RECORD NATURE OF CASES MAJOR PROCEDURES SUMMARY OF OPERATIVE EXPERIENCE Major Procedures Groups 1 & 2 ABDOMINAL OTHER Adrenalectomy open Laparotomy other - specify Major ventral hernia BREAST Breast reconstruction Modified radical mastectomy Simple mastectomy Subcutaneous mastectomy Wide excision + axillary dissection Wide excision/quadrantectomy CARDIOTHORACIC Lung operation Thoracotomy Coronary artery grafting Pericardial window Valve replacement Other cardiac operation Other - specify CABG Thoracic Aortic surgery Thymectomy Saphenous vein/ radial artery harvesting 1
RECORD NATURE OF CASES MAJOR PROCEDURES Major Procedures Groups 1 & 2 COLORECTAL Anal sphincter repair Colonic AP resection (abdominal) Colonic AP resection (perineal) Colonic Anterior resection Colonic bypass Colonic Hartmann s operation Colonic Hartmann s operation (reversal of) Colonic partial colectomy Colonic proctocolectomy Colonic total colectomy Defunctioning colostomy/ileostomy Revision of colostomy/ileostomy Rectal prolapse abdominal repair Rectal prolapse perineal repair Other colonic operation specify GYNAECOLOGICAL Hysterectomy Salpingo-oophorectomy Other major specify HEAD AND NECK Laryngectomy Parathyroid Parotid/Submandibular/Sublingual Subtotal thyroidectomy Thyroid lobectomy Total thyroidectomy Tracheostomy Other major specify 2
RECORD NATURE OF CASES MAJOR PROCEDURES Major Procedures Groups 1 & 2 HEPATOBILIARY Cholecystectomy open Cholecystectomy + exploration of CBD Choledochoduodenostomy Choledochojejunostomy Exploration of CBD without cholecystectomy Other biliary operations specify Major hepatic resection specify Other hepatic operation specify LAPAROSCOPY/THORASCOPY Adrenalectomy Cholecystectomy Cholecystectomy with Bile duct Colectomy Fundoplication Gynaecological specify Heller s myotomy Lysis of adhesions Oesophageal surgery Pharyngeal pouch Pleurodesis Pulmonary surgery Repair of rectal prolapse Small bowel procedure Splenectomy Thoracic sympathectomy Varicocoele Other - specify 3
RECORD NATURE OF CASES MAJOR PROCEDURES Groups 1 & 2 LYMPHATIC/SPLEEN Axillary dissection (excluding with the breast Groin dissection Neck dissection Splenectomy open NEUROSURGICAL Burr Holes Craniotomy Laminectomy OESOPHAGOSASTRIC Anti-reflux surgery open Hiatal hernia repair Oesophageal resection Oesophageal other specify Gastroenterostomy Oversew bleeding vessel +/- vagotomy Oversew of ulcer perforation +/- vagotomy Partial gastrectomy Bilroth 1 Partial gastrectomy Bilroth 2 Total gastrectomy Vagotomy highly selective Vagotomy - +/- drainage procedure Other 4
RECORD NATURE OF CASES MAJOR PROCEDURES Major Procedures Groups 1 & 2 ORTHOPAEDIC Major specify SUBTOTAL - ORTHOPAEDIC PAEDIATRIC Neonatal Infant (5 years) (include hernia/groin hernial orchidopexy) Abdominal procedures Urological (non-circ) SUBTOTAL - PAEDIATRIC PANCREATIC Pancreaticoduodenectomy Bypass for pancreatic/biliary malignancy Operation for pseudocyst Other pancreatic operation specify SUBTOTAL - PANCREATIC PLASTIC Microvascular anastomosis Myocutaneous flap Oro-facial/hand fracture Nerve repair Tendon repair SUBTOTAL - PLASTIC SMALL INTESTINE Duodenal operation specify Small intestine adhesions Small intestine resection Small intestine other SUBTOTAL - SMALL INTESTINE SOFT TISSUE Sarcoma SUBTOTAL - SOFT TISSUE TRANSPLANTATION Harvest Heart/heart-lung Kidney 5
