PT Kreasi Lima Pilar Ind

DAFTAR PEMBEDAHAN
ABDOMEN AND DIGESTIVE SYSTEM
ABDOMEN :
Exploratory Laparatomy, celiotomy ............................................................................................. Major
Exploration, retroperitoneal ......................................................................................................... Inter
Peritoneum, abscess, drainage ..................................................................................................... Inter
BILIARY TRACT :
Cholecystectomy........................................................................................................................... Major
with exploration, of common bile duct ........................................................................................ Major
Cholecystotomy ............................................................................................................................ Inter
LIVER :
Biopsy, percutaneous.................................................................................................................... Minor
Wedge resection ........................................................................................................................... Inter
Cyst or abcess, marsupialization................................................................................................... Inter
Hepatectomy, partial lobectomy .................................................................................................. Major
Hepatorrhapy, Suture of wound or injury .................................................................................... Major
Liver Transplant............................................................................................................................. Major
PANCREAS :
Cyst, marsupialization, biopsy ...................................................................................................... Inter
Pancreatectomy, with pacreatico-jejunostomy............................................................................ Major
With Drainage ............................................................................................................................... Major

Whipple type................................................................................................................................. Comp
SPLEEN :
Splenectomy ................................................................................................................................. Major
HERNIA :
Herniorrhapy, Hernioplasty .......................................................................................................... Inter

ENDOSCOPY :
Colonoscopy with biopsy, removal of polyp ................................................................................. Inter
Esophagoscopy, gastroscopy with biopsy..................................................................................... Minor
Endoscopic Retroge Cholangio Pancreatography ( ERCP ) ........................................................... Inter
With insercition of tube/stent ...................................................................................................... Major
ESOPHAGUS :
Esophagectomy, resection with gastric anatomosis..................................................................... Major
Esophagotomy with/without removal foreign body .................................................................... Inter
STOMACH :
Gastronomy, with exploration or foreign body removal.............................................................. Inter
Subtotal or hemigastrectomy, with vagotomy ............................................................................. Major
Total gastrectomy with repair by instetinal transplant ................................................................ Major
Vagotomy and pyloroplasty, with/without gastrotomy ............................................................... Major
INTESTINES :

Enterotomy, with exploration or removal foreign body............................................................... Major
Enterectomy, colectomy, resection small/large intestines .......................................................... Major
With colostomy............................................................................................................................. Major
Tube enterostomy or cecostom, ileostomy.................................................................................. Inter
APPENDIX :
Abcess, incision and drainage ....................................................................................................... Inter
Appendectomy.............................................................................................................................. Inter
RECTUM :
Incision and drainage, deep supra levetor, perirectal or retrorectal abcess................................ Minor
Protectomy, complete, combined abdominoperineal.................................................................. Major
Proctopexy for prolapsed rectum ................................................................................................. Major
ANUS :
Abscess, incision and drainage ..................................................................................................... Minor
Cauterisation of perianal abscess ................................................................................................. Minor

Fistulectomy, subcutaneous ......................................................................................................... Minor
Submuscular.................................................................................................................................. Inter
Fissurectomy, with/without sphincterotomy ............................................................................... Minor
Hemorrhoidectomy, internal and external ................................................................................... Inter
Stapler or by laser ......................................................................................................................... Inter

Rubber ban ligation....................................................................................................................... Minor

BRAIN, NERVOUS SYSTEM
SKULL :
Burr holes, not followed by other surgery.................................................................................... Inter
Burr hole or trephine for drainage intracranial abcess or cyst..................................................... Major
Craniectomy or craniotomy .......................................................................................................... Major
Elevation of depressed fracture, simple, extradual compound or comminuted.......................... Major
With debriment brain and repair of dura ..................................................................................... Major
BRAIN :
Excision, brain tumour .................................................................................................................. Comp
Brain abscess................................................................................................................................. Major
Foreign body from brain ............................................................................................................... Major
Lobectomy, partial or total ........................................................................................................... Comp
Lobotomy, including cingulotomy ................................................................................................ Major
Hemispherectomy ........................................................................................................................ Comp
SPINE :
Discectomy, anterior or posterior approach ................................................................................ Major
Laminectomy, with/without decompression nerve root, cervical or thoracic ............................. Major
Lumbar .......................................................................................................................................... Major

