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اــــــــ اـــــ اـ ـــــ ـ دـــ General Medical Committee in Dubai אא دאزאאא !"زאא#مא%&'(א*و 2011 Medical Guidelines of sick leaves duration issued in cooperation with Dubai Health Authority Medical Department 2011 ا ا ا د ه دو ارات ا ا ة General Medical Committee in Dubai Dubai Health Authority United Arab Emirates 1 اــــــــ اـــــ اـ ـــــ ـ دـــ General Medical Committee in Dubai Index NO. Name 1 Haematology 2 Digestive Diseases 3 Neurosurgery 4 ENT 5 Cardiology & Cardiothoracic Surgery 6 Neurology 7 Dermatology 8 Obstetric & Gynecology 9 General Surgery 10 Family Medicine 11 PLASTIC SURGERY 12 Infectious Diseases 13 Pulmonary Medicine 14 Diabetes Mellitus 15 Vascular Surgery 16 Ophthalmology 17 Urology 18 Dental 19 Orthopaedic 2 اــــــــ اـــــ اـ ـــــ ـ دـــ General Medical Committee in Dubai 1- Haematology Haematology Sick leave Period Idiopathic thrombocytopenic purpura 1 week Autoimmune hemolytic anemia 1 week Hemophilia - joint bleeding 2 weeks Hemophilia - other bleeding 7 - 28 days Severe iron - deficiency anemia 1 week Severe megaloblastic anemia (Hgb less than 5 g) 1 week Acute leukemia 6 months Multiple Myeloma 1-2 weeks Chronic myeloid leukemia 1 week Chronic lymphocytic leukemia 1 - 4 days Polycythemia vera 1 - 4 days Aplastic anemia 15 - 60 days 3 اــــــــ اـــــ اـ ـــــ ـ دـــ General Medical Committee in Dubai 2-Digestive Diseases Digestive Diseases Sick leave Period Acute hepatitis 2-3 weeks Acute non-variceal bleeding 7 to 10 days Acute variceal bleeding 10 days to 2 weeks Acute relapse of inflammatory bowel disease 1 to 2 weeks Hepatic encephalopathy 2 weeks ?( To continue light duty) Massive ascites 7 to 10 days Gastroenteritis 3 to 5 days Irritable bowel syndrome Up to 3 days Spontaneous bacterial peritonitis 10 days to 2 weeks Mild Corrosive ingestion 3 to 5 days Moderate to severe corrosive ingestion 1 to 2 weeks Foreign body removal Up to 3 days PROCEDURES Endoscopy 1 to 2 days Liver biopsy 3 days Elective variceal banding 3 days ERCP 3 to 5 days Endoscopic Dilatation 3 to 5 days 4 اــــــــ اـــــ اـ ـــــ ـ دـــ General Medical Committee in Dubai 3- Neurosurgery Neurosurgery Sick leave Period Lumber microdiscectomy 2-3 Months Cervical microdiscectomy 1 - 2 months Craniotomy operation 3 months Severe Head Injury 2 - 3 months Shunt operation 1 month Carpal tunnel decompression 2 - 4 weeks Depressed fractures and mild head injury 1 month Spinal fusion 2-3 months 5 اــــــــ اـــــ اـ ـــــ ـ دـــ General Medical Committee in Dubai 4- ENT ENT department Sick leave Period Ears Acute otitis Externa 5 - 7 days Acute otitis media 5 - 7 days Acute endo lymphatic hydrops 7 - 10 days Baro trauma 5 - 7 days Vestibular neuronitis 10 - 14 days Tympanoplasty 14 days Cortical mastoidectomy 14 days Radical mastoidectomy 14 - 21 days Bell's palsy 10 - 14 days Minem Diseases Nose Fracture nasal bone 3 - 5 days Acute sinusitis 5 - 7 days Vestibulitis 3 - 5 days Septoplasty 14 days FESS 10 - 14 days Reduction Fracture nasal bone 7 - 10 days Septo Phinoplasty 14 - 21 days 6 اــــــــ اـــــ اـ ـــــ ـ دـــ General Medical Committee in Dubai ENT department Sick leave Period Throat Acute Follicular tonsillitis 5 - 7 days Peritonsillar Abscess 5 - 7 days Acute laryngitis 5 - 7 days Epiglottis 5 - 7 days Tonsillectomy 10 - 14 days Micolaryngoscopy 3 - 5 days Hypopharyngoscopy 3 - 5 days Oesophagoscopy 3 - 5 days 7 اــــــــ اـــــ اـ ـــــ ـ دـــ General Medical Committee in Dubai 5- Cardiology and Cardiothoracic Surgery Cardiology and Cardiothoracic Surgery Sick leave Period Cardiothoracic Surgery Coronary Artery Bypass Surgery 8 weeks Valve Replacement / Repair surgery 8 