Freedom of Information (Scotland) Act 2002

Freedom of Information (Scotland) Act 2002 DATE RECEIVED 09.04.13 SUBJECT Surgical Procedures CATEGORY PRESS FOI NUMBER 2013-102 Question/s to be answered How many surgical procedures were carried out by your health board in EACH of the last five calendar years, broken down by surgery type and hospital? Please find attached data which relates to the period 17 th January 2011 17 th April 2013. This is the entire period that we have used the Opera system, so we cannot go back farther in time as requested. How many foreign objects (i.e. surgical implements) were left inside patients following surgery in EACH of the last five calendar years? Please break the figures down to show what surgery the patient had undergone, what was left inside the patient and what hospital each incident occurred at. Nil In EACH of the last five calendar years how many patients were offered surgery in England by your health board? How many patients took up that offer in EACH of the last five calendar years? How much did it cost your health board to provide this surgery in England? The only referrals for surgery to England from Shetland are for specialist treatments that are not available in Scotland, usually but not always funded from National Services Scotland. No Shetland patients have been offered routine surgery in England. The total of patients who received surgery in England together with the cost of surgery are listed below in the table. Year Patients treated Costs to Board 2012/13 2 0 National Specialists Centre 2011/12 2 3,750 2010/11 1 0 National Specialist Centre 2009/10 1 1,663 2008/09 1 747

Calendar Year Procedure 2011 2012 2013 Grand Total ABDOMEN DIAGNOSTIC ENDOSCOPIC EXAMINATION OF PERITONEUM 4 5 1 10 ABDOMEN EXPLORATION OF GROIN NEC 1 1 2 ABDOMEN IRRIGATION OF PERITONEAL CAVITY 1 1 ABDOMEN OMENTECTOMY 1 1 ABDOMEN OPEN DRAINAGE OF ABDOMINAL ABSCESS 1 1 2 ABDOMEN REOPENING ABDOMEN and REEXPLORATION OF INTRAABDOMINAL OPERATION SITE NEC 1 1 ABDOMEN REOPENING OF ABDOMEN NEC 1 1 ABDOMEN REPAIR OF ABDOMINAL WALL 1 1 ADJUSTMENT TO MUSCLE ORIGIN OF TENDON 1 1 AMPUTATION OF FINGER 1 1 AMPUTATION OF GREAT TOE 1 1 AMPUTATION OF LEG ABOVE KNEE 1 1 AMPUTATION OF LEG BELOW KNEE 1 1 2 AMPUTATION THROUGH METATARSAL BONES 1 1 ANAESTHETIC WITHOUT SURGERY 2 1 3 ANUS ANORECTAL STRETCH 1 1 ANUS BANDING OF HAEMORRHOIDS 13 4 1 18 ANUS DRAINAGE OF ISCHIORECTAL ABSCESS 1 1 ANUS DRAINAGE OF PERIANAL ABSCESS 10 3 2 15 ANUS EXCISION OF PERIANAL WART 1 1 ANUS EXCISION OF POLYP 1 1 1 3 ANUS EXCISION OF SKIN TAG 1 1 ANUS FISTULA LAYING OPEN OF FISTULA NEC 2 2 ANUS FISTULA LAYING OPEN OF LOW FISTULA 1 1 ANUS FISTULA PROBING OF PERINEAL FISTULA 1 1 ANUS HAEMORRHOIDECTOMY 1 1 2 ANUS LATERAL SPHINCTEROTOMY 2 2 4 ANUS PROCTOSCOPY 8 4 1 13 APICECTOMY OF TOOTH 6 9 1 16 APPENDIX APPENDICECTOMY EMERGENCY 20 34 7 61 APPENDIX APPENDICECTOMY INCIDENTAL 1 1

