21 Rectum/Anus Total colonic aganglionosis operation Rectum/Anus Posterior sagittal anorectoplasty (PSARP) with laparotomy for high

Transcription

1 PEDIATRICS SURGERY PROCEDURE A ( RM RM 4800 ) 1 Neonatal surgery Repair of tracheo-oesophageal cleft 2 Neonatal surgery Primary closure of cloacal exstrophy Rectum/Anus Posterior sagittal ano-recto-vagino-urethroplasty (PSARVUP) high 3 type with laparotomy 4 Rectum/Anus Redo PSARVUP 5 Urinary bladder Total cystectomy with continent pouch/neo urinary bladder PROCEDURE B ( RM RM 4400 ) 6 Neonatal surgery Redo tracheo-oesophageal fistula repair 7 Neonatal surgery Primary repair of pure oesophageal atresia (OA) 8 Neonatal surgery Repair of recurrent tracheo-oesophageal fistula 9 Rectum/Anus PSARVUP Intermediate 10 Small intestine Ileoanal anastomosis and creation of pouch 11 Oesophagus Total oesophagectomy and interposition of intestine/stomach 12 Hepatobiliary Hemihepatectomy Pancreas Pancreatoduodenectomy and excision of surrounding tissues (Whipple s 13 operation) 14 Major vessels Creation of porto-systemic shunts 15 Ambiguous genitalia reconstruction Redo reduction clitoroplasty 16 Oncological surgery Abdominal neuroblastoma Large tumour 17 Oncological surgery Excision of thoracic tumours via median sternotomy 18 Oncological surgery Hepatic resection for liver tumours PROCEDURE C ( RM RM 3600 ) 19 Neonatal surgery Thoracotomy and repair of tracheo-oesophageal fistula Neonatal surgery Conversion of cloacal exostrophy to urinary bladder exostrophy 20 with end colostomy 21 Rectum/Anus Total colonic aganglionosis operation Rectum/Anus Posterior sagittal anorectoplasty (PSARP) with laparotomy for high 22 type anorectal anomaly 23 Rectum/Anus Redo PSARP 24 Hepatobiliary Excision of choledochal cyst and reconstruction 25 Hepatobiliary Kasai s operation 26 Hepatobiliary Segmentectomy 27 Pancreas Subtotal pancreatectomy 28 Pancreas Total pancreatectomy Major vessels Repair of wound of major abdominal artery or vein (including aorta 29 and vena cava) 30 Kidney Transplantation of kidney 31 Ureter Continent urinary diversion

2 32 Urinary bladder Combined abdominoperineal closure of vesicovaginal fistula 33 Urinary bladder Substitution cystoplasty 34 Urinary bladder Total cystectomy with construction of intestinal conduit Ambiguous genitalia reconstruction Reduction clitoroplasty with sigmoid colon 35 vaginoplasty 36 Neck Excision of extensive cervical cystic hygroma 37 Oncological surgery Abdominal neuroblastoma Small tumour 38 Oncological surgery Excision of thoracic tumours via thoracotomy 39 Bronchi/Lungs/Pleura Total pneumonectomy PROCEDURE D ( RM RM 2800 ) 40 Neonatal surgery Jejunal/Ileal/Colonic repair Complex 41 Neonatal surgery Laparotomy for necrotising entericolitis 42 Neonatal surgery Laparotomy for meconium peritonitis 43 Neonatal surgery Repair of congenital diaphragmatic hernia 44 Neonatal surgery Transabdominal lacation of diaphragm 45 Neonatal surgery Transthoracic lacation of diaphragm for eventration 46 Neonatal surgery Thoracotomy and lung lobectomy 47 Neonatal surgery Excision of sacro-coccygeal teratoma 48 Rectum/Anus Duhamel, Soave or Swenson s operation 49 Rectum/Anus Lester-Martin modification of duhamel 50 Rectum/Anus PSARP 51 Rectum/Anus Sacro-perineal or abdominal pull-through 52 Rectum/Anus Transanal pull-through for Hirschprung s disease 53 Large intestine Total excision of colon and ileorectal anastomosis 54 Oesophagus Laparoscopic fundoplication 55 Oesophagus Laparoscopic repair of hiatus hernia 56 Oesophagus Revision of anti-reflux procedures 57 Adrenals Laparoscopic adrenalectomy 58 Pancreas Distal pancreatectomy 59 Peritoneum Laparotomy and repair of multiple visceral trauma 60 Kidney Laparoscopic partial nephrectomy 61 Kidney Laparoscopic pyeloplasty 62 Kidney Laparoscopic nephrolithotomy 63 Kidney Laparoscopic nephroureterectomy 64 Kidney Nephropyelolithotomy 65 Kidney Open stone surgery for horseshoe kidney 66 Kidney Pyelolithotomy (open and bilateral) 67 Kidney Pyeloplasty (open and bilateral) 68 Kidney Pyeloplasty for horseshoe kidney 69 Ureter Open correction vesicoureteric reflux (bilateral) 70 Hypospadias repair Hypospadias repair with buccal or urinary bladder mucosa 71 Hypospadias repair Repair of epispadias 72 Ambiguous genitalia reconstruction Reduction clitoroplasty with vaginoplasty

