Hospital Surgical Services:
Ear, Nose & Throat | Otologic | General Surgery | OB-GYN | Ophthalmology | Orthopaedics | Urology
Ear, Nose and Throat  

• Fine needle aspiration of head neck area

Ear & Mastoid
• Excision tumor of ear& mastoid
• Partial temporal bone resection
• Radical temporal bone resection
• Excision pinna & neck dissection

Salivary Glands
• Total and partial parotidectomy with facial nerve
  dissection
• Total parotidectomy with and without nerve graft
• Submaxillary gland excision

Nose & Maxilla
• Lateral rhinotomy
• Partial maxillectomy
• Total maxillectomy
• Radical maxillectomy with orbital exenteration
• Excision nasopharyngeal tumor
– transethmoid,
  transantral, transpalatal

Oral Cavity
• Partial glossectomy
• Partial mandibulectomy
• Composite resection
– primary & tumor with RND, i.e.,
  primary in floor of  mouth alveoli, tongue, buccal region,
  tonsil or any combination

Oral Cavity continued...
• Neck – I & D neck abscess
• Excision benign lesions
• Radical neck dissection

• Extended radical neck dissection (transsternal
  mediastinal dissection)

• Diverticulectomy
• Cervical node biopsy
• Scalene node biopsy

Larynx and Other
• Subtotal laryngectomy – thyrotomy (laryngofissure),
  supraglottic laryngectomy, hemilaryngectomy
• Wide field laryngectomy
• Total laryngectomy with neck dissection
• Exploration laryngeal fractures
• Exploration recurrent laryngeal nerves
• Arytenoidectomy
• Cervical exophagectomy with neck
dissection
• Tracheal resection with repair
• Tracheotomy
• Major vessel ligation
• Major vessel grafting
• Arterial infusion procedure
• Congenital cysts –
branchiogenic cysts, thyroglossal
  cysts, dermoids, teratomas
• Thyroidectomy – not as an independent procedure,
  only in conjunction with ENT procedures

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Otologic  

Myringotomy

Middle Ear & Temporal Bone Surgery
• Myringoplasty
• Tympanoplasty
• Tympanoplasty with mastoidectomy
• Simple mastoidectomy
• Modified radical mastoidectomy
• Radical mastoidectomy
• Fenestration
• Surgical sinus ablation
• Stapedectomy
• Stapes mobilization
• Facial nerve decompression
• Facial nerve graft or repair
• Tympanic neurectomy
• Labyrinthectomy Plastic and Reconstructive
• Reconstruction external ear
• Otoplasty
• Rhinoplasty
• Laryngoplasty
• Tracheoplasty
• Mentoplasty
• Rhytidectomy
• Blepharoplasty

Reduction Facial Fractures
• Frontal
• Nasal
• Maxilla
– LeFort I, LeFort II, LeFort III
• Malar
• Malar with orbital floor
• Orbital blowout
• Mandibular
– closed, open
• Other (fractures)

Pedicle Flap Procedures
• Chest
• Neck
• Shoulder neck
• Forehead, scalp
• Cheek
• Other

Grafts
(not as an independent procedure, only in conjunction with ENT procedures)

• Split thickness skin
• Full thickness skin
• Composite
• Dermal
• Other

Implants
• Fascial sling procedures
• Oroantral fistula repair
• Choanal atresia repair
• Cleft lip repair
• T. M. J. exploration
• Condylectomy
• Excision skin lesions
• Scar revisions
• Other (plastic procedures)

Endoscopy
• Laryngoscopy
• Esophagoscopy
– Diagnostic with foreign body removal
  with stricture dilation

• Bronchoscopy
– Diagnostic with foreign body removal
  with stricture dilation with  lung biopsy (including fine
  needle aspiration of the lung)

• Other (endoscopy)

General
• Tonsils and Adenoids
• Adenoidectomy, Tonsillectomy,
  T & A

Other
• Nasal polpectomy
• Submucous resection
• Nasal septaplasty
• Turbinectomy
• Antrotomy
• Caldwell luc
• Allergy/Asthma
• Transantral ligation of vessels
• Vidian neurectomy
• Intranasal ethmoidectomy
• External ethmoidectomy
• Frontoethmoidectomy
• Frontal sinus trephine
• Osteoplastic frontal sinusectomy
• Frontal sinus ablation
• Radical pan-sinusectomy
• Cryosurgery
• Repair of carotid artery
– only in conjunction with other
  surgeons