APPENDIX APPENDICECTOMY OF NORMAL AS EMERGENCY 1 1 2 APPENDIX DRAINAGE OF ABSCESS 1 1 APPLICATION OF FISSURE SEALANT 3 1 4 APPLICATION OF INTERNAL FIXATION TO BONE NEC 1 1 APPLICATION OF PLASTER CAST 1 1 ARTERY BIOPSY OF ARTERY 4 4 4 12 ATTENTION TO INTRATHECAL DRUG DELIVERY DEVICE ADJACENT TO SPINAL CORD 1 1 BILATERAL DISSECTION TONSILLECTOMY 15 8 2 25 BILATERAL EXCISION OF TONSIL NEC 11 9 20 BILIARY TREE CHOLECYSTECTOMY 18 30 9 57 BILIARY TREE CHOLECYSTECTOMY AND EXPLORATION OF COMMON BILE DUCT 3 3 BILIARY TREE CHOLECYSTOSTOMY DRAINAGE OF GALL BLADDER 2 1 3 BIOPSY OF LESION OF MOUTH NEC 27 14 6 47 BIOPSY OF LESION OF SEPTUM OF NOSE 1 1 BIOPSY OF LESION OF TONGUE 2 2 BIOPSY OF LESION OF TURBINATE OF NOSE 1 1 2 BLADDER CATHETER CHANGE OF URETHRAL CATHETER INTO BLADDER 1 1 BLADDER CATHETER INSERTION URETHRAL CATHETER INTO BLADDER 4 4 BLADDER CYSTOSCOPY FLEXIBLE +/- BIOPSY 98 118 25 241 BLADDER CYSTOSCOPY RIGID +/- BIOPSY 12 13 1 26 BLADDER CYSTOSCOPY RIGID AND DIATHERMY 1 1 2 BLADDER CYSTOSCOPY RIGID AND HYDROSTATIC DISTENTION OF BLADDER 7 7 2 16 BLADDER CYSTOSCOPY RIGID AND INCISION BLADDER NECK 1 2 3 BLADDER CYSTOSCOPY RIGID AND INSERTION OF SUPRAPUBIC TUBE INTO BLADDER 1 1 BLADDER CYSTOSCOPY RIGID AND LITHOPAXY 2 2 BLADDER TUR BLADDER NECK 1 1 BLADDER TUR-BT ENDOSCOPIC RESECTION OF LESION OF BLADDER 8 8 3 19 BLADDER: REPAIR OF VESICOCOLIC FISTULA 1 1 BREAST ASPIRATION OF LESION OF BREAST 1 1 BREAST DRAINAGE OF LESION OF BREAST 2 1 3 BREAST EXCISION BIOPSY OF LESION OF BREAST NEC 1 1 2 BREAST EXCISION OF MAMMILLARY DUCT NEC 1 1 BREAST MASTECTOMY SUBCUTANEOUS 1 1

BREAST MASTECTOMY TOTAL 1 4 2 7 BREAST PERCUTANEOUS BIOPSY OF LESION OF BREAST 4 4 BREAST WIDE LOCAL EXCISION 1 2 3 CARPAL TUNNEL RELEASE 6 35 12 53 CAUTERISATION OF INTERNAL NOSE 1 1 2 CAUTERISATION OF TURBINATE OF NOSE 11 6 3 20 CHEMICAL DESTRUCTION OF LUMBAR SYMPATHETIC NERVE 1 2 3 CHEST ASPIRATION OF PLEURAL CAVITY 1 1 CHEST INSERTION OF TUBE DRAIN INTO PLEURAL CAVITY 1 1 CLOSED REDUCTION OF DISLOCATED TOTAL PROSTHETIC REPLACEMENT OF HIP JOINT 3 3 COLON HARTMANN'S RECTOSIGMOIDECTOMY + CLOSURE OF RECTAL STUMP AND COLOSTOMY 2 1 3 COLON CAECOSTOMY OR EXTERIORISATION OF CAECUM UNSPECIFIED 1 1 COLON CLOSURE OF COLOSTOMY 1 1 2 COLON DILATION OF STOMA 8 1 9 COLON EXTENDED RIGHT HEMICOLECTOMY AND ANASTOMOSIS NEC 1 1 2 COLON LEFT HEMICOLECTOMY AND ANASTOMOSIS NEC 2 1 3 COLON LOOP COLOSTOMY 3 4 7 COLON RIGHT HEMICOLECTOMY AND ANASTOMOSIS NEC 1 4 5 COLON RIGHT HEMICOLECTOMY AND END TO END ANASTOMOSIS OF ILEUM TO COLON 2 2 COLON SIGMOID COLECTOMY AND ANASTOMOSIS NEC 3 1 4 COLON TOTAL COLECTOMY AND ILEOSTOMY NEC 2 1 3 COLON UNSPECIFIED OTHER EXCISION OF COLON 2 2 COLONOSCOPY +/- BIOPSY 234 325 93 652 COLONOSCOPY AND CAUTERISATION OF LESION 1 1 COLONOSCOPY AND DESTRUCTION OF LESION OF COLON NEC 12 2 14 COLONOSCOPY AND DILATION OF COLON 1 1 COLONOSCOPY AND POLYPECTOMY USING SNARE 25 17 6 48 COMPUTERISED TOMOGRAPHY NEC 1 1 CONTINUOUS INTRAVENOUS INFUSION OF THERAPEUTIC SUBSTANCE NEC 1 1 CORRECTION OF ECTROPION NEC 1 3 1 5 DEBRIDEMENT OF OPEN FRACTURE OF BONE 1 1 DEBRIDEMENT OF SKIN NEC 4 4 1 9 DECOMPRESSION OF PERIPHERAL NERVE NEC 1 1 1 3

