The Hospital Sírio-Libanês has adopted a Standard Procedures (SP) System, which has been studied in great detail. This is to provide the doctor and his or her patient with predetermined, predictable values for the conditions of every case.

Cardiac and Vascular Surgery
Procedures	Type of Anesthetic	Operating Theater Time	Stay or Hospitalization Time
Finger/Toe amputation	Local + Sedation	2 hours	1 day
Finger/Toe amputation	General	2 hours	1 day
Carotid Endarterectomy (without consigned mat.)	General	3 hours	2 days
Arteriovenous Fistula for Hemodialysis (without graft)	Local + Sedation	1 hour	Rest for 12 h
Pacemaker Implant (apparatus not included)	General	2 hours	1 day (Cardiology Unit)
Change of Pacemaker Generator (generator not included)	Local + Sedation	1 hour	Rest for 12 h
Varicose Vein Microsurgery	General	2 hours	Rest for 12 h
Varicose Vein Microsurgery	Epidural	2 hours	Rest for 12 h
Revascularization of the Myocardium (exclusively for patients selected for the protocol - includes the protocol's diagnostic examinations)	General	7 hours	7 days (1 in the ICU and 1 in the Cardiology Unit)
Conventional Saphenectomy 1	Epidural	2 hours	1 day
Conventional Saphenectomy 1	General	2 hours	1 day
PDA - Patent Ductus Arteriosus.	General	4 hours	4 days
Varicose Vein Removal with Saphenectomy.	General	2 hours	1 day
Varicose Vein Removal without Saphenectomy.	General	1h 30'	Rest for 12 h

Head and Neck Surgery
Procedures	Type of Anesthetic	Operating Theater Time	Stay or Hospitalization Time
Thyroidectomy	General	4 hours	2 days

General Surgery
Procedures	Type of Anesthetic	Operating Theater Time	Stay or Hospitalization Time
Conventional Appendectomy	General	2 hours	3 days
Laparoscopic Appendectomy - Expanded Kit	General	2 hours	2 days
Laparoscopic Appendectomy - Basic Kit	General	2 hours	2 days
Sentinel Lymph Node Biopsy (Surgical Treatment of Melanoma)	General	2 hours	1 day
Conventional Cholecystectomy 3	General	3 hours	3 days
Laparoscopic Cholecystectomy - Expanded Kit 3	General	3 hours	1 day
Laparoscopic Cholecystectomy - Basic Kit 3	General	3 hours	1 day
Conventional Colectomy (without stapler)	General	4 hours	6 days
Laparoscopic Correction of Hiatus Hernia - Expanded Kit	General	3 hours	1 day
Laparoscopic Correction of Hiatus Hernia - Basic Kit	General	3 hours	1 day
Nevus / Sebaceous Cyst Excision or small Hemangioma	Local + Sedation	1 hour	Rest for 12 h
Nail Removal	Local	1 hour	Rest for 4h
Perianal Fissurectomy	Epidural	1 hour	1 day
Perianal Fissurectomy	General	1 hour	1 day
Perianal Fistulectomy - 1st line treatment	Epidural	1 hour	1 day
Perianal Fistulectomy - 1st line treatment	General	1 hour	1 day
Perianal Fistulectomy - 2nd line treatment	General	1 hour	1 day
Conventional Gastroplasty /Capela Technique/Bypass	General	3 hours	3 days
Laparoscopic Gastroplasty for Gastric Band 4	General	4 hours	1 day
Laparoscopic Gastroplasty /Capela Technique/Bypass (with Ultracision Scalpel)	General	3 hours	2 days
Laparoscopic Gastroplasty /Capela Technique/Bypass (without Ultracision Scalpel)	General	3 hours	2 days
Hemorrhoidectomy	Epidural	2 hours	2 days
Hemorrhoidectomy	General	2 hours	2 days
PPH Hemorrhoidectomy	Epidural	2 hours	2 days
PPH Hemorrhoidectomy	General	2 hours	2 days
Laparoscopic Inguinal Herniorrhaphy Expanded Kit 1	General	3 hours	1 day
Laparoscopic Inguinal Herniorrhaphy Basic Kit 1	General	3 hours	1 day
Inguinal or Umbilical Herniorrhaphy 1 with screen up to 15 x 15	Epidural	2 hours	1 day
Inguinal or Umbilical Herniorrhaphy 1 with screen up to 15 x 15	General	2 hours	1 day.
Conventional Inguinal or Umbilical Herniorrhaphy 1	Epidural	2 hours	1 day
Conventional Inguinal or Umbilical Herniorrhaphy 1	General	2 hours	1 day
Port-o-Cath or Hickman catheter passage - catheter not included)	General	2 hours	Rest for 12 h
Conventional Rectosigmoidectomy (without stapler)	General	4 hours	6 days