weeks Congenital Heart surgeries 8 weeks Other open heart surgeries 8 weeks Thoracotomy 4 weeks Thoracoscopy 3 weeks Intercostal Drain Insertion (ICD) (eg. Pneumothorax) 2 weeks Mediastinoscopy 2 weeks Chest trauma with rib fractures or flail chest 4 - 6 weeks Surgical pacemaker insertion (addition) 2 - 3 weeks Cardiology Acute Myocardial Infraction 4 weeks Acute Myocardial Infraction (Complicated) up to 8 weeks Left Ventricular Failure 1 week Cognestive Cardiac Failure up to 2 weeks Control of INR, low INR, high INR 2 days up to 1 week 8 اــــــــ اـــــ اـ ـــــ ـ دـــ General Medical Committee in Dubai Cardiology and Cardiothoracic Surgery Sick leave Period Cardiology Pulmonary embolism up to 4 weeks Deep vein thrombosis up to 3 weeks Acute Pericarditis up to 1 week Acute Bacterial endocarditis up to 4 weeks Sub acute bacterial endocarditis up to 4 weeks Unstable angina up to 4 weeks Angina pectoris - stable up to 1 week Chest pain for evaluation - non cardiac 3 days Elective admission for coronary angiogram 3 days Procardial pain 3 days Atrial fibrillation 3 days Other arrhythmias 3 days Post permanent pacemaker insertion 1 week Post CR or ICD insertion 2 weeks Acute coronary syndrome following angioplasty 2 weeks Ischemic Heart Disease Up to 1 week 9 اــــــــ اـــــ اـ ـــــ ـ دـــ General Medical Committee in Dubai Cardiology and Cardiothoracic Surgery Sick leave Period Exacerbation of Heart failure Uncomplicated Up to 2 week Exacerbation of Heart failure Complicated Up to 4 week Arrhythmias (tachy & Brady) Uncomplicated Up to 1 week Arrhythmias (tachy & Brady) Complicated 2 - 4 weeks Pacemaker implantation with or without PCI 1 - 2 Weeks Coronary Angiography with or without PCI to multiple Arteries 2 - 4 Weeks Transesophageal / Dodutamine Stress Echocardiography 1- 3 Days Other Cardiac Illness depending on severity 2 - 6 Weeks 10 اــــــــ اـــــ اـ ـــــ ـ دـــ General Medical Committee in Dubai 6- Neurology Neurology Sick leave Period Multiple Sclerosis relapse 1- 8 weeks Ischaemic stroke 2 weeks - 3 months Haemorrhagic stroke 2 weeks - 3 months Epilepsy 1 day - 2 weeks Headaches including migraine 1 - 5 days Back pain and neck pain due to spondylosis or prolapse disc 1 - 2 weeks Guillain - Barre Syndrome (GBS) 2 - 6 months Transverse myelitis with paprplegia 2 - 6 months 11 اــــــــ اـــــ اـ ـــــ ـ دـــ General Medical Committee in Dubai 7- Dermatology Dermatology Sick leave Period Steven Johnson Syndrome ( SJS) 2 weeks Toxic Epidermal necrolysis (TEN) 3 - 4 weeks Severe adverse cutaneous drug eruption 2-7 days Erythroderma 5-14 days Pustular psoriasis 5-14 days Acute palmoplanter dermatosis 5-14 days Severe infected generalized eczema 3-7 days Severe pemphigus vulgaris 5-14 days Severe acute hand dermatitis 3-7 days Severe acute urticaria angioedema 2-5 days Acute Erythema nodosum 5-10 days Herpes zoster 7-10 days Chicken pox 7-10 days Severe mouth ulcerations 5-10 days Cellulitis 5-10 days 12 اــــــــ اـــــ اـ ـــــ ـ دـــ General Medical Committee in Dubai 8- Obstetric & Gynecology Obstetric & Gynecology Sick leave Period 20-23 weeks - Preterm delivery 2- 4 weeks 24 weeks to Term Delivery 6 weeks postparutm Abdominal hysterectomy 6 weeks Anterior Posterior repair 4 weeks Anterior Posterior repair with enterocele 4 - 6 weeks Cervical cauterization 1-2 days Cervical cerclage 2 weeks Cervical conization 1-2 weeks Chorionic Villi biopsy upto 1 week D&C 1 week Fibroid myomectomy 6 weeks Hystero laparoscopy 2 - 3 weeks Hysteroscopic surgery 1 week Laparoscopic drilling for ovaries for polycystic ovary 1 week Laparoscopic hysterectomy 3 - 4 weeks 13 اــــــــ اـــــ اـ ـــــ ـ دـــ General Medical Committee in Dubai Obstetric & Gynecology Sick leave Period Laparoscopic ovarian cystectomy/drilling/tubal ligation 2 weeks Laparoscopic salpingectomy 2 weeks Laparotomy for any reasons 4 - 6 weeks Marsupilization – Bartholin cyst 1 week Miscarriage - up to 20 weeks 1 week Perineorrhaphy 1 week 2-3 days (otherwise needs admission) Premature uterine contraction Threatened abortion with or without hematoma 2-4 weeks TVT, TOT 4 weeks Up to 20 weeks – miscarriage 1 week Vaginal hysterectomy 4 - 6 weeks 14 اــــــــ اـــــ اـ ـــــ ـ دـــ General Medical Committee in Dubai 9- General Surgery General Surgery Sick leave Period MINOR SURGICAL PROCEDURES Excision of cyst 3 days Removal of foreign body by speculum, forceps or superficial incision 3 days Incision and drainage abscess upto 4 weeks Suture of laceration (simple) 3 days Excision biopsy of skin or subcutaneous tumor Biopsy of superficial lymph node 3 days 3 days Breast Biopsy 1 week Lymph node dissection 1 week Thyroid biopsy 3 days PERINEAL PROCEDURES Haemorroidectomy 2 weeks Transrectal hemorrhoidal 1 week dearterialization Longo procedure 3 days Injection of piles 3 days Pilonidal cyst excision/marsupialization Drainage deep ischio-rectal abscess Evacuation of thrombosed haemorrhoid 1 week upto 4 weeks 1 week Fistula and Sinuses 1 week Sphincter reconstruction 1 week HERNIOPLASTY Inguinal hernia 2 - 4 weeks 15 اــــــــ اـــــ اـ ـــــ ـ دـــ General Medical Committee in Dubai Femoral hernia 2 - 4 weeks 2 - 4 weeks Incisional hernia 2 - 4 weeks Ventral hernia 2 - 4 weeks Spigelian hernia Umbilical hernia 2 - 4 weeks BARIATRIC SURGERIES Gastric Bypass surgery 4 weeks Sleeve gastrectomy 4 weeks MINOR LAPAROSCOPIC PROCEDURES Appendectomy 2 - 4 weeks Non-complicated Cholecystectomy (Laparoscopic) Excision of Meckel’s diverticulum Percutaneous endoscopic gastrostomy 2 weeks 2 - 4 weeks 2 weeks MAJOR LAPAROSCOPIC PROCEDURES Gastric & small bowel surgeries 4 weeks Colon surgery 4 weeks Rectal surgery 4 weeks Spleen surgery 4 weeks Liver & gall bladder surgery 4 weeks Diaphragmatic surgery 4 weeks Diagnostic laparoscopic 1-2 weeks procedures MINOR LAPAROTOMY Appendectomy 2 -4 weeks Excision of Mickle's diverticulum 2 -4 weeks 16 اــــــــ اـــــ اـ ـــــ ـ دـــ General Medical Committee in Dubai MAJOR LAPAROTOMY Rectal procedures 4 weeks Liver surgery 4 weeks Gastric and bowel resection 4 weeks Biliary tract surgery 4 weeks Pancreas surgery 4 weeks Splenic surgery 4 weeks Surgery of adrenal glands 4 weeks Oesophageal surgery 4 weeks Thoracotomy 4 weeks Exploratory laparotomy 4 weeks BREAST SURGERIES Mastectomy, simple 3 weeks Mastectomy, radical 4 weeks AMPUTATIONS Hind Quarter amputation 6-8 weeks Four quarter amputation 4-6 weeks Below knee amputation 4-6 weeks Above knee amputation 4-6 weeks Below elbow amputation 4-6 weeks Above elbow amputation 2-4 weeks Mid tarsal amputation 2-4 weeks Wide Excsion And Graft for Malignant Skin Lesion Ray amputation of fingers and toes 2-3 weeks 2-3 weeks THYROID AND PARATHYROID SURGERIES Enucleation 3 weeks Hemithyroidectomy 4 weeks Subtotal thyroidectomy 4 weeks 17 اــــــــ اـــــ اـ ـــــ ـ دـــ General Medical Committee in Dubai Total thyroidectomy 4 weeks Parathyroidectomy 4 weeks CYSTS AND TUMORS OF NECK INCLUDING SALIVARY GLANDS Subtotal parotidectomy 4 weeks Total parotidectomy 4 weeks Extensive neck lymphnode excision 1 week Excision of neck cyst 1 week NB: All the patients will need follow-up after discharge and some patients might require longer period of sick leave if indicated and justified. 