3 Ambiguous genitalia reconstruction Single stage male reconstruction with 73 vaginectomy for ambiguous genitalia 74 Neck Excision of large cervical cystic hygroma 75 Oncological surgery Excision of thoracic neural crest tumours 76 Oncological surgery Radical nephrectomy for Wilm s Tumour 77 Bronchi/Lungs/Pleura Lung lobectomy 78 Bronchi/Lungs/Pleura Thymectomy 79 Bronchi/Lungs/Pleura Aortopexy PROCEDURE E ( RM RM 2200 ) 80 Neonatal surgery Primary closure of exomphalos major/gastrochisis 81 Neonatal surgery Anterior sagittal anorectoplasty 82 Neonatal surgery Duodenal atresia repair 83 Neonatal surgery Excision of abdominal mass 84 Neonatal surgery Repair of H-type tracheo-oesophageal fistula 85 Neonatal surgery Thoracotomy and pneumonectomy 86 Rectum/Anus Anterior sagittal anorectoplasty 87 Rectum/Anus Repair of anal sphincter 88 Large intestine Laparoscopy colonic resection 89 Stomach Total gastrectomy 90 Oesophagus Transabdominal fundoplication 91 Oesophagus Transabdominal repair of diaphragmatic hernia 92 Oesophagus Transabdominal repair of hiatus hernia 93 Oesophagus Transthoracic repair of diaphragmatic hernia 94 Oesophagus Transthoracic repair of hiatus hernia 95 Adrenals Adrenalectomy (bilateral) 96 Hepato-biliary Excision of lesion of bile/hepatic duct and primary anastomosis 97 Hepato-biliary Internal drainage of choledochal cyst 98 Hepato-biliary Non-anatomical removal of liver tumour 99 Hepato-biliary Repair of bile duct 100 Pancreas Anastomosis of pancreatic duct to another viscus 101 Major vessels Central venous line into thoracic or abdominal veins 102 Kidney Laparoscopic nephrectomy (including simple, donor and radical) 103 Ureter IIeal or colonic replacement of ureter 104 Urinary bladder Urinary bladder augmentation 105 Hypospadias repair Single stage island flap repair of severe hypospadias with transposition 106 Oncological surgery Laparotomy for abdominal tumours complex 107 Oncological surgery Removal of extra thoracic teratoma 108 bronchi/lungs/pleura Decortication for empyema PROCEDURE F ( RM RM 1800 ) 109 Neonatal surgery Closure of exomphalos major/gastrochisis Silastic closure 110 Neonatal surgery Delayed closure of exomphalos major/gastroschisis

