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Pakistani surgeon sets world record in robotic surgery for women

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LONDON: A Pakistani surgeon Dr Amer Raza is leading the innovative Da Vinci surgical robotic surgery for the treatment of endometriosis, which affects pregnancy for women of all ages.

Dr Raza has led a team of surgeons to perform the maximum number of complex gynaecology operations in two days at London’s Chelsea and Westminster Hospital — setting a new record of not only using an innovative robotic technology but also doing 12 major operations in a day.

Amer Raza, a graduate of Nishtar Medical College, Multan, has not only performed the operations but also set a world record of doing 12 major operations in a day. 

Robotic surgery is the most modern type of keyhole surgery in which a surgeon operates in the patient’s abdomen through instruments controlled from a distance.

Dr Raza is a renowned expert in endometriosis, in which women suffer from pelvic pains and period pains which have a major adverse impact on conceiving. The condition not only affects the pelvic organs but also the bowel, bladder and nerves. The disease affects women from young age to old age and tens of millions of women across the world suffer from this condition.

He graduated from Nishtar Medical College, Multan, and has been trained as a laparoscopic surgeon. He is now one of the world’s leading surgeons in endometriosis and complex pelvic disease.

He is also the director of the world-class International Centre of Endometriosis Cromwell Hospital, London, and is leading a big team of multi-speciality surgeons. Dr Raza is also the Founder and Director of CCMIG Chelsea Centre of minimal access surgery, which organises national and international laparoscopic courses across the world. He travels to the Middle East, Pakistan, Africa and Europe to teach laparoscopic gynaecology courses.

An undated image of a team of doctors performing a robotic surgery. — Photo by author
An undated image of a team of doctors performing a robotic surgery. — Photo by author

Speaking to Geo News, Dr Amer Raza said: “Since COVID, our National Health Service (NHS) has been under huge pressure of long waiting times. We have pioneered the most efficient strategic planning to do the most number of operations with the help of robotics in two days. Robotics technology allows a doctor to complete the operation in a shorter time with more safety and accuracy than a conventional approach. I am very excited that we have achieved this landmark and that our efforts will help women of all age groups.

“Robotic surgery is now attracting the attention of clinicians and patients alike due to its benefits. The technique will be adopted in hospitals across the world and many robotic systems are being introduced in the health sector. Endometriosis causes debilitating symptoms including chronic pelvic pain, fatigue and fertility problems. Surgery can help to provide pain relief.”

Dr Raza said that he and his team crafted a care model in which preoperative work, surgical approach by robotics and after-operation discharge was planned. Robotic surgery allows the team to finish the operation in a relatively shorter time than a conventional laparoscopic approach, saving 30-50 minutes in each surgery to enable the team to do more operations.

“The new technique also causes less blood loss and the recovery period is significantly faster. We were assisted by a team of 20 staff members who worked very efficiently to enable us to do this,” said the British Pakistani doctor.

Dr Raza said he owes a lot to Pakistan and will be working with doctors and hospitals in Pakistan to introduce robotic technology to help women. “I look forward to working with doctors in Pakistan. Britain has thousands of doctors from Pakistan who are doing great work in the NHS. I am glad that the British press has highlighted my contribution which is a credit to Pakistan,” he said.

Dr Raza has recently been featured on Channel 4 and dozens of English papers covering his achievement and hailing it as a breakthrough for women. 

Pakistani surgeon Dr Amer Raza. — Photo by author
Pakistani surgeon Dr Amer Raza. — Photo by author

He said that one in 10 women in the UK are affected by endometriosis. There are many ways to explain the disease but primarily the inside lining of the uterus called endometrium comes outside the uterus and leads to adhesions and causing pelvic pains. 

The diseases increase in over half of the cases and cause severe debilitating problems such as bowel and ureteric issues. Endometriosis involves the ovaries in almost half the cases and can cause damage to ovaries and fertility.

According to NHS statistics, half a million women are currently on a waiting list for gynaecology treatment in the UK and more than 5,000 have been waiting more than 18 months. The organisation and strategic planning along with innovative robotic surgery is the way forward to address the huge backlog in the NHS.

Dr Raza is originally from the village of Babi in Tehsil Taunsa. He started his career at Nishtar Medical College Multan and then moved to the UK in Birmingham. He has worked in many hospitals before being employed as endometriosis and laparoscopic surgeon in Chelsea and Westminster hospitals.