18 اــــــــ اـــــ اـ ـــــ ـ دـــ General Medical Committee in Dubai 10 -Family Medicine General medical conditions Sick leave Period Common cold Acute pharyngitis Acute sinusitis Allergic rhinitis Cough* Suture* Back pain( mechanical)* muscle strain spasm & cramps* Removal of foreign body by speculum, forceps or superficial incision* Simple burn* Simple cut injuries* Falls* Malaise &fatigue* Burn out &stress Undue concern and* preoccupation with stressful events 3-1days 3-1days 7-5days 3-1days 3-1days 3-1days 3-1days 3-1days Depression & anexity* 5-3days Pregnant lady for GTT day1 Insomnia* 3-1days Myalgias* Tooth ache* Fever (non specific)* 1day 1day 1 -3days 3-1days 5-3days 3-1days 3-1days 5-3days 5-3days Mother accompanying sick child Based on child condition Epistaxis* Acute abdominal pain* Perineal pain* Jaundice – unspecified* 2-1days 3-1days 3-1days 3-1days Limping (difficulty in walking)* 3-1days Lack of coordination* 3-1days Dysuria* Retention of urine* Haematuria* Anuria and oliguria* Incontinence* 3-1days 3-1days 3-1days 3-1days 3-1days 19 اــــــــ اـــــ اـ ـــــ ـ دـــ General Medical Committee in Dubai 3-1days Urethral discharge* 3-1days Dizziness and giddiness* Domestic Violence* Hoarseness of voice* Fatigue* Enlarged Lymph node* Peripheral oedema) L.Limb* ( 5-1days 3-1days 3-1days 3-1days 3-1days * means affecting patient normal daily physical activity, Overall the duration of sick leave depends on the Doctors judgment and sometimes it is difficult to generalize the duration on every condition because it is an individualized decision 20 اــــــــ اـــــ اـ ـــــ ـ دـــ General Medical Committee in Dubai 11- PLASTIC SURGERY PLASTIC SURGERY PROCEDURES Sick leave Period MINOR AND MAINS AESTHETIC LIPOSUCTION ,ABDOMEN 1 - 2 weeks LIPOSUCTION TORSO 1 - 2 weeks MAJOUR LIPOSUCTION 2 - 3 weeks LIPOSUCTION CHIN 1 week BODY LIPOSUCTION 2 - 3 weeks LIPOSUCTION ARMS 1 - 2 weeks ABDOMINOPLASTY 2-3 weeks MINIABDOMINOPLASTY 1 week LIPOSUCTION ASSISTED MINI 1 - 2 weeks BREAST REDUCTION 1 - 2 weeks BREAST AUGMENTATION 1 week BREAST MASTOPEXY 1 - 2 weeks RHINOPLASTY 1 - 2 weeks TIP NOSE OPEARTION 1 week NOSE BONE RESHAPING 2 weeks WINGS NOSE REDUCTION 1 week BLEPHAROPLASTY UPPER 1 week BLEPHAROPLASTY LOWER 1 week BLEPHAROPLASTY UPPER AND LOWER 1 - 2 weeks EYE BROW LIFT 1 week 21 اــــــــ اـــــ اـ ـــــ ـ دـــ General Medical Committee in Dubai PLASTIC SURGERY PROCEDURES Sick leave Period OTOPLASTY 1 week LIP AUGMENTATION BY OPERATION 3-5 Days FACE LIFT 1 - 2 weeks MINIFACE LIFT 1 week CHEEK AUGMENTATION FY FAT 3-4 DAYS CHIN LIFT 5-7 DAYS HAIR GRAFT 1 weeks FILLERS 0 DAY BOTOX 0 DAY MESOTHERAPY 0 DAY RECONSTRUCTION SMALL FLABS 1 week MODERATE FLABS 1 week MAJOR FLABS 1 - 2 week FREE FLAPS ?? PERFORATOR FLAP 2 - 3 weeks PARTIAL THIKNESS SKIN GRAFT 1 week FULL THIKNEE SKIN GRAFT 1 week BURN 10% 1 - 2 W weeks BURN 10% - 30% 2 - 3 weeks BURN OVER 30% 3 - 8 weeks BREAST RECONSTRUCTION 2 weeks 22 اــــــــ اـــــ اـ ـــــ ـ دـــ General Medical Committee in Dubai PLASTIC SURGERY PROCEDURES Sick leave Period SYNDACTYLES 1- 3 weeks HIDROADENITIS 1 - 3 weeks SMALL LESION 1 3 DAYS SKIN TAGS 1 DAY 23 اــــــــ اـــــ اـ ـــــ ـ دـــ General Medical Committee in Dubai 12- Infectious Disease Infectious Disease sick leave period Acute Pharyngitis / tonsillitis (Streptococcus Group B) Amebiasis: amoebic liver abscess 5 - 10 days 15 - 21 days Abscess, Liver 7-56 days Abscess, Psoas 5-56 days Abscess, Peritonsillar 2-7 days Amebiasis (amoebic intestinal infections) Brain Abscess 3-10 days 28-56 days Actinomycosis 0-35 days Bronchitis, Acute 0-14 days Brucellosis 7-21 Days Campylobactoer gastroenterities 3 - 7 days Candidiasis 0-7 days Cat Scratch Disease 0-10 days Cold 0-5 days Chagas' Disease 3-21 days Chickenpox 7-21 days Cholera 3-7 days Chlamydia pneumonia 10 - 21 days Cryptococcosis 3-119 days Cystitis, Acute 0-7 days