• Brain
– repair of Dura – not as an independent procedure,
  only in conjunction with ENT procedures
• Allergy/Asthma/Pneumonia (Respiratory Infections)
• Surgical first assist
• Laser surgery
• Reading & interpretation of pulmonary function
  (spirometry) tests
• Total Parental Nutrition (TPN)
• IV conscious sedation

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General Surgery  
• Skin tumors except on face
• Split thickness grafts
• Skin lacerations
• Thyroglossal ducts
• Pharyngo-esoph. divertic.
• Thyroidectomy
• Breast biopsy
• Simple & radial mastectomy
• Thoracentesis & close drainage
• Rib resect, for empyema
• Thoracoplasty
• Intrathoracic surgery
• Surgery of diaphragm
• Ganglion Cyst
• Paracentesis
• Closure perforated ulcer
• Other gastric surgery
• Ramstedt
• Gallbladder & common duct surgery
• Splenectomy
• Pancreatic surgery
• Small and large bowel surgery
• Appendectomy
• Abdomino-perineal resection
• Abdominal exploration after work-up
• I & D of intra-abdominal abscesses
• Traumatic laparotomy
• Simple inguinal hernia
• Strangulated or recurrent hernia
• Ventral or femoral hernia
• Pilonidal cyst
• Hemorrhoids
• Fistula in ano.
• Hand infections (minor)
• Pacemaker insertion

Vascular Surgery
• Vein ligation & stripping
• Major vascular surgery
• Arterial grafts

Miscellaneous Surgery
• Basic laparoscopy
• Intermediate laparoscopy
• Advanced laparoscopy
• Total Parenteral Nutrition
• IV Conscious Sedation
(after receipt of his BLS/ACLS)

Additional Requests
• Vascular Angiography
• Endoscopy, both upper and lower
• Parathyroid
• Soft tissue masses
• Mediastinoscopy
• Esophagoscopy
– Diagnostic with foreign body
  removal with structure dilation
• Bronchoscopy – Diagnostic with foreign body removal
  with stricture dilation with lung biopsy (including fine
  needle aspiration of the lung)

• Thoracotomy for lung dissection
• Thoracocomy for esophageal resection
• EGD
• Colonoscopy
• Parathyroidectomy
• Mediastinoscopy
• Esophagectomy
• Lung resection
• Amputations to include below-the-knee,
  above-the-knee & hip disarticulation

OB-GYN  

Category III/Minor Gynecology
• Biopsy of cervix
• Biopsy of vulva
• D & C, diagnostic, therapeutic
• Excision of urethral caruncle
• I & D Bartholin duct abscess
• Urethral caruncle-fulguration

Category II/Routine GYN Pelvic Surgery
• All procedures in Category I
• Appendectomy
• Bartholin duct cystectomy
• Colpotomy – exploratory
• Conization of cervix-cold knife
• Diagnostic hysteroscopy
• Excision of Skenes duct cyst
• Evacuation of pelvic abscess
• Evisceration repair
• Fundectomy
• Hymenectomy
• Hymenotomy
• Hysterectomy, abdominal (with or without adnexae),
  total, subtotal
• Hysterectomy, vaginal
• Hysterosalpingogram
• Incisional hernia repair
• Incompetent os surgery
• Laparoscopy, basic
• Oophorectomy
• Perineoplasty
• Perineorrraphy
• Perinectomy
• Removal of foreign body from vagina and uterus
• Repair of cysto-urethrocele
• Repair of enterocele
• Repair of rectocele
• Trachelectomy
• Wedge resection of ovary

Category I-A
• All procedures listed in Categories I & II
• Abdominal laparotomy, with laser procedures,
  hand held or microscope directed
• Closure of vaginal fistula
• Colpectomy
• Hypogastric Aa ligation
• LaForte vaginal repair
• Lower genital tract laser procedures, hand held
  or microscope directed
• Marshall-Marchetti Pubovesico- urethral suspension
• Operative hysteroscopy
• Plastic reconstruction of vagina with skin graft for
  congenital absence
• Pre-sacral neurotomy
• Repair recto-vaginal fistula
• Repair surgical rent of bladder/bowel
• Repair vesico/vaginal fistula
• Salpingoplasty & micro
• Skin grafting
• Tubal implantation into uterus
• Ureteral repair
• Ureteral transplant
• Vulvectomy, simple
• Laser laparoscopy
• Laparoscopy, advanced

Category I-B– Radial/Pelvic Surgery
• All procedures listed in Categories I, II & IIIA
• Closure of vaginal fistula
• Colpectomy
• Exenteration, complete
• Exenteration, posterior/anterior
• Hypogastric Aa ligation