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Supreme Court annuls trials of civilians in military courts

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In a unanimous verdict, a five-member bench of the Supreme Court on Monday declared civilians’ trials in military courts null and void as it admitted the petitions challenging the trial of civilians involved in the May 9 riots triggered by the arrest of Pakistan Tehreek-e-Insaf (PTI) chief Imran Khan in a corruption case.

The five-member apex court bench — headed by Justice Ijaz Ul Ahsan, and comprising Justice Munib Akhtar, Justice Yahya Afridi, Justice Sayyed Mazahar Ali Akbar Naqvi and Justice Ayesha Malik — heard the petitions filed by the PTI chief and others on Monday.

The larger bench in its short verdict ordered that 102 accused arrested under the Army Act be tried in the criminal court and ruled that the trial of any civilian if held in military court has been declared null and void.  

The apex court had reserved the verdict earlier today after Attorney General of Pakistan (AGP) Mansoor Usman Awan completed his arguments centred around the domain and scope of the military courts to try the civilians under the Army Act. 

At the outset of the hearing today, petitioner lawyer Salman Akram Raja told the bench that trials of civilians already commenced before the top court’s verdict in the matter.

Responding to this, Justice Ahsan said the method of conducting proceedings of the case would be settled after Attorney General of Pakistan (AGP) Mansoor Usman Awan completed his arguments.

Presenting his arguments, the AGP said he would explain to the court why a constitutional amendment was necessary to form military courts in 2015 to try the terrorists.

Responding to Justice Ahsan’s query, AGP Awan said the accused who were tried in military courts were local as well as foreign nationals.

He said the accused would be tried under Section 2 (1) (D) of the Official Secrets Act and a trial under the Army Act would fulfill all the requirements of a criminal case.

“The trial of the May 9 accused will be held in line with the procedure of a criminal court,” the AGP said.

The AGP said the 21st Amendment was passed because the terrorists did not fall in the ambit of the Army Act.

“Amendment was necessary for the trial of terrorists [then] why amendment not required for the civilians? At the time of the 21st constitutional amendment, did the accused attack the army or installations?” inquired Justice Ahsan.

AGP Awan replied that the 21st Amendment included a provision to try accused involved in attacking restricted areas.

“How do civilians come under the ambit of the Army Act?” Justice Ahsan asked the AGP.

Justice Malik asked AGP Awan to explain what does Article 8 of the Constitution say. “According to Article 8, legislation against fundamental rights cannot be sustained,” the AGP responded.

Justice Malik observed that the Army Act was enacted to establish discipline in the forces. “How can the law of discipline in the armed forces be applied to civilians?” she inquired.

The AGP responded by saying that discipline of the forces is an internal matter while obstructing armed forces from discharging duties is a separate issue.

He said any person facing the charges under the Army Act can be tried in military courts.

“The laws you [AGP] are referring to are related to army discipline,” Justice Ahsan said.

Justice Malik inquired whether the provision of fundamental rights be left to the will of Parliament.

“The Constitution ensures the provision of fundamental rights at all costs,” she added.

If the court opened this door then even a traffic signal violator will be deprived of his fundamental rights, Justice Malik said.

The AGP told the bench that court-martial is not an established court under Article 175 of the Constitution.

At which, Justice Ahsan said court martials are not under Article 175 but are courts established under the Constitution and Law.

After hearing the arguments, the bench reserved the verdict on the petitions.

A day earlier, the federal government informed the apex court that the military trials of civilians had already commenced.

After concluding the hearing, Justice Ahsan hinted at issuing a short order on the petitions. 

The government told the court about the development related to trials in the military court in a miscellaneous application following orders of the top court on August 3, highlighting that at least 102 people were taken into custody due to their involvement in the attacks on military installations and establishments. 

Suspects express confidence in mly courts

The same day, expressing their “faith and confidence” in military authorities, nine of the May 9 suspects — who are currently in army’s custody — moved the Supreme Court, seeking an order for their trial in the military court be proceeded and concluded expeditiously to “meet the ends of justice”.

Nine out of more than 100 suspects, who were in the army’s custody, filed their petitions in the apex court via an advocate-on-record.

The May 9 riots were triggered almost across the country after former prime minister Imran Khan’s — who was removed from office via a vote of no confidence in April last year — arrest in the £190 million settlement case. Hundreds of PTI workers and senior leaders were put behind bars for their involvement in violence and attacks on military installations.