DESTRUCTION OF LESION OF EXTERNAL EAR 1 1 DIAG ENDO EXAM OF NASOPHARYNX AND BIOPSY OF LESION OF NASOPHARYNX 1 1 DIAG ENDO EXAMINATION OF KNEE JOINT AND BIOPSY OF LESION OF KNEE JOINT 1 1 DIAGNOSTIC ENDOSCOPIC EXAMINATION OF BLADDER USING RIGID CYSTOSCOPE 3 3 DIAGNOSTIC ENDOSCOPIC EXAMINATION OF KNEE JOINT 37 28 8 73 DIAGNOSTIC ENDOSCOPIC EXAMINATION OF SIGMOID COLON NEC 3 3 DILAT OF CERVIX UTERI AND CURETTAGE OF PRODUCTS OF CONCEPTION FROM UTERUS 2 2 4 DILATION OF CERVIX UTERI AND CURETTAGE OF PRODUCTS OF CONCEPTION FROM UTERUS 1 1 DILATION OF URETHRA NEC 10 3 13 DIRECT CURRENT CARDIOVERSION 1 1 DRAINAGE OF ANTERIOR ABDOMINAL WALL 1 1 DRAINAGE OF BARTHOLIN GLAND 1 1 DRAINAGE OF LESION OF VULVA 1 1 DRAINAGE OF SCROTUM 2 2 DUODENUM CLOSURE OF PERFORATED ULCER OF DUODENUM 1 1 2 ENDOCRINE HEMITHYROIDECTOMY 1 1 2 ENDOSCOPIC IRRIGATION OF KNEE JOINT 2 2 ENDOSCOPIC RESECTION OF PROSTATE NEC 4 6 7 17 ENDOSCOPIC SHAVING OF ARTICULAR CARTILAGE 6 2 8 ENDOSCOPY UNSPECIFIED 9 9 ENT BILATERAL DISSECTION TONSILLECTOMY 3 3 ENT DRAINAGE OF ABSCESS OF PERITONSILLAR REGION 1 2 3 ENT REMOVAL OF FOREIGN BODY FROM CAVITY OF NOSE 1 1 2 ENT TOTAL ADENIODECTOMY 1 1 EVACUATION OF PRODUCTS OF CONCEPTION FROM UTERUS NEC 2 4 3 9 EXAMINATION OF EAR UNDER ANAESTHETIC 5 4 2 11 EXAMINATION OF ORGAN UNDER ANAESTHETIC NOC 2 2 EXAMINATION OF PHARYNX UNDER ANAESTHETIC 1 1 EXCISION OF FRENULUM OF TONGUE 2 1 3 EXCISION OF GANGLION OF FOOT 2 1 3 EXCISION OF GANGLION OF HAND NEC 1 8 1 10 EXCISION OF HYDROCELE SAC 1 1 EXCISION OF LESION OF ANTERIOR ABDOMINAL WALL NEC 1 1

EXCISION OF LESION OF CHEST WALL 2 2 EXCISION OF LESION OF EXTERNAL EAR 2 2 EXCISION OF LESION OF MOUTH NEC 1 1 EXCISION OF LESION OF SEPTUM OF NOSE 1 1 EXCISION OF LESION OF SKIN 62 1 63 EXCISION OF LESION OF TONGUE 2 2 EXCISION OF SUBMANDIBULAR GLAND 1 1 EXCISION OF TURBINATE OF NOSE NEC 1 1 EXPLORATION OF JOINT NEC 2 2 4 EXPLORATION OF SCROTUM 1 1 EXTERNAL CARDIOVERSION NEC 2 1 1 4 EXTRACTION OF MULTIPLE TEETH NEC 34 11 3 48 FACIA EXCISION OF BURSA 1 1 FACIA EXCISION OF GANGLION OF HAND 1 1 FACIA NECROTISING FACIITIS DEBRIDEMENT OF SOFT TISSUE 1 1 FACIA PALMAR FASCIECTOMY (DUPYTREN'S) 1 1 2 FACIA PRIMARY SIMPLE REPAIR OF TENDON 3 3 FACIA RELEASE FASCIOTOMY OF FOREARM 1 1 FACIA TRIGGER FINGER RELEASE 2 2 4 FASCIA CARPAL TUNNEL RELEASE 11 1 1 13 FIBREOPTIC ENDO EXAM OF UPPER GASTROINTESTINAL TRACT AND BIOPSY OF LESION 5 5 FITTING OF DENTAL CROWN ON TOOTH 8 2 10 FITTING OF DENTURE OR OBTURATOR 9 1 10 FLEXIBLE SIGMOIDOSCOPY +/- BIOPSY 102 187 50 339 FLEXIBLE SIGMOIDOSCOPY AND DESTRUCTION OF LESION NEC 1 1 FLEXIBLE SIGMOIDOSCOPY AND HOT BIOPSY OF LESION 5 5 FLEXIBLE SIGMOIDOSCOPY AND POLYPECTOMY USING SNARE 5 6 4 15 FRACTURE ANKLE ORIF ANKLE PLATE AND SCREWS 4 11 4 19 FRACTURE HIP DHS NECK OF FEMUR 6 5 2 13 FRACTURE HIP HEMIARTHOPLASTY FEMUR NOT USING CEMENT 8 9 4 21 FRACTURE HIP HEMIARTHORPLASTY FEMUR USING CEMENT 2 2 FRACTURE MUA AND K WIRE 1 3 4 FRACTURE MUA FRACTURE +/- POP 10 10 1 21