Transplants
Procedures	Type of Anesthetic	Operating Theater Time	Stay or Hospitalization Time
Liver Transplant Donor l (including diag. exams in the protocol, Hemotherapy - 1 blood bag and medical fees)	General	8 hours	6 days (1 ICU and 5 Hospitalization Unit)
Adult Inter vivos Liver Transplant Recipient (protocol procedures -including diag. exams in the protocol, Hemotherapy - up to 3 blood bags, Donor and medical fees)	General	8 hours	12 days (2 ICU and 10 Hospitalization Unit)
Adult Inter vivos Liver Transplant Recipient (protocol procedures -including diag. exams in the protocol, Hemotherapy - up to 3 blood bags, Donor and excl. medical fees)	General	8 hours	12 days (2 ICU and 10 Hospitalization Unit)
Child Inter vivos Liver Transplant Recipient (protocol procedures -including diag. exams in the protocol, Hemotherapy - up to 4 blood bags, Donor and medical fees)	General	8 hours	12 days (2 ICU and 10 Hospitalization Unit)
Child Inter vivos Liver Transplant Recipient (protocol procedures -including diag. exams in the protocol, Hemotherapy - up to 4 blood bags, Donor and excl. medical fees)	General	8 hours	12 days (2 ICU and 10 Hospitalization Unit)
Adult Liver Transplant Recipient with donated organ (protocol procedures -including diag. exams in the protocol, Hemotherapy - up to 3 blood bags, Donor and medical fees)	General	8 hours	12 days (2 ICU and 10 Hospitalization Unit)
Adult Liver Transplant Recipient with donated organ (protocol procedures -including diag. exams in the protocol, Hemotherapy - up to 3 blood bags, Donor and excl. medical fees)	General	8 hours	12 days (2 ICU and 10 Hospitalization Unit)
Child Liver Transplant Recipient with donated organ (protocol procedures -including diag. exams in the protocol, Hemotherapy - up to 4 blood bags, Donor and medical fees)	General	8 hours	12 days (2 ICU and 10 Hospitalization Unit)
Child Liver Transplant Recipient with donated organ (protocol procedures - including diag. exams in the protocol, Hemotherapy - up to 4 blood bags, Donor and excl. medical fees)	General	8 hours	12 days (2 ICU and 10 Hospitalization Unit)
Liver Retransplant (including diag. exams in the protocol and excl. medical fees)	General	8 hours	28 days
Bone Marrow Transplant (Autologous) (protocol procedures - including diag. exams and protocol hemotherapy excl. medical fees)	-	-	24 days
Kidney Transplant - Donor	General	4h	5 days
Kidney Transplant - Recipient (including diag. exams in the protocol)	General	5h	10 days (1 day Semi-Intensive and 9 Hospitalization Unit)

