ASPEN MEDICAL SURGERY REGINA

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It is hereby certified that ASPEN MEDICAL SURGERY REGINA Has successfully completed an inspection as is required under the College s Bylaw 26.1 and is therefore approved as a Non Hospital Treatment Facility in the Province of Saskatchewan until 26 th May, 2014, to perform the procedures as set out in Schedule A which is available for review at the facility: President Registrar

Dermatology Schedule A Blepharoplasty General Surgery Inguinal hernia repair, including femoral Minor abdominal wall hernia repair, including umbilical hernia repair Laparoscopic procedures (Laparoscopic hernia repair) Laparoscopic Adjustable Gastric Banding Orthopaedics Arthroscopy diagnostic repair and reconstruction of ligaments meniscectomy, meniscal repair and arthroplasty excision of meniscal cysts, loose bodies and foreign bodies Amputation (A) finger through MCP or IP joints, hand (A) toe- through TP or IP joints foot (A) single ray amputation band or foot Arthrodesis hand and wrist foot and ankle Arthroplasties acromio-clavicular and sterno-clavicular joints radial head arthroplasty wrist and band joints foot

Osteotomies band/wrist/foot/ankle (including bunion repair) Repair recurrent dislocation/ligament reconstruction shoulder elbow wrist hand knee ankle and foot Tendons or muscles- repair/transplant/transfer transfers repairs and transplants at or distal to elbow or knee decompression/repair rotator cuff at shoulder Fascia/tendon sheath plantar fasciotomy/fasciectomy of hand or foot excision of minor hand tumors including ganglions carpal tunnel release excision of tendon sheaths: wrist, forearm or hand Arthrotomy/synovectomy shoulder elbow wrist and hand knee ankle and foot excision of Baker's cyst Excision of bursae & ganglion Musculo-Skeletal tumors biopsy of peripheral tumors needle biopsy only of tumors of the spine excision of minor tumors

Dislocations open reduction acromio-clavicular joint closed or open reduction of joints of upper extremity closed or open reduction of patello-femoral joint closed or open reduction of ankle, hindfoot, midfoot or forefoot Fractures: Upper Extremities closed and open reduction radius/ulna, wrist and hand Fractures: Lower Extremities closed and open reduction of patella, fibula, ankle and foot Other procedures listed under podiatric surgery removal of hardware including plates, pins, screws, nails and wires peripheral nerve surgery repairs, decompression or grafts saucerization sequestrectomy joint manipulation (under general anesthesia or IV sedation) Podiatry Amputation single ray of the foot only Arthrodesis of joints of the foot and ankle Lisfranc's joint procedures Arthroplasty of joints of the foot and ankle foot procedures requiring significant exposure of the joint ankle procedures which do not require tibial or fibular osteotomy for exposure Arthroscopy ankle/subtalar joint/mid-tarsal joint Fractures and dislocations uncomplicated closed fractures and dislocations of the foot

Incision/excision/transfer/repair of tendons and ligaments Tendons and ligaments proximal to Lisfrancs joint but not of the rear-foot/leg via the interosseous route Neoplasms benign neoplasms of the cuneiforms benign neoplasms of soft tissues below deep fascia Neurolysis/neurectomy Deep nerves including and distal to the tarsal tunnel and proximal to Lisfranc's joint Osteotomy of bones of the foot Osteotomy of the calcaneus, mid-tarsus and cuneiforms Plastics Skin and subcutaneous tissue Grafts, flaps, and tissue expansion where there is a minimal risk of major bleeding or third space fluid loss that may require replacement fluids Liposuction to a maximum of 5 litres total aspirate Head and neck Eyelids (blepharoplasty, ptosis repair, tarsorrhaphy, canthopexy, canthoplasty) Browlift, facelift (rhytidectomy), necklift Nose (SMR, rhinoplasty, turbinectomy, reduction of fractures) Ears (otoplasty) Genioplasty Facial implants (chin, nasal and cheek) Breast Reduction mammoplasty Augmentation mammoplasty Mastopexy Capsulotomy and capsulectomy Gynecomastia surgery Reconstruction of breast or nipple

Abdomen Repair of abdominal wall hernia Abdominoplasty not requiring overnight monitoring of blood or third space fluid loss. Lipectomy Extremities Brachioplasty Thigh Lift Buttocks Lift Others Tendon- repairs, transfers or grafts Peripheral nerve - repairs, decompression or grafts Muscle - flaps or repairs. Fascia - flaps, decompression or excision Bone- biopsies, fusions, removal of hardware, excision of exostoses, amputations of digits or rays, open and closed reduction of hand fractures Joints- arthrotomy, arthroscopy, arthrodesis, and reductions of hands, wrists, feet and TMJ Minor treatment of surgical complications such as hematoma or wound separation Septorhinoplasty Excision axilla sweat glands (unilateral or bilateral) Urology Open procedures on scrotal contents (previously vasectomy and vasectomy reversal) Penile procedures