FRACTURE OPEN DEBRITEMENT BONE 1 1 FRACTURE OPEN REDUCTION FRACTURE OF BONE AND EXTERNAL FIXATOR 1 1 FRACTURE ORIF FRAGMENT OF BONE AND FIXATION USING SCREW 1 1 FRACTURE ORIF FRAGMENT OF BONE AND FIXATION USING WIRE 2 1 3 FRACTURE ORIF OF LONG BONE WITH CIRCLAGE WIRE 1 1 FRACTURE ORIF WITH K WIRE 2 2 FRACTURE REMOVAL OF INTERNAL FIXATION FROM BONE NEC 1 1 FREEING OF ADHESIONS OF PREPUCE 1 1 FREEING OF ADHESIONS OF TONGUE 2 3 5 FULL DENTAL CLEARANCE 7 3 10 HERNIA ABDOMINAL WALL UNSPECIFIED REPAIR 2 2 HERNIA EPIGASTRIC REPAIR 1 1 HERNIA FEMORAL PRIMARY REPAIR USING SUTURES 3 3 HERNIA INCISIONAL PRIMARY REPAIR USING MESH 1 1 1 3 HERNIA INCISIONAL REPAIR RECURRENT USING MESH 1 1 HERNIA INGUINAL CHILD UNILATERAL HERNIOTOMY 3 1 4 HERNIA INGUINAL PRIMARY REPAIR USING MESH 10 24 11 45 HERNIA INGUINAL PRIMARY REPAIR USING SUTURES 1 1 HERNIA INGUINAL REPAIR RECURRENT USING MESH 4 4 HERNIA UMBILICAL REPAIR USING MESH 5 6 11 HERNIA UMBILICAL REPAIR USING SUTURES 1 2 3 HERNIA VENTRAL REPAIR USING MESH 2 2 IMPLANTATION OF ELECTROCARDIOGRAPHY LOOP RECORDER 3 3 IMPLANTATION OF INTRATHECAL DRUG DELIVERY DEVICE ADJACENT TO SPINAL CORD 1 1 INCISION OF FRENULUM OF TONGUE 1 1 INCISION OF LESION OF SKIN NEC 6 6 2 14 INCISION OF SKIN OF HEAD OR NECK 1 1 2 INJECTION AROUND SPINAL FACET OF SPINE 12 33 11 56 INJECTION OF STEROID NEC 26 30 6 62 INJECTION OF THERAPEUTIC SUBSTANCE AROUND PERIPHERAL NERVE 37 15 2 54 INJECTION OF THERAPEUTIC SUBSTANCE AROUND SPINAL NERVE ROOT 3 3 1 7 INJECTION OF THERAPEUTIC SUBSTANCE AROUND SYMPATHETIC NERVE 4 4 2 10 INJECTION OF THERAPEUTIC SUBSTANCE INTO JOINT 47 44 11 102

INSERTION OF PROSTHETIC REPLACEMENT FOR LENS NEC 18 54 10 82 INSERTION OF VENTILATION TUBE THROUGH TYMPANIC MEMBRANE 20 24 3 47 INTRAMUSCULAR INJECTION FOR LOCAL ACTION 5 12 3 20 INTRODUCTION OF INTRAUTERINE CONTRACEPTIVE DEVICE 1 1 JOINT DISLOCATION PRIMARY OPEN REDUCTION FRACTURE 1 1 2 JOINT HIP PROSTHESIS CLOSED REDUCTION DISLOCATION 1 1 JOINT MUA DISLOCATION FRACTURE DISLOCATION JOINT 1 1 KIDNEY NEPHRECTOMY 2 2 KIDNEY NEPHROURETERECTOMY 1 1 LAPAROTOMY APPROACH NEC 5 5 LOCAL ANAESTHETIC NERVE BLOCK 15 22 7 44 LOW FORCEPS CEPHALIC DELIVERY 2 2 LOWER DENTAL CLEARANCE 1 1 LOWER UTERINE SEGMENT CAESAREAN DELIVERY NEC 7 8 4 19 LYMPHATICS BIOPSY OF SENTINEL LYMPH NODE 1 1 LYMPHATICS BLOCK DISSECTION OF AXILLARY LYMPH NODES 1 1 2 LYMPHATICS EXCISION OR BIOPSY OF AXILLARY LYMPH NODE 2 1 3 LYMPHATICS EXCISION OR BIOPSY OF CERVICAL LYMPH NODE 1 1 LYMPHATICS SAMPLING OF AXILLARY LYMPH NODES 1 1 LYMPHATICS UNSPECIFIED EXCISION OR BIOPSY OF LYMPH NODE 3 3 MANIPULATION OF FRACTURE OF BONE NEC 6 3 5 14 MANUAL REMOVAL OF PLACENTA FROM DELIVERED UTERUS 1 1 NAIL AVULSION OF NAIL 2 2 NAIL EXCISION OF NAIL BED 1 1 2 NERVE PRIMARY REPAIR OF PERIPHERAL NERVE 1 3 4 NERVE THERAPEUTIC LUMBAR EPIDURAL INJECTION 1 1 2 NO PROCEDURE CARRIED OUT 1 1 2 NOSE MUA 1 1 OBSTETRICS ELECTIVE LOWER UTERINE SEGMENT CAESAREAN DELIVERY 7 1 8 OBSTETRICS EMERGENCY LOWER UTERINE SEGMENT CAESAREAN DELIVERY 4 3 7 OBSTETRICS EPISIOTOMY TO FACILITATE DELIVERY 1 1 2 OBSTETRICS FORCEPS DELIVERY LOW 3 2 5 OBSTETRICS IMMEDIATE REPAIR OBST LACERATION PERINEUM AND ANAL SPHINCTER 1 3 4

