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Republic of the Philippines

Departm en t of Educa ti on
Region VII, Central Visayas
Diuision of Bohol
City of Tagbilaran
| ul y
18, 2011
DIVISION MEMORANDUM
No. 97 s. 2011
- '
To
DISSEMINATION OF CIVIL SERVICE COMMISSION
(CSC)
MEMORANDUM CIRCULAR NO. 25, S. 2O1O AVAILMENT
OF THE SPECIAL LEAVE BENEFITS FOR WOMEN T]NDER
R.A. NO. 9710 (An Act Prouiding for the Magna Carta of Women)
Education Supervisors I / Subject Area Coordinators
Public Schools District Supervisors / Coordinating Principals
Principals / head Teachers of Public Elementary / Secondary
Schools
Per DepED Memorandum No. 126, s. 2011, enclosed is a copy of Civil 1 .
Service Commission (CSC) Memorandum Circular No. 25, s. 2010 dated December 1,
2010 entitled
"Availment
of the Special Leave Benefits for Women Under R.A. No.
9710 (An Act Providing for the Magna of Women", which is self-explanatory.
2. This Memorandum Circular, if properly implemented, will give female
teachers //personnel enough courage to undergo surgical operation and prevent
further worsening of their condition if it remains unattended. It will also assure that
their salaries and leave credits remain unaffected. The said Memorandum Circular is
retroactive effective September 15, 2009 or fifteen (15) days after the publication of
the Magna Carta of Women. Female teachers / personnel who availed of this kind of
leave, and have undergone surgery caused by gynecological disorder, will have their
leave credits restored and if without pay, the salaries deducted should be refunded.
3. Immediate dissemination of this memorandum is desired.
/-=\
*_;.r
FV
LORNA E. RANCES, Ph.D. CESO V
Schools Division Superintendent
Department
of Education
OepgO Comphx, Meralco Avenus, Pasig City
DepEd MEMORANDUM
No.
l e6
,
s. 2o11
DISSEUTfiATIOI{
OIP CIVIL
gtRIIlcE
coumssroH
lcsc}
tEilroRAIfDItU
crRclILAR l{O. 25, S- 2010
Availneot of thc
gpechf
l*ave Se11efrts for Yomen Uuder R'A' !IO' 97LA
[An
ActProvtdtag for the lEagns Certa of ilromen]
To: Undersecretaries
Assistant Secretaries
Bureau Directors
Directors of Services, Centers and Heads of Units
Regional Directors
School s Division
I
City Superintcndents
H eads, hrblic Elementary and Secondary- Schools
All Ottrers Concerned
1. For the information and guidance of all concerned,- enclosed is a,copy of
Civil Serwice Commission (CSCi Memorandum
(lircular No. 25, s. 2010 dated
December 1, 2Ot0 entitled
'Avallmcnt
o! i:Iv .Spec{cl lanse Benefits
for
Womcn llnder R.2{. ,Vo.
g71O
(An Act *vsitditrg
far
t/v ffagna of Wonen),"
which is self-explanatory.
2. This Memorandum circular, if prnpertv irnplemented.
wiu give female
teacherslpersonnel enough courage to undergo sl'ugical opei'ation
and p-revent
further worsening of their condition if it r:emains unattendd.
It will also
assure that their salaries and leave cred:ts remain unaffected"
The said
Memorandum Circular is retroactive effective September 15, 2009 or f,fteen
(15) days after the publication of the Magna carta of women" Female
ieactrersTpersonnel who availed of this kind of ieave, ald have undergone
surgery ciused by grnecological disorder, will have their leave creCits restored
arra rwithout pay, the salaries deducted should tre refunded.
3. Irnmediate dissemination of tltrs Memorandum
is desircd-
'*1
AJLEffiTO T. MI'YOT
Undersecretary
Ollicer-in-Charge
Republic of the PhiliPPines
a, p' =
fti'el
-!
t l j l ' j ' -t !
t . . . ' ,
Jrit{
g
1
"EFA
2015: lGrapaian ng Lahat, Pananagutan ng Lahat!'
(Enclosure to nrjea Memorandum No. 126, s. Z0l tl
#
'cstr
MC No.
