Provided Surgical Procedures
A lack of access to safe,
View the information below for a detailed list of the surgical procedures we currently provide.
General Surgical Procedures
Adults
- Hydocele Repair (in combination with inguinal hernia)
- Unilateral & Bilateral Hernia Repair with / without Mesh
- Umbilical Hernia Repair with / without Mesh
- Incisional Hernia Repair with / without Mesh
- Orchidopexy
- Benign Soft Tissue Tumor Excision
- Thyroidectomy Unilateral Lobectomy or total
- Amputation: Lower and upper extremity
- Breast Lumpectomy for benign disease
- Mastectomy
- Non – surgical, outpatient Sclerotherapy treatment for hydroceles
Pediatric
- Hydrocele Repair
- Unilateral & Bilateral Hernia Repair
- Umbilical Hernia Repair
- Circumcision in conjunction with hernia repair
Pediatric Surgical Procedures
- Resection of soft tissue tumors
- Hydrocele Repair
- Inguinal Hernia Repair (Unilateral or Bilateral)
- Umbilical Hernia Repair (Large)
- Ventral Hernia Repair +/- mesh (special pediatric mesh used)
- Orchidopexy
- Repair of Anorectal anomalies
- Resection of sacrococcygeal tumors (teratoma)
- Resection/Sclerosis of lymphatic malformation
- Resection of Pediatric thyroid masses
- Sistrunk Procedure for Thyroglossal duct
- Branchial cleft anomalies
- Circumcision
- Myotomy for Esophageal Achalasia
- Pediatric (non-neonatal) diaphragmatic hernia
- Resection of Ovarian Masses
Ophthalmic Surgical Procedures
- CHALAZION EXCISION
- ENTROPION REPAIR
- ECTROPION REPAIR
- REPAIR OF LID LACERATION
- TARSORAPHY
- EXCISION CONJUNCTIVAL LESION
- PTERYGIUM EXCISION
- CONJUNCTIVAL FREE GRAFT
- SUTURE CORNEAL LACERATION
- EXCISION OF BAND KERATOPATHY
- SPHINCTEROTOMY
- EXCISION PROLAPSED IRIS
- SUTURE REPAIR OF IRIDODIALYSIS/KEY HOLE PUPIL
- IRIDECTOMY/IRIDOTOMY
- SUTURE SCLERAL LACERATION
- REPOSITIONING PROLAPSED IRIS POST OP
- INTRACAPSULAR CATARACT EXTRACTION
- PHACOEMULSIFICATION CATARACT EXTRACTION
- MANUAL SMALL INCISION CATARACT SURGERY
- CATARACT EXTRACTION NEC
- I&A REMOVAL OF CONGENITAL CATARACT
- PARS PLANA VITRECTOMY
- PRIMARY POSTERIOR CAPSULOTOMY
- YAG CAPSULOTOMY
- INSERTION OF IOL AT CATARACT EXTRACTION
- SECONDARY INSERTION OF IOL
- IMPLANTED LENS EXTRACTION
- REPOSITIONING DISLOCATED IOL POSTOP
- ANTERIOR VITREOUS EXCISION PEDS CONGENITAL CATARACT VITRECTOMY
- MECHANICAL VITRECTOMY
- ONE EXTRAOCULAR MUSCLE RECESSION
- ONE EXTRAOCULAR MUSCLE RESECTION
- REMOVAL PENETRATING FOREIGN BODY TO EYE
- EVISCERATION WITH SYN IMPLANTATION
- ENUCLEATION WITH IMPLANT
- ENUCLEATION WITH NO IMPLANT
- EXENTERATION
- REPAIR EYEBALL RUPTURE
- REMOVAL OF SUPERFICIAL FOREIGN BODY EYE
Maxillofacial Surgical Procedures
Congenital and Developmental Malformation Repair/Correction
- Unilateral Cleft Lip Repair
- Correction of Unilateral Cleft Lip Nasal Deformity (At time of primary repair)
- Bilateral Cleft Lip Repair
- Pre-maxillary Repositioning
- Nasal Tip Rhinoplasty
- Cleft Palate Repair – Two Flap Palatoplasty
- Cleft Palate Repair – Furlow Palalasty
- Cleft Palate Repair-Furlow Palatoplasty, with bilateral buccal fat flap augmentation
- Cleft Palate Repair- Other (Langenbeck, Veau-Kilner, Etc.)