More than two segment, cervical thoracic lumbar ...................................................................... Comp
Laminotomy, and/or decompression nerve root, cervical or thoracic ........................................ Major
Lumbar .......................................................................................................................................... Major

Spinal puncture, lumbar for decompression ................................................................................ Minor

CHEST, RESPIRATORY SYSTEM
Bronchoscopy with biopsy ............................................................................................................ Minor
Pleurectomy, parieta..................................................................................................................... Major
Pneumonectomy, total ................................................................................................................. Major
Lobectomy, total or segmental ..................................................................................................... Major
Pneumonostomy, with open drainage abscess/cyst .................................................................... Inter
Decoration, pulmonary ................................................................................................................. Major
Wedge resection/enucletion of Lession, single or multiple ......................................................... Major
Resection, with thoracoplasty or resection/reconstruction, chest wall....................................... Major
Thoracotomy, with/without biopsy of lung/pleural ..................................................................... Inter
Thoracostomy, tube with waterseal ............................................................................................. Minor
With rib resection for empyema................................................................................................... Inter
Thoracoplasty, resection ribs........................................................................................................ Inter
Tracheostomy ............................................................................................................................... Minor

EAR, NOSE THROAT
EAR :
Aural polyp(s), excision ................................................................................................................. Minor
Fanestration .................................................................................................................................. Major
Labyrinthectomy, transcanal with mastoidectomy ...................................................................... Comp
Mastoidectomy ............................................................................................................................. Major
Myringoplasty ............................................................................................................................... Inter
Stapes mobilization....................................................................................................................... Inter
Transmatoid antrotomy................................................................................................................ Inter
Tympanoplasty, with mastoidectomy, ossicular chain reconstruction ........................................ Inter

Tympanotomy, with insertion of ventilating tube........................................................................ Minor
Conchotomy.................................................................................................................................. Inter
NOSE :
Cautery, biopsy PNS ...................................................................................................................... Minor
Excision polyp(s), cyst ................................................................................................................... Minor
Submucous resection, turbinate, partial/complete...................................................................... Inter
Removal foreign body, intranasal ................................................................................................. Minor
Sinuses, antral lavage.................................................................................................................... Minor

Sinusotomy. Caldwell Lunc operation unilateral or bilateral........................................................ Inter
Control Nasal Hermorrhage anterior simple ................................................................................ Minor
Control nasal hermorrghage posterior with posterior
Nasal pack ..................................................................................................................................... Inter
THROAT :
Larynx, laryngoscopy, with biopsy ................................................................................................ Minor
Laryngotomy, with removal tumour ............................................................................................ Major
Laryngectomy, total with/without radical neck dissection .......................................................... Major
Stripping and/or excision of vocal cords....................................................................................... Minor
Pharynx, Adenoids, Tonsils, drainage of abscess peritosillar........................................................ Minor
Tonsilectomy, with/without Adenoidectomy .............................................................................. Minor
With abscess ................................................................................................................................ Inter
ENDOCRINE SYSTEM
THYROID :
Thyro-glossal cyst, incision and drainage, biopsy ......................................................................... Minor
Cyst or adenoma, excision or transaction of isthmus................................................................... Inter
Thyroidectom, hemi, partial or subtotal....................................................................................... Inter
Total or complete.......................................................................................................................... Major
Total or subtotal with radical neck resection ............................................................................... Major