RECORD NATURE OF CASES MAJOR PROCEDURES Major Procedures Groups 1 & 2 Lung Liver Pancreas SUBTOTAL - TRANSPLANTATION UROLOGY Cystectomy Endoscopic resection Nephrectomy Orchidectomy Ureteric surgery SUBTOTAL - UROLOGY VASCULAR Angioplasty Aortic aneurysm Aorto-iliac reconstruction Carotid endarterectomy Embolectomy/thrombectomy Endovascular Stenting Femoro-pop-tib-peroneal-bypass First rib resection Major amputations Major venous reconstruction Shunt for portal hypertension Subclavian artery operation Vascular fistulae/shunt Visceral revascularisation SUBTOTAL - VASCULAR if a trainee performs a significant amount of the operation (e.g. one or other of the anastomoses or major part of the dissection) this can be counted as being the primary operator 6
RECORD NATURE OF CASES MINOR AND INTERMEDIATE PROCEDURES Minor and Intermediate Procedures Groups 3 & 4 BREAST Breast biopsy Excision following needle localisation Subareolar excision of ducts Drainage of breast abscess SUBTOTAL - BREAST CARDIOTHORACIC Chemical pleurodesis Chest drain insertion and removal Pleural aspiration Pleural biopsy GASTROINTESTINAL Appendicectomy Haemorrhoidectomy Perianal abscess/fistula in ano Other anal operations Banding/injection of haemorrhoids SUBTOTAL - GASTROINTESTINAL HEAD AND NECK Minor SUBTOTAL - HEAD AND NECK HERNIA Femoral hernia Inguinal hernia Umbilical, paraumbilical, epigastric hernia SUBTOTAL - HERNIA LYMPHATIC Lymph node biopsy SUBTOTAL - LYMPHATIC 7
RECORD NATURE OF CASES MINOR AND INTERMEDIATE PROCEDURES Minor and Intermediate Procedures Groups 3 & 4 SKIN & APPENDAGE Abscess drainage Ingrowing toenail Minor amputation Minor plastic Pilonidal sinus Simple excision Skin graft Wound exploration Other SUBTOTAL - SKIN & APPENDAGE 8
RECORD NATURE OF CASES MINOR AND INTERMEDIATE PROCEDURES Minor and Intermediate Procedures Groups 3 & 4 UROLOGY Circumcision Exploration of testis Hydrocoele/cyst Vasectomy Testicular fixation for torsion Varicocoele Other SUBTOTAL - UROLOGY VASCULAR Angioplasty REPLACE with Digital amputations Varicose veins ADD Wound debridement SUBTOTAL - VASCULAR ENDOSCOPY/DIAGNOSTIC Oesophagoscopy Panendoscopy ERCP Colonoscopic polypectomy Fibreoptic sigmoidoscopy Cystoscopy Rigid sigmoidoscopy Other SUBTOTAL - ENDOSCOPY/DIAGNOSTIC ENDOSCOPY, THERAPEUTIC Oesophageal dilatation Oesophageal laser Oesophageal stent ERCP and sphincterotomy ERCP and insertion of stent Sclerotherapy etc. Other SUBTOTAL - ENDOSCOPY, THERAPEUTIC ENDOSCOPY, OTHER Diagnostic laparoscopy Diagnostic thoracoscopy Bronchoscopy Direct laryngoscopy SUBTOTAL - ENDOSCOPY, OTHER 9
SUMMARY 1:.. 2:.. 3:.. 4:.. 5:.. 10
SUMMARY Others: Other s/s/ s. Others: Other s/s/ s. Others: Other s/s/ s. Others: Other s/s/ s. 11
SUMMARY TOTALS TOTAL NON-OPERATIVE (Number of Cases) Pancreas: Acute pancreatitis: Mild Acute pancreatitis: Severe Chronic pancreatitis TOTAL Colonic: Pseudo-obstruction Rectal bleeding Gastric: Upper GI bleed Skin: Cellulitis Biliary: Acute cholecystitis - non-operative TOTAL Non-operative Cases 12