Diarrhea 0-7 days 24 اــــــــ اـــــ اـ ـــــ ـ دـــ General Medical Committee in Dubai Infectious Disease sick leave period Dengue Fever 7-42 days Dysentery 3-10 days E. Coli 3-10 days Fever Filariasis 0-3 days 0-14 days Food Poisoning 0-10 days Malaria 5-21 days Mononucleosis 7-28 days Mumps 7-14 days Legionnaire's Disease 5-35 days Giardiasis 3-14 days Influenza 3-28 days Influenza, A H1N1 3-28 days Orchitis 3-21 days Rubella 7-14 days Rubeola 10-42 Days Meningitis,Aseptic 14-42 days Meningitis, Bacterial 14-21 days Meningitis, Chronic 42-182 days Mycosis Fungoides 10-182 days Hepatitis A 0-21 days 25 اــــــــ اـــــ اـ ـــــ ـ دـــ General Medical Committee in Dubai Infectious Disease Infectious Disease Hepatitis B 0-42 days Hepatitis C 0-42 days Hepatitis E 10 - 28 days Herpes Simplex 0-5 days Herpes Zoster 0-21 days Polio 84-168 days Pneumonia 7-28 days Pneumocystis Carinii Pneumonia 1-28 days Pott's Disease 10-84 days Tetanus 10-28 days Tuberculosis, Respiratory 10-42 days Toxoplasmosis 28-63 days Typhoid Fever 14-63 days Pyelonephritis, Acute 3-14 days Salmonellosis 3-14 days Shigellosis Syphilis 3-14 days 0-14 days HIV/AIDS Depends on associated opportunistic infection & clinical status 21-42 days Mycobacterium avium complex (MAC) infections Pneumocystis pneumonia 21-35 days Toxoplasmosis 28-42 days 26 اــــــــ اـــــ اـ ـــــ ـ دـــ General Medical Committee in Dubai Infectious Disease Infectious Disease Cryposporidiosis 3-7 days Bacterial respiratory Diseases 7-21 days Salmonellosis 7-42 days Shigellosis 7-14days Campylobacteriosis 7-14days Syphilis 1-14days Candidiasis(Mucosal) 7-21days Cryptococcal Meningitis 21-56days CMV Infection 14-35days Varicella-Zoster Virus Disease 5-21days Leishmaniasis,Visceral 14-42days Leishmaniasis,Cutaneous 14-42days Clostridium difficile infections 7 - 15 days Cryptosporidium diarrhea 15 - 21 days Diphtheria 15 - 21 days E.Coli gastroenteritis 3 - 7 days E.Coli 0157 H7 gastroenteritis 7 - 21 days Encephalitis (viral) 10 - 15 days Enteric Viral Infections (Viral gastroenteritis) Leptospirosis 3 - 5 days 5 - 15 days Listeria: gastroenteritis 3 - 7 days 27 اــــــــ اـــــ اـ ـــــ ـ دـــ General Medical Committee in Dubai Infectious Disease Infectious Disease Lyme Diseases 10 - 28 days Pertussis 7 - 15 days Respiratory Syncytial Virus (RSV) 5 - 15 days Tuberculosis: intestinal 21- 42 days Tuberculosis: cervical 15 - 28 days 28 اــــــــ اـــــ اـ ـــــ ـ دـــ General Medical Committee in Dubai 13- Pulmonary Medicine Pulmonary Medicine Sick leave Period Bronchial Asthma 4 -7 days COPD 1 Week Interstitial Lung Disease ( ILD ) 2- 4 Weeks Pulmonary Embolisum ( PE ) 2- 4 Weeks Bronhchitis 1 Weeks Bronchiectasis 1 Weeks Pneumonia 1- 2 Weeks Pleurisy 1- 2 Weeks Pnemothorax 1- 2 Weeks Pulmonary T.B 2- 4 Weeks Lung Abscess 2- 4 Weeks Acute respratory Distress Syndrome (ARDS) 2- 4 Weeks 29 اــــــــ اـــــ اـ ـــــ ـ دـــ General Medical Committee in Dubai 14- Diabetes Diabetes Related Problems Sick leave Period Outpatient Hypoglycemia 1 Day Hyperglycemia 1 Day Bronchitis 2 - 3 Days Pneumonia 5 Days UTI 2 Days Gastroenteritis 2 Days Cellulitis 4 days Heart Failure 5 Days Angina 3 Days Uncontrolled Hypertention 3 days INpatient diabetic Ketoacidosis 3 Days Hypoglycemia 2 Day Hyperglycemia 2 Day 30 اــــــــ اـــــ اـ ـــــ ـ دـــ General Medical Committee in Dubai 15- Vascular Surgery Vascular Surgery Sick leave days Post operative venous surgery 2 weeks to 1 month Post operative arterial surgeries 1 month to 2 months Superficial phlebitis 1 week to 2 weeks Deep vein thrombosis 2 weeks to 1 month Minor limb amputations 2 weeks to 1 month Major limb amputations 3 weeks to 2 months Lymphatic pathology 