{{. s. 2010
TIEMORANDUM CIRCULAR
ALL HEADS OF COHSTITUTNONAL BODIES; DEPARTilIENTS;
BUREAUS AI{D AGENCIES OF TFIE NATIONAL GOVERNMENT;
LOCAL GOVERNHENT UN[T$; GOVERNIIfrEHT-OVVi|ED AND
CONTROLLED CORPORATN,N$ W|TTI ORIGINAL CHARTER;
AND STATE GOLLEGE$ AHD UNIVERSITIES
Gu idelinF o n thq Avail me gl:rf
Jbe
q peciel
leg
ve B n efi ts
foJ
lllomen
Under R 3.l971*0-JAn
@
llaqna Carta of lltlomenl;
Pursuant to CSC Resolution No.
' 1000432
clated November 22. 2010, the
following Guidelines on the Availment of the Speciai Leave Benefrts for Women
Under R.A. 9710 (An Act Providing for the Magna Carta of Wornen) are hereby
prescribed for the guidance
of all concemed:
1.0 Purpose
1.1 To provide further guidelines on the avaiiment of special leave
benefits for qualified
fernale public
sector emplcyees who have
undergone surgery caused by gynecological disordersr pursuant
to the provisions ard implementing rules and regulations of the
Magna Carta of Wonen.
1.2 To ensure uniform inlerpretation and implementation of the
grant of the special leave benefits for ll/omen and ensure that
the availment of the same uitimately uphotds the objectives of
the Law.
'Gynccologlcal
&sodcrs tefe( lo dis'c,t*,ts f,|af $/di{dregure suqibar
fwx-ed.res su:h as, bul n>t limMd to d,t8,lation and
ctfrEttile fid ltnsf$ inyotvry temd/, regodrcli' orlons s,rt ar tle ragina, erufu. $erus. lafioptan luaes, ovanes breast,
ddnet, anct !6IV(. flw, as og.|,'ried by s cf/.|r!&f,/te///. phtsban Fu pwpses of the Act erd thesF R{rles and Regu/afrbns,
Cne@Winl sur?erbs s,|af a6o irclule hygletec/tony w{.ri*bny, Itrd masteclotny^
tttem
M, Seclr'on Z Rule tt of tha
lmp,9.menlry R.hs end Rqgu,atiorrs ot RA 79IO Othelvt* tmun as Tlrc MaEina Cada br W'w:'Pln}
Parr ,, .3d&{-Y,{N
TO
SUBJECT :
Is a Rrcc n &tw: Rxlorsiw, Acccsihh, Cn:lrrtalrs nd Effc*iac Pfric Scwicc
ElcSCBuilding"IBPRod.Coorta' unftnHil|el126Qrpoocry. f 93t-' t935tt3l-?939ff3i{0m.Bcscp}ril@r.re}rnrilcscgov.ph.;rwwln.csc.gov.ph
Guidelines on Entitlement to the $pecial l-eave Benefit$ for
Women
Any female public $ector e,mpbyee?, regardless of age and civil
status, shall be entitled to a special leave o{ a maximum of two
months widr full
pay based on'tpr
Eross
monlhly compensabn3,
provided she has rendered at least six (6) months aggregate
service in any or various govemrnent agencies for lhe last
twelve
(12) months
prior to undergoing surgery for gynecological
disorders"
2.1.1 The special leave may be availed for every
instance of gynecologicat disorder requiring surgery for a
maximum
period of two (2) months
per year.
2.2 Generally, availment of the said special leave benefits shall be in
accordance with the atlachecl Lisi of Surgical Operations for
Gynecological Disordelsa
{Annex
Ai. which reflects, among
others, the estirnated
periods of recuperation from surgery due to
the specilic gynecological disorder.
2.2.1 The said List of Surgical $perations for Gynecological
Disorders reflects, amonE others a classitication of the
Procedure based on the
patient's estimated
period of
recuperation, defined as foilows:
2 'Empro@r
'efers lo pubfc aftoiak in the w*r anJ noo+areor seruce rvlrc ae enfioyed n the civil
garche.
.Thase
wmOt4 & efipryretr4Coyae /eratorfsfup srr| as Orose on C,critracts oJ Servce or .loD Orders 8ft itsl covered tly this
Gui&l*les.