- Secondary Correction of Velopharyngeal Insufficiency – Superiorly based Pharyngeal Flap (Hogan)
- Secondary Correction of Velopharyngeal Insufficiency – Pharyngoplasty
- Secondary Correction of Velopharyngeal Insufficiency – Furlow Palatoplasty with bilateral buccal fat flap augmentation
- Tonsillectomy in combination with Pharyngoplasty or Pharyngeal Flap
- Tonsillectomy and Adenoidectomy
- Oro-Nasal Fistula Repair – Anterior Maxillary Vestibule
- Oro-Nasal Fistula Repair – Anterior Hard Palate
- Oro-Nasal Fistula Repair – Posterior Hard Palate and/or Soft Palate
- Cleft Alveolar Bone Graft
- Rare (Tessier #1-14, etc.) Facial Cleft Repair
- Fronto-Nasal-Orbital Encephalocele Repair – Extra-cranial Approach only
- Fronto-Nasal-Orbital Encephalocele Repair – Intra-cranial Approach
- Management of Persistent Cranial CSF Leakage
- Occipital Encephalocele Repair
- Orbital Osteotomies to correct Hypertelorism
- Telecanthus Correction
- Maxillary Osteotomy – LeFORT 1 (maxillary repositioning)
- Maxillary Osteotomy – LeFORT 2 (maxillary nasal repositioning)
- Maxillary Osteotomy – LeFORT 3 (maxillary nasal orbital repositioning)
- Mandibular Osteotomy – segmental subapical
- Mandibular Osteotomy-Ramus, Subcondylar, extra oral
- Mandibular Osteotomy-Ramus, Subcondylar, intraoral
- Mandibular Osteotomy-Ramus, Sagittal
- Mandibular Genioplasty-inferior mandibular sliding ostostomy for advancement
- Thyroglossal Duct Cyst Excision
- Branchial Cleft Cyst Excision
- Ranula-excision
- Cutaneous Tracheal Fistula (Laryngocele) Repair
- Cervical Tracheoesophageal Fistula Repair
- A-V malformation Excision
- Lymphatic Malformation (Lymphangioma, Cystic Hygroma) Excision, Debulking, Sclerosis
- Hemangioma Excision or Debulking
- Neurofibroma Excision or Debulking
Nasal Surgery
- Rhinoplasty
- Septoplasty
- Nasal and Nasopharyngeal Polyp-excision
- Choanal Atresia-repair
- Caldwell-Luc Antrostomy
- Intranasal Ethmoid surgery
- External Ethmoidectomy
- Sphenoid Sinusotomy
- Frontal Sinusotomy
- External Frontoethmoidectomy
Neoplasms – Early or Benign
- Orbit
- Orbital Exenteration with Temporalis Muscle Flap Obliteration
- Orbital Exenteration with application of Split Thickness Skin Graft (when orbital prosthesis can be made)
- Enucleation of globe
- Enucleation of globe, excision of Lacrimal Gland and Conjunctiva, Lid Closure
- Enucleation of globe, excision of Lacrimal Gland & Conjunctiva, Free Dermal Graft Placement, Lid Closure
- Lacrimal Gland Tumour-excsion
- Dacryocystorhinostomy
- Lacrimal Duct-Sac-Canaliculi Repair during Maxillectomy with Silastic Tube (Crawford Tubes) placement
- Lower Eye Lid Reconstruction
- Upper Eye Lid Reconstruction
- Medial Canthoplasty
- Lateral Canthoplasty
- Lateral Tarsorrhaphy (also see included with Parotidectomy)
- Medial Tarsorrhaphy
- Maxilla
- Maxillectomy-partial
- Maxillectomy-complete, with Temporalis Muscle Flap Reconstruction
- Maxillectomy + orbital exenteration, with Temporalis Muscle Flap Reconstruction
- Mandible
- Mandibulectomy-partial, condyle preserved, midline not crossed
- Mandibulectomy-hemi, condyle preserved
- Mandibulectomy-hemi, including condyle
- Mandibulectomy-hemi, including condyle, in child, with primary costo-condral graft reconstruction
- Mandibulectomy-anterior, condyles and rami preserved, midline crossed
- Mandibulectomy-subtotal, one condyle and proximal ramus preserved
- Mandibulectomy-total
- Mandibular Reconstruction with Ileac Crest Bond Graft applied to Titanium Mandibular Bone Plate
- Temporomandibular Joint (TMJ)-bony ankylosis release, gap arthroplasty + interartcular temporalis flap (above 10 years of age)
- Temporomandibular Joint-bony ankylosis release, costo-condral graft reconstruction (above 10 years of age)
- Coronoidotomy
- Cranium
- Fibrosseous Lesion Resection / Debulking
- Soft Tissue Tumors of Head and Neck
- Parotidectomy-superficial
- Parotidectomy-total
- Parotidectomy-superficial or total, with VII nerve graft and/or repair
- Lateral Tarsorrhaphy-with Parotidectomy when VII function is lost
