate, partial or complete ... Minor Excision, nail and matrix, partial or complete... Minor PEDICLE FLAPS :
REPAIRS :
Simple... Minor Intermediate... Minor Complex... Minor TISSUE TRANSFER or RE-ARRANGEMENT :
Trunk... Minor Scalp, arms and legs ... Inter Forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and feet... Inter Eyelids, nose, ears and lips... Inter BREAST :
Abscess, biopsy, incisional... Minor Excision, cyst fibro-adenoma/benign tumours/aberrant tissue/
duct lesion/nipple lesion, male or female... Minor or more... Minor Mastectomy, complete ,unilateral ... Inter Bilateral ... Inter Radical, including breast, pectoral musceles and axilary lymph nodes ... Major
URINARY SYSTEM
KIDNEY :
Renal transplant ... Major With unilateral/bilateral recipient nephrectomy... Comp URETER :
Ureterotomy, with exploration or drainage, ureterolithotomy... Major Ureterectomy ... Major URETHRA :
Urethrostomy ...Minor Dilation of urethral stricture ... Minor BLADDER :
Aspirationby needle, trocar of intracatheter ... Minor Cystectomy, partial or total, with biopsy