Category I-B– Radial/Pelvic Surgery continued...
• Hysterectomy, radical Wertheim
• LaForte vaginal repair
• Marshall-Marchetti Pubo-vesico
• Pre-sacral neurotomy
• Repair recto-vaginal fistula
• Repair surgical rent of bladder/bowel
• Repair vesico/vaginal fistula with skin grafting
• Tubal implantation into uterus
• Ureteral repair
• Ureteral transplant
• Vulvectomy, radical with groin dissention
• Vulvectomy, radical with groin dissention &
  hypogastric nodes
• Vulvectomy – simple

Category III – uncomplicated OB
• Amniotomy
• Anesthesia, local
• Cervical biopsy during pregnancy
• Circumcision of infant
• Electronic fetal monitoring
• Episiotomy and repair
• Excision of vulvar lesions at delivery
• Manual removal of placenta
• Non-stress testing
• Post partum
• Repair of 3rd and 4th degree lacerations
• Resuscitation of infant
• Spontaneous delivery, vertex presentation

Category II – Moderate risk OB
• All procedures listed in Category I
• Amniocentesis
• Anesthesia
– pudendal block, spinal
• Breech delivery
– multipara, primigravida frank, footling
• Cesarean section – classical, low cervical
• Conization of cervix
• Curettage
• Ectopic pregnancy
– salpingectomy
• Excision of vaginal cysts
• Evacuation of vulvar hematoma
• Fetal scalp blood sampling
• Hemorrhoid excision
• Low forceps
• Management of fetal death in utero
– induction of
  labor
• Piper forceps application to after coming head
• Pre-eclampsia, mild
• Repair of cervical lacerations
• Repair of incompetent internal cervical os-cerclage,
  etc.
• Repair of vaginal lacerations
• Uterine packing

Category I – High risk OB
• All procedures listed in Categories I and II
• Abdominal pregnancy
• Abortion
– threatened
• Cesarean hysterectomy
• Hydatid mole evacuation
• Destructive operations
– fetus craniotomy, basiotripsy,
  decapitation, cranial puncture, cranioclasis, cleidotomy

• Eclampsia
• Extraperitoneal Cesarean section
• Hypogastric ligation
• Inversion of uterus
• Mid-forceps delivery
• Multiple pregnancy
• Pre-eclampsia, severe
• Treatment of medical complications of obstetrics
  
– heart, lungs, kidneys, anemia, diabetes, etc.
• Version & extraction

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Ophthalmology  
Eye Surgery
• Chalazion
• Pyterygium
• Enucleation & evisceration
• Corneal laceration
• Cataract
• Squint
• Dacryocystectomy
• Glaucoma

• Retinal detachment
• Plastic on lids
• Dacryocystorhinostomy
• Keratoplasty (Corneal transplant)
• Ptosis repair
• “Blow Out” fractures
• Iridocyclectomy
• Intraocular lens insertion (investigator for Iolab Corp)
• Skin tumors of face and lids

Orthopaedics  

Amputation
• Arm thru humerus
• Forearm thru radius & ulna
• Hand thru metacarpal bones
• Thigh thru condyles for femur
• Thigh thru femur
• Leg thru tibia & fibula
• Ankle thru tibia & fibula
• Foot, transmetatarsal or midfoot
• Matatarsal with toe Arthroscopy
• Knee, diagnostic or operative
• Shoulder/diagnostic or operative
• Ankle, diagnostic or operative
• Elbow, diagnostic or operative

Arthrodesis
• Fusion joint with or without tendon transfer
• Foot, triple arthodesis
• Foot with tendon transplant
• Hammer toe
• Hip
• Knee
• Shoulder
• Ankle
• Tarsal joints

Arthrotomy Aspiration of:
• Abscess or hematoma
• Bursa
• Joint; Arthocentesis

Biopsy
• Skin or subcutaneous tissue
• Percutaneous or open bone biopsy
• Synovial membrane
• Aspiration biopsy of bone marrow
• Open/needle biopsy of bone lesion
• Muscle biopsy

Clavicle
• Displaced/non-displaced
• Dislocation acromioclavicular
• Dislocation sternoclavicular

Capsulotomy/Capsulorrhaphy
• With suture or repair of joint capsule

Cauterization Fulguration Local Lesions

Closure
• Primary
• Secondary
• Delayed

Drainage of:
• Sebaceous cyst
• Furuncle
• Subcutaneous abscess
• Infected bursa
• Tendon sheath
• Hematoma of muscle
• I&D infected space of hand or foot
• Or inc. of periosteum& drilling or windowing of
  cortex for osteomyelitis or bone abscess

