Blood bank unit department of pathology hospital umum sarawak

1. 
   Abdominal :
   

-Extending hysterectomy

-Debulking surgery with gross ascites

-Complicated/difficult hysterectomy

-Simple hysterectomy

-Myomectomy

-Cystectomy/Oopherectomy

-Exploratory laporatomy

-Adhesiolysis

-Burch Colposuspension

-Vault Suspension

-Salpingectomy for non bleeding ectopic pregnancy

-Salpingectomy for bleeding ectopic pregnancy

-Tubal sterilization

-TVT/TVTO
2. Laparoscopic:

-Diagnostic Laparoscopy & Dye Insufflation

-Laparoscopic tubal ligation

-Laparoscopic adhesionlysis

-Laparoscopic cyst aspiration

-Laparoscopic cystectomy/oopherectomy

-Laparoscopic assisted vaginal hysterectomy

-Total laparoscopic hysterectomy

-Vulvectomy with lymph nodes sampling

-Vaginal hysterectomy & pelvic floor repair

-Le fort operation

-I & D of vulva hematoma

-Vulva biopsy

-Pelvic floor repair

-Vaginal reconstruction

-Marsupialisation

-Hymenectomy

-Cold knife cone biopsy

-LLETZ

-Cervical circlage

-EUA, staging, cystoscopy and cervical biopsy

4

4

2-4

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-

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-

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2

2

-

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-

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-

-Suction & curettage FOR MOLAR PREGNANCY

-ERPOC

-Hysterscopy +/- endometrial biopsy

-Removal of IUCD

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-

-

-Anemia Hb < 8.0g/dL

-Placenta praevia major with previous scar

-Placenta praevia major with no previous scar

-ANY PLACENTA PREVIA TYPE 4

-Abruptio placenta without coagulopathy

-Abruptio placenta with coagulopathy

-Severe pre-eclampsia/ eclampsia with

coagulopathy

-Obstructed labour

Others: Fetal distress

Cord prolapsed

Abnormal Presentation

Failed Induction

Breech

CPD

>2 previous scars

Twin pregnancy

2. 
   Classical Caesarean Section
   
3. 
   Caesarean hysterectomy
   
4. 
   Post-partum hysterectomy
   
5. 
   Evacuation of vulva haematoma
   

2

4

2+/-DIVC Regime

4 + DIVC Regime

2 +DIVC Regime

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GSH

GSH

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2

4 + DIVC Regime

4 + DIVC Regime

2

1. 
   Gastric:
   

-Partial gastrectomy

2. 
   Liver:
   

-Resection

-Biopsy

3. 
   Biliary:
   

Emergency

4. 
   Bowel:
   

-Large gut resection

-AP resection

-Whipple’s

-Appendicectomy

-Colostomy

5. Head & neck:

-Parotidectomy

-Hemithyroidectomy : For lump

-Thyroidectomy: Large

-Lumps

6. Breast:

Patey’s/ radical

-Lumps

7. 
   Vascular:
   

-Aortic aneurysms : Elective

7. 
   Others:
   

: Above knee

-Abscess

-Carbuncle: Saucerisation

-Laparotomy : Planned

Repeat/ gut resection

Traumatic bleeding

Emergency

-Splenectomy : Elective

4

2

4

GSH

2
2

2

4

4

-
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2

-

2

-

6
GSH

2

-

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2

4

-Mayo’s repair: large hernia

-Heamorrhoidectomy

-Anal cutback

GSH

-

2. Burr hole in chronic subdural haematoma

3. VP Shunt

4. Craniotomy for tumour

5. Craniotomy for AVM/ aneurysm

6. Transphenoidal for pituitary adenoma

7. Spine operations:

-Omectomy cervical

-Fusion and directom

-Tumour

GSH

1. 
   Urology:
   

:Extended

-Nephrolithotomy

-Nephrolithotomy-anatropic

-Nephrectomy

-PCNL

: Bulky

-Cystectomy

-Vesicolithotomy

-Orchidopexy

GSH

2

4

GSH

2

4

-

- Surgery of nasal encephalocoele

2. Free tissue transfer

3. Head & neck malignancy with radical neck dissection

4. Facial trauma (Emergency) :

- Very severe

- Tear of maxillary artery

5. Excision of benign / malignant lesion with flap

coverage

6. Partial glossectomy with radical block dissection of

neck

7. Total glossectomy with / without neck dissection

9. Malignant lesion with reconstruction of oral cavity

10. Head & neck malignancy excision including bone

reconstruction

11. Mandible :

- Removal of adamantinosis

- Cyst removal

12. Reconstruction of facial fractures (very severe)

13. Reconstruction of facial injury soft tissues (very

severe)

15. Repair of trachea-cutaneous fistula

16. Burns (very severe)

17. Px of sequelae (very severe) :

- Release of contracture & joint

18. Breast :

- Augmentation

- Reduction

- Ptosis correction

19. Myo & Osteomyo cutaneous

20. Rib graft removal

21. Hand reconstruction with soft/bony injury (very

severe)

22. Bladder reconstruction

24. Radical vulvectomy

25. Reconstruction of naevi including congenital/giant

hairy naevus (very severe)

26. Rhytidectomy

6

2

6

4

2

2

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-

4-6
GSH
-

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-

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-

27. Abdominoplasty

28. Reconstructive surgery of haemangioma (very

severe)

30. Reconstructive surgery of AV malformation

31. Excision of benign / malignant lesion with primary

closure

33. Burns with skin grafts (scalp)

34. Exenteration of orbit

35. Leukoplakia excision & grafting-mouth (severe)

36. Cleft palate :

- Children

- Adults

37. Pharyngoplasty

38. Partial glossectomy

39. Oral cavity – Benign / malignant lesion excision with

primary closure

40. Split Skin Grafting (SSG) – severe

41. Bone grafting

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-
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2