4 111 Neonatal surgery Jejunal/ileal/colonic atresia repair Simple Neonatal surgery Laparotomy and repair of perforated viscus including stoma 112 creation 113 Neonatal surgery Gap assessment and gastrostomy for pure OA 114 Neonatal surgery Oesophagostomy 115 Abdominal wall Inguinal herniotomy less than 6 months (bilateral) 116 Abdominal wall Inguinal hernioplasty/herniorrhaphy (bilateral) 117 Abdominal wall Repair of recurrent inguinal hernia (bilateral) 118 Abdominal wall Repair of ventral hernia 119 Rectum/Anus Reversal of Hartman s procedure 120 Large intestine Excision of left hemicolon 121 Large intestine Excision of sigmoid colon 122 Large intestine Excision of transverse colon 123 Large intestine Excision of right hemicolon 124 Large intestine Hartman s procedure 125 Small intestine Adhesiolysis for small bowel obstruction 126 Small intestine Laparoscopic resection of small intestine 127 Small intestine Operative reduction of intussusception with bowel resection 128 Duodenum Bleeding duodenal ulcer 129 Duodenum Closure of perforated ulcer of duodenum 130 Duodenum Laparoscopic closure of perforated ulcer of duodenum 131 Duodenum Open excision of lesion of duodenum 132 Stomach Gastro-jejunostomy 133 Stomach Partial gastrectomy Oesophagus Oesophagocardiomyotomy (Heller s operation) Both abdominal and 134 thoracic 135 Oesophagus Revision of oesophageal anastomosis 136 Adrenals Adrenalectomy 137 Hepato-biliary Cholecystectomy with exploration of common bile duct 138 Hepato-biliary Excision of lesion of bile duct and anastomosis to duodenum/jejunum 139 Hepato-biliary Laparoscopic cholecystectomy with perioperative cholangiogram 140 Hepato-biliary Repair of liver 141 Hepato-biliary Therapeutic laparoscopic operations on liver 142 Pancreas Excision of lesion of pancreas 143 Spleen Laparoscopic splenectomy 144 Spleen Partial splenectomy 145 Peritoneum Laparoscopy including biopsy and adhesiolysis 146 Peritoneum Laparotomy for anastomotic leak 147 Kidney Partial nephrectomy (open) 148 Ureter Reimplantation of ureter into urinary bladder (bilateral) 149 Ureter Reimplantation of ureter into bowel (ureterosigmoidostomy) (bilateral) 150 Ureter Laparoscopic ureterolithotomy 151 Ureter Transureteroureterostomy 152 Ureter Ureterolysis (bilateral) 153 Hypospadias repair Correction of chordee without urethroplasty

5 154 Hypospadias repair Single stage repair of peno-scrotal hypospadias 155 Thyroid gland Total thyroidectomy 156 Neck Excision of small cervical cystic hygroma 157 Neck Excision of branchial fistula 158 Oncological surgery Laparotomy for abdominal tumours Simple PROCEDURE G ( RM RM 1500 ) 159 Neonatal surgery Anoplasty Neonatal surgery Colostomy/Ileostomy for anorectal anomaly or Hirschprung 160 disease 161 Neonatal surgery Vesicostomy 162 Abdominal wall Inguinal herniotomy less than 6 months (unilateral) 163 Abdominal wall Inguinal herniotomy more than 6 months (bilateral) 164 Abdominal wall Inguinal hernioplasty/herniorrhaphy (unilateral) 165 Abdominal wall Repair of recurrent incisional hernia 166 Abdominal wall Repair of recurrent inguinal hernia (unilateral) 167 Rectum/Anus Repair of anal trauma 168 Large intestine Closure of colostomy 169 Small intestine Bypass of Ileum/jejunum 170 Small intestine Excision of jejunum/ileum 171 Small intestine Operative reduction of intussusception 172 Stomach Gastrorrhaphy 173 Stomach Laparoscopic closure of perforated ulcer of stomach 174 Stomach Other open operation(s) on stomach 175 Stomach Pyloromyotomy 176 Stomach Pyloroplasty 177 Stomach Revision of gastro-jejunostomy 178 Oesophagus Open excision of lesion of oesophagus including duplication cyst 179 Adrenals Operations on aberrant adrenal tissue 180 Hepato-biliary Anastomosis of gall bladder (to another viscus) 181 Hepato-biliary Cholecystectomy (including mini-cholecystectomy) 182 Hepato-biliary Incision of bile duct (including exploration for calculus removal) 183 Hepato-biliary Laparoscopic cholecystectomy Hepato-biliary Sphincterotomy of bile duct and pancreatic duct using duodenal 184 approach 185 Pancreas Drainage of pancreatic abscess 186 Pancreas Open drainage of lesion of pancreas 187 Spleen Open splenectomy 188 Spleen Repair of spleen 189 Peritoneum Exploratory laparotomy 190 Peritoneum Laparotomy for post operative haemorrhage 191 Kidney Laparoscopy removal of renal cyst 192 Kidney Nephroureterectomy for benign disease 193 Kidney Other open operations on kidney 194 Kidney Pyelolithotomy (unilateral and open)