'l
'
.'h3s
nonthty 6cI,rnoenseriort' rcfers to PE firotirr,y bas- p6y pfus ,i,l'.rdEtvy sitowfices fix^d bY La{') g{vefi in sa'.@,d
of a pgblic 5p;dot enrycgs nglrrtlly @g oI t@ orpecses *r addlixr lo sdaries sudr es. ftrnal E@ffinc Relbl
AWr*rn
FgR+.
Sag bross Wnly Cqperurtion sh,, e*ch*. tffiv6. aiiE*aft;e$ 6ttd off|6r for..ms of comftnsatkn
s{rcn sS RAf a&t tIrO Ae '|lat an er'I|fiplyee is rt{irfurV er*Abd b fuy vtr[n d nisnrP,{
ftio''marrcf,
of tt}e tutEliotts ol his4Et
positi('l, dt in ae{'oddlan(a wtn
WdiFF,nt
rLCs anU ragulatons ol tho Dopanrnsrt 3l Sudgel and Managafient (DBhlt
t
Anrox A d ttn's Gubefrrs ret!||s b IDe U!{ of Svrgtcat OpeEt ons ,br Gytlccorogical Ofs{tdert
(ormulole4
by a
Tedfinl Wd*irrg ffi+ oornposcd ot Obsefri<prFcFecotoqp$ts, Surgeor's snd lelo<tical OoEfo/s ftom the University ol
the Phitiphrs-Pii[poirc &ne7;, i]o*te
luP-rc,/4,
Ue fupanni,x rt rFrffl3
{DOn} Qilinrc rtatt'f'ia, tlbdi:d *nter' tt)F-
pW*ii
*"tU, tiina'rce Cotl/o{atiyr. enlneani
wn be su?fr:'t ol t,B ftdtiFE,P Obsl"t*a, and GyoecobgFs, Soctbty
rncipOes) andthepryipne ibbge ;r&rge-ritrcS,l-f ftre AO!'t'stu Jo*F*tle|,ir;rrrtd Hosprld nestHtr3t
reneas fri
Up d sudit;d ptwd-,te tor
ge
gldqa"at tutrror. fis dsase beiq ffiesscd. fi
the saitl surgbal
prc?edue:
a$ nc6f as ft a Oaisrftefin u VW
3 pu;dne to & ur&rc*u{uttrlo*efi t}ased o/t ttre pliend's estmrtod
petiod ol recuptatk n (l wilfro.t cotlw/t ilanl ne<kr,t
pro0re/flg ffs agrced opot in lhe cttscussDn and fipuls ol lt e nentbdrs
ol tho errr*alw@kw Cafwinaa
2.4
2. 1
1
Ma1or
-.-
u;gisaiPtocecldrd;equrrru-
I a minirnum
period of
recuperation of three
i3)
I
weeks to a maxitnunr period
I
of lwo (2) monlhs
i
2.2.2 Other Surgical Operations for Gyrrccological Disorders
which are not found in Annex A of this Guidelines mey b
allowed subject to certification of a competent medical
authority and submission cf clther requirements
provided
under item 3.1 hereof.
2.3 The earned leave credits mey be used for preparatory
pro@dures and/or confinernent prlor t{} the surgery. Moreover,
should the period of recuperation after the surgery exceed two (2)
months, the female cfficial/enrplayee may use her earned sick
leave credits for the same. if the sick leave credits have been
exhausted. the vacation leave credits may be used
pursuant to
Seclion 56 of the Omnibus Rules tln l-eave
2.4 This special leave benefit is norr-curnufative and not convertible to
cash.
3.0 Procedure for Availment of the Special Leave Benefits for Women
3.1 The application for ttre specia! leave benetrt shali be made through
the civil service Form f,lo. 6
{cS
Form 6) signed by the employee
and approved by the proper signing aulhorities'
9.2 The CS Form 6 shall be accompanied by a medical certificate
filled out by the
proper rnedieal authorities, e.g. the attendang
surgeon accompanied
_by
a cfinical summary reflecting the
gynecological
disorder' which shali be addressed or was
addressed by the said surgery, the histopathclogical report; the
operative technique used fer the surgery; the duration of the
surgery including the peri-operati,re period (period of
confinement around surgery); as well as the employee's
estimated period of recuperation for the same.
The application for the special leave benefits may be
appfied for in advance, that is, at least five (5) days prior to the
scheduled date of the gynecological surgery that wilf be
undergone by the emplcyee. The rest of the requirements
specified in ltem 3"2 shall be ettached to the medieal certificate
upon the employee's return to work urrder ltem 3.5 of this
Gui del i nes.