2 weeks to 1 month Endovascular arterial procedures 1 week to 1 month Endovascular venous procedures 1 week to 2 weeks Endovenous laser therapy 1 week to 3 weeks Sclerotherapy for varicose veins 3 days to 1 week 31 اــــــــ اـــــ اـ ـــــ ـ دـــ General Medical Committee in Dubai 16- Ophthalmology Ophthalmology sick leave period Phaco + IOL 1 - 2 weeks ECCE + IOL 2 - 4 weeks Trabeculectomy 1 - 3 weeks Squint 2 - 3 weeks Entropion / ectropion 1 - 2 weeks Ptosis 2 - 3 weeks Minor lid lesion excision 2 - 3 days Major lid lesion excision 1 - 2 weeks Blepharoplasty 1 - 2 weeks Lid injury 1 week Chalasion 2 - 3 days Pterygium 1 - 2 weeks Conjunctival tear 1 week Conjunctival hood / graft 2 weeks DCR 2 - 3 weeks Punctal occlusion 1 - 2 days Evisceration / enucleation 3 - 4 days Socket reconstruction 3 - 4 weeks Lasik 3 days - 5 days PRP 1 day SLT 1 day Laser capsulotomy 1 - 2 days Laser P.I. 1 - 2 days Epilasik / PRK/ PTK 1 - 2 weeks Corneoscleral perforation 2 - 3 weeks Corneal F.B. removal 1 - 2 days Buckling / encircling 3- 4 weeks Vitrectomy gas / oil 4 - 6 weeks 32 اــــــــ اـــــ اـ ـــــ ـ دـــ General Medical Committee in Dubai Ophthalmology sick leave period Silicon oil removal 1 week Intraocular foregin body removal 2 - 3 weeks Avastin / other intravitreal injection 1 - 2 days Conjunctivitis 1 day to 1 week bacterial or viral Keratitis 1 day to 1 week Uveitis 3 days to 2 weeks Dacryocystitis 2 weeks Preseptal cellulitis 2 - 3 weeks Orbital cellulitis 3 - 4 weeks Corneal abscess 1 day to 2 weeks FFA 1 day Fundus examination 1 day Fundus fluorescence 1 day Viral keratitis 1 day - 3 Weeks according to severity PRK ( PR Keratectetomy) 2 Weeks - 4 Weeks Cataract Operation 3 Weeks - 4 Weeks Iridio cyclistis 1 Month - 2 Month according to severity Keratoconus Surgery 2 Weeks - 4 Weeks Corneal transplant 4 Weeks - 6 Weeks 33 اــــــــ اـــــ اـ ـــــ ـ دـــ General Medical Committee in Dubai 17- Urology Urology Recommended sick leave period Kidney and Adrenal Adrenalectomy, laparoscopic 2 Weeks Adrenalectomy, open 4 Weeks Endopyelotomy 2Weeks Kidney fine needle biopsy 3 Days Nephrolithotomy, laparoscopic 4 Weeks Nephrolithotomy, open 6Weeks Nephropexy, laparoscopic 3 Weeks Nephropexy, open 4 Weeks Nephropexy, percutaneous 4 Weeks Nephroureterectomy, laparos. 3 Weeks Nephroureterectomy, open 5 Weeks Partial nephrectomy, laparos. 3 Weeks Partial nephrectomy, open 5 Weeks Percut. Nephrolithotripsy (PCNL) 3 Weeks Percut. Nephrostomy 1 Weeks Perinepheric abscess drainage 1 Weeks Pyelolithotomy, laparoscopic 3 Weeks Pyelolithotomy, open 5 Weeks Pyeloplasty, laparoscopic 3 Weeks Pyeloplasty, open 5 Weeks Radical nephrectomy, laparos. 3 Weeks Radical nephrectomy, open 5 Weeks Renal cyst excision, laparos. 1 Weeks Renal cyst excision, open 2 Weeks Renal cyst puncture 3 Days Repair of injured kidney 6Weeks Simple nephrectomy, laparos. 3 Weeks Simple nephrectomy, open 5 Weeks 34 اــــــــ اـــــ اـ ـــــ ـ دـــ General Medical Committee in Dubai Urology Recommended sick leave period Surgery for renal abscess 3 Weeks Retroperitoneum and Ureter Retrograde pyelography 3 Days Retroperitoneal biopsy 1 Weeks Retroperitoneal draingae Retroperitoneal Lymph Node Dissec. Laparos. Retroperitoneal Lymph Node Dissec. Open Ureter reimplantation, laparos. 1 Weeks 3 Weeks 6Weeks 4Weeks Ureter reimplantation, open 6Weeks Ureteric stent insertion 3 Weeks Ureteric stent removal 1 Weeks Ureterocele incision 1 Weeks Uretero-cutaneostomy 3 Weeks Ureterolithotomy, laparoscopic 2 Weeks Ureterolithotomy, open 4Weeks Ureterolysis, laparoscopic 1 Weeks Ureterolysis, open 3 Weeks Ureteroscopy & lithotripsy 1 weeks Ureterotomy 1 Weeks Ureteroureterostomy, laparos. 