Large bowel surgery - Excision of rectum (Clean contaminated) (H33)
Metadata
- Coding system
- OPCS-4
- Coding system release
- unknown
- Organisation
- Oxford Health Protection Research Unit
- Codelist ID
- OxHPRU/large-bowel-surgery-excision-of-rectum-clean-contaminated-h33
- Version ID
- 63fea6ec
- Number of codes included
- 9
About
Description
Procedure category: Large bowel surgery - Incision, excision or anastomosis of the large bowel, including procedures that involve anastomosis of small to large bowel.
Procedure subcategory: Excision of rectum (Clean contaminated) (H33)
Methodology
Generated programmatically from the Surgical Site Infection Surveillance Service (SSISS) Operating Procedure Codes Supplement (OPCS) under the UK Open Government Licence v3.0. This includes codelists for 17 categories of surgical procedure. Within each category, there are subcategories of procedures. This codelist includes the codes for a single subcategory.
Procedure category notes: *Note: Jejunectomy and anastomosis of duodenum to colon (G58.3, G58.5) are usually emergency operations for ischaemia. The minimum wound class is then contaminated.
Procedure subcategory notes: Includes: Excision of whole or part of rectum with or without part of sigmoid colon *Note: Use secondary code for creation of artificial opening into ileum (G74); exteriorisation of caecum (H14) or other exteriorisation of colon (H15)
These can be included in the surveillance using the following Y75 .codes as a secondary code to indicate the laparoscopic approach. For example, a laparoscopic assisted right hemicolectomy would be given a primary procedure code of H07.1 and a secondary code of Y75.1. Y75.1 Laparoscopically assisted approach to the abdominal cavity. Y75.2 Laparoscopic approach to the abdominal cavity not elsewhere classified.
Codelists are developed by a broad community of users for individual study purposes, which may or may not meet the needs of other studies. They should not be thought of as universal definitions of a particular condition.
We don't offer any guarantees about what they do or don't identify. Users should carefully check that any codelist meets their needs, and seek clinical input where appropriate.
| code | term | notes | |
|---|---|---|---|
| 0 | H331 | Abdominoperineal excision of rectum and end colostomy | |
| 1 | H332 | Proctectomy and anastomosis of colon to anus | |
| 2 | H333 | Anterior resection of rectum and anastomosis of colon to rectum using staples | Includes: Rectosigmoidectomy and anastomosis of colon to rectum |
| 3 | H334 | Anterior resection of rectum and anastomosis not elsewhere classified | |
| 4 | H335 | Rectosigmoidectomy and closure of rectal stump and exteriorisation of bowel* | |
| 5 | H336 | Anterior resection of rectum and exteriorisation of bowel* | |
| 6 | H337 | Perineal resection of rectum HFQ | |
| 7 | H338 | Other specified | |
| 8 | H339 | Unspecified | Includes: Rectosigmoidectomy not elsewhere classified |