MBBS, FCPS, MRCSEd
Mediclinic City Hospital
Hospitalist General Surgery
Dubai | United Arab Emirates
Main Specialties: Colon & Rectal Surgery, Oncology, Surgery, Surgical Critical Care
Additional Specialties: General Surgery
There are not many career paths that epitomize the noble traits of compassion, discipline and dedication along with inculcating a sense of passionate fervour and contentment that drives one to enjoy the herculean tasks at hand. Being a surgeon embodies all that and more. Ever since I stepped into the old dissection hall building of my University, I was enthralled with the intricacies of the human anatomy that displayed itself as a form of art that could be savoured and I instantly knew that I would be this artist, this keeper of the mysterious old traditions, this action hero eveready to spring out on to every occasion to save a soul with all that he can. And I did and never looked back. Honoured with the privilege of working in one of the largest tertiary care hospitals of South Asia, the Mayo Hospital Lahore, my surgical residency has been an amalgam of hard work, struggle, determination and integrity. I have been fortunate to have brilliant surgeons as my mentors who shaped my enthusiasm into an indispensable skill set. They guided me to pursue continuous learning and to be flexible to be at par with the emerging wisdom. That has made me aspire for a Fellowship in the field of General Surgery that would eventually lead to a challenging career in the emerging field of Metabolic Surgery. I am keen on including research as an integral part of my career and will carry on the legacy of this dignified profession.
Primary Affiliation: Mediclinic City Hospital - Dubai , United Arab Emirates
Khafaji BA, Umar Younis M, Khafaji YADelayed Presentation of Rectal Trauma - Is Colostomy Necessary?.JCR 2019;9:254-256
Journal of Case Reports
Background: Presentation of rectal injuries in the civilian setting is often delayed due to patient denial or assault and requires a high index of suspicion for diagnosis. The standard of care in dealing with such injuries has evolved from mandatory fecal diversion to emphasis on avoidance of colostomy whenever possible. Case Report: A 17 year old male presented to the emergency department with complaints of severe lower abdominal pain, high grade fever and bloody stool following a fall at swimming facility. CT scan abdomen and pelvis confirmed presence of a well organized hematoma in right side of vesicorectal pouch with no active leak. Proctoscopy under anesthesia confirmed rectal perforation on the anterior wall on the right side and a small ulcer after blood clots were evacuated. This was sutured in the same setting and patient was kept on oral liquids and responded well to treatment with follow up ultrasound scans confirming reduction in hematoma size. He was discharged on 7th day and remained healthy on immediate follow up. Conclusion: Primary repair of low rectal perforation during proctoscopy under anesthesia can be safely carried out without colostomy as an alternative in patients presenting with hemodynamic stability and limited sepsis. The optimum approach should be individualized and fecal diversion should be avoided where possible to reduce morbidity.
Professional Med J 2019; 26(6):907-912.
The Professional Medical Journal
ABSTRACT… Needle stick injuries have a fairly common incidence in surgical practice exposing surgeons to an array of transmissible diseases. The aim of the study was to assess the prevalence of needle stick injury, and their reporting among surgeons in tertiary hospital setting. Study Design: Cross-sectional study. Setting: Various tertiary care hospital of Lahore. Period: January 2016 through April, 2016. Materials and Methods: Our sample size was 935 Surgeons. We determined the prevalence of needle stick injuries, reporting of NSI, the reasons for not reporting and the reasons for acquired injuries. Results: Needle stick injury was reported by only 85 (9.1%) participants. The reasons for not reporting varied; 363 (38.8%) did not report due to unawareness of the existence of a relevant system, 250 (26.7%) did not know whom to report, 86 (9.2%) were not able to spare time to report, 81 (8.7%) were afraid of results, 48 (5.1%) thought that patient was low risk and 107 (11.4%) did not bother. Conclusion: There was a lack of hospital policy to cater to the reporting of injuries sustained during surgical practice. A dire need for a system was observed to educate the healthcare workers and provide a medium to assist the process of reporting.
J Ayub Med Coll Abbottabad 2017 Apr-Jun;29(2):344-346
Department of General Surgery, Canadian Specialist Hospital Dubai, UAE.
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J Minim Invasive Surg Sci. 2019 ; 8(1):e84181.
Journal of Minimally Invasive Surgical Sciences
AbstractIntroduction: A possible complication that may present late after Roux-en-Y gastric bypass is the development of marginal ulcerat the gastrojejunostomy site. We discuss here an emergency presentation of a case with a delayed perforation at the anastomosis 5months after surgery which dealt successfully with the laparoscopic approach.Case Presentation: A 45-year-old female presented to the emergency department for evaluation of severe upper abdominal pain.Her past historywas signiﬁcantfor laparoscopic Roux-en-Y gastric bypass surgery forweight loss done inOct 2016andfurther deniedany history of chronic medication, alcoholism, smoking or any co-morbidity. She was examined and found to have a tendernessall over the abdomen with sluggish bowel sounds and decreased air entry at bases bilaterally, more so on the left side. PortableCXR revealed air under the diaphragm and an obliterated left costophrenic angle. A repeat CT scan with gastrograﬃn contrast wascarried out and ﬁndings conﬁrmed a perforation at the site of gastrojejunal anastomosis with free ﬂuid in the pelvis and ﬂanks. Sheunderwent laparoscopic exploration and repair of anastomotic perforation with omental patch and was discharged in a healthyfashion on her 7th postoperative day.Conclusions: Thiscasereportcorroborateswithliteratureavailablefrommanysourcesthatmarginalulcerperforationisoneof theserious complications after Roux-en-Y gastric bypass and may present early in the ﬁrst few months or as a delayed entity years afterthe surgery. Once diagnosed, urgent intervention is required and laparoscopic repair has shown itself a safe and eﬀective treatmentstrategy where facilities are available.Keywords: Laparoscopy, Roux-en-Y Gastric Bypass, Marginal Ulcer, Bariatric Surgery, Case Report
J Surg Case Rep 2017 Aug 1;2017(8):rjx154. Epub 2017 Aug 1.
Department of General Surgery, Canadian Specialist Hospital, Dubai, UAE.
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