OBSTETRICS IMMEDIATE REPAIR OBST LACERATION UTERUS OR CERVIX 1 1 OBSTETRICS IMMEDIATE REPAIR OF MINOR OBSTETRIC LACERATION 1 1 OBSTETRICS LOW VACUUM DELIVERY 1 1 OBSTETRICS LOWER UTERINE SEGMENT CAESAREAN DELIVERY 3 29 10 42 OGD AND BALLOON DILATION OF OESOPHAGUS 4 7 3 14 OGD AND CAUTERISATION OF LESION OF UPPER GASTROINTESTINAL TRACT 2 2 OGD AND ENDOSCOPIC DILATION OF OESOPHAGUS 1 2 3 OGD AND FIBREOPTIC ENDO SCLEROTHERAPY TO LESION OF UPPER GASTROINTESTINAL TRACT 3 1 4 OGD AND INSERTION OF TUBAL PROSTHESIS INTO OESOPHAGUS 2 1 2 5 OGD AND PERCUTANEOUS INSERTION OR CHANGE OF GASTROSTOMY 4 5 9 OGD AND REMOVAL OF FOREIGN BODY FROM OESOPHAGUS 2 2 3 7 OGD AND REMOVAL OF FOREIGN BODY FROM UPPER GASTROINTESTINAL TRACT 3 1 4 OGD DIAGNOSTIC +/- BIOPSY 300 321 92 713 OGD DILATION OF DUODENUM 1 1 OGD OESOPHAGUS +/- BIOPSY LESION OF OESOPHAGUS 8 4 1 13 OPERATIVE CHOLANGIOGRAPHY THROUGH CYSTIC DUCT ONLY 9 2 11 OSTEOTOMY OF FIRST METATARSAL BONE NEC 5 3 1 9 OSTEOTOMY OF MULTIPLE METATARSALS 1 1 OTHER EVACUATION OF CONTENTS OF UTERUS 2 2 OTHER SPECIFIED 1 1 2 OTHER SPECIFIED AMPUTATION OF TOE 2 1 2 5 OTHER SPECIFIED ASSESSMENT 1 1 OTHER SPECIFIED BIOPSY OF MUSCLE 1 1 OTHER SPECIFIED CONTINUOUS INFUSION OF THERAPEUTIC SUBSTANCE 2 2 4 OTHER SPECIFIED DIAGNOSTIC BLOOD TESTS 2 2 OTHER SPECIFIED DIAGNOSTIC ENDOSCOPIC EXAMINATION OF BLADDER 6 6 OTHER SPECIFIED DIAGNOSTIC IMAGING OF PELVIS 1 1 OTHER SPECIFIED EXCISION OF DENTAL LESION OF JAW 1 1 OTHER SPECIFIED EXCISION OF GALL BLADDER 2 4 6 OTHER SPECIFIED EXCISION OF GANGLION 10 10 OTHER SPECIFIED EXCISION OF OTHER FASCIA 3 1 4 OTHER SPECIFIED EXCISION OR BIOPSY OF LYMPH NODE 6 1 7 OTHER SPECIFIED EXPLORATION OF OTHER SKIN OF OTHER SITE 1 1

OTHER SPECIFIED EXTIRPATION OF LESION OF EYELID 1 1 OTHER SPECIFIED EXTIRPATION OF LESION OF OTHER PART OF MOUTH 1 1 2 OTHER SPECIFIED FUSION OF JOINT OF TOE 1 1 2 OTHER SPECIFIED OPERATIONS ON BURSA 1 1 OTHER SPECIFIED OPERATIONS ON HYDROCELE SAC 6 6 OTHER SPECIFIED OPERATIONS ON SEPTUM ON NOSE 2 1 3 OTHER SPECIFIED OPERATIONS ON TURBINATE OF NOSE 1 2 3 OTHER SPECIFIED OTHER BIOPSY OF SKIN 6 6 OTHER SPECIFIED OTHER DRAINAGE OF PERITONEAL CAVITY 1 1 OTHER SPECIFIED OTHER EXCISION OF BONE 2 2 4 OTHER SPECIFIED OTHER EXCISION OF LESION OF SKIN 3 3 OTHER SPECIFIED OTHER EXCISION OF SKIN 2 2 OTHER SPECIFIED OTHER MANIPULATION OF JOINT 3 2 1 6 OTHER SPECIFIED OTHER OPERATIONS ON BOWEL 1 1 OTHER SPECIFIED OTHER OPERATIONS ON EXTERNAL AUDITORY CANAL 1 1 OTHER SPECIFIED OTHER OPERATIONS ON EYELID 3 1 4 OTHER SPECIFIED OTHER OPERATIONS ON INTERNAL NOSE 1 1 OTHER SPECIFIED OTHER OPERATIONS ON LACRIMAL SAC 1 1 OTHER SPECIFIED OTHER OPERATIONS ON LENS 1 1 OTHER SPECIFIED OTHER OPERATIONS ON LIGAMENT 3 2 5 OTHER SPECIFIED OTHER OPERATIONS ON PILONIDAL SINUS 4 1 3 8 OTHER SPECIFIED OTHER OPERATIONS ON TOOTH 1 2 3 6 OTHER SPECIFIED OTHER RELEASE OF PERIPHERAL NERVE 7 7 OTHER SPECIFIED RELEASE OF ENTRAPMENT OF PERIPHERAL NERVE AT OTHER SITE 1 1 OTHER SPECIFIED REPAIR OF RECURRENT INGUINAL HERNIA 2 2 OTHER SPECIFIED RESTORATION OF TOOTH 3 9 1 13 OTHER SPECIFIED THERAPEUTIC ENDOSCOPIC OPERATIONS ON CAVITY OF KNEE JOINT 2 2 OTHER SPECIFIED THERAPEUTIC EPIDURAL INJECTION 27 30 9 66 OVARY SALPINGECTOMY FOR ECTOPIC OPEN/LAPAROSCOPIC 2 2 1 5 OVARY UNILATERAL OOPHORECTOMY 1 1 OVARY UNILATERAL SALPINGECTOMY 1 1 PALMAR FASCIECTOMY 2 2 PARTIAL EXCISION OF BREAST NEC 2 2