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2

-

-

1. 
   Thoracic:
   

-Lobectomy

-Pneumonectomy

-OGDS: Sclerotherapy

- CABG

- Valve surgery : single

: double
3. Paeds cardiac surgery

2

2-4

4, FFP

2

4

1. 
   Major operation involving the thorax & abdomen :
   

- Others

2. 
   Liver resection
   

3. 
   Minor surgery
   

- Hydrocele

- Undescended testis

- Hypospadias repair

100 mls

-

-

-

1. 
   Retinoblastoma
   
2. 
   Orbital Tumour
   
3. 
   Dacryocystorhinostomy
   

GSH

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2. Adenotonsillectomy

3. Angiofibroma excision

4. Bronschscopy + biopsy

5. Caldwell Luc

6. Craniofacial resections / skull base tumors

7. Direct Laryngoscopy + Biopsy

8. Drainage of postauricular abscess

9. Drainage of retropharyngeal + parapharyngeal abscess

10. Elective microlarnygeal surgery

11. Endoscopic Nasopharyngectomy

12. Examination of nose or PNS under GA

13. Examination of ear under microscope

14. Examination under anaesthesia

15. Exisicion of pre-auricular sinus

16. Free Flap Reconstructions

17. Intranasal endoscopic ethmoidectomy

GSH

4-6

GSH

-

-

-

-

-

-

4

-

18. Intranasal polypectomy for single polyp

19. Intranasal antrostomy

20. Laryngeal stenosis-repair

21. Larn yngectomy -total/partial

22. Lateral rhinotomy

23. Ligation of external carotid

24. Mastoidectomy- modified radical

25. Mastoidectomy-radical

26. Maxillectomy

27. Modified radical mastoidectomy

28. Myringoplasty

29. Myringptomy

30. Nasal polypectomy

31. Oesophagoscopy

32. Parotidectomy-complete/partial

33. Panendoscopy

34. Radical neck dissection

35. Removal of foreign bodies- ENT

36. Removal of submandibular salivary gland

37. Repair of laryngeal and tracheal stenosis

38. Rhinoplasty- augmentation/reduction/prosthesies

39. Septoplasty

40. Tonsillectomy

41. Total laryngopharyngectomy

42. Tracheal stenosis-repair

43. Tracheostomy

44. Tympanoplasty

-

-

4

4

-

2

-

-

-

-

-

4

-

-

-

GSH

-

-

1. Removal of impacted & unerupted teeth

2. Incision biopsy

3. Aveolectomy

4. Apicectomy

5. Surgical removal of roots

6. Frenectomy

7. Excision of mucocele

8. Cervical lymph node biopsy

9. Localised periodontal flap

10. Repair of minor orofacial lacerations

11. Removal of salivary calculus

12. Removal of roots in antrum and closure of oroantral fistula

13. Sinus lift

a) Hard tissues

Open reduction & internal fixation:

- Orbital exploration & reconstruction

- Frontal sinus fracture

- Nasal fracture

- Maxillary & pan-facial fracture

- Mandibular fracture

- Condylar fracture

- Dentoalveolar fracture

- Zygomatic complex fracture
b) Soft tissues

1) Primary repair of soft tissue injury

2) Reconstruction of large hard & soft tissue loss of the face
