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Definition - "Minor" surgery is any invasive operative
procedure in which only skin or mucous membranes and connective
tissue is resected, e.g., vascular cutdown for catheter placement,
implanting pumps in subcutaneous tissue. Also included are procedures
involving biopsies or placement of probes or catheters requiring
the entry into a body cavity through a needle or trocar in combination
with a "minor" surgical procedure, e.g., the placement
of electrodes into the CNS through reflected skin and a burr hole
in the cranium, so long as the dura is not resected. Procedures
in which the surgical field cannot be effectively disinfected, e.g.,
tooth extractions and gingival grafts, are considered "minor".
Standards - "Minor" surgical procedures may be performed
in a laboratory setting using appropriate aseptic technique. This
includes a clean work area; preparation of the surgical site including
clipping of the hair, disinfection of the skin and draping of the
surgical site with sterile drapes; the use of sterile supplies and
instruments; and sterile gloves and a surgical mask worn by the
surgeon and any assistants working in the surgical field.
Some surgeries that children undergo are considered minor. The recovery
time is short and children return to their usual activities rapidly.
These surgeries are most often done as an outpatient, and children
can return home the same day. Complications from these types of
surgeries are rare. Examples of the most common types of minor surgeries
may include, but are not limited to, the following:
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placement of ear tubes
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hernia repairs
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correction of bone fractures
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removal of skin lesions
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biopsy of growths
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