The advance notlce for taking such leave would give the
proper
authoritbs arnple time arxl !'neans to prevent the disruption of
the operations of the wort unil durirE the absence of the
employee and to address the er.igency of services of the office,
In instances when a qualified female employee undergoes an
emergency surgical procedure, the sakJ leave application shall
be filed immediately upon the erneloyee's return from such leave,
also folfowing the procedure
set forth in ltem 3.1 and 3.2 of this
Guidelines.
3.5 Upon the employee' s retum to work, she shall also
present
a
medical cedificate signed by her attending surgeon that she is
physically
fit to assume the duties of her position.
4.0 Responsibilities of the Agency Head
4.1 The agency head shall ensure that the aforeciied guidelines are
enforced in one's agency as a mechanism in order that female
employee's right to proper reproduclive health care is ensured.
4.? The agency head shatl prornote reproductive health care
awareness and wellness program for its ernployees through
proactive
measure/s such as conduct of annual
physicaUmedical
3. 3
3. 4
-
Plea* rybr to AttlFjx A, fha List ot Surgtcat
Wtariorrs
for eyner,otogica, Disorders
check-up, informatian carnpaign on maintaining proper
reproductive health care, issuance of health advisories;
distribution of educational reading rnateriais end conduct of fora
relative to the same.
5.0 Effectivity
These Guidelines shall take efiect retrractively starting September 15,
2009 or ffieen (15)
days after the puiriicatron c,f the fifiagna Carta of
Wornen.
Government officials and employees r:overeel in these Guidelines
whose periods of surgery and reeupecation due to gynecological
disorders after the effectivigf, cf the Magna Carta of lVomen and before
the promulgation
of these Guidelines were
,Jeducted
against their sick
or vacation leave credits can have the said leavr:r credits restored
and/or aopropriate gross cornpensation paid, as ihe *rse rnay be.
FRA SCO l f {DUQUE I t I , MD, MSC
Chainnarr
0 1 oEC
20t0
I
RA
gTtO
Pr'ts atryot?dm Arrgraril 11. moc, or/[,!ih.rdo.r Ar4'usl 3 r. arH ard aoo* efi:cJ o, sp,,tfnb"r tt. ?&g 113 days ailet ltili:ilDn)
Tt|n tRR dRA l9t0 was rrede etkito u, JuU n, ?UO u Ii Ae'6 aAcr h,t$ ?5, ZOte, ft! IFf .s rrerd of Ararcstbn
VunAFrlrum,lrtdffin
Incision and draln*e of wtvar or
pe ri neal a bscess/marses
Incision and drainage of
Bartholin's gland abscess
w/ u n ilote ral inqu iaole moru I
Qmphdenulomy
w/ biWero I irq ui rcfemoral
lynphdenrtony
,
radkal, csndete, wl
inguinofemoral, iliac, and
Pelvic
lymphadenrtomy
A,rrner A
LIST OF SURGICAL OFERANONS FON GYI{EESLOCTCAL D{SORDERS
Vulvar or
perineal ab$ces
Bartholin's
glarrd abscess
tlarthoiin's gland rYit
Labiai adhesion;
Vslvar wafts
Vuivar fu't;sstx
Vulvar $Ja*s
VulYar Mastes
Vuivar carcinoma
Vulvar carcin@r'|a
VUlvar cagcin*rne
inrpedorate hyrn*rr
lmpertg!"at* hlF.rett
Banholin's glend
cl6vabsceti
Paqe i ofg
Lirt rri $utgba$ Operstion$ fff Gynccological DisofdBrs
Vrehr
of vagina and/or perineum
Tranwerse vag;na| septurn
Vaginal cyst
_v:gng$qqe.
Crvicijl rf endsmetrial
Urethroceie
Urethror:ele
CvstE
il-r.rreih roceie
Pelvic
organ prolapsc
Pelvic organ proltpse
Urinarv stress
mCofitnrl{
llinary itress
incontine:ue
Minor
Page 2 ol I
Lrst of $urgical Opratons for Gynecologkal Disoders
of vaginal cVst or tumot'
ion of uterin tandems
vaginal woidr for clinical
r of enterocele, vaginal
of enterocele, abdominal
,
abdominal approach
repair of cy5trrle,
urinary incontinence,
and/or incmrplete vaginal
Pelvic organ proiaose
I
I
I
I
I
!