- Parotectomy-“lumpectomy”
- Submandibular Gland-excision
- Thyroidectomy-hemi
- Thyroidectomy-subtotal
- Thyroidectomy-total
- Neck Dissection (node clearance)-Radical, Modified, Functional
- Carotid Body Tumour Excision
- Hard and/or Soft Palate lesion excision
- Pharyngeal Tumour excision-intraoral approach
- Pharyngeal Tumour excision-extraoral approach
- Laryngectomy-partial, total
- Parotidectomy-superficial
Reconstructive Techniques
- Temporalis Muscle and/or Fascia Flap
- Pectoralis Major Myocutaneous Flap
- Deltopectoral Flap
- Forehead Flap-midline
- Glabellar Flap
- Forehead Flap-temporal
- Scalping Flap-Total External Nasal Reconstruction
- Latissimis dorsi Flap
- Trapezius Flap
- Abbe Flap
- Estlander Flap
- Karapandzic Flap
- Naso-labial Flap
- Cervical Advancement Flap
- Tongue Flap-dorsal
- Tongue Flap-lateral
- Free Vascular Flaps
- Skin Graft-full thickness
- Skin Graft-split thickness
- Dermal Graft Harvest
- Fascia lata Harvest
- Sural Nerve Graft Harvest
- Ileac Crest Bone Graft Harvest
- Rib Graft Harvest-bone and/or cartilage
- Cranial Bone Graft Harvest
Airway and Hemorrhage Management
- Tracheostomy-non-urgent, adult
- Tracheostomy-non-urgent, paediatric <2 years
- Tracheostomy-urgent (emergency)
- External Carotid Artery Ligation
Trauma
- Mandibular Fractures
- Maxillary Fractures
- Orbital Fractures
- Zygoma Fractures
- Nasal Fractures
- Frontal Bone Fractures
- Skull Base Fractures
- Burn Contractures Release / Skin Grafts: Facial, Neck
Miscellaneous Procedures
- Facial Paralysis-facial slings
- Face Lift-post tumour resection
- Keloid Tumour Excision-Head & Neck
- Wound debridement; Removal of Infected / Exposed bone grafts, bone plates, etc
- Dental Extractions
- Lateral Pharyngostomy – feeding tube placement
- Placement and Change of Wound Vac
Orthopedic Surgical Procedures
- Tendo Achilles / Hamstring Lengthening
- Tendon Transfers
- Tenotomy
- Plantar Fascia Release
- Contracture Release
- Amputation: lower and upper extremity
- Arthrodesis and Epiphyodesis: lower and upper limb
- Repair of malunion / fracture of upper (elbow to hand) / lower limb (knee to foot) – (Neglected trauma in children and adults)
- Osteotomy (femoral and tibial) for correction of valgus and varus deformites
- Tumor Excision
- Other Soft Tissue Excision
- Sequestrectomy – removal of dead bone in currently non-infected tissue (i.e. old osteomyelitis only)
- Fasciotomy
- Guided Growth: 8 plate insertion and removal (to be reviewed per Field Service)
- Bone Graft
- Adults (18-30)
- Osteotomy for varus and valgus deformity – (Lower limb only)
- Arthrodesis knee fusion (18-30)
- Neglected club feet
- Carpal tunnel release
- Trigger finger release
Reconstructive Plastics Surgical Procedures
- (Noma) Facial Reconstruction
- Repair unhealed facial wounds (non-infectious)
- Repair and Grafting of Tendon injuries upper and lower limbs
- Peripheral nerve repair and grafting (upper, lower limbs or face)
- Burn contracture release/reconstruction – Post burn and electrical injuries – (earlier than 4 or greater than 12 months post burn)
- Facial soft tissue reconstruction with flap/suspension (See Maxillofacial Procedure list for specific flaps)
- Haemangioma, lymphangioma, and cystic hygroma (Patient Review may be needed depending on size, location, CT report)
- Neurofibroma debulking/excision
- Cleft Lip
- Other Facial Clefts
- Stump Revision
- Amputation – (Upper and Lower limb)
- Soft tissue Repair/Reconstruction/z-plasty
- Benign tumor/lesion excision
- Malignant tumor/lesion excision skin (Patient Review if needed)
- Premalignant lesions
- Basal cell carcinoma
- Squamous cell carcinoma
- Other malignant skin tumors
- Ear Repair/Reconstruction
- Eyelid Repair/Reconstruction
- Flexor/Extensor tendon injury and reconstruction
- Scar release/excision – *Large keloids only*
- Graft, skin split/full thickness or bone graft
- Reconstruction with bone plate/implants
- Polydactyly and Syndactyly correction
- Correction of Duplication of digits upper and lower extremity
- Congenital abnormalities of the hands and feet (excluding club feet)