3 Weeks Ureteroureterostomy, open 5 Weeks Urinary Bladder Bladder hydrodistention 1 Weeks Cystolitholapaxy 1 Weeks Cystolithotomy, laparoscopic 3 Weeks Cystolithotomy, open 4 Weeks Cystoscopy & cold biopsy 3 Days Partial cystectomy, laparos. 3 Weeks Partial cystectomy, open 5 Weeks Radical cystectomy, laparos. 5 Weeks Radical cystectomy, open 8Weeks 35 اــــــــ اـــــ اـ ـــــ ـ دـــ General Medical Committee in Dubai Urology Recommended sick leave period Repair of injured bladder 3 Weeks Suprapubic cystostomy, open 3 Weeks Suprapubic cystostomy, percut. Transurethral resection of bladder diverticulum Transurethral resection of bladder tumor (TUR-BT) Urethrocystoscopy 3 Days 1 Weeks 3 Weeks 3 Days Urinary diversion, laparos. 4 Weeks Urinary diversion, open 6 Weeks Vesical diverticulectomy laparos. 3 Weeks Vesical diverticulectomy, open 4 Weeks Vesical fistula repair, laparos. 3 Weeks Vesical fistula repair, open 5 Weeks Urethra Excision of paraurethral cyst 3 Days Excision of urethral carbuncl 3 Days Excision of urethral polyp 3 Days Excision of Urethral warts 3 Days Internal urethrotomy 1 Week Meatotomy and repair 1 Week Repair of urethral fistula 3 Weeks Resection of post. urethral valve 2 Weeks Urethral biopsy 1 Week Urethral dilation 3 Days Urethral diverticulectomy 1 Week Urethral reconstuction 4 Weeks Urethrectomy 4 Weeks Urethroplasty 4 Weeks Prostate and Seminal Vesicles Laser surgery of prostate 2 weeks Microwave thermotherapy of prostate Pelvic lymph node dissec. Laparos. 3 Days 3 Weeks 36 اــــــــ اـــــ اـ ـــــ ـ دـــ General Medical Committee in Dubai Urology Recommended sick leave period Pelvic lymph node dissec. open 5 Weeks Perineal prostate biopsy 1 Week Prostatic abscess drainage 1 Week Prostatic stenting 1 Week Radical prostatectomy laparos. 4 Weeks Radical prostatectomy, open 6 Weeks Retropubic prostatectomy Transrectal US-guided prostate biopsy Transurethral incision of prostate (TUIP) Transurethral resection of ejaculatory ducts (TURED) Transurethral resection of prostate (TURP) Testes and Scrotum Epididymal sperm retrival Epididymectomy Fournier's gangrene necrectomy Hydrocele aspiration Hydrocelectomy Orchidopexy Radical orchidectomy Repair of testicular torsion Scrotal exploration Simple orchidectomy Spermatocelectomy Surgical castration Testicular biopsy, open Testicular biopsy, percut. Testicular prosthesis Testicular sperm retrival (TESE) Varicocelectomy, laparos. Varicocelectomy, open External genitalia Biopsy of penile lesion Circumcision Epispadias repair Excision of penile condyloma Frenulum incision Hypospadias repair 4 Weeks 1Week 2 Weeks 2 Weeks 3 Weeks 1 Week 2 Weeks 8 Weeks 3 Weeks 2 Weeks 2 Weeks 2 Weeks 2 Weeks 2 Weeks 2 Weeks 2 Weeks 2 Weeks 1 Week 1 Week 1 Week 1 Week 2 Weeks 2 Weeks 1 Week 1 Week 4 Weeks 3 Weeks 3 Weeks 4 Weeks 37 اــــــــ اـــــ اـ ـــــ ـ دـــ General Medical Committee in Dubai Urology Recommended sick leave period Inguinal lymphadenectomy Intracavernous drug injection Partial penile amputation Penile prosthesis removal Penile prosthesis-Inflatable Penile prosthesis-Semi-Rigid Reduction of paraphimosis Repair of penile fracture Surgery for Peyronie's disease Surgery for priapism Total penile amputation Vascular surgery for impotence 4 Weeks 3 Weeks 3 Weeks 2 Weeks 2 Weeks 2 Weeks 3 Weeks 2 Weeks 2 Weeks 2 Weeks 4 Weeks 2 Weeks Pelvic floor Cystocele repair, abdominal Cystocele repair, transvaginal Cysto-rectocele repair, abdom. Cysto-rectocele repair,vaginal Laparos. for stress incontin. Rectocele repair, abdominal Rectocele repair, transvaginal Tension-free vaginal tape (TVT) Trans-obturator tape (TOT) 3 Weeks 2 Weeks 4 Weeks 3 Weeks 2 Weeks 3 Weeks 2 Weeks 2 Weeks 2 Weeks Other