I
l "
*-.'"--*i----*
Cvstoc.rele ?/;tr' reertrele
i
, t\i4aior I
Pelvic ryqan rlroiapse i
l,laio.
I
Pelvkaryar:prolapse
|.
of rcctoraginal frstula;
or transanal apprnach
"-_l!!Jer"-
of urethrovaginal fistula;
w/ bulbocavernosus
of vesicorraginal fstuia;
Laparosanpy, surgical, colpoper-v
{suspension
of vaginal apex}
procedure
of the cervix
;
wl uiopsy(s) of the
d
loop electrocie
and/or endocervical
Utrthrcvaginai f ;str,:la
iratkrtl of cervix; any
C*n icat pa:i-'olcgy
PagB 3 of9
List ci Surgi,;al Oper6tions for Gynocdogical DGorderg
Biopsy, singie or multiple,
local excision of lesion, w/ or
Gu *"*"Gi*-i-i- rrti;"'
l
fulguration, wl arwlodilatLon aMl neoplasia
I I
curettag, w,/ or w/o repaic cotd
i i I
kniie or lasr loop electrode
i I I
excision
-1_._
j*
* __-_*1
Trachebctomy (cervicectorny),
I
Oervieai rna:se
I
Major
i
aJnputati'cj ol,c.e.ryq_
- .i **_..-., ----'---I*- -*---J
Excision of cervical stump,
|
5/r' suototal h'pierectcrny
I
Major
I
aMominalapproach; wl orwlo
! | |
pelvic f,oor repair
_L___ t
_* - . I
Exci$on of cervical stump, vaginal
I
SlF suLtotctal
I
l*aior
I
approach;danteri orand/or
I
hrotetectotyrl -pe[i cl
I
posterior repair w/ repair of
I
crgan prolapse
| |
nterocele
-|*-* -*I-*--
|
hocaltru
qtcasc
Cdflcdott
Tradrelonhaphy, plasUc repair of
uterlne cervix, vaginal aPProach
Cervrcal ta{eGtions Minor
Cerclage of cervlx, durlm
oref, nanol; vaalnal abdomlnal
Cervical IncomFelene Malor
of ruptured Cervkal incompte$ce MaJcr
Uterine pathologies
I
Minor
Endometrlal ssnpllne FloP$Y)
w/
do endocervical sampllng
(biopsy),
do cewkal dilation, any
method
tlietine pathologie: j Mejor
Vaginal Myomectomy, excision ol
fibroid turnor of uterus, single or
excisiotr of fibroid
of uterus, single or multiple
;abdominal
approach
Uterine, ovarian artd
fallopian lube patiologtes
Uterlne, ouarian, fallnpian
I
tube maiignonrles
i
abdominal hlEterectonry
{corpus
and cervix), wl or wlo
removaf of tube(r). wt or wlo
tube(r), V or do rernoval of
abdomlnal h'y*erectomY,
including partlal vaginectomn {
paraafiic and
pelvic tymph node
sampliry w/ or
Vo
remoral of
tube(s), w/ or w/o remwal
Radical abdorninal hysterectomY,
bilaterat total peMc
lymph node sampling (biopsY), w/
or wfo remolal of tube{s}, V
or
w/o remoral of ovary(s)
Page 4 of 9
Lrst ar
gurgtrai
Operations fc Gynecological Disorders
tltenne. ovarian, fallo
Pian
tube malig.cancies
Pelvrc oi3;n
i
p,olapse/stfess urin?rv i
pralapser' rtrets ur;nrny'
i
w/ remowl af tube{s), and/or
repair of enterocele
aginal hysterectomy, radkal
(Schauta type opcratloni
Uterine suspension, wl u w/o
of round lfiamenB, w/
Vo drortenint of sacrouterine
Hy$rorrhaphy, repair of
ruDturcd uterut
(nonob$tetrical)
Laparoscopy, suBicd,
myomectomy, excision;
of surfacc myom:6
Laparoscopy surgical, with vaginal
hvsterectofily; with removal of
tube(s) and/ or ovary{s)
PeMc exenteratio$ for
malignancy, w/total
abdominal hystreqtorny or
vl arwla rernwal
tube(s), wl
qwlo removal of
w/ rernoval of bhdder
and ureterel Fanspiantations,
and/or abdominoperineal
resection of rectum and colon and
colostomv, or any comhination
thereof
w/ rcmowl of tube(s), ond/or
w/ rcpir of enterocele
c o I p
-
u ret h ro cl st ope xy
type,
type, w/ or 4o
hysterectomy, w/ total sr
colpectomy;
Majer
Peivic org*n
prolapse/stress urirranv
ineontrner}fe
Pelvic organ
9!"olapse/5tn59 i.,ri fi orl
_illgune.Lig,. "
iretvic 9rgan
prolapselstress urinary
rnco'tirnence
Ftv;c tiF;n
prolapse/.<tresi tr i r::;ri,
in{ontinetiee
Pelvic Exgirtr
p:'r-.laper, with
associated sery;cal failcer
Pelvt( organ Bi' tlapse
It on-obstetrical **terin e
n pture (e.8.
