About Dr. Salma Kayani: Qualifications and Experience

• American Association of Gynaecological Laparoscopists (AAGL)
• British Society for Gynaecological Endoscopy (BSGE)
• European Society for Gynaecological Endoscopy (ESGE)
• British and Irish Association of Robotic Gynaecological Surgeons (BIARGS)
• British Society for Urogynaecology (BSUG)
• International Urogynaecology Association (IUGA)
• International Continence Society (ICS)
• British Society for Colposcopy and Cervical Pathology (BSCCP)
• British Society for Paediatric and Adolescent Gynaecology (BritSPAG)
• North American Association for Paediatric and Adolescent Gynaecology (NASPAG)
• Women in Surgery, Royal College of Surgeons of England (WinS)
• Society for Endometriosis and Uterine Disorders (SEUD)

• Dr Salma Kayani is a ‘Certified’ Advanced Minimal Access Surgeon in Excisional Benign Gynaecology. She has undergone an ‘RCOG Certified/approved’ structured training over a continuous period of five years in the advanced laparoscopic surgical management of Endometriosis, Urogynaecology, Adolescent Gynaecology, Infertility, Hysteroscopic surgery and General Benign Gynaecology.
• Achieved the award of Master’s degree in Advanced Gynaecological Endoscopy with ‘Merit’ from the University of Surrey (2005-2008). This pioneer 3-year very intensive and hands-on degree has the approval of the Royal College of Obstetricians and Gynaecologists (RCOG), and is a result of the joint collaboration between the British Society for Gynaecological Endoscopy (BSGE) and the University of Surrey Post Graduate Medical School, UK.
• It is a great honour that Dr Salma Kayani is the author of ‘Standards for Laparoscopic Surgery’, in the text book ‘Models of Care in Women’s Health’ commissioned and published by the Royal College of Obstetricians and Gynaecologist (RCOG).

SURGERY:

In surgery Dr Salma is one of the very few Advanced Minimal Access Surgeons in Gynaecology in UK who is ‘Certified’ and who can performs all these types and varieties of surgeries mentioned below ‘laparoscopically/endoscopically’ for the Gynaecology patients.

Laparoscopic Surgery:

• Non- Fertility sparing
  • Total Laparoscopic Hysterectomy
  • Subtotal Laparoscopic Hysterectomy
  • Laparoscopic Assisted Vaginal Hysterectomy
  • Laparoscopic Sterilisation
• Fertility sparing
  • Surgery for Endometriosis
    • Ovarian Disease
    • Sidewall Disease
    • Uterosacral Disease
    • Pararectal Disease
    • Rectovaginal Disease
    • Uterovesical Fold Disease
  • Pelvic Inflammatory Disease
  • Adhesiolysis
  • Laparoscopic Oophropexy (to move ovaries away from irradiation field)
  • Laparoscopic Cervical Cerclage (for cervical incompetence)
  • Laparoscopic Ovarian surgery
  • Laparoscopic Tubal surgery
  • Laparoscopic Uterine Surgery
    • Myomectomy
    • Uterine horns
• Multidisciplinary Laparoscopic Surgery
  • With Laparoscopic Colorectal Surgeons
    • Severe rectovaginal endometriosis involving bowel
  • With Laparoscopic Urologists
    • Severe endometriosis involving sidewall and bladder
• Prolapse Surgery:
  • Laparoscopic Hysteropexy
  • Laparoscopic Sacrocolpopexy
  • Laparoscopic Uterine Sling Procedure
  • Laparoscopic Colposuspension
  • Laparoscopic Paravaginal Repair
  • Laparoscopic Suture Vault Suspension

Hysteroscopic Surgery

• Fertility sparing
  • Transcervical Resection of Polyps
  • Transcervical Resection of Fibroids
  • Division of Uterine Septae and Adhesions
• Non-Fertility sparing
  • Transcervical Resection of Endometrium
  • Second Generation Endometrial Ablation Techniques (such as Novasure, Thermachoice and Hydrothermal Ablation)

Paediatric and Adolescent Gynaecology

• Laparoscopic Gonadectomy for Disorder of Sex Development
• Laparoscopic Correction of Mullerian Structural Disorders
• Vaginoscopies

Vaginal Reconstructive Procedure

• Laparoscopic Vecchietti Procedure

Besides Laparoscopic Surgery, Dr Salma is an authority in Vaginal and Open Abdominal Surgery.