Last hearing

In response to the move by the then-government and military to try the May 9 protestors in military courts, PTI Chairman Imran Khan, former chief justice Jawwad S Khawaja, lawyer Aitzaz Ahsan, and five civil society members, including Pakistan Institute of Labour Education and Research (Piler) Executive Director Karamat Ali, requested the apex court to declare the military trials “unconstitutional”.

The initial hearings were marred by objections on the bench formation and recusals by the judges. Eventually, the six-member bench heard the petitions.

However, in the last hearing on August 3, the then-chief justice Umar Ata Bandial said the apex court would stop the country’s army from resorting to any unconstitutional moves while hearing the pleas challenging the trial of civilians in military courts.

A six-member bench, led by the CJP and comprising Justice Ijaz Ul Ahsan, Justice Munib Akhtar, Justice Yahya Afridi, Justice Sayyed Mazahar Ali Akbar Naqvi, and Justice Ayesha Malik, heard the case.

In the last hearing, the case was adjourned indefinitely after the Attorney General for Pakistan (AGP) Mansoor Usman Awan assured the then CJP that the military trials would not proceed without informing the apex court.

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Sea conditions ‘very high’ as Cyclone Tej moves towards northwestward

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An Extremely Severe Cyclonic Storm (ESCS) named “Tej”, which has been brewing in the southwest Arabian Sea for the past few days, has continued to move northwestward toward the Arabian Peninsula’s coast.

According to the Pakistan Meteorological Department (PMD), over the past 12 hours, Cyclone Tej has been moving in a northwestward direction and is now “centred around latitude 14.4 N & longitude 53.2 °E”.

The update, which was issued today (Monday) at 10:00am (PST), also revealed that the brewing cyclone is situated “about 300km southwest of Salalah (Oman), 220km southeast of Al Ghaydah (Yemen) and 1520km southwest of Gwadar (Pakistan)”.

Additionally, the cyclone’s maximum sustained surface winds are between 150-160km/h, with gusts reaching 180km/h.

Moreover, sea conditions are currently very high, with maximum wave heights of 35ft around the system centre, according to the Met Office.

The system is expected to continue moving in a northwest direction and is likely to cross the Yemen coast, near Al Ghaydah by midnight as a very severe cyclonic storm (VSCS) with winds packing speeds of 120-130km/h and gusts reaching 150km/h.

However, it is important to note that there will be no impact on any of Pakistan’s coastal areas from this system.

According to PMD’s Daily Forecast, the weather is expected to remain dry for the next few days in most districts of Sindh, one of the coastal provinces of Pakistan.

Meanwhile, strong winds and thundershowers are likely to occur in and around some parts of Balochistan today, but dry weather is expected for the next few days.

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PCB ‘dismisses’ objections over players support for Palestinians

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LAHORE: Pakistan’s cricket team, which is currently busy participating in the ICC Men’s T20 Cricket World Cup, has shown their firm support and shared their prayers for all Palestinians suffering at the hands of Israel.

However, there have been many questions raised by Indian fans and cricket experts on the players’ constant support for Palestine asking ICC — the governing body of the game — whether such moves were allowed in the tournament.

According to sources, the Pakistan Cricket Board (PCB) rejected the objections over players’ conduct saying: “The team’s expression of solidarity was a personal decision.”

Pakistan’s national team on Wednesday, posted a picture of the Palestinian flag on their individual X, formerly known as Twitter, accounts to show that they stand in solidarity with Palestine and that they are praying for the people suffering there including children.

Prior to this Pakistan’s wicket-keeper batsman, Mohammad Rizwan, dedicated the team’s victory over Sri Lanka to his “brothers and sisters in Gaza”.

Meanwhile, Indian fans and cricket experts used the team’s support for Palestine to create controversies, claiming that the national team had violated ICC rules.

Sources from PCB added that the team is “allowed to express whatever they wanted to,” and that the players “did not violate any code of conduct by the ICC or PCB”.

The Health Ministry in Gaza reports that at least 3,061 Palestinians have died and over 13,750 more have been injured as a result of Israel’s shelling.

Pakistan has categorically condemned the Israeli atrocities and called for an immediate cessation of the bombardment, which has not even spared hospitals or schools, in solidarity with its Palestinian brothers and sisters.

Even Pakistani cricket legends who are not participating in the team anymore showed their support for Palestine.

Moreover, Pakistan is set to face Australia tomorrow (Friday) in M Chinnaswamy Stadium, Bengaluru after a few days of rest.

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