EYE
CONJUCTIVA :
Incision and drainage of cyst, stye ................................................................................................ Minor
Chalazion, excision, one or multiple ............................................................................................. Minor
Removal of foreign body............................................................................................................... Minor
CORNEA :
Excision or transposition of pterygium ......................................................................................... Minor
Excision of lesion........................................................................................................................... Inter
Destruct of lesion of cornea by cyotherapy.................................................................................. Inter
Keratoplasty .................................................................................................................................. Major
EXTRAOCULAR MUSCLE
Repair wound................................................................................................................................ Minor
Blepharoplasty, lower eyelid ........................................................................................................ Inter
Repair of blepharoptosis, frontalis muscle technique with suture/other material...................... Inter
EYEBALL :
Removal with implant ................................................................................................................... Major
LACRIMAL SYSTEM :
Incision and drainage of lacrimal gland or sac.............................................................................. Minor
Excision of lacrimal gland or sac ................................................................................................... Inter
Closure of the lacrimal puncture .................................................................................................. Inter

Discission of lens capsule (needling of lens) ................................................................................. Major
LENS :
Cataract extration ......................................................................................................................... Major
With implant ................................................................................................................................. Major
Discission of lens capsule (needling of lens ) ................................................................................ Minor
RETINA :
Repair of retinal detachment........................................................................................................ Major
Prophylactic retinal cyrotheraphy, diathermy, photocoagulation, laser ( one or more stages ) . Inter

Destruction, localized lesion, retina or choroid ............................................................................ Major
SCLERA :
Fistulization for glaucoma, trephine with ireidectomy................................................................. Inter
Repair, scleral staphyloma, with graft .......................................................................................... Major
Iridotomy, stab incision................................................................................................................. Inter
Iridotomy, with cycletomy ............................................................................................................ Major
Iridotomy/Iridectomy by laser surgery ......................................................................................... Inter

GENITAL SYSTEM FEMALE
PERINEUM :
Abscess, incision and drainage or biopsy...................................................................................... Minor

VULVA and INTROITUS :
Barhtolin s cyst incision and drainage .......................................................................................... Minor
Marsupialization ........................................................................................................................... Minor
Excision, Bartholin s tumour or gland........................................................................................... Minor
VAGINA :
Biopsy, vaginal mucosa ................................................................................................................. Minor
Colpotomy with exploration ......................................................................................................... Minor
Colpectomy, complete obliteration .............................................................................................. Inter
Anterior, colporraphy, repair cystocele with/without urethrocole.............................................. Inter
Posterior, colporraphy, repair of rectocele .................................................................................. Minor
Combined anterior/posterior colporraphy ................................................................................... Inter
Repair of enterocele ..................................................................................................................... Inter
CERVIX UTERI
Biopsy or local excision of lesion, Cauterization, cryosurgery, laser therapy............................... Minor
Repair of cervix / amputation ....................................................................................................... Minor
CORPUS UTERI :
Endometrical biopsy, sunction...................................................................................................... Minor

Dilatation and curettage (non-obsterical) .................................................................................... Minor
Myomectomy, sigle or multiple, abdominal approach................................................................. Inter

Hysterectomy, total, abdominal approach with/without tube and/or ovaries one or both........ Major
OVIDUCT :
Transection fallopian tube, unilateral/bilateral............................................................................ Inter
Salpingo-oophorectomy, complete, unilateral/bilateral .............................................................. Inter
OVARY :
Drainage of cyst(s) abscess, unilateral/bilateral vaginal approach .............................................. Minor
Abdominal approach..................................................................................................................... Inter
Oophorectomy, with total omentectomy..................................................................................... Inter
Laparoscopy, with fulguration of lesions, lysis of adhesions........................................................ Inter

GENITAL SYSTEM MALE
PENIS :
Biopsy............................................................................................................................................ Minor
Circumcision.................................................................................................................................. Minor
Excision.......................................................................................................................................... Inter
SPERMATIC CORD :
Operation of varicocele ................................................................................................................ Inter
TESTES :
Hydrocele, aspiration, incision, and drainage, biopsy .................................................................. Minor
Excision, local lesion...................................................................................................................... Minor

