Flexible Endoscopic

Flexible Endoscopic

I performed Pakistan’s first ever flexible endoscopic treatment for a large arachnoid cyst in the thoracic spinal cord.

Being the only one trained and expert to do these procedures in Pakistan, I seem to get the most complex and challenging cases. By using a flexible endoscope, which Shifa international has made available for me, I was able to perform the operation via a small laminectomy and connect all the cysts. The Patient was discharged home the next day with significant improvement, having presented with severe myelopathy.

Over the last year I have transformed the practice of neurosurgery in Pakistan, bringing it into the 21st century. Thanks to SHIFA international and my ongoing endeavours to bring the latest and best possible treatments to Pakistan on par with any international standards.

Suprasellar meningioma

Suprasellar meningioma

I am a true advocate for advancing surgical techniques, having introduced minimally invasive and awake surgical techniques to the region. However, for certain cases there is no substitute for more traditional approaches, and the finely tuned hand-eye co-ordination of a highly trained surgeon.

Suprasellar meningioma is a tumour causing gradual loss of vision and requires extremely fine dissection.

Despite having performed thousands of surgeries I still find this surgery to be challenging and results very gratifying.

I also share a clip of the surgery which was done on the latest microscope which Shifa international has provided for me.

Minimally invasive surgeries

Now that I have established a minimally invasive neurosurgery service at SHIFA International Hospital Islamabad, I am focusing on teaching and training my trainees.

This has been possible thanks to the dedication of theatre staff and the anaesthetic team at SHIFA. Minimally invasive surgeries have brought with them new instruments, endoscopes, neuronavigation and latest surgical techniques. Even the positioning of patients had to be adjusted.

I strongly believe in supervising my trainees until they are confident in performing a procedure. Having practiced neurosurgery in 3 continents , it’s now time to make sure minimally invasive neurosurgery takes a hold in this region.

My trainee performing neuronavigation guided endoscopic cranial surgery one of a few female neurosurgical trainees in the country.

Spinal Fracture

Spinal Fracture

A patient had presented with a spinal fracture and was in pain and losing power in his legs. It was a very satisfying experience to treat his condition minimally invasively and do percutaneous spinal fracture fixation rather than making big cuts. He was able to mobilise and go home the same day instead of spending weeks in hospital. By the grace of God I have treated a significant number of patients with good results over the years having started this technique since 2013. One of a few in the country. I have to thank all the team that made it possible at Shifa international.

Brain Tumour

Brain Tumour

 

I reviewed this patient 4 months after surgery. She had a brain tumour which was considered inoperable by most neurosurgeons in the country. I offered her surgery and did endoscopic resection of the brain tumour. I almost had tears in my eyes when I saw her back in clinic healthy and well 4 months on. This was one of the most challenging cases. Being the only one offering minimally invasive endoscopic brain surgery has its ups and downs. Having done hundreds of endoscopic brain surgeries I still have to take a pause and think as the last thing I want as a neurosurgeon is to cause any harm. Allah Almighty blessed me this time. I also thank all the team and the onoclogist and endocrinologist at shifa for their ongoing support.

Pituitary adenoma (Type of brain tumour)

Pituitary adenoma (Type of brain tumour)

 

A case of Pituitary adenoma (Type of brain tumour) I operated on here in Islamabad last year.

Having established a minimally invasive endoscopic neurosurgical service in a UK centre, I was again given the opportunity to establish the service here in Islamabad so patients don’t have to travel for treatment.
Over the last year I have treated hundreds of patients in Islamabad at shifa international. Every patient has received the same quality of service that I have been providing for years. I thank the Endocrinologists for their trust and all the staff at Shifa for their support that has made this possible. For a doctor there is nothing more gratifying than a satisfied patient.

Encephalocele (Birth defect in the skull with brain coming out).

Encephalocele (Birth defect in the skull with brain coming out).

 

1 day old baby was brought to me who was born with Encephalocele (Birth defect in the skull with brain coming out). I operated on him almost 6 months ago at Shifa. This condition needs an operation as soon as possible. I reviewed him in clinic after a month with a very good outcome from surgery.
While Training in Oxford paediatric and craniofacial unit and also at the Great Ormond street Hospital for children in London I was taught that whenever you are operating on the brain handle it as a mother holds her new born. Imagine holding the brain of a newborn may be you need to be more careful then the mother Is it possible ? not sure but at least I did my best with my plastic surgery colleague who also helped out in this surgery.