Urologic Prodecures ESWL Excision of skin atheroma Intravesical therapy Oncotomy Other genital organ surgery Peritoneal dialysis catheter insertion, laparos. Peritoneal dialysis catheter insertion, open 3 Weeks 3 Weeks 3 Weeks 1 Week 2 Weeks 2 Weeks 3 Weeks Peritoneal dialysis catheter removal 2 Weeks Subcutan. foreign body removal Transurethral bulking agent Transurethral foreign body removal Urethral catheterization Urodynamic test 1 Week 1 Week 1 Week 3 Days 3 Days UROLOGY DISESES Acute cystitis Acute orchidoepididymitis 3 Days 1 Week 38 اــــــــ اـــــ اـ ـــــ ـ دـــ General Medical Committee in Dubai Urology Recommended sick leave period Acute prostatitis 1 Week Pyelonephritis 1 Week Renal colic 1 Week Any other severe urology diseases 1 Week 39 اــــــــ اـــــ اـ ـــــ ـ دـــ General Medical Committee in Dubai 18- Dental Dental sick leave period Acute Pulpitis 1 - 2 days Endodontic emergency 1 - 3 days Tooth fracture or loss 1 day Dental Extraction 1 - 2 teeth 1 day Dental Extraction 3 or more 1 - 3 days Dry or Infected socket 2 days Acute Periapical or Periodontal Abscess 1 - 2 days Surgical removal of teeth 1 - 2 days Surgical removal of wisdom teeth 1 - 3 days Bleeding socket 1 day Multiple oral ulcerations 0 - 3 days Dento alveolar fracture 1 - 2 days Surgical procedure under general anesthesia 5 days Orthognathic surgery single jaw 12 days Orthognathic surgery Bimax 21 days Facial Trauma (maxilla / mand / zygoma) 7 days Poly facial Trauma 7 - 30 days Acute Salivary gland infection 4 days Acute TMJ pain 2 - 4 days Surgical Implantology 1 - 4 implants 1 day 40 اــــــــ اـــــ اـ ـــــ ـ دـــ General Medical Committee in Dubai Dental sick leave period Surgical Implantology more than 4 implants Sinus lifting or bone grafting procedures Tumor resection or reconstruction GA 2 - 7 days 3 days 10 - 20 days Tumor Excision LA 2 - 3 days Gingival surgery localized 2 - 3 days Total Gigivectomy 12 days 41 اــــــــ اـــــ اـ ـــــ ـ دـــ General Medical Committee in Dubai 19- Orthopaedic Orthopedic Department sick leave period ACL reconstruction 12 to 16 weeks Adductor tenotomy 3 to 4 weeks Arthrodesis toe 8 weeks Arthroscopy knee removal loose body Arthroscopy knee and synovectomy 10 to 14 days 4 to 6 weeks Arthroscopy ankle 4 to 6 weeks Arthroscopy knee diagnostic 14 days Arthroscopy knee debridement and lavage 3 weeks Arthrotomy elbow 6 to 8 weeks Arthrotomy hip 12 weeks Arthrotomy knee 8 to 12 weeks Arthrotomy wrist 6 to 8 weeks Bankart repair 12 to 16 weeks Biopsy bone 6 to 12 weeks Biopsy joint 4 to 6 weeks Biopsy soft tissues 2 to 3 weeks Carpal tunnel release 2 weeks Curettage and bone grafting 10 to 12 weeks De Qervains deroofing 7 to 14 days Halux valgus osteotomy 6 to 8 weeks Hamstring aponeurotomy 6 weeks 42 اــــــــ اـــــ اـ ـــــ ـ دـــ General Medical Committee in Dubai Orthopedic Department sick leave period Hip release 8 to 12 weeks High tibial osteotomy 12 to 16 weeks Laminectomy and fusion 12 to 16 weeks Laminectomy discectomy 8 to 12 weeks Laminectomy and fixation 12 to 14 weeks Arthroscopy and Menisectomy 4 to 6 weeks Nucleoplasty 10 days to 2 weeks Shoulder stabilization 12 to 14 weeks Shoulder arthroscopy 10 to 14 days Spinal instrumentation 16 to 18 weeks Subacromial decompression 6 to 8 weeks Subtrochanteric osteotomy valgus 12 to 16 weeks Subtrochanteric osteotomy varus 12 to 16 weeks Supracondylar osteotomy femur 12 to 16 weeks Tendo-Achilles lengthening 8 to 12 weeks Tendon transfer 8 to 12 weeks Total hip arthroplasty 8 to 12 weeks Total knee arthroplasty 8 to 12 weeks Triceps release 6 weeks Trigger finger release 7 to 14 days Triple arthrodesis 12 weeks Depomedrol injection – soft tissue 1 to 2 weeks 43