Vaginal Surgery

• Pelvic Floor Repair Surgery
  • Anterior repair
  • Posterior repair
  • Sacrospinous fixation
  • Vaginal Hysterectomy
  • Tension free Vaginal Tape (TVT)
  • Trans Obturator Tape (TVT-O)
  • Fenton’s Procedure
  • Le Forte’s Procedure

Open Abdominal Surgery

• Total Abdominal Hysterectomy
• Sub-total Abdominal Hysterectomy
• Open Myomectomy
• All Open Abdominal Benign Gynaecological Procedures

Other Procedures

• Cystoscopy
• Ureteric Stenting
• Proctoscopy
• Sigmoidoscopy

SPECIALISED GYNAECOLOGY CLINICS

Dr Salma runs the following highly specialized clinics.

Hysteroscopy Clinic: Certified Hysteroscopic Surgeon since 2008

• Outpatient Diagnostic and Operative Hysteroscopy
• Hysteroscopic Sterilisation
• Second Generation Endometrial Ablation Techniques (such as Novasure, HydroThermal Ablation and Thermachoice)
• Insertion and removal of intrauterine systems and devices
• Transvaginal and Transabdominal 2-D, 3-D and 4-D ultrasound scanning

Colposcopy and Vulvoscopy Clinic: Certified Colposcopist since 2003

• Routine Colposcopy and Smear Tests
• Vulvoscopy
• Large Loop Excision of the Transformation Zone
• Cold Coagulation of cervix

Dr.(Mrs)Salma Kayani’s profound interest in Minimal Access Surgery is clearly reflected by the amount of academic and research work she has undertaken over the last 10 years. Her clinical/surgical expertise is strongly supported with evidence-based practice. Below is a list of her accepted, in press and ongoing research work. Her national and international presentations are also listed below. All these are on the subject of laparoscopic surgery.