Orthopedic Surgery
Procedures	Type of Anesthetic	Operating Theater Time	Stay or Hospitalization Time
Diagnostic Knee Arthroscopy (excl. consigned material)	General	2 hours	Rest for 12 h
Therapeutic Knee Arthroscopy (including 1 Shaver Blade and excl. consigned material)	General	2 hours	1 day
Shoulder Arthroscopy (including 2 Shaver Blades / 1 arthroscopy scalpel and excl. consigned material)	General	3 hours	1 day
Lumbar Laminectomy	General	3 hours	2 days
Femoral Osteosynthesis (excl. consigned material)	General	5 hours	5 days

Pediatric Surgery
Procedures	Type of Anesthetic	Operating Theater Time	Stay or Hospitalization Time
Laparoscopic Inguinal Herniorrhaphy - Expanded Kit 1	General	3 hours	1 day
Laparoscopic Inguinal Herniorrhaphy - Basic Kit 1	General	3 hours	1 day
Conventional Inguinal or Umbilical Herniorrhaphy 1	Epidural	2 hours	1 day
Conventional Inguinal or Umbilical Herniorrhaphy 1	General	2 hours	1 day
Hydrocelectomy	General	2 hours	1 day
Orchidopexy	General	2 hours	1 day
Circumcision	Epidural	1 hour	Rest for 12 h
Circumcision	General	1 hour	Rest for 12 h

Plastic Surgery
Procedures	Type of Anesthetic	Operating Theater Time	Stay or Hospitalization Time
Abdominoplasty (dermolipectomy)	General	4 hours	1 day
Blepharoplasty	Sedation	2 hours	Rest for 12 h
Blepharoplasty	General	2 hours	Rest for 12 h
Scar Correction 1h	Local + Sedation	1 hour	Rest for 12 h
Scar Correction 2h	General	2 hours	Rest for 12 h
Gynecomastia Correction	General	2 hours	Rest for 12 h
Nevus / Sebaceous Cyst Excision or small Hemangioma	Local + Sedation	1 hour	Rest for 12 h
Hair Implant	Local + Sedation	3 hours	Rest for 12 h
Inclusion/Removal or Substitution of Prosthesis or Expander 2	General	2 hours	1 day
Liposuction for a maximum of 3 hours	General	3 hours	Rest for 12 h
Liposuction for a maximum of 4 hours	General	4 hours	1 day
Liposuction for a maximum of 6 hours	General	6 hours	1 day
Localized liposuction for a maximum of 1 hour	Sedation	1 hour	Rest for 12 h
Breast Implant / Reduction / Mammoplasty / Mastopexy	General	4 hours	1 day
Minilifting	Sedation	2 hours	Rest for 12 h
Otoplasty (Correction of Protruding ears)	Local + Sedation	2 hours	Rest for 12 h
Otoplasty (Correction of Protruding ears)	General	2 hours	Rest for 12 h
Rhinoplasty	General	2 hours	Rest for 12 h
Face Lifting	General	5 hours	1 day

Gynecology and Mastology
Procedures	Type of Anesthetic	Operating Theater Time	Stay or Hospitalization Time
Sentinel Lymph Node Biopsy (Surgical Treatment of the Breast)	General	2 hours	1 day
Gynecomastia Correction	General	2 hours	Rest for 12 h
Scraping	General	1 hour	1 day
Axillary Emptying	General	3 hours	1 day
Breast Nodule Excision	General	2 hours	Rest for 12 h
Abdominal Hysterectomy	General	4 hours	3 days
Hysterectomy (excl. consigned material)	General	1 hour	Rest for 12 h
Inclusion/Removal or Substitution of Prosthesis or Expander 2	General	2 hours	1 day
Gynecological Laparoscopy (excl. consigned material)	General	2 hours	1 day
Reconstructive Mastectomy with Muscle Flap	General	8 hours	3 days
Simple Mastectomy	General	3 hours	2 days
Breast Implant / Reduction /Mammoplasty / Mastopexy	General	4 hours	1 day
Breast Reconstruction for Prosthesis Inclusion 2	General	5 hours	2 days
Segmented Resection of the Breast with Axillary Emptying	General	5 hours	2 days
Simple Segmented Resection of the Breast	General	3 hours	1 day

