Designated Privileges
Discipline of Surgery
Subspeciality: General
Privileges are requested at the following site: (Please check appropriate site(s)
Western Memorial Regional Hospital, Corner Brook
Sir Thomas Roddick Hospital, Stephenville
Dr. Charles L. Legrow Health Centre, Port aux Basques
Bonne Bay Health Centre, Norris Point
Calder Health Care Centre, Burgeo
Rufus Guinchard Health Centre, Port Saunders
(a)
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MINOR SURGERY PROCEDURES
General
a) Biopsy
Bone or Bone Marrow
Gland, Muscle or Superficial Tissue
Abdominal Paracentesis
Thoracentesis
b)
Lymph Glands – Superficial Lymph Nodes Only
Incision and Drainage
Excision for Biopsy
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c) Abscesses – Superficial Only
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d) Burns – Localized Only
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e) Injuries:
Suture or Repair of Superficial Lacerations
Removal of Superficial Foreign Bodies
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f) Infections:
Boils, Incisions or Drainage
Cellulitis
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g) Transfusions – blood or plasma
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h) Excision of:
Superficial Scar
Superficial Cyst
Superficial Benign Tumors
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Orthopaedic Surgery
a) Amputations:
Fingers
Toes
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b) Dislocations (Closed Reductions Only)
Fingers
Toes
Elbows
Shoulders
Ankles
Jaws
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Rectal
a)
b)
c)
d)
e)
f)
g)
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Removal of Rectal Polyps
Incision and Removal of Thrombosed Hemorrhoids
Infection Treatment of Hemorrhoids, Banding
Dilatation of Anal Sphincter
External Hemmorrhoidectomy
Perianal Abscess (pointing on perineum)
Fistulotomy
Transanal Resection Rectal Tumor
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Urology
Circumcision
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Maetotomy
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Adranalextomy
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Nephrectomy (only if no urologist is available and if needed? Consult) _____
Partial Cystectomy
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Vasectomy
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I&D Scrotal Absess
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Orchiectomy
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Orchidoxpexy
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Hydroelectomy
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Renal Revasularication
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(b)
MAJOR SURGERY PROCEDURES ABDOMINAL SURGERY
Abdominal-Perineal Resection
Appendectomy
Bowel Resections:
Small Bowel
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Colon
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IIeo-anal Reservoir
Laparoscopic Abdominal Surgery _____
Laparoscopy
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Open and Laparscopic Hernia Repair _____
Gastric Surgery
Upper Gastrointestinal Tract
Endoscopy with Biopsy
Gastrectomy – Partial
Gastrectomy – Total
Gastroenterostomy
Perforated Ulcer Closure
Pyloroplasty
Pyloromoyotomy
Vagotomy and Drainage
Other
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Esophageal Surgery
a) Esophagectomy (total or partial)
b) Esophago-Gastrectomy
c) Esophageal Bypass
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With Reconstruction ____
Hepatic Surgery
Liver Resection
Liver Biopsy
Pancreatic Surgery
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a) Limited or Total Pancreatic Resection with Resection Pancreatic
Endocrin Tumor
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b) Pancreatico – Enterostomy
Splenectomy
Adrenalectomy
Partial Hepatectomy
Bilateral Tract Surgery (Open and Laproscopic)
Cholecystectomy
Billiary Bypass
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Proctology
Fistulectomy
Hemorrhoidectomy
Anoplasty
Repair of prolapsed rectum
Internal Anal Sphincterotomy
Colonoscopy
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Neck Surgery
Excision of cysts
(a)
Thryglossal
(b)
Bronchial, cleft, hygroma, dermoids
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I & D Abscesses
Pharynge-esophageal diverticulectomy
Thyroidectomy
Radical neck dissection
Salivary gland excision
Para thyroidectomy
Tracheostomy
Cricothyroidostomy
Parotidectomy
Glossectomy
Resection lesion oral cavity
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Breast Surgery
Biopsy with frozen section
Excision benign lesion
Mastectomy:
Simple
Modified Radical
Plastic and Cosmetic procedures (Removal of In-plants)
And excision of inplants)
Reduction mamoplasty
Breast reconstruction
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Thoracic Surgery
Bronchoscopy with biopsy
Medisotinoscopy without biopsy
Rib Resection
Lobectomy
Pneumonectomy
Thoracoplasty
Decortication
Thymectomy
Insertion of intercostals drainage tube
Thoracoscopic Surgery
Biopsy, segmented or wedge resection, sympathectomy,
Percardial window
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Cardiac and Cardiovascular Surgery
Incision and suture of heart
Pericardectomy
Insertion of Pacemaker
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Peripheral Vascular Surgery
Aneurysmectomy
Endarterectomy (Cartoid, Aortic, or Peripheral)
Bypass Graft
Creation A-V fistula
Ligation and stripping varicose veins
Insertion of Vascular Prosthesis, including
Greenfield filter
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Plastic Surgery
Skin Grafting – all types
Bone Grafting –all types
Du Puytrens contractions
Repairs of epispadias ???
Lacerations of Extremities Including Tendons and/or
Major Vessels
Syndectylism operation
Pilonidal cyst
Major debridement of soft tissue
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Paediatric Surgery
Hernia Repair
Circumcision
Pylorotomy
Repair of Hydrocele
Orchidectomy
Orchidopexy
Bowel resection
Appendectomy
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Applicant Signature:
________________________ Date:___________
Chief, Discipline of Surgery:
_________________________ Date: ___________
Chair, Regional Medical Advisory:______________________ Date:___________
Western Regional Integrated Health Authority :___________________ Date:__________