Publications

• Salma I Kayani, Pundir J, Omanwa K. Quality of Life After Total Laparoscopic Hysterectomy: a one-year follow-up study. Minerva Ginecol. 2016 Aug; 68 (4): 412-7. Epub 2015 May 28
• Salma S I, Al Rassasy Z. Effect of intraoperative peritoneal irrigation of xylocaine on small and large bowel activity. Journal of Minimally Invasive Gynaecology, 22, SI-S253, Nov 2015
• Salma I Kayani, Fayez N, Alrassassy Z. The Buddha Position. Regional Anaesthesia and Pain Medicine, Volume 39, Number 5, Supplement 1, Page E261, ESRA1-0434, Sept-Oct 2014
• Salma I Kayani, Alrassassy Z. The Gravity Slip (G-Slip) – The Ergonomic Way to Positioning of the Unconsious or Semi conscious Patient in Theatre. Journal of Minimally Invasive Gynaecology, 20, S23, Nov 2013
• Myagerimath R ,Salma I Kayani, Nwosu E C. Ten years experience of hydrothermal ablation (HTA) in a district general hospital: EP8.04. BJOG: An International Journal of Obstetrics & Gynaecology. 120 (Supplement 1): 383, June 2013
• Jeffery E, Salma I Kayani, Garden A. Management of menstrual problems in adolescents with learning and physical disabilities. The Obstetrician & Gynaecologist 2013.
• Pundir J, Pundir V, Walavalkar R, Omanwa K, Lancaster G, Salma I Kayani. Robotic-Assisted Laparoscopic vs Abdominal and Laparoscopic Myomectomy: Systematic Review and Meta-Analysis. J Minim Invasive Gynecol. 2013 May-Jun;20(3):335-45. doi: 10.1016/j.jmig.2012.12.010. Epub 2013 Feb 27.
• Bruno Deval, Pascal Rousset, Salma Kayani, Case Report:Vaginal Myomectomy for a Thirteen-Centimeter Anterior Myoma. Case Reports in Obstetrics and Gynecology, Volume 2013, Article ID 285243, 3 pages http://dx.doi.org/10.1155/2013/285243
• ‘Management of Menstrual Problems in Adolescents with Learning and Physical Disabilities’ Jeffery E, Salma I Kayani , Garden A. Management of menstrual problems in adolescents with learning and physical disabilities. The Obstetrician & Gynaecologist 2013.
• Salma I Kayani, Kent A. Map of Endometriosis, Journal of Minimally Invasive Gynaecology, 18, S75, Nov 2011
• Salma I Kayani, Kent A. The Kayani-Kent (K-K) Map of Endometriosis. Gynecol Surg, Vol 8, Suppl 1, S1-S225, FC. 02.10, Sept 2011
• Omanwa K, Salma I Kayani. The Impact and Effectiveness of RCOG Post-Operative Leaflets For Total Laparoscopic Hysterectomy. Gynecol Surg, Vol 8, Suppl 1, S1-S225, P.05.26, Sept 2011
• Chykyda H, Salma I Kayani. Self-Assessed Patient Satisfaction Survey after Total Laparoscopic Hysterectomy (12+months follow up data). Gynecol Surg, Vol 8, Suppl 1, S1-S225, P.05.23, Sept 2011
• Al-Amoosh H, Salma I Kayani. Laparoscopic Hysterectomy: Our experience and criteria for choice of route. Gynecol Surg, Vol 8, Suppl 1, S1-S225, P.05.15, Sept 2011
• T Aust, S I Kayani, D J Rowlands. Direct optical entry through Palmer’s point: a new technique for those at risk of entry-related trauma at laparoscopy, Gynaecological Surgery, DOI 10.1007/s10397-009-0500-8, June 2009
• S Kayani, C Robinson, A Cutner, E Saridogan, A Windsor, R Cohen, S Taylor. The Role of MRI Reporting In Severe Rectovaginal Endometriosis. Gynecol Surg, Vol 6, (Suppl 1): page S89, 2009
• S Kayani, A. Nightingale. Laparoscopic Surgery for Endometriosis- A Systematic Review. Gynecol Surg, Vol 6, (Suppl 1): page S85, 2009
• S I Kayani, G Pandis, A Cutner. Standards for Laparoscopic Surgery, Chapter 13, for the book ‘Standards in Gynaecology’, Published by RCOG Press at Royal College of Obstetricians and Gynaecologists, 2009, UK
• Salma I Kayani, Gulumuser C, Cutner A, Saridogan E. Relationship between preoperative symptoms and extent of disease: Comparison of a new classification system for endometriosis with the revised American Society for Reproductive Medicine classification. Gynecol Surg, Vol 5, Suppl 1, S30, FC _27, Oct 2008.
• Gulumuser C, Salma I Kayani, Cutner A, Saridogan E. Qualitative comparison of postoperative outcomes at 3 and 6 months following laparoscopic surgery for endometriosis amongst two groups of women with good and poor symptomatic correlation with the revised American Society for Reproductive Medicine classification score. Gynecol Surg, Vol 5, Suppl 1, S36, FC _ 45, Oct 2008
• S I Kayani, D J Rowlands. Gasless optical entry at Palmer’s Point in high risk patient. Gynaecological Surgery, vol 3, Suppl 1, V-36, page S12, Sept 2006

Video Presentation - International Meetings

• First Prize: Gasless Optical Entry at Palmer’s Point in high-risk patient. Video presentation at 15th Annual Conference for European Society of Gynaecological Endoscopy, Strasbourg, France. 6th October 2006. Kayani, S and Rowlands, D.
• International Urogynaecology Association (IUGA) Symposium: Laparoscopic Uterine Mesh Hysteropexy, Oct 2010

e-Poster Presentation - International Meetings

• 33rd Annual Congress of European Society for Regional Anaesthesia and Pain, Seville, 3-6 September 2014 Salma I Kayani, Fayez N, Alrassassy Z. The Buddha Position.
• 42nd Annual Conference, American Association of Gynaecological Laparoscopists (AAGL), Washington 10-14 November 2013 Salma I Kayani , Alrassassy Z. The Gravity Slip (G-Slip) – The Ergonomic Way to Positioning of the Unconsious or Semi conscious Patient in Theatre.