C) ONCOLOGY

1) Excision of benign / malignant lesion with local /

non-vascularised flap

2) Partial glossectomy with radical block dissection of

neck

3) Glossectomy with / without neck dissection

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-

-

-

-

-

-

-

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D) ORTHONAGTHIC SURGERY

1) Bimaxillary osteotomy

2) Sagittal split mandibular osteotomy

3) Genioplasty
E) Repair of cleft lip and cleft palate

F) Alveolar bone grafting

G) Temporomandibular joint surgery

H) Surgical correction of development jaw deformity

I) Preprosthetic surgery

J) Dental implants with / without bone grafting

K) Sinus lift surgery

L) Excision of haemangioma (depends on the size)

M) AV malformation

N) Surgery of salivary glands

O) Management of severe infection of the jaw with

surgery

16. 
    Enucleation or marsupialization of cysts of the jaw
    

2

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-

-

-

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-

1. 
   Spine:
   

: Anterior fusion

: TB of cervical spine

- Thoracic & Lumbar : a. Anterior Procedure Fusion

• 
  TB spine / malignancy
  
• 
  Spinal fracture
  
• 
  Scoliosis
  
• 
  Degenerative disease
  

Degenerative disease of spine

• 
  Dissectomy fenestration
  
• 
  Laminectomy
  
• 
  Posterior fusion
  

d. Fracture Stabilisation

- Shoulder arthroplasty

- Open surgery to shoulder joint

- Fracture proximal humerus

- Forequarter amputation
3. Arm & Forearm :

- Fixation of humeral shaft

- Elbow arthroplasty

- Other operation at / below the elbow

- Total Hip Replacement (THR)

- Hemiarthroplasty

- Fracture acetabulum fixation

- Proximal femoral tract fixation : DHS

- Hip fusion

- Hip disarticulation

- Hindquarter amputation

- CDH : Open reduction / osteotomy

- Pelvic osteotomy

4
4

6

4

6

4

2

GSH

GSH

2

4

2

4

2

4

5. Thigh & Knee

- Open : K nail / plating

- Closed : ILN / antegrade K nail

- Femoral / tibial condyle fracture fixation

- Tibial spine fracture fixation

- Arthroscopy / menisectomy

- Knee ligament reconstruction

- Total knee replacement (TKR)

- Tibial osteotomy

- Patellar procedure

- Above knee amputation (AKA)

- Tibial shaft fracture

- Non union tibial

- Below knee amputation (BKA)

- Procedure at ankle & Foot
7. Tumor surgery :

- Open biopsy

- Tumor excision / reconstruction :

a. Pelvis

b. Proximal femur

c. Thigh

d. Knee

~ Shoulder

~ Below elbow
8. Miscellaneous :

- Bone graft harvesting from ilium

- Extensive burn / soft tissue debridement

- Flap surgery for wound coverage (depends on the

sites)

2

GSH

-

-

2

GSH

GSH

2

-

6

6

6

6

4

GSH

1. Cardiac catheterisation

2. Coronary angiogram

3. Pacemaker insertion