trauna)
Mullerian anornalies, eB,
S*ptate uterus
Uterine pathotogles
__j
Uterine patho;r)8les
!
Major
Pege5 of
g
[lit ol $u,Eicel Cipcraliqns fot Gynecological ttt-sordars
Procrfirr
CL|r|fic|lon
Hysterucqy, diagnwtk Uterin
pathdogtes Minor
l.tl'stero6r@Y, suGice!; rrth
nmpling (biopcyl of cndor?Etrium
md
I
u polypestomy, with or
rithout O & C
tJterine pathdogies Minor
with lysis ol introuteritp
odhesions [ony nethod')
Utenne
pathdogies Minor
with divlsion ar reettion of
introterine septum
lsny
method/
Lfterine
patlologies Minor
w it h remas I of Ie ionUo mqtq Uterlne
pathologies Minor
with removol ol impaed
loreign
Mv
Uterlne
prthoiofiies Ml nor
with endonetriot oblotbn
{e.g-
enfumetriol resection,
e bct rdsu rg kvl a blot io n
thermablatbn)
Ulerirre pathokEies Min0r
with tilaterol
fallopion
tube
annulatian to iduce occlusion by
gloement of permorant implonts
tltarine
pat:1ologie3 Minor
taparoscopy, surgical; with lysis of
adhesions {salphingolysis)
Fallopi$n tube patn0168ies Minor
wkh remowl of odnexol
stn ft&res
(Nfthl d tc'.ol
ooplp|orf,,lomy ond/or
salolnaectomv)
Sal!opian i,Cle t,.ithoiglet
Maior
wlth
futgurotlon
or excision of
lesbns of the owry,
Plvlcviscera,
or Wrltoneol
surfoce
W
anY
methd
9allopian ttrbe
patiolodier Minor
with
fulgurotha
of ovkluca
(with
ot wilhout tratuectionl
Fallopian tube
pathologtes Mi nor
with xtlusion of widuct bY
dafte (e.g., fund, dthor FdoPc
rino)
Fal lorian tttbe pathoiogies
with
fimbriofiasty
Fallopian tube pathoio8ies Major
with solghingostomy
bolpinqorcostomy)
Fallopia+r tube
Pathologies
Major
Ovnrt
Salpingectuny, complete or
unilateral or bihteral
or partlal, unilateral or bilateral
patholoties
Page 6 of 9
List ot Surgical Operatlons for Gynscological Disoders
Faltopian tub oathoioBies
Fallopian tulre
pathologie:
Fallopian tube and s\tailan
itrrr$lador
lysis of adhesiors (calplrrgslYsisi
Fktbtt"pt-tty
Fallogian iube
Falropian tube Malor
Fe!lopien tube pathologies Major
Transcervical introduction of
fallopian tube catheter for
diagnosis andlor re-eslablishing
patency (any rrethodi s/ or u/o
.
hysterosalpingogrophy
Fallooian tube paihoio5ies Maior
fupiration of orarian clst(s). i ' vari ari -r,!