Oral Presentations - International Meetings

• 44th Global Congress, American Association of Gynaecological Laparoscopicsts (AAGL), Las Vegas (USA) 15-19 November 2015 S.Kayani, Al Rassasy Z. Effect of intraoperative peritoneal irrigation of xylocaine on small and large bowel activity.
• Nominated for Raoul Palmers prize (UK)
  The Kayani-Kent Map of Endometriosis. I have personally developed a simple yet effective way of mapping endometriosis. Presented as oral presentation at The European Society for Gynaecological Endoscopy (ESGE) 20th Annual Congress, held in London on Sept 21st -24th 2011. S. Kayani and A. Kent.
• Nominated for Carlo Romanini Award for the Best Endometriosis Paper (USA)
  ‘Map of Endometriosis’ oral presentation at the 40th Global Congress on Minimally Invasive Gynaecology (AAGL) meeting in Florida (USA) on 6-10th Nov 2011.
• S Kayani, A. Nightingale. Laparoscopic Surgery for Endometriosis- A Systematic Review.18th Annual Congress of the European Society for Gynaecological Endoscopy, Florence, Italy, Oct 2009
• S Kayani , C Robinson, A Cutner, E Saridogan, A Windsor, R Cohen, S Taylor. The Role of MRI Reporting In Severe Rectovaginal Endometriosis. . 18th Annual Congress of the European Society for Gynaecological Endoscopy, Florence, Italy, Oct 2009
• *First Prize: Relationship between preoperative symptoms and extent of disease: Comparison of a new classification system for endometriosis with the revised American Society for Reproductive Medicine classification. 17th Annual Congress of the European Society of Gynaecological Endoscopy, Amsterdam, The Netherlands, Oct 2008. Salma I Kayani , Gulumuser C, Cutner A, Saridogan E.
• Gulumuser C, Salma I Kayani , Cutner A, Saridogan E. Qualitative comparison of postoperative outcomes at 3 and 6 months following laparoscopic surgery for endometriosis amongst two groups of women with good and poor symptomatic correlation with the revised American Society for Reproductive Medicine classification score." 17th Annual Congress of the European Society of Gynaecological Endoscopy, Amsterdam, The Netherlands, Oct 2008

Oral Presentations – National (UK) Meetings

• S Kayani , A Windsor, R Cohen, A Cutner. Multidisciplinary team-working in endometriosis centres. British Society for Gynaecological Endoscopy, Annual Scientific Meeting, London, UK 8th - 9th May 2009
• S Kayani, A Cutner, A Windsor, R Cohen, A Emmanuel. The impact of laparoscopic bowel surgery for endometriosis on bowel function - preliminary report. BSGE Annual Scientific Meeting, London, UK. 8th – 9th May 2009
• *First Prize: S Kayani and D Rowlands. Case Series: Optical Entry Palmer’s Point. Oral presentation. BSGE Annual Scientific Meeting, Birmingham, UK. 10th & 11th May 2007.

• Kuwait Chair of Endometriosis since March 2014 to date
• Member of the elite committee of “International Urogynaecology Association” (IUGA), for Advanced Laparoscopic Surgical procedure - Sacrocolpopexy. This committee comprises of international specialist surgeons who are authorities in advanced laparoscopic surgery of the Sacrocolpopexy procedure and are responsible for setting standards for patient selection, surgical technique, short and long-term assessment of success of procedure, providing criteria for follow up and management of complications of the procedure.
• Member of the Honourable Standardisation Steering Committee of International Continence Society (ICS) The Standardisation Steering Committee (SSC) of International Continence Society (ICS) is responsible for setting and establishing Standards, terminology, methodology of clinical management and research of continence care for International Continence Care Societies of the world. (This elite panel comprises only of the 10 most eminent authorities in their field worldwide)
• 43rd International Meeting of the International Continence Society (ICS) 2013, Barcelona, Spain, 26- 30th August 2013

  Chaired the interactive workshop at this highly prestigious International Conference. Lead a group of eminent Advanced Minimal Access Surgeons: Gynaecologist, Urogynaecologists and Urologists from UK, Europe and South America.

  • Workshop 8: Interactive Seminar: Reconstructive Surgery for Female Pelvic Floor Prolapse: Sacrocolpopexy
• 42nd International Meeting of the International Continence Society (ICS) 2012, Beijing, China, 15-19th Oct 2012

  Chaired a workshop at this highly prestigious International Conference. Led a group of eminent Advanced Minimal Access Surgeons: Gynaecologist, Urogynaecologists and Urologists from UK, Europe and South America.