Excision of:
• Ganglion of tendon or sheath
• Xanthoma of tendon or sheath
• Baker’s cyst
• Nail, nail bed or nail fold
• Bone cyst, chondroma or exostosis
• Local excision of lesion
• Olecranon, prepatellar bursa
• Other bursa
• Wide excision of lesion with graft
• Wide excision of lesion without graft
• Neuroma
• Calcaneal spur

Fascieotomy/Fasciectomy:
For dupuytren’s contracture
For compartment syndrome

Insertion of:
• Wire, plain, threaded or beaded
• Pin
• External fixation

Muscle
• Resection of muscle

Repair of:
• Tendon
– tendon lengthening with or without graft;
  tendon transplantation

• Ligament
– torn, ruptured or severed
• Nerve, Neuroplasty
• Mallet finger
• Hallux valgus
• Rotator cuff
• Bankart shoulder repair or capsular shift

Removal of:
• Foreign body of muscle, tendon sheath or soft tissue
• IM rod, screw, pin, other hardware
• Total joint implants
• Loose bodies in knee or other joint

Reconstruction of:
• Anterior cruciate ligament with graft or other
  ligaments
• Ankle ligaments
• Shoulder, for recurrent dislocation

Skin Grafts
• Debridement wound, simple radical

Miscellaneous
• Osteotomy, with or without internal fixation
• Coccygectomy
• Bone graft

Fractures, Closed/Orif
• Pelvis, displaced/undisplaced

Upper Extremity – Shoulder
• Dislocation acromioclavicular
• Dislocation sternoclavicular
• Dislocation of shoulder anterior/posterior
• Fracture dislocation

Humerous
• Impacted/displaced humeral neck
• Tuberosities separated/unseparated
• Shaft, displaced/undisplaced
• Supracondylar/condylar
• Intramedullary nailing

Elbow and/or Wrist
• Dislocation
• Fracture dislocation, displaced
• Fracture dislocation, nondisplaced
• Colle’s fracture
• Smith fracture (Reverse Colle’s)
• Carpal bones
• Transcarpal/carpal dislocation
• Metacarpal & phalanges
• Avulsion fractures, complicated/uncomplicated

Femur
• Bipolar prosthesis
• Fx. Dislocation/dislocation of hip
• Neck, intertrochanteric
• Cervical Neck
• Shaft, adults & children
• Intramedullary nailing
• Knee, distal & proximal
• Insertion hip prosthesis
• No elective total hip replacement
• No revision/dislocation of THA (Total Hip Arthroplasty)

Tibia
• Patellar dislocation or fracture
• Patellectomy
• Condylar fractures
• Plateau fractures
• Shaft, displaced/undisplaced

Fibula
• Displaced/undisplaced

Ankle
• Dislocation/fracture dislocation
• Bimalleolar; Lat/Med malleolar
• Displaced/undisplaced
• Avulsion fractures of ankle
• Talus
• Calcaneous
• Navicular
• Metatarsal & phalanges
• Epiphyseal injuries

Total Join Replacement
• Total shoulder arthroplasty
• Total knee arthroplasty

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Pastoral Care Services  

At Pleasant Valley Hospital, Pastoral Care Services provides patients with comfort and support during their hospital experience. Chaplains are available 24 hours a day, seven days a week. Chaplains are trained professionals and are integral members of the healing team at Pleasant Valley Hospital.

Pastoral Care Services is fully integrated into the treatment program of the hospital. Patient referrals are available to any patient, family and employee who request chaplain assistance. PVH also offers a chapel, located on the main floor of the facility for prayer, meditation, quiet time and worship. Applications are available for any pastor wanting to join the Pleasant Valley Hospital Patient Care Services program.

For more information or to contact a chaplain or representative from a particular faith, please call (304) 675-4340, ext 1444.

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Urology

 

Urology Privileges
• Complete history and physical examination of
  patient
• Review of x-rays and medical management
• Medical diseases of kidneys, bladder, prostate,
  testis and vagina
• Chemotherapy of urologic tumors
• Surgery of kidneys
• Surgery of ureters
• Surgery of bladder, surgery of prostate
• Surgery of penis
• Surgery of male and female external genitalia
• Surgery of testis and scrotum

• Use of urological prosthetic devices
• Lithotripsy
• Use of lasers for urological diseases
• Management of infertility and endocrine disorders
• Assist other surgical procedures
• Management of metabolic problems of urologic
  system
• Vaginal urologic procedures

Additional privileges:
Intermediate laparoscopy (Pelvic lymphadenectomy– limited & extended, varix ligation, renal surgery, ureteral surgery and bladder neck suspension)

For more information about Pleasant Valley Hospital Surgical Services, please contact (304) 675-4340, ext 3999.
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