Orchiectomy, simple,unilateral..................................................................................................... Minor
Radical, bilateral............................................................................................................................ Inter
PROSTATE :
Biopsy, needle or punch................................................................................................................ Minor
Incisional ....................................................................................................................................... Inter
Prostatectomy, external drainage of abscess ............................................................................... Inter

Prostatectomy, sub total or total.................................................................................................. Major
HEART AND CIRCULATORY SYSTEM
PERICARDIUM :
Pericardiotomy for removal clot or foreign body ......................................................................... Major
Partial resection for chronic constructive pericarditis, with bypass............................................. Major
Without bypass ............................................................................................................................. Major
HEART :
Intracardiac tumour, resection with bypass ................................................................................. Comp
Pacemaker insertion with epicardial electrode ............................................................................ Inter
Repair, cardiac wound, with bypass ............................................................................................. Major
Cardiotomy and removal foreign body with bypass..................................................................... Major
Insertion/replacement of implantable cardioverter-defibrilator (pace maker)........................... Inter
VALVES :
Commissurotomy, open, with bypass........................................................................................... Major
Valvuloplasty, with bypass............................................................................................................ Comp
Replacement, sigle valve............................................................................................................... Comp
Double valve with commissurotomy/valvuloplasty one valve ..................................................... Comp
Triple valve.................................................................................................................................... Comp
Pulmonary, commissurotomy with bypass................................................................................... Major
AORTA AND GRAET VESSELS :
Suture repair, with bypass ............................................................................................................ Major
Repair post infarction ventricular septal defect ........................................................................... Comp
Myocardial resection .................................................................................................................... Major
CORONARY ARTERY
Anomalous ligation ....................................................................................................................... Major
With bypass................................................................................................................................... Comp
PULMONARY ARTERY :
Embolectomy, with bypass ........................................................................................................... Comp

ARTERIES and VEINS :
Arterial embolectomy ................................................................................................................... Inter
Venous thrombectomy ................................................................................................................. Inter
Varicose, ligation/division/stripping, long saphenous, complete unilateral ................................ Minor
Bilateral ......................................................................................................................................... Inter
Short or lesser saphenous, unilateral ........................................................................................... Minor
Bilateral ......................................................................................................................................... Inter
Ligation and excision minor veins .............................................................................................. Minor

MUSCULO SKELETAL SYSTEM
AMPUTATIONS AND DISARTICULATION :
Arms, through humerus, radius and ulna ..................................................................................... Inter
Finger or thumb, toe, amputation at any joint including neurectomies ...................................... Minor
Hand or foot, amputation ............................................................................................................. Inter
Hip, interpelvi-abdominal amputation ......................................................................................... Comp
Leg, through tibia and fibula, with immediate fitting technique.................................................. Inter
Thigh, amputation through femur, any level................................................................................ Inter

DISLOCATION
ANKLE :
Closed, manipulative reduction .................................................................................................... Minor
Closed or open, open reduction ................................................................................................... Inter
ELBOW :
Closed, manipulative reduction .................................................................................................... Minor
Closed or open, open reduction ................................................................................................... Inter
FINGERS :
Closed, manipulative reduction .................................................................................................... Minor

Closed or open, open reduction ................................................................................................... Minor
HIP :
Traumatic dislocation, manipulative............................................................................................. Minor
Closed or open, with acetabular hip fixation................................................................................ Major
JAW :
Temporo-mandibular, simple, closed reduction .......................................................................... Minor
Open reduction with interdental fixation .................................................................................... Major
KNEE :
Closed, manipulative reduction .................................................................................................... Minor
Close or open, open reduction ..................................................................................................... Major
KNEE CAP :
Closed, manipulative reduction .................................................................................................... Minor
closed or open, open reduction, with/without patellectomy ...................................................... Inter
closed or open, open reduction/ repair, including obtaining graft ............................................. Inter
SHOULDER :
Sternoclavicular, manipulative, reduction .................................................................................... Minor
Closed or open, open reduction/repair, including obtaining graft............................................... Inter
TOES :
Tarsalbone, closed or open manipulative..................................................................................... Minor
Closed or open, open reduction ................................................................................................... Minor
WRIST :
Closed, manipulative reduction .................................................................................................... Minor
Closed or open, open reduction / repair ...................................................................................... Inter