Ophthalmology
Procedures	Type of Anesthetic	Operating Theater Time	Stay or Hospitalization Time
Correction of Strabismus	General	2 hours	Rest for 12 h
Chalazion Excision	Local	1 hour	Rest for 12 h
Pterygium Excision	Local	1 hour	Rest for 12 h
Cataract Surgery with Facoemulsification	Local	2 hours	Rest for 12 h
Retinopexy	General	2 hours	Rest for 12 h
Tear Duct Analysis	Local	1 hour	Rest for 12 h

Ear, Nose and Throat
Procedures	Type of Anesthetic	Operating Theater Time	Stay or Hospitalization Time
tonsillectomy and adenoidectomy	General	2 hours	1 day
Rhinoplasty	General	2 hours	Rest for 12 h
Septoplasty	General	2 hours	Rest for 12 h
Septoplasty with Turbinectomy	General	2 hours	1 day
Tympanotomy for Ventilation Tube	General	2 hours	1 day
Turbinectomy	General	2 hours	Rest for 12 h

Urology
Procedures	Type of Anesthetic	Operating Theater Timea	Stay or Hospitalization Time
Cystoscopy in the Surgical Center	Local	1 hour	Rest for 12 h
Double-J Catheter Placement (including 1 guide wire and 1 standard catheter)	General	2 hours	1 day
Double-J Catheter Placement (not including guide wire and catheter)	General	2 hours	1 day
Penis Prosthesis Placement 2	General	2 hours	1 day
Deferent Duct Exploration in the Surgical Center	Local	1 hour	Rest for 12 h
Hydrocelectomya	General	2 hours	1 day
Conventional Nephrectomy	General	3 hours	5 days
Orchidopexy	General	2 hours	1 day
Circumcision	Epidural	1 hour	Rest for 12 h
Circumcision	General	1 hour	Rest for 12 h
Radical Prostatectomy	General	4 hours	5 days
Transurethral Resection of the Prostate	General	2 hours	3 days
Bladder Transurethral Resection (excluding neobladder construction)	General	2 hours	3 days
Kidney Transplant - Donor	General	4 hours	5 days
Kidney Transplant - Recipient (includes the protocol's diagnostic examinations)	General	5 hours	10 days (1 day semi-intensive and 9 days in a normal room)
Varicocele	General	1 hour	1 day
Vasectomy Reversal	General / Blockage	4 hours	Rest for 12 h

Clinical Procedures (Clinic - 3rd Floor, Block B)
Procedures	Type of Anesthetic	Operating Theater Time	Stay or Hospitalization Time
Cystoscopy 5	Local	1 hour	Easy Chair / Clinic
Cystoscopy with Urethrotomy 5	Local	1 hour	Easy Chair / Clinic
Nevus / Sebaceous Cyst Excision or Hemangioma5	Local	1 hour	Easy Chair / Clinic
Nail Removal 5	Local	1 hour	Easy Chair / Clinic
Deferent Duct Exploration5	Local	1 hour	Easy Chair / Clinic
Micro Varicose Veins5	Local	1 hour	Easy Chair / Clinic
Circumcision5	Local	1 hour	Easy Chair / Clinic
Breast Nodule Excision5	Local	1 hora	Easy Chair / Clinic

Notes:

1. Includes Unilateral or Bilateral Procedures.
2. Any procedures involving Inclusion of a Prosthesis or Expander does not include the cost of the prosthesis. See the attached table for these costs.
3. Procedures involving a Cholangiography, add R$ 550.00.
4. The price of Gastroplasties that use Banding does not include the cost of the Band.
5. Clinical procedures only with Local Anesthetic. If Sedation or General Anesthetic is required, the procedure must be carried out in the Surgical Center.
6. 6. DC = Diagnostics Center.