2023 Laws not yet authenticated through a Commencement Order

Revised Laws of Saint Lucia (2023)

Schedule 3

PART A

(Regulation 8)

SURGICAL OPERATIONS

MAJOR—
Abscess of brainGastrectomy
Acute appendicitisGastro-enterostomy
Amputation of penis (total)Gastrotomy
Amputation at shoulderGrafting with tube grafts
Amputation through thigh
Any operation involving intestinal sutureHarelip
Hernia (strangulated or irrreducible)
Biliary fistulaHydatid of lung or liver
Carcinoma of the colon
Cholecystectomy
Implantation of radium or radon, seeds in the cranium, chest, abdomen or bladder
CholecystenterostomyIntestinal obstruction (including intus-susception)
Cleft palate or radical operation for malignant growth of palate
Closure of faecal fistula or artificial anusLaminectomy
Complete prolapse of rectum involving laparotomy, colostomy or intestinal anastomosisLaitholapaxy
Meningeal haemorrhage
Complicated fistula
CraniotomyNephrectomy
Cystectomy
Perforated ulcer of the alimentary tract
Depressed fracturePrefrontal leucotomy
Double inguinal and/or femoral herniaProstatectomy
Drainage of bile ductsPyelo-or nephro lithotomy
Enterotomy, colotomy, colostomyRadical removal of breast
Epithelioma of anusRamstedt's operation
Epithelioma of lip with excision of glandsRemoval of stone from ureter
Epithelioma of the tongue with radical operations upon the glandsRupture of bladder
Excision of larger jointsSympathectomy
Excision of rectumSubphrenic abscess requiring transthoracic or transperitioneal abscess
SplenectomyThyroidectomy
Transplantation of ureters
Tumour of the brain and similiar operations
INTERMEDIATE $500
Abscess of prostateHernia-inguinal, femoral, umbilical or ventral (simple)
Adenoma of thyroid
Amputation of limbs, except fingers and toes (minor) and thigh, shoulder and hip (major)Hydrocele (radical)
Imperforate anus
Amputation of penis (partial)Implantation of radium or radon seeds except where included under “Major” or “Minor”
Appendicitis (non acute)
CastrationInjection of Gasserian ganglia
Injection of pruritus ani
Diathermy to growths of bladder (first time intermediate afterwards minor)
Peritonitis (tuberculosis pneumococcal)
Drainage of gall bladderProlapse of rectum
EmpyemaRectal polypi
Fistula-in-anoSacro-coccygeal dermoid sinus
Simple removal of whole breast
HaemorrhoidectomySupra-pubic cystostomy and similar operations
MINOR $250
Abscess except where in Major and Intermediate operationsExamination under anaesthetic
Amputation of fingers or toesHydrocele (injection)
Any condition treated by surgical diathermy under general anaesthesia, other than mouth, or tongue or bladderImplantation or radium or radon seeds for treatment of skin tumor
Induction of pneumothorax
Ischiorectal abscess
Cystoscopy
Dilation of rectal strictureLupus
Naevi, except in severe casesSebaceous cysts
Skin grafting where not included in Major operations
Plastic operation not requiring a tube graft and a simple kind – Pyelography (not including services of radiologist)
Varicocele and similar operations
Removal of anal warts and anal papillae
Rodent ulcer not involving bone or eye
GYNAECOLOGICAL OPERATIONS
MAJOR $1,000
Anterior and posterior colporrhaphy with amputation of the cervix (Manchester operation)Myomectomy
Radical excision of vulva and glands
Any vaginal operation with ventrefixationRepair of vaginal fistulae
Caesarian SectionsUterus and adnexa
Colporrhaphy
Cyst of the broad ligamentVaginal hysterectomy
Vulvo vaginal
Hysterectomy (Mayo-Palmer operations)
Hysterectomy
INTERMEDIATE $500
Anterior and posterior col-porrhaphyOvariotomy
Colporrhaphy and/or perineorrhaphySalpingectomy or salpingostomy similar operations
Dilation with intro-uterine operations
Uterus and adnexa:
Evacuation of retained products
Vulvo vaginal:
MINOR $250
Biopsy of endometriumRelief of atresia vaginael
CauterisationRemoval of polyps and similar operations
Colpotomy
Removal of carbuncle
Cysts or simple tumors of vulva vagina
Uterus and adnexa:
Induction of radiation menopause
Urethal prolapse
Insuffeation
Vulvo vaginal:
EAR, NOSE AND THROAT OPERATIONS
MAJOR $1,000
Diagnostic peroral endoscopyOperations for complications of supprative otitis media and similar operations
Extensive operative treatment of malignant diseaseOpening of quinsies
Reduction of recent nasal factures
Myringotomy
Simple removal of nasal polyps and similar operations
Open, (i.e.external operation on the larynx and pharynx exclusive of laryngotomy) open operations on the nasal accessory sinuses
Operations on the temporal bone exclusive of simple mastoidectomy
INTERMEDIATE $500
Intra-nasal operationsReduction of long standing fractures of nose or facial bones
Operative treatment of malignant disease involving skin face onlyRemoval of tonsils or adenoids and similar operations
Operative peroral endoscopy (i.e. bronchoscopy, oesophagoscopy and laryngoscopy)Simple tracheotomy
Simple mastoidectomy
OPTHALMIC OPERATIONS
MAJOR $1,000
Corneal graftingOperation for dislocated lens
Detachment of retinaPtosis
Exploration of orbitReconstruction of eyelids
Extraction or Senile cataractRemoval of intraocular foreign body
Kronlein's operationStrabismus and similar operations
INTERMEDIATE $500
Lachrymal abscessTrichiasis and similar operations
Needing capsule after senile cataractConical cornea
Needing juvenile cataractCorneal adscision or tattooing
Orbital abscessEpicanthus
Excision of lachrymal sac, all methods
ParacentesisExcision of rodent ulcer
Excenteration of orbit
Radon applications for neoplasmExcision of evisceration of eyeball
MINOR $250
Canaliculus and lachrymal duct explorationPeritomy
Cauterisation of corneal ulcerRemoval of superficial demoid
ChalazionRemoval of foreign body embedded in cornea
Ectropion
EntropionSuturing lid wounds and similar
Excision of pterygiumoperations
Orthopaedic Operations
MAJOR $1,000
Amputation through hip congenital club footOpen reduction of fractures
AnthrodesisOperative treatment of compound fractures
Arthroplasty,
Congenital dislocation of the hipRadical operation for bone tumour
Reconstructive operations on bones and joints
Disarticulation of the hip and shoulderRepair of intricate tendon injuries
Excision of cervical ribSecondary nerve sutures
Excision of larger jointsSevere congenital and acquired deformities requiring open correction
Internal derangement of the knee and other jointsSpina bifida
LaminectomyTendon transplantation and similar operations
INTERMEDIATE $500
Amputation of limbs, except fingers and toes (minor) and thigh, shoulder and hip (major)Manipulation of larger joints
Close reduction and fixation of fractures involving joints of shafts of larger bones.Open correction of simpler Unilateral (deformities, hallux valgus, hallux rigidus, pes cavus, torticollis)
Emergency operations for acute osteomyelitis and acute suppurative arthritisPrimary nerve and tendon repairs and similar operations
Excision of bursae communicating with larger joints
MINOR $250
Amputation of toes and fingersRemoval of exostoses
Removal of small bursae
Application of plaster-of-paris casts with or without anaesthesia
Simple manipulation or tenotomy and plasters and similar operations
Hammer toe
Manipulation of smaller joints