Dr. Nasir Khan : General Laproscopic and Obesity Surgeon

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Laproscopic Excision of a rare and Large Endometriotic Cyst located between Spleen, Left lobe of liver and left hemidiap...
02/10/2025

Laproscopic Excision of a rare and Large Endometriotic Cyst located between Spleen, Left lobe of liver and left hemidiaphragm. Preoperative imaging ( USG and CT) had reported it as Hydatid cyst.

Retrograde cholecystectomy is a safety procedure to revert to when open cholecystectomy gets dangerously difficult. But ...
03/02/2024

Retrograde cholecystectomy is a safety procedure to revert to when open cholecystectomy gets dangerously difficult. But speaking of laproscopy, doing laproscopic retrograde cholecystectomy by itself is a challenge. We recently went through this challenge as depicted in pictures.

Heller's cardiomyotomy with Nissen fundoplication for Achalasia Cardia
01/07/2022

Heller's cardiomyotomy with Nissen fundoplication for Achalasia Cardia

PMDSPersistent Mullerian Duct Syndrome is a rare disorder of sexual development where a male patient with fully develope...
27/02/2021

PMDS
Persistent Mullerian Duct Syndrome is a rare disorder of sexual development where a male patient with fully developed male organs also has female organs such as uterus and fallopian tubes.
This 35 years old gentleman with fully developed secondary sexual characteristics presented with cyclic haematuria analogous to menstrual bleeding. He had cryptorchidism and a large palpable abdominal mass with associated low intensity abdominal pain.
Imaging ( USG, CT, MR) confirmed the presence of a large lobulated mass and uterus with cervix terminating via a duct into prostatic urethra, as the cause of menstrual haematuria.
He underwent radical excision of the mass associated with right undescended te**is, left orchidectomy for atrophic left te**is and total abdominal hysterectomy. The communicating duct between cervix and prostatic urethra was ligated and partly fulgurated.

Only 36 cases have been reported so far in published litrature.

Lap. Retrieval of migrated CBD stentA 50 years old with history of Ischemic heart disease and CABG had obstructive jaund...
12/12/2020

Lap. Retrieval of migrated CBD stent

A 50 years old with history of Ischemic heart disease and CABG had obstructive jaundice due to CBD stones and cholelithiasis. She had ERCP and CBD Stent placed elswhere. Further intervention not done owing to high risk. She was reffered to SIH for further management 10 weeks later.
At SIH, repeat ERCP was done, CBD cleared but stent could not be retrieved due to migration of the stent into cystic duct and being stucked there.
We did laproscopic cholecystectomy, retrieval of cystic duct stones and stent followed by CBD lavage and peroperative cholangiogram.
We appreciate our anesthesia team led by Sir, Dr. Jahanzeb Malik who managed this high risk succesfuly. The patient being on anticoqgulant did not require blood transfusion and she was shifted to floor like a routine Lap. Chole.

Dx: Mucocele of the AppendixProcedure: Laparoscopic Appendectomy and Endo bag extraction.Description: Mucocele of the...
22/08/2020

Dx: Mucocele of the Appendix
Procedure: Laparoscopic Appendectomy and Endo bag extraction.
Description: Mucocele of the appendix is a rare ( 0.5%) condition causing luminal dilatation due to accumulation of mucous owing to proximal obstruction. It can present as an acute appendicitis, mass effect or asymptotic finding. Non ruptured excision is the key to successful operation to avoid development of pseudo maxoma peritonei. The proximal margins were clear.

Laparoscopic Repair of Perforated DU and Graham Patch
08/12/2019

Laparoscopic Repair of Perforated DU and Graham Patch

Laparoscopic excision of right paracolic mesothelial cyst.
07/10/2019

Laparoscopic excision of right paracolic mesothelial cyst.

Lap.cholecystectomy in perforated gangrenous gall bladder and peritonitis.
09/07/2019

Lap.cholecystectomy in perforated gangrenous gall bladder and peritonitis.

Gangrenous gall bladder and laparoscopic cholecystectomy. The gangrene extending to cystic duct. Luckily had enough stum...
28/03/2019

Gangrenous gall bladder and laparoscopic cholecystectomy. The gangrene extending to cystic duct. Luckily had enough stump to hold on to clips.

Laparoscopic Excision of a large, benign, symptomatic Simple Liver Cyst. The cyst containing about 2000 ml fluid.Surgeo...
20/02/2019

Laparoscopic Excision of a large, benign, symptomatic Simple Liver Cyst.
The cyst containing about 2000 ml fluid.
Surgeon. Dr. Nasir Khan

Laparoscopic Heller's Cadiomyotomy with Dor's fundoplication for Achalasia.Surgeon: Dr. Nasir Khan
04/01/2019

Laparoscopic Heller's Cadiomyotomy with Dor's fundoplication for Achalasia.
Surgeon: Dr. Nasir Khan

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