Reported by S. Khan.
A renowned Pakistani surgeon Dr. ARSHADULLAH KHAN, who has done his graduation from Sindh Medical College followed by Fellowships of Pakistan and UK, has been serving in medical sciences as a surgeon for the last decade, his vast experience and surgical skills shows positive commitment to his profession.

Technology and medicine have gone hand in hand for many years, consistent advances in the medical field have saved many lives and improved many others. Since there is advancement in the field of surgery, minimal complication and safety of the patients still tops the list.

Dr. Khan is currently providing his services in one of the leading private hospital in Al Ahsa has performed many laser procedures such as laser hemorrhoidoplasty, laser ablation of fistula tract, Sinnus pilonidal minimal invasive laser excision (SMILE) and Laser ablation of Peri anal fistula. Dr. Khan has received special training from biolitec for these procedures and has performed several successful procedures in Al Ahsa with the positive feedback of the patients.

Laser procedure is a promising innovation in the proctology procedures, one of the new and effective modality is Minimal invasive Laser- Hemorrhoid- Plasty (LHP®️) and fistula. It was a great honor and privilege for us to have had a small conversation with Dr. ARSHADULLAH Khan regarding the outcome of the procedure and patients feedback. He is the first one to start Minimal Invasive Laser- Hemorrhoido- Plasty (LHP®️) and fistula in Al Ahsa hospital and as per his experience, the outcome is promising.

Minimal invasive   Laser- Hemorrhoido- Plasty (LHP®️) and fistula is a day care surgery in which diode laser is used in the submucocal plan of piles which causes Tissue reduction in the hemorrhoidal node, Closure of the arteries entering the CCR feeding the hemorrhoidal cushion Maximum preservation of muscle, anal canal lining and mucosa Restoration of the natural anatomical structure.

It is a painless and scar less procedure & Post-operative results were propitious, no fecal incontinece and anal stenosis. On the other hand, Fistula is really a difficult disease to treat, its recurrence rate is high especially in complex fistula.

Dr. ARSHADULLAH KHAN has also introduced Fistula-tract Laser Closure FILAC In order to eliminate the fistula tract as gently as possible, the flexible, radially emitting laser fiber is inserted from the outside and positioned exactly by using the pilot beam, and defined energy is emitted radially into the fistula. The epithelialized tissue is destroyed in a controlled way and the fistula tract collapses to a very high degree. This also supports and accelerates the healing process.

Good control
No excision or splitting
Independent on the length of the fistula tract
Flexible fiber also allows use in convoluted tract
Can be executed in only a few minutes
Can be combined with other forms of therapy for closing the osteum

We have discussed the results of this procedure with Dr khan, he told us he is doing research regarding the outcome of fistula, So far he didn’t notice any early recurrence with this procedure, whereas long term follow up is required to confirm about effectiveness of this procedure.

We have contacted Miss Mariam Mishary Aleidan, who is a case manager at Al Ahsa hospital about the procedure. As per her statement, patients highly demand for laser haemorrhoids because of minimal post-operative pain. We have received a positive feedback from the patients and working on the development of new contrast with insurance company about laser haemrhioplasty and fistula closure through laser so we can provide good medical services to our patients.

Dr Arshadullah Khan is a top-notch and a very competent doctor, his positive attribute of being a doctor enables him to function with more ease in a challenging role, he listens to his patient’s concerns and provide recommendations and responses for the best course of action, his skills and professionalism is appreciated by the patients.

He is working for the betterment of the people and focused on facilitating people leading healthier and therefore happier lives.
Posted by Syed Mussarat Khalil

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