or bilatenl ;
vaginal
ol orrarian abscess;
cyttectomy" unilateral 0r Berii6n ovanar el+ts
ie.g
endomeuiotir .-fst,
dermord {ysi" irous
cystaden"Jrn a,
rn u cinou-i
q/st!d*nonia
I
,
parlia! or totral, SeniEn oi/aiian cystr
or bilaterai;
ovorion nnlignancy,
V
pars'
aJmrian.:ancer
and relvictymph rxrde
peritoneol washings,
biopsEs,
sssessfttf.n",s, il or
w/o solphgecramy{s), $
or w/o
bnpsks,
a5$e$mer}6 vot
solpingeaomylsl, d
ar w/o
of owrian malignoncy O*r"n.*oar.,,
biloteral salgingo-
and omentectomy;
w/ totol oMomircl hfsterectomy, flvariil1
.-aniet
ond limited pam-oottit
O:grian eancer
I
I
+--
t
i
i
f _
I
-J
I
I
I
I
I
_*i
itajor
Page 7 of I
LiEi of $ilr'gical Otr,,isaton$ for Gynecological Disordets
nfitrt EtG|lr Clesrlllsatlon
Lapardomy, for staging or
restaging o{ ovarian rnalignancy
(nsecond look'), d or wlo
omenfrctomy, peritoneal
washing. biopsy of abdominal and
pelvic peritoneum, diaphragmatic
assessment Yrl
pMc
and limited
pa ra-aortic lymphadenectomy
Orvarian cancer Major
Ovariolvsis Lvsig of Adhesions Major
Erstftocrdulr
hGodur Db#|f Clslltffiff
Purftur6 aspi ration o{ rry6t of breisl SimplE tseaet l}JL Minor
Martotoffry wl a{plordtion ol
{ al mmnl ehoxr df f i
9rea:t ab!ce$/lb4;! 5tttis Ml not
Eiopsy of breacB needl core, *nr
nd{la r(olntlnn
Bre8st mass, henisn or
-___-qE!!s'aJ!-_*_
Min{:rr
Excb'on of lactiferoos drctf6tuh
l|{inor
Excision of cyst, fibroadtnona, o
nthar lsrion hrcr(* m*eA
Fibroadenorne. Fibrocystic Mirlot
IndsiorvErsision tiogsy
gritf
ileait t$5!es or
brcatl ea4(er
lcllrxlr
Wide rcislon Phv{iades tJrtmr. Drl tdl
ca{ci nors i !i -si l ri , Lobul ar
^ : r - i nAa. i d- . l n '
Mapr
Total Mastectorny Phvllfiles f,Jrnot. Ductnl
ca rcr!'0rild in-s!tu, lobular
cardm.lnu In-:ttt
Major
Masteclorrrr. r,ubtutaneouc Slllcorc Maldtls
.t!t3E!---
RadicailModifi cd fu dital Mqstcnornr 9ree$ carrcer Major
Lu mpecbrry/q uadr| ntectomy,
tvlttrtu,rrY{o.al<.adl^6
BreeSt cencer idaJor
Lumpctomy, sentlnel node biopsy +/
illll,rtu dY{. .li.<rti^n
Frittl
ganfrdi Matsr
Breart reconstruction with latissimus
doni flap, with c wlthout prosthctic
implant
f reast Ganc.t, Phyilode:
irrfr'(}.', I}uatal caacir'{rma
in-
Itu. l cbul ar c?i ci nri tnn i n-si tt
Maiot
Breart recon$ruction with ke fiap Brei sl cance r, Flirlrr.tie.-t
tuhor, Out'la! c;trrirsrna in
Itu, loh.dar cstelnnrna irrsltu
(after rnanprtDrYryi
fY!aJOt
Brelst recofistrudion with otlrcr
techrsque
Brea$ rarEt, Ptryllodes
tumor, Ductal taranomd i i l -
i tu. l obdar crrci nctna i 5-5i fl
(aner mastectonly)
rrftj(tt
Page E of I
-ist of $urgieal Opera'iion$ for Gynecologieal Disorders
t
tfu*futbt
tIrr ht 2t2 Md
pcilod af e*'s *r-upsthtv Elta wgqrV'
{
vdttant fl','t',,ntont' -*96 Prsof:m
l4tn(f
- partfJltts to oft't efr,','v?d Petbal
at t:ufothj' I rsldtJnt c "'ortD um 'f | *" R"b
furoior frnainttoone'sfnitknoHpeiodolrtc{peret{,iaafttixtnt'FJi+errrttattT/'ntht
Page I of 9
Lrsl oi SurgiH Operauons
{or Gynecologizl Disorders

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