Name: JONATHAN R. MALABANAN , MD Year Level: II Period Covered: JAN- JULY 2008 CATEGORY MAJOR OPERATIONS SPECIFIC OPERATIONS NUMBER OF OPERATIONS CONSULTANTS TOTAL ASSISTED DONE BY BY RESIDENTS I. HEAD & NECK (thyroid, parathyroid, salivary glands, maxilla, manidible, oral Cavity (10 cases) TOTAL II. BREAST (10 cases) TOTAL III. ESOPHAGUS, STOMACH, DUODENUM, SMALL INTESTINES (10 cases) A. Thyroidectomy B. Parotidectomy C. Mandibulectomy/Maxillectomy D. Neck dissection (MRND, Selective/Radical) E. Others 1. Excision of submandibular gland 2. Excision dermatofibroma 3. Wide excision, fibrosarcoma, trapezial myocutaneous flap; fasciocutaneous flap 4. Wide excision squamous cell Tongue 5. Wide excision trichilemmal tumor A. Modified Radical Mastectomy 1. Modified Radical mastectomy w/ reconstruction B. Conservative breast surgery 1. Wide excision with axillary node dissection 2. Segmentectomy/ quadrantectomy C. Total mastectomySimple Mastectomy A. Gastrectomy with or without vagotomy B. Vagotomy with pyloroplasty C. Gastrojejunostomy D. Proximal gastric vagotomy E. Resection of small bowel F. Adhesiolysis for bowel obstruction G. Esophageal surgery 1. colonic interposition 2. gastric pull up H. Distal esophagectomy; total gastrectomy; splencetomy; distal pancreatectomy, esophagojejunostomy, Jejunojejunostomy, Tube Jejunostomy I. Distal esophagectomy,Total Gastrectomy, Roux Y esophagojejunostomy, tube jejunostomy, CTT, bilateral J. Repair of small bowel (Enterorrhaphy, duodenorrhaphy) K. Entero-enterostomy L. Ileostomy / Closure of ileostomy M. Others 1. Closure of perforated ulcer 2. Explor Lap, Biopsy of Ulcer Margin, Gastrorrhaphy, Omental patching 3. Explor Lap, Omental Patching Tube Jejunostomy 4. Explor Lap, Graham patch 5. Tube gastrostomy/ jejunostomy 6. Gastrotomy for UGIB 7. Explor lap; Excision of Mesenteric Cyst 8. Explor Lap; placement of drain TOTAL IV. COLON, RECTUM & ANUS (10 cases) A. Colectomy 1. Right Hemicolectomy 2. Left hemicolectomy 3. Transverse Colectomy 4. Sigmoid Colectomy 5. Low Anterior Resection 6. Subtotal/Total Colectomy B. Colostomy / Closure of colostomy C. Miles Operation and pull-through operations D. Hartman’s procedure E. Others 1. Segmental resection, descending Segmental resection, stomach, colon, Nephrectomy, L 2. Segmental resection, ileocecal 3. cecorrhaphy, appendectomy 4. drainage of intra-abdominal abscess TOTAL V. COMPLICATED APPENDIX (10 cases) VI. HEPATOBILIARY, GALLBLADDER, PANCREAS, SPLEEN & PORTAL HYPERTENSION (25 cases) 10 A. Cholecystectomy 1. Without CBD exploration 2. With CBD exploration 3. Laparoscopic B. T-Tube choledochostomy C. Choledochoduodenostomy D. Sphincterotomy/sphincteroplasty E. Cholecystojejunostomy F. Distal pancreatectomy G. Whipple’s operation H. Splenorrhaphy, splenectomy I. Devascularization J. Shunting procedures K. Hepatic resection/ hepaticojejunostomy L. Others 1. Explor Lap; Liver Biopsy 2. Explor lap: Debridement (necrotizing pancreatitis), placement of sump drain 3. Drainage of hepatic abscess TOTAL VII. TRAUMA (10 cases) A. Explor lap with surgery for intraabdominal injury B. Thoracotomy C. Neck exploration for trauma D. Repair of major vessel E. Limb amputation TOTAL VIII. OTHERS (10 cases) A. ORTHOPEDICS 1. 