6 195 Kidney Pyeloplasty (open and unilateral) 196 Kidney Repair of renal injury 197 Ureter Open correction vesicoureteric reflux (unilateral) 198 Ureter Open ureterolithotomy 199 Ureter Other connection of ureter 200 Ureter Reimplantation of ureter into bladder (unilateral) 201 Ureter Reimplantation of ureter into bowel (unilateral) 202 Ureter Ureterolysis (unilateral) 203 Ureter Ureterostomy closure 204 Ureter Ureterostomy creation 205 Urinary bladder Implantation of artificial urinary sphincter into urinary bladder and/or removal 206 Urinary bladder Open excision of lesion from urinary bladder 207 Urinary bladder Partial cystectomy 208 Urinary bladder Repair of urinary bladder 209 Urinary bladder Repair of vesicocolic fistula 210 Urinary bladder Repair of vesicovaginal fistula 211 Urinary bladder Retropubic suspension of urinary bladder neck 212 Urinary bladder Suprapubic sling operation 213 Urethra Repair of rupture of urethra 214 Urethra Urethroplasty (complex) 215 Genitalia Microvascular transfer of testis to scrotum 216 Genitalia Orchidopexy (bilateral) 217 Genitalia Repair of avulsion on penis 218 Genitalia Tenchkoff and adhesiolysis 219 Hypospadias repair Correction of peno-scrotal transposition 220 Hypospadias repair Distal penile urethral repair 221 Hypospadias repair Second stage repair of hypospadias 222 Burns Escharactomy of burnt skin or subcutaneous tissue (greater than 10 %) 223 Thyroid gland Hemi-thyroidectomy 224 Thyroid gland Partial thyroidectomy 225 Neck Excision of branchial fistula 226 Bronchi/Lungs/Pleura Open lung biopsy PROCEDURE H ( RM RM 1000 ) 227 Abdominal wall Inguinal herniotomy more than 6 months (unilateral) 228 Abdominal wall Primary repair of incisional hernia 229 Abdominal wall Primary repair of strangulated femoral hernia 230 Abdominal wall Resuture of previous incision in abdominal wall (burst abdomen) 231 Large intestine Appendicectomy 232 Large intestine Colostomy (including revision) 233 Large intestine Drainage of abcess of appendix 234 Large intestine Laparoscopic appendisectomy 235 Large intestine Laparoscopic colostomy

7 236 Small intestine Closure of ileostomy/jejunostomy 237 Small intestine Ileostomy/jejunostomy 238 Stomach Closure of perforated ulcer of stomach 239 Stomach Gastrostomy 240 Hepatobiliary Diagnostic laparoscopy examination of liver (including any biopsy) 241 Hepatobiliary Open drainage of liver 242 Hepatobiliary Open puncture of liver 243 Pancreas Open examination of pancreas 244 Pancreas Therapeutic percutaneous operations on pancreas 245 Peritoneum Open drainage of subphrenic abscess 246 Peritoneum Operations on omentum 247 Kidney Drainage of perinephric abscess (open) 248 Kidney Drainage of pyonephrosis (open) 249 Ureter Excision of segment of ureter 250 Ureter Balloon dilatation of ureter 251 Urinary bladder Diverticulectomy of urinary bladder 252 Urinary bladder Endoscopic anti-reflux procedure (and bilateral) 253 Urinary bladder Vesicolithotripsy/vesicolitholapaxy 254 Urinary bladder Open vesicolithotomy 255 Urinary bladder Repair of vesicocutaneous fistula 256 Urinary bladder Repair of urethrovaginal fistula 257 Urinary bladder Resection of urinary bladder neck 258 Urinary bladder Sphincterotomy 259 Urethra Excision of diverticulum of urethra 260 Urethra Posterior urethral valve resection/ablation 261 Urethra Urethrectomy 262 Urethra Urethrocoele repair 263 Urethra Urethroplasty (simple) 264 Genitalia Abdominal exploration of undescended testis (open/laparoscopic) 265 Genitalia Debridement of Fournier s gangrene 266 Genitalia Laparoscopic orchidectomy 267 Genitalia Operation(s) on varicocoele (ligation laparoscopic) 268 Genitalia Orchidectomy (bilateral) 269 Genitalia Orchidectomy (radical) 270 Genitalia Orchidopexy (unilateral) 271 Genitalia Reconstruction of penis 272 Genitalia Repair of injury on penis 273 Genitalia Tenchkoff (insertion/removal) 274 Genitalia Perineal urethrostomy (only) 275 Hypospadias repair Correction of chordee with urethroplasty 276 Hypospadias repair First stage repair of penile hypospadias 277 Hypospadias repair Glandular hypospadias repair 278 Skin repair Insertion/removal of skin expander into/from tissue 279 Burns Escharactomy of burnt skin or subcutaneous tissue (not more than10 %) 280 Face, lips, salivary glands and tongue Excision of submandibular gland 281 Neck Excision of branchial cyst