PARTIAL RESTORATION OF CROWN OF TOOTH 2 2 PENIS BIOPSY OF LESION OF PENIS 2 2 PENIS CAUTERISATION OF LESION OF PENIS 1 1 PENIS CIRCUMCISION 19 17 6 42 PENIS EXCISION OF LESION OF PENIS 1 1 PENIS FRENULOPLASTY 5 2 2 9 PENIS RECONSTRUCTION OF PENIS 1 1 PHACOEMULSIFICATION OF LENS 18 54 10 82 PILONIDAL SINUS DRAINAGE OF 5 5 10 PILONIDAL SINUS EXCISION AND SUTURE HFQ 1 4 1 6 PILONIDAL SINUS UNSPECIFIED EXCISION 1 1 PLAIN X-RAY OF CHEST 1 1 POLISHING TEETH 1 1 2 POSTERIOR EPISIOTOMY NEC 1 1 PRIM OPEN RED FRACTURE NECK OF FEMUR AND OPEN FIXATION USING PIN AND PLATE 5 5 PRIM OPEN RED OF FRACTURE DISLOCATION OF JOINT AND INTERNAL FIXATION NEC 3 3 PRIMARY NEUROLYSIS OF PERIPHERAL NERVE NEC 2 2 PRIMARY OPEN REDUCTION OF FRACTURE OF SMALL BONE AND FIXATION USING SCREW 1 1 PRIMARY OPEN REDUCTION OF FRAGMENT OF BONE AND FIXATION USING SCREW 1 1 2 PRIMARY OPEN REDUCTION OF FRAGMENT OF BONE AND FIXATION USING WIRE SYSTEM 1 1 PRIMARY PROSTHETIC REPLACEMENT OF HEAD OF FEMUR NEC 1 1 PRIMARY PROSTHETIC REPLACEMENT OF HEAD OF FEMUR NOT USING CEMENT 2 2 PRIMARY REPAIR OF PERIPHERAL NERVE NEC 1 1 PRIMARY SIMPLE REPAIR OF TENDON 1 1 2 PROSTATE CYSTOSCOPY RIGID AND MASSAGE OF PROSTATE 3 1 4 PROSTATE TRANSVESICAL PROSTATECTOMY 1 1 PROSTATE TRUS & BIOPSY RECTAL NEEDLE BIOPSY OF PROSTATE 23 20 9 52 PROSTATE TURP TRANSURETHRAL RESECTION OF PROSTATE 11 9 20 Pterygium Excision with Conjunctival Autograft 1 1 2 RECTUM ANTERIOR RESECTION AND ANASTOMOSIS NEC 5 2 1 8 RECTUM APER ABDOMINOPERINEAL EXCISION AND END COLOSTOMY 1 1 RECTUM DELORMES PROCEDURE PERANAL REPAIR OF PROLAPSE 1 1 RECTUM EUA EXAMINATION UNDER ANAESTHETIC 4 4 4 12