- Hypo – and Epispadias
- Placement of tissue expander
- (Foot Reconstruction) associated with burn contracture release
- (Hand and upper limb reconstruction) associated with burn contracture release
- Dupuytren Disease (Contracture)
- Soft tissue masses; head and neck, upper and lower limbs and torso (all soft tissue tumors of the body)
- Lower leg ulcers with specific criteria; age < 40, history of trauma or infection, but no hypertension, diabetes or varicose veins
- Lymphoedema of lower legs
Obstetric Fistula Surgical Procedures
- VVF (Vesico Vaginal Fistula) repair
- UVF (Urethra Vaginal Fistula) repair
- RVF (Recto Vaginal Fistula) repair
- Re-implantation of ureters via Vaginal or Abdominal approach
- PV (Pubo vaginal) sling
- Urethral Dilation
- Singapore Flap
- Gracilis muscle flap
- Other VVF related surgery
- Elective Sterilization (Tubal Ligation) in conjunction with planned Laparotomy for repair
See Surgical Sterilization Policy for Women’s Health Program for further guidance in decision for sterilization - Elective Sterilization (Tubal Ligation) without planned laparotomy – done as secondary procedure with primary procedure
Gynecologic Surgical Procedures
Minor Surgery Procedure List (Less than 3 Day Length of Stay)
- Anterior / Posterior Colporrhaphy – Diagnosis: Cystocele and Rectocele
- Enterocele repair – Diagnosis: Enterocele
- Perineoplasty
- Bartholin cystectomy/Marsupialization of Bartholin Cyst – Diagnosis: Bartholin cyst
- Removal Bladder stone – Diagnosis: Bladder stone
- Repair Vaginal stenosis – Diagnosis: Vaginal stenosis
- Labial separation, surgical – Diagnosis: Labial Fusion
- Vulvar/Vaginal: lesion/cyst removal – Diagnosis: Vulvar/vaginal cyst
- Hymenectomy – Diagnosis: Persistent intact hymen
- Polypectomy – Diagnosis: Cervical/Vaginal polyp
- Repair 3rd and 4th degree anal laceration – Diagnosis: 3rd and 4th degree anal laceration
- Ovarian Cystectomy
Major Surgery Procedure List (Greater than 3 Day Length of Stay)
- Vaginal Vault Suspension – Diagnosis: Vaginal Vault prolapse
- Total Vaginal Hysterectomy (TVH)/Total Abdominal Hysterectomy(TAH)/+/- (BSO – Bilateral Salpingoopherectomy) – Diagnosis: Menorrhagia (Bleeding), Leiomyomata uteri (Fibroids), and Uterine Prolapse
* Any combination of the above listed procedures, under minor and major may be performed based on the diagnosis of the patient – uterine prolapse, cystocele, rectocele, enterocele, menorrhagia, leiomyomata (fibroids) , and vaginal vault prolapse
Procedures for Urinary Stress Incontinence
- Abdominal Sling – Fascia Latta or Rectus sling
Elective Sterilization (Tubal Ligation) In Conjunction With Planned Laparotomy Within The List Of Gynecologic Procedures Or With Unplanned Laparotomy, Doing It As The Secondary Procedure
See Policy “Surgical Sterilization Guidelines for Women’s Health Program” for further guidance in decision for sterilization
Ambulatory Surgical Procedures
- Simple excisions/biopsies of small skin lesions
- Surgical biopsies of head/neck tumours for clinical diagnosis and surgical pathway
- Simple flaps – Where ellipse incision is not possible may be used for closing larger lesions. Depending on size and complexity may include: Rotation flap closure, rhomboid flaps, bi-lobe rotation flaps, H and V-Y advancement and island flaps, keystone flaps, full thickness and and Halo grafts
- Wedge resections ears and lips.
- Excision lipomas( up to the size of a fist)
- Excision sebaceous/epidermal inclusion cysts
- Enucleation Meibomian/chalazion eyelid cysts
- Pleurocentesis/Paracentesis (with USS if possible)
- Non-surgical Sclerotherapy treatment for Hydroceles
- Banding haemorrhoids
Crew (or Day Crew) Only
- Incision/drainage abscesses, could be done under ring block if not too big, or regional field block depending on the site
- Wedge resection toenail and nailbed
- Other office procedures include ear suction toilet, cryotherapy, steroid joint and soft tissue injections, diathermy/curettage, punch biopsy, implant insertions, plastering/casting