EXCISION, FIXATION OR REPAIR BY CUTTING
OPERATIONS
ANKLE :
Achilles tendon repair ; primary ................................................................................................... Inter
Repair, torn or severed collateral ligament .................................................................................. Inter
Both collateral ligaments .............................................................................................................. Major
ELBOW :
Arthroplasty, radial head with implant......................................................................................... Inter
FEMUR :
Excision bone cyst, benign tumour, with/without graft ............................................................... Inter
with autogenous graft................................................................................................................... Major
HAND and FINGERS :
Excision/curettage bone csyr benign tumour,
with autogeneous graft................................................................................................................. Inter
HIP ;
Arthroplasty with acetabuloplasty................................................................................................ Major
Acetabular and proximal femoral prosthetic replacement .......................................................... Major
Osteotomy, lilac or acetabular ..................................................................................................... Major
Arthrodesis, hio joint, with subtrochanteric osteotomy .............................................................. Major
HUMERUS :
Excision / curettage bone cyst / benign tumour........................................................................... Inter
KNEE :
Suture intrapatellar tendon, primary lengthening of hamstring tendon, multiple, one leg ........ Inter
Repair, primary, torn severed collateral ligament with/without meniscectomy ......................... Major
Capsulotomy, posterior capsular release ..................................................................................... Major
PELVIS :
Excision bone cyst/benign tumour, superficial pelvis ; with/without graft.................................. Minor

FRACTURES
ANKLE :
Closed, manipulative reduction .................................................................................................... Minor
Closed or open, open reduction, with skeletal fixation................................................................ Inter
CLAVICLE :
Closed, manipulative reduction .................................................................................................... Minor
Closed or open, open reduction, with/without skeletal fixation.................................................. Inter
ELBOW :
Comminuted, closed, manipulative reduction ............................................................................. Inter
Closed or open, open reduction, with/without skeletal fixation.................................................. Inter
FEMUR :
Closed, manipulative reduction................................................................................................... Minor
Closed or open, open reduction, with/without skeletal fixation ................................................ Major
FIBULA :
Proximal or distal end, closed, manipulative, reduction............................................................. Minor
Closed or open. Open reduction, with skeletal fixation.............................................................. Inter
FINGERS :
Closed, manipulative reduction................................................................................................... Minor
Closed or open, open reduction, with/without skeletal fixation ................................................ Inter
FOOT :
Tarsal, metatarsal, closed, manipulative..................................................................................... Minor
HUMERUS :
Closed, manipulative reduction................................................................................................... Minor
Closed or open, open reduction, with/without skeletal fixation ................................................ Major
JAW :
Madibular closed, manipulative reduction with interdental fixation ......................................... Inter
Open reduction with interdental fixation ................................................................................... Major

KNEE CAP :
Open reduction............................................................................................................................ Minor
RADIUS :
Shaft, closed, manipulative reduction......................................................................................... Minor
Closed or open, open reduction, with skeletal fixation .............................................................. Inter
RIBS :
Simple, 1 rib................................................................................................................................. Minor
SCAPULA :
Closed, manipulative reduction.................................................................................................. Minor
Closed or open, open reduction, with/without skeletal fixation ................................................ Inter
SPINE :
Vertebral process, one more one, manipulative reduction, cervical, open reduction & fusion,
posterior approach...................................................................................................................... Major
Anterior approach, with iliac or other bone graft....................................................................... Major
TIBIA :
Shaft, closed, manipulative reduction......................................................................................... Minor
Closed or open, open reduction, with skeletal fixation .............................................................. Inter
TIBIA and FIBULA :
Closed, manipulative, with/without external pinning................................................................. Inter
Closed or open, open reduction with/without skeletal fixation ................................................. Major
ULNA :
Closed, manipulative reduction................................................................................................... Minor
Closed or open, open reduction, with skeletal fixation .............................................................. Inter
ULNA and RADIUS :
Closed, manipulative reduction................................................................................................... Minor
Closed or open, open reduction, with skeletal fixation .............................................................. Major
WRIST :
Colles or Smith type : closed manipulative reduction................................................................. Minor