  • Workshop 43: Interactive Seminar: Reconstructive Surgery for Female Pelvic Floor Prolapse: Sacrocolpopexy
• International Workshop at International Urogynaecological Association (IUGA) 36th Annual Meeting, Lisbon, Portugal

  June 2011 Led an eminent multidisciplinary team of 6 x European gynaecologists: 2 x laparoscopic, 1x open, 1x robotic surgeon in Gynaecology, 1x radiologist, 1x urologist / anatomist in an Interactive Seminar on Sacrocolpopexy.

  • Workshop 14: Interactive Seminar: Reconstructive Surgery for Female Pelvic Floor Prolapse: Sacrocolpopexy
• 2nd International Minimal Access Surgery Conference (IMASC), organised by the Society of Laparoendoscopic Surgeons (SOLES) and Foundation University Medical College, Islamabad, Pakistan, February 2011, where Dr Salma Kayani was invited to conduct a Master Class with Live Surgery Demonstration for Total Laparoscopic Hysterectomy and Laparoscopic Colposuspension to an International audience.

Experience/Skills/Competencies: Dr Salma Kayani has 18 years of extensive experience of working and managing high risk obstetrics (antenatal, intra-partum and postpartum) from the top teaching hospitals of England. Dr (Mrs) Salma Kayani is Certified by Advanced Life Support Group (ALSG-UK) for the Management of Obstetric Emergencies and Trauma (MOET) since 2002. This highly specialized training verifies that Dr Salma Kayani is internationally certified to manage complex emergencies relating to acute complications in pregnancy, during childbirth and soon after delivery.

In obstetrics, she specializes in the following fields:

Vaginal Deliveries

• Normal deliveries of singleton and twin pregnancies
• Ventouse Assisted delivery
• Forceps Assisted delivery
• Breech deliveries
• Assisted Breech deliveries
• Vaginal deliveries - after one caesarean section
• Vaginal deliveries - after two caesarean sections (carefully selected cases)

Caesarean Sections

• All forms of complex elective and emergency caesarean sections
• Sterilisation at time of caesarean sections

External Cephalic Version for Breech Presentations

• Expert in turning breech babies to become head down to facilitate normal delivery

Antenatal Management of high-risk pregnancies

• Diabetes
• Hypertension
• Twins and triplets
• Low birth weight babies
• Low water around the babies
• Premature rupture of membranes
• Women with history of recurrent miscarriages

Dr (Mrs) Salma Kayani has extensive experience and expertise in the management of Gynaecological Surgical Emergencies in Pregnancy, such as large ovarian cysts

Published Papers-First Author

• Salma I. Kayani, Maw Joo Tan, Nigel J. Shaw, Christopher Dewhurst, Andrew Titman, Gillian Lancaster, and Zarko Alfirevic Two-year outcomes for infants with low cord pH at birth. J Matern Fetal Neonatal Medicine. ISSN: 1476-7058 (print), 1476-4954 (electronic). Early Online: 1–5 2013 Informa UK Ltd. DOI: 10.3109/14767058.2013.847915
• Kayani, S I, Alfirevic, Z. Uterine Rupture After Induction Of Labour In Women With Previous Caesarean Section. Br J Obstet Gynaecol, 2005 Apr; 112 (4): 451-455.
• Kayani, S I, Walkinshaw, S A, Preston, C. Pregnancy Outcome In Severe Placental Abruption. Br J Obstet Gynaecol, 2003 July; 110(7): 679-683.

Published Review Article-First Author

• Kayani, Salma I, Alfirevic, Zarko, Induction of labour with previous caesarean delivery: where do we stand? Current Opinion in Obstetrics & Gynaecology. 18(6):636-641, December 2006

Poster Presentation – First Author

• 2-year Outcome for Infants with Low Cord pH At Birth S Kayani, M Tan, NJ Shaw, Z Alfirevic 13th Annual Conference of British Maternal Fetal Medicine Society Liverpool, Dates: 17th - 18th June 2009
• Induction of Labour in Previous Caesarean Section S Kayani, Z Alfirevic 7th Annual Conference of the British Maternal Fetal Medicine Society Churchill College, Cambridge Dates 11 April 2002 to 12 April 2002
• Pregnancy Outcome In Severe Placental Abruption S Kayani, S Walkinshaw 6th Annual Conference of the British Maternal Fetal Medicine Society University of Warwick Dates: 22 March 2001 to 23 March 2001

