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Preoperative Triage Guide – Operative Risk Stratification Procedure List – Based on the most common procedures L = Low risk; I = Intermediate risk; H = High risk

CT - Cardiothoracic Ob/Gyn Fiberoptic Diagnostic (L) Abdominal Hysterectomy (I) CABG Vein 1 and 3 Graft (H) Conization Hot Cervix (LEEP) (L) (I) Davinci Hysterectomy (I) Video Assisted (I) Dilatation and Curettage (L) Thoracoscopy Video Assisted Pleurodisis (I) Dilatation and Evacuation (L) Thoracoscopy Video Assisted Wedge Resection (I) Exam under Anesthesia (L) Thoracotomy (I) Endometrial Ablation (L) Thoracotomy Lobectomy (I) Hysterectomy Abdominal w/ Salpingo Oopher (I) Valve Replacement Aortic (H) with D&C (L) Valve Replacement Repair Mitral Valve (H) Laparoscopic Tubal Fulgeration (I) (I) Dental Sterilization Ligation Post Partum Lap L (L) Dental Rehab (L) TVT Urethropexy (I)

ENT Orthopedics Myringotomy Insertion/Replacement Tube (L) Amputation Above/Below (I) Parotidectomy (I) Amputation Toe (L) Septoplasty SMR (L) ORIF (I) Stereotactic Sinus (L) Cervical Fusion Anterior (I) Tonsillectomy (L) Insertion IM Rod Closed Reduction (I) Tonsillectomy and Adenoidectomy (L) Femur ORIF (I) Tracheostomy (I) Hip Insertion Cannulated Screws ORIF (I) Uvulopalatopharyngoplasty (UPPP) (I) Hip Insertion Endoprosthesis Bipolar (I) Hip/ Total (I) General Hip Revision Total Joint (I) Open/ (I) Humerus ORIF (I) Debridement Wound Infection or Burn (L) Knee Menisectomy (L) Esophagoscopy (L) Knee Revision Prosthesis (I) Exam under Anesthesia (L) Kyphoplasty w/ Fluoroscopy (I) Excision Lesion Cyst Skin or Subcutaneous (L) Nerve Release Carpal Tunnel (L) Excision Lesion Face (L) Radius Ulna ORIF (I) Excision Skin Lesion Wide (L) Arthroscopy (I) Exploration Gastrointestinal (I) Total (I) Hemi (I) Fibula Insertion IM Rod Closed Red (I) Hemorrhoidectomy Internal/External (L) Trochanteric Nail Fixation (I) Herniorrhaphy Inguinal/Umbilical/Ventral/Incision (I) Incision and Drainage (L) Plastics Laparoscopy Operative/Diagnostic (I) Mammoplasty Reduction Macromastia (I) Laparascopic Adjustable Band Procedure (I) Panniculectomy (I) Laparoscopic w/ or w/out Intraop (I) Laparoscopic Gastric Bypass (I) Urology Laparoscopic Inguinal/Incisional Herniorrhaphy (I) Retrograde (L) Laparoscopic Nissen Fundoplication (I) Cystoscopy Transurethral (L) Laparotomy (I) Unilateral (L) Mastectomy w/ or w/out Sentinal Lymph Node Biopsy (I) Prostatectomy Transurethral Tur (I) Mastectomy w/ or w/out Axial Disection (I) PVP Greenlight Laser (I) Thyroidectomy (I) Resection Lesion Bladder Endoscopy (L) Tracheostomy (I) Transurethral Resection Bladder Tumor (L) Vac Sponge Change (L) Ureteral Bypass Insert or Replace Double (I) Vascular Access Groshong Port Insert/Removal (L) (L)

Neuro / Spinal Surgery Vascular Cervical Fusion Discectomy Anterior (I) Amputation Toe (L) (I) Angioplasty Translumenal Procedures (L) Insertion Catheter Intrathecal (I) AV Fistula Cephalic Vein Transposition (I) Insertion Stimulator (L) Bypass Graft Femoral Popliteal (H) Kyphoplasty w/ Fluoroscopy (I) Endarterectomy Carotid (I) Nerve Release Carpal Tunnel (L) Endarterectomy Femoral (H) Lumbar Decompression (I) Insertion Gortex AV Fistula (I) Lumbar Laminectomy Decomp w/ Fusion (I) Insertion Stent Aorta (I) Lumbar Laminectomy Posterior Interbody Fusion (I) Resection Aneurysm Abdominal Aortic (H) Lumbar Laminectomy w/ Intervertebral D (I) Thrombectomy Femoral (I) Microendoscopic Discectomy (I) Vascular Filter Insertion Greenfield Nit (L) Microlaminectomy Discectomy (I)