8 282 Endoscopic procedures Colonoscopy and polypectomy 283 Endoscopic procedures Percutaneous endoscopic gastrostomy PROCEDURE I ( RM RM 750 ) 284 Abdominal wall Primary repair of femoral hernia 285 Abdominal wall Repair of other hernia of abdominal wall 286 Abdominal wall Repair of umbilical/paraumbilical hernia (irrespective of age) 287 Rectum/Anus Laying open of low anal fistula 288 Small intestine Revision of ileostomy 289 Stomach Closure of gastrostomy 290 Ureter Endoscopic examination of ureter (with biopsy) 291 Ureter Endoscopic meatotomy of ureteric orifice 292 Urinary bladder Cytoscopy with biopsy 293 Urinary bladder Endoscopic extraction of calculus of urinary bladder 294 Urinary bladder Endoscopic removal of foreign body from urinary bladder 295 Urinary bladder Evacuation of blood clots in the urinary bladder 296 Thyroid gland Sistrunk s operation 297 Bronchi/Lungs/Pleura Diagnostic examination of bronchus with rigid bronchoscopy (including biopsy/removal of foreign body or dilatation of stricture 298 Endoscopic procedures Colonoscopy (including biopsy) Endoscopic procedures Therapeutic OGDS including control of bleeding, injection 299 sclerotheraphy and banding of varices PROCEDURE J ( RM RM 600 ) 300 Rectum/Anus Laying open of high anal fistula 301 Rectum/Anus Laying open of pilonidal sinus 302 Ureter Operations on ureteric orifice 303 Urethra Dilation of urethra (with cystoscopy) 304 Urethra Excision of prolapse of urethra 305 Urethra Internal urethrotomy (including cystoscopy) 306 Urethra Therapeutic endoscopic operation on urethra 307 Urethra Urethral meatotomy 308 Genitalia Drainage of scrotum/testis 309 Genitalia Meatoplasty/Meatotomy 310 Genitalia Operation(s) on varicocoele (ligation) 311 Hypospadias repair Closure of urethral fistula 312 Burns Extensive dressing of burn of skin or subcutaneous tissue PROCEDURE K ( RM RM 400 ) 313 Rectum/Anus Anoplasty 314 Rectum/Anus Excision of lesion of anus 315 Rectum/Anus Full and partial thickness rectal biopsy

9 316 Hepatobiliary Percutaneous biopsy of lesion of liver 317 Ureter Removal of stent from ureter 318 Ureter Ureteric stenting (retrograde) 319 Urinary bladder Cystostomy (open) 320 Urinary bladder Cystoscopy (rigid) 321 Urethra Dilation of urethra 322 Urethra Excision of urethral caruncle 323 Urethra Removal of foreign body from urethra 324 Genitalia Fixation of testis for torsion (including biopsy) (bilateral) 325 Genitalia Biopsy of testis 326 Genitalia Circumcision 327 Genitalia Division of preputial adhesions/dorsal slit 328 Genitalia Excision of epididymal cyst 329 Genitalia Excision of lesion of testis 330 Genitalia Exploration of testis (including biopsy) 331 Skin repair Debridement of wound (and surgical toilet) 332 Endoscopic procedures Diagnostic OGDS PROCEDURE L ( RM RM 300 ) 333 General procedures Insertion of central venous lines/chemoport 334 Rectum/Anus Anorectal stretch (including EUA and sigmoidoscopy) 335 Rectum/Anus Drainage through perineal region (including ischiorectal abcess) 336 Rectum/Anus Lateral sphincterotomy of anus 337 Urinary bladder Cystoscopy (flexible) 338 Urinary bladder Stab cystotomy/suprapubic catheterisation 339 Urethra Diagnostic endoscopic examination of urethra/urethroscopy (in isolation) 340 Skin repair Primary suture of wound with involvement of deeper tissue 341 Endoscopic procedures Rigid sigmoidoscopy PROCEDURE M ( RM RM 200 ) 342 General procedures Excision biopsy of lymph nodes 343 General procedures Excision of small lumps and bumps 344 Rectum/Anus Dilation of stricture of rectum 345 Genitalia Manual reduction of paraphimosis 346 Skin repair Secondary suture of skin 347 Face, lips, salivary glands and tongue Phrenotomy PROCEDURE N ( RM 76 - RM 120 ) 348 General procedures Incision and drainage 349 Urinary bladder Catheterisation 350 Neck Cervical lymph node biopsy

10 PROCEDURE O ( RM 51 - RM 75 ) 351 General procedures Insertion of chest tube PROCEDURE P ( RM 31 - RM 50 ) PROCEDURE Q ( RM 21 - RM 30 ) PROCEDURE R ( RM 20 )