RECTUM OTHER SPECIFIED PERINEAL OPERATIONS FOR PROLAPSE OF RECTUM 1 1 REEXCISION OF GANGLION OF HAND NEC 1 1 RELEASE FASCIOTOMY OF FOREARM 1 1 RELEASE OF CONSTRICTION OF SHEATH OF TENDON 6 5 4 15 REMOVAL OF ELECTROCARDIOGRAPHY LOOP RECORDER 2 2 REMOVAL OF INORGANIC FOREIGN BODY FROM SKIN NEC 1 3 4 REMOVAL OF INTERNAL FIXATION FROM BONE NEC 8 5 3 16 REMOVAL OF METAL FROM SKIN NEC 1 1 REMOVAL OF METAL FROM SKIN OF HEAD OR NECK 1 1 REMOVAL OF VENTILATION TUBE FROM TYMPANIC MEMBRANE 1 1 REPAIR OF OBSTETRIC LACERATION OF PERINEUM AND SPHINCTER OF ANUS 1 1 2 REPAIR OF RECURRENT UMBILICAL HERNIA USING SUTURES 1 1 RESTORATION OF CROWN OF TOOTH NEC 2 2 RESTORATION OF PART OF TOOTH USING FILLING NEC 11 2 13 REVISION OF PROSTHETIC REPLACEMENT OF HEAD OF FEMUR NOT USING CEMENT 1 1 RIGID SIGMOIDOSCOPY +/- BIOPSY 9 2 1 12 RIGID SIGMOIDOSCOPY AND PASSAGE OF FLATUS TUBE TO REDUCE VOLVULUS OF SIGMOID COLON 2 2 ROOT CANAL THERAPY TO TOOTH 1 1 SCALING OF TOOTH 8 2 1 11 SCROTUM BILATERAL SUBCAPSULAR ORCHIDECTOMY 1 1 SCROTUM BILATERAL VASECTOMY 9 23 4 36 SCROTUM EXCISION OF LESION OF EPIDIDYMIS 2 3 1 6 SCROTUM HYDROCELE EVERSION OR PLICATION OR EXCISION 2 1 3 SCROTUM ONE STAGE ORCHIDOPEXY NEC 2 2 SCROTUM ORCHIDECTOMY 3 2 1 6 SCROTUM ORCHIDOPEXY BILATERAL 1 1 SCROTUM REVERSAL OF BILATERAL VASECTOMY 1 1 SCROTUM TESTICLE REDUCTION OF TORSION OF TESTIS 2 1 1 4 SEPTOPLASTY OF NOSE 6 6 SEPTOPLASTY OF NOSE NEC 10 12 10 32 SKIN BIOPSY OF LESION OF SKIN 32 10 42 SKIN BIOPSY OF LESION OF SKIN OF HEAD OR NECK 14 4 18 SKIN DRAINAGE OF LESION OF SKIN NEC 5 1 3 9

SKIN DRESSING OF SKIN NEC 1 1 SKIN EXCISION OF LESION OF SKIN 2 2 SKIN EXCISION OF SWEAT GLAND BEARING SKIN OF GROIN 1 1 SKIN FOREIGN BODY REMOVAL FROM SKIN 1 1 2 SKIN REMOVAL OF SUTURE FROM SKIN NEC 1 1 SKIN SECONDARY SUTURE OF SKIN NEC 1 1 SKIN SHAVE EXCISION OF LESION OF SKIN NEC 1 1 SKIN SUTURE OF SKIN OF HEAD OR NECK PRIMARY 1 4 5 SKIN SUTURE OF SKIN PRIMARY 1 1 2 SKIN V-Y ADVANCEMENT FLAP 1 1 SMALL BOWEL CLOSURE OF ILEOSTOMY 5 5 SMALL BOWEL DIVISINO OF EXTENSIVE ADHESIONS OF PERIT 1 1 SMALL BOWEL DIVISION OF ADHESIONS OF PERITONEUM 2 2 SMALL BOWEL OPEN RELIEF OF OBSTRUCTION OF ILEUM NEC 2 2 SMALL BOWEL RESECTION ILEUM AND ANASTOMOSIS OF ILEUM TO ILEUM 2 2 SMALL BOWEL UNSPECIFIED BYPASS OF ILEUM 1 1 SPLEEN SPLENECTOMY 1 1 STELLATE GANGLION BLOCKADE 3 3 STOMACH CLOSURE OF PERFORATED ULCER OF STOMACH 1 1 STOMACH PARTIAL GASTRECTOMY AND ANASTOMOSIS OF STOMACH TO JEJUNUM BILROTH 2 1 1 STOMACH PYLOROPLASTY 1 1 SUBMUCOUS DIATHERMY TO TURBINATE OF NOSE 2 2 SURGICAL EXPOSURE OF TOOTH 2 1 3 SURGICAL REMOVAL OF IMPACTED WISDOM TOOTH 71 74 6 151 SURGICAL REMOVAL OF RETAINED ROOT OF TOOTH 14 17 3 34 SURGICAL REMOVAL OF TOOTH NEC 38 42 9 89 THERAPEUTIC LUMBAR EPIDURAL INJECTION 48 61 20 129 TOTAL ADENIODECTOMY 11 13 4 28 TOTAL EXCISION OF BURSA 1 1 TRANSFER OF TENDON TO TENDON NEC 1 1 UNILATERAL SALPINGECTOMY NEC 1 1 UNKNOWN 3 3 UNSPEC DIAG ENDO EXAM OF LOWER BOWEL USING FIBREOPTIC SIGMOIDOSCOPE 70 3 73