Published Abstracts- First Author

• S Kayani, M Tan, NJ Shaw, Z Alfirevic. 2-year Outcome for Infants with Low Cord pH At Birth. Archives of Disease in Childhood. Vol 94, Suppl 1, Page Fa37, June 2009
• S. Kayani, D. Roberts, D. Kitchiner. The routine anomaly scan and detection of congenital heart disease. Ultrasound in Obstetrics and Gynaecology, 26,4 :410, 2005
• S. Kayani and Z Alfirevic. Induction of Labour in Previous Caesarean Section. Journal of Obstetrics and Gynaecology, vol.22, supp.1, March 2002
• S. Kayani and S A Walkinshaw. Pregnancy Outcome In Severe Placental Abruption. Journal of Obstetrics and Gynaecology, vol.21, supp.1, March 2001

Dr Salma Kayani has strong and established credentials and experience in teaching and training. Being a certified trainer in Gynaecological Surgery from the Royal College of Obstetricians and Gynaecologists (RCOG) and Royal College of Surgeons of England (RCS), she provides valuable surgical training to undergraduate and postgraduate trainees as well as the medical students of affiliated Medical University.

Training Certificates:

• Training the Trainers: Advanced Training Skills Module Royal College of Obstetricians and Gynaecologists London, UK, July 2010
• Training The Trainers-Educational Supervisor’s Course RCOG, London, July 2010
• Facilitation learning in the Human Simulator and the Operating Theatre Royal College of Surgeons of England, London, UK, June 2010

Dr Salma Kayani’s training credentials and experience in the UK are as below:

• Preceptor for the Master’s degree programme in Advanced Gynaecological Endoscopy at the University of Surrey postgraduate medical school ( 2011)
• Faculty Member’ of the Royal College of Obstetricians and Gynaecologists (RCOG) Surgical Skills Course( 2011-2012 )
• Member of Gynaecology Training Faculty, International Minimal Access Centre for Surgery (IMACS), Maidstone, UK ( 2011-2012 )
• Member of Gynaecology Training Faculty, Minimal Access Therapy Training Unit (MATTU), Guildford, Surrey, UK ( 2012 )
• Course Director for the Basic Laparoscopic Surgical Skills Training Course across all Surgical Specialties in the Education Centre at University College London (2008-2010). Dr (Mrs) Salma Kayani developed this course to count towards the achievement of re-accreditation for laparoscopic surgeons by the General Medical Council UK. ( 2008-2010 )
• Developed and led in-house training courses for Hysteroscopic and Laparoscopic Surgery at University College London Hospital ( 2008-2010 )
• Developed and led Senior House Officers and Regional Registrar Training Programme in the Mersey Deanery ( 2005-2007 )
• Extensive experience in undertaking undergraduate education and training over a period of 15 years.
• Examiner for final year medical students from the University of Liverpool and University College London Hospital. ( 2003 and 2009 )
• Organised and conducted a very successful full-day Pre-Congress Master Class “Hands on Advanced Cadaveric Laparoscopy Course” on 6th May 2009 prior to the British Society for Gynaecological Endoscopy 2009 Annual Scientific Meeting in the Anatomy Department of University College London Hospital.
• Senior member of the Organising Committee of the British Society for Gynaecological Endoscopy (BSGE), Annual Scientific Meeting 2009, held at the BMA House in London on 7-8th May 2009.
• Conducted and chaired international interactive seminars and workshops

• Member of British Medical Association (BMA) Obstetrics and Gynaecology Consultant Specialty Sub-Committee since 2011
• Assessor for the New and Emerging Application of Technology (NEAT) programme for the Department of Health, UK.
• Reviewer for British Medical Association (UK) annual book competitions.
• Reviewer for British Medical Journal
• Expert Reviewer for European Journal of Obstetrics and Gynaecology Reproductive Biology
• Reviewer for the Central Commissioning Facility (CCF) Research Management Systems. The CCF manages and administers research programmes funded by the National Institute for Health Research (NIHR) and the Policy Research Programme (PRP) funded by the Department of Health (UK) through this Research Management System (RMS). The research funded is independent and investigates a range of healthcare and related matters and assists in how research-based knowledge is applied across all healthcare sectors.