2. 3. 4. 5. 6. 7. 8. 9. 1. Burr Holing- Evacuation of Chronic Epidural Hematoma, Ventriculostomy, Right Below-knee amputation Above-knee amputation w/ inguinal node dissection ® Above-knee amputation Above the elbow amputation Ray amputation Open reduction & internal fixation Partial hip replacement Transmetatarsal amputation/Disarticulation Sequestrectomy Placement of Antibiotic Beads And External 1 5 2 1 1 Fixature 10. Anterior cruciate ligament reconstruction TOTAL B. PEDIATRIC SURGERY 1. Explor lap: Reduction of intussusception, appendectomy 2. Repair of diaphragmatic hernia, 3. Sigmoid / transverse colostomy 4. Closure of colostomy 5. Cutback anoplasty 6. Closure of omphalocoele 7. Explor lap: Lysis of Ladd’s bands, derotation of intestines 8. Explor lap, Lysis of Ladd’s band Detortion of midgut volvulus 1 9. Tube cholecystostomy; IOC with liver biopsy 10. Kasai procedure with liver biopsy 11. Ex-lap excision teratoma 12. Explor lap, resection anastomosis, ileum 13. Excision of Omphalomesenteric Duct; Enterorrhaphy, ileum 14. Explor Lap, Excision of Meconium Cyst, Resection (Ileum), Double Barrel Ileostomy 15. Explor lap, resection rectosigmoid colon, colostomy 16. Excision lymphangioma axilla left 17. Duodenojejunostomy TOTAL C.UROLOGY TOTAL D. TCVS TOTAL E. PLASTIC & RECONSTRUCTIVE 1. 2. 3. 4. 5. 6. 7. 1 Ureterolithotomy Pelvolithotomy Cystolithotomy Orchidectomy Nephrostomy Nephrectomy Varicocoelectomy 1. Anterolateral thoracotomy, decortication 1. Cheiloplasty 2. 3. 4. 5. 6. 7. 8. Palatoplasty Repair of naso-oral fistula Skin grafting Creation of thenar flap Fasciotomy Breast reconstruction TRAM Augmentation mammoplasty 1 1 1 1 1 9. Reduction mammoplasty 10. Release of Contracture with Rotational Flap and Skin Grafting 11. Excision with transpositional flap 12. Wide excision, Basal cell carcinoma, back 13. Wide Excision with Advancement Flap 14. Wide excision malignant fibrous histiocytoma thigh 15. Wide excision melanoma foot 16. Wide excision rhabdomyosarcoma thigh 17. Wide Excision, with Inguinal Node Dissection, TOTAL GRAND TOTAL 1 17 1 9 MEDIUM OPERATIONS 2007 CATEGORY SPECIFIC OPERATIONS NUMBER OF OPERATIONS RESIDENTS I. HEAD & NECK (5 cases) TOTAL II. HERNIA (15 cases) TOTAL III. UNCOMPLICATED APPENDIX (30 cases) IV. ANAL SURGERY (20 cases) A. B. C. D. E. F. A. B. C. D. Excision of branchial cleft cyst Thyroglossal duct cyst Excision of cystic hygroma Tracheostomy Cricothyroidotomy Others 1. Excision mucocoele base of tongue Inguinal Hernia Incisional hernia Umbilical hernia Femoral hernia A. Hemorrhoids TOTAL V. THORACOSTOMY (15 cases) TOTAL GRAND TOTAL 11 1 18 B. Fistula C. I & D of abscess D. Others Rectal biopsy VI. Others Subspecialty Procedures (15 cases) CONSULTANTS ASSISTE DONE D BY BY 10 9 3 10 1. Vascular access (IJ) 7 2. 3. 4. 5. 6. 2 1 1 Pediatric countdown Excision of baker’s cyst Disarticulation Suprapubic cystostomy Tenckhoff catheter insertion Herniotomy 1 1 1 1 72 4 1 TOTAL