UNSPEC OTH THERAP ENDO OPERATIONS ON SIGMOID COLON, RIGID SIGMOIDOSCOPE 4 4 UNSPEC PRIM OPEN RED OF FRACTURE OF BONE AND EXTRAMEDULLARY FIXATION 1 1 UNSPECIFIED ASSESSMENT 3 3 UNSPECIFIED DIAGNOSTIC ENDOSCOPIC EXAMINATION OF COLON 10 10 UNSPECIFIED DIAGNOSTIC ENDOSCOPIC EXAMINATION OF PHARYNX 1 1 UNSPECIFIED DIAGNOSTIC SPINAL PUNCTURE 5 5 UNSPECIFIED DIVISION OF FASCIA 2 3 3 8 UNSPECIFIED DRAINAGE THROUGH PERINEAL REGION 1 1 UNSPECIFIED EXCISION OF NAIL 4 3 7 UNSPECIFIED EXCISION OF VAS DEFERENS 15 1 16 UNSPECIFIED EXPLORATION OF OTHER SKIN OF OTHER SITE 1 1 UNSPECIFIED INTRAMUSCULAR INJECTION 1 1 UNSPECIFIED LIGATION OF VARICOSE VEIN OF LEG 1 1 UNSPECIFIED MICROTHERAPEUTIC ENDOSCOPIC OPERATIONS ON LARYNX 12 7 3 22 UNSPECIFIED OPENING OF ABDOMEN 5 8 2 15 UNSPECIFIED OPENING OF SKIN 1 1 UNSPECIFIED OPERATIONS ON ADENOID 5 4 9 UNSPECIFIED OTHER EXCISION OF APPENDIX 1 1 UNSPECIFIED OTHER OPERATIONS ON VARICOSE VEIN OF LEG 16 1 17 UNSPECIFIED OTHER PLACEMENT OF TESTIS IN SCROTUM 2 2 UNSPECIFIED PRIMARY CLOSED REDUCTION OF TRAUMATIC DISLOCATION OF JOINT 1 1 2 UNSPECIFIED PRIMARY REPAIR OF FEMORAL HERNIA 3 3 UNSPECIFIED PRIMARY REPAIR OF INGUINAL HERNIA 34 3 37 UNSPECIFIED PRIMARY REPAIR OF TENDON 5 3 8 UNSPECIFIED PRIMARY REPAIR OF UMBILICAL HERNIA 5 5 UNSPECIFIED PROSTHESIS OF LENS 32 26 27 85 UNSPECIFIED RELEASE OF ENTRAPMENT OF PERIPHERAL NERVE AT WRIST 13 13 UNSPECIFIED SIMPLE EXCISION OF INGUINAL HERNIAL SAC 1 1 UNSPECIFIED SIMPLE EXTRACTION OF TOOTH 9 3 1 13 UNSPECIFIED SUBTOTAL EXCISION OF COLON 1 1 UNSPECIFIED THERAPEUTIC EPIDURAL INJECTION 18 15 2 35 UNSPECIFIED TOTAL EXCISION OF KIDNEY 1 1 UPPER DENTAL CLEARANCE 2 2

URETER ENDOSCOPIC EXTRACTION OF CALCULUS OF URETER NEC 1 1 2 URETER ENDOSCOPIC REMOVAL OF TUBAL PROSTHESIS FROM URETER 1 1 URETER PERCUTANEOUS INSERTION OF PLASTIC STENT INTO URETER 1 1 URETER PERCUTANEOUS REPLACEMENT OF PLASTIC STENT INTO URETER 1 1 URETEROSCOPIC REMOVAL OF URETERIC STENT 1 1 URETHRA CYSTOSCOPY AND EXTIRPATION OF LESION OF URETHRA 1 1 URETHRA DILATION OF MEATUS OF URETHRA 1 1 URETHRA DILATION OF OUTLET OF FEMALE BLADDER 1 1 URETHRA EXTERNAL MEATOTOMY OF URETHRAL ORIFICE 1 1 URETHRA OPTICAL URETHROTOMY 3 2 3 8 UTERUS DILATION OF CERVIX UTERI AND CURETTAGE OF PRODUCTS OF CONCEPTION FROM UTERUS 2 2 VAGINA DRAINAGE OF BARTHOLIN GLAND 1 1 VAGINA MARSUPIALISATION OF BARTHOLIN GLAND 2 1 3 VEIN AVULSION OF VARICOSE VEIN OF LEG 2 2 4 VEIN COMBINED OPERATIONS ON RECURRENT LONG SAPHENOUS VEIN 1 1 2 VEIN HSL+STRIPPING + MSA = COMBINED OPERATIONS ON PRIMARY LONG SAPHENOUS VEIN 9 6 15 VEIN INJECTION OF SCLEROSING SUBSTANCE INTO VARICOSE VEIN OF LEG NEC 1 1 VEIN INSERTION OF CENTRAL VENOUS CATHETER 10 8 18 VEIN INSERTION OF TUNNELLED CATHETER 2 2 VEIN LOCAL EXCISION OF VARICOSE VEIN OF LEG 5 3 8 VEIN OTHER SPECIFIED LIGATION OF VARICOSE VEIN OF LEG 1 1 2 VEIN STRIPPING OF LONG SAPHENOUS VEIN 1 7 2 10 Grand Total 2448 2495 709 5652