ABDOMEN: Hernia Repair-Inguinal, umbilical, femoral,recurrent,incisional Diaphragmatic Hernia Repair Peritoneal catheter or drain placement Drainage of peritoneal abscess

GASTRIC: Gastrostomy Incision & resection Hiatal hernia – abdominal approach

BOWEL: Appendectomy Small bowel incision & resection Large bowel incision & resection Colostomy Fistulectomy

ANORECTAL: Drainage abscess Hemorrhoidectomy Fissurectomy Fistulectomy/Fistulotomy Botox injections

BREAST: I & D abscess Biopsy Simple mastectomy Modified radical mastectomy Segmental resection or “lumpectomy”

LYMPHATICS: Node biopsy & excision – superficial Node biopsy & excision – deep Radical lymphadenectomy Sentinel lymph node biopsy

PANCREAS/BILIARY: Limited incision & resection Cholecystectomy- “gallbladder surgery” Common duct incisions - exploration Splenectomy

THORACIC: Tube thoracostomy Video-assisted thoracic surgery Rib plating Minimally-invasive thoracic sympathectomy

NECK: Thyroid resection Parathyroid resection Tracheostomy

SKIN AND SOFT TISSUE: Excision of lesions “lumps and bumps” Split thickness graft Full thickness graft Pilonidal cysts Excision ganglion cyst Temporal artery biopsy Removal of foreign body Laceration Repair

LAPAROSCOPIC SURGERY: Basic (E.g. including, but not limited to, cholecystectomy, appendectomy) Advanced (E.g. including, but not limited to, splenic surgery, surgery of esophageal hiatus, colon resection) Robotic Surgery- not available in Maui

ENDOSCOPIC PROCEDURES: Esophagoscopy Esophagogastroduodenoscopy Control of hemorrhage Percutaneous endoscopic gastrostomy Colonoscopy Bronchoscopy Proctosigmoidoscopy

VASCULAR ACCESS: Percutaneous insertion of permanent peritoneal dialysis catheter Insertion of temporary hemodialysis catheter Internal jugular central line placement (ultrasound guided) Central line placement Port placement for chemotherapy and removal of ports Arterial catheter placement

AMPUTATION LOWER EXTREMITY: Above the knee Below the knee Transmetatarsal Digit

ANESTHESIA: Moderate Sedation Deep Sedation (note: Operations and procedures which require General Anesthesia will need an Anesthesiologist.)