Closed, complex, with external skeletal fixation percutaneous pinning..................................... Inter
Removal of implant, superficial................................................................................................... Minor
Deep ............................................................................................................................................ Minor

SKIN, INTERGUMENTARY, LYMPHATIC SYSTEM ANS BREAST
ABSCESS :
Carbuncle or furuncle, incision and drainage.............................................................................. Minor
BENIGN LESIONS :
Skin tags excision......................................................................................................................... Minor
Paring or curettement, with/without cauterization.................................................................... Minor
MALIGNANT LESIONS :
Excision........................................................................................................................................ Minor
Biopsy, skin or subcutaneous tissue, including closure............................................................... Minor
CYST :
Infected or non-infected, incision and drainage ......................................................................... Minor
Excision with removal sac treatment or cavity ........................................................................... Minor
PILONDIAL SINUS or CYST :
Incision and drainage excision..................................................................................................... Minor
GANGLION :
Excision........................................................................................................................................ Minor
LYMPH NODE :
Biopsy or excision, superfaicial.................................................................................................... Minor
Deep ............................................................................................................................................ Minor
NAILS :
Avulsion, nail plate, partial or complete ..................................................................................... Minor
Excision, nail and matrix, partial or complete ............................................................................. Minor
PEDICLE FLAPS :
Skin and deep tissue tube pedicle ............................................................................................... Inter

REPAIRS :
Simple .......................................................................................................................................... Minor
Intermediate................................................................................................................................ Minor
Complex....................................................................................................................................... Minor
TISSUE TRANSFER or RE-ARRANGEMENT :
Trunk............................................................................................................................................ Minor
Scalp, arms and legs .................................................................................................................... Inter
Forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and feet.................................... Inter
Eyelids, nose, ears and lips .......................................................................................................... Inter
BREAST :
Abscess, biopsy, incisional........................................................................................................... Minor
Excision, cyst fibro-adenoma/benign tumours/aberrant tissue/
duct lesion/nipple lesion, male or female................................................................................... Minor
or more........................................................................................................................................ Minor
Mastectomy, complete ,unilateral .............................................................................................. Inter
Bilateral ....................................................................................................................................... Inter
Radical, including breast, pectoral musceles and axilary lymph nodes ...................................... Major

URINARY SYSTEM
KIDNEY :
Abscess, perirenal or renal, drainage .......................................................................................... Inter
Biopsy, percutaneous .................................................................................................................. Minor
Open incisional ............................................................................................................................ Inter
Cyst, excision ............................................................................................................................... Major
ESWL ( Extra-corporeal Shock Wave Lithotripsy ) ....................................................................... Inter
Nepherectomy, including partial ureterectomy.......................................................................... Major
Nephrolithotomy (removal or calculus) pyelolithotomy............................................................. Major
Neprostotomy, Nephrotomy with drainage, exploration ........................................................... Major

Renal transplant .......................................................................................................................... Major
With unilateral/bilateral recipient nephrectomy........................................................................ Comp
URETER :
Ureterotomy, with exploration or drainage, ureterolithotomy.................................................. Major
Ureterectomy .............................................................................................................................. Major
URETHRA :
Urethrostomy ............................................................................................................................. Minor
Dilation of urethral stricture ....................................................................................................... Minor
BLADDER :
Aspirationby needle, trocar of intracatheter .............................................................................. Minor
Cystectomy, partial or total, with biopsy
intrasvesical operation, diathermy to bladder............................................................................ Major
Cystostomy or cystotomy, with fulguration................................................................................ Inter
Cystourethroscopy, with biopsy.................................................................................................. Minor
Litholapaxy .................................................................................................................................. Inter