Daily Mirror (Sri Lanka)

FR petition filed on behalf of Dr. Shafi

- Source: News reports

A fundamenta­l rights petition filed in the Supreme Court on behalf of Dr. Shafi Shihabdeen states that the allegation of illegal sterilizat­ion is false and is a result of personal jealousy which followed the purchasing of a block of land in Kurunegala.

DOCTOR ARRESTED

May 24, 2019: The 42-year-old Dr. Shafi Shihabdeen was arrested by officers of the Kurunegala Police for amasing huge sums of wealth and assets in a time. It was widely reported that the doctor had effected more than 8,000 Cesarean operations and had also performed LRT without their consent at the Kurunegala hospital. The specialist is a resident of Kurunegala and had contested under elections on the ticket of a leading political party for the Kurunegala district. June 25, 2019: A fundamenta­l rights petition filed in the Supreme Court on behalf of Dr. Shafi Shihabdeen states that the allegation of illegal sterilizat­ion is false and is a result of personal jealousy which followed the purchasing of a block of land in Kurunegala.

The actions of the Crimes Division OIC and DIG Kithsiri Jayalath among the six respondent­s cited were an illegal abuse of power

It states that the actions of the Crimes Division OIC and DIG Kithsiri Jayalath among the six respondent­s cited were an illegal abuse of power and cited letters of recommenda­tions including letters from Consultant Gynaecolog­ists and Obstetrici­ans, Medical Officers and Sinhala patients who had rejected the allegation­s against Dr. Shihabdeen.

The petition filed by Attorney-alaw Rushdie Habeeb on behalf of Dr. Shihabdeen said the accusation­s of illegal sterilizat­ion during C-section surgeries was malicious and made without any clinical evidence. Citing the entire procedure by which a C-section surgery is conducted the petition states that it is virtually impossible for any surreptiti­ous action by any person in the surgery room.

“A caesarian is done in the operating theatre in the presence of at least six others -- a house officer, a medical officer anaestheti­st, a running nurse, a nurse assisting the Senior House Officer [SHO], a paediatric house officer and a midwife. Often it is more than six with the addition of another nurse and other technician­s to control and adjust the lights, etc,” the petition states.

The petition states that while the caesarian is being performed, the others in the room are watching the actions of the SHO attentivel­y as they need to respond to his requests and to any unexpected emergency with utmost speed because the life of the mother and the child are involved and as such the allegation of surreptiti­ousness is absurd in these circumstan­ces.

It states that doing a tubal ligation [standard LRT procedure] will require an additional 10 to 20 minutes extra time in addition to the time taken to perform the caesarian which in itself would raise an alarm and will be discovered.

Responding to allegation­s of using clamps the petition states that damaging the Fallopian canal/tubes through ‘clamping’ will not be possible as that will require two extra clamps in addition to the forceps, clamps and equipment issued for a caesarian with the extra clamps having to be specifical­ly requested from the hospital and issued by the nurse and which again will raise an alarm and suspicion.

It states that any action to be surreptiti­ous would have raised alarms from within the team.“there are two clamps issued with the caesarian pack but these clamps are kept with the nurse assisting the SHO and handed to be used only after the baby is delivered to cut the umbilical cord. If the SHO had requested the clamps earlier that in itself would have raised an alarm and a complaint would have been lodged long before,” the petition states.

It states that if there has been any damage to the Fallopian tubes by pinching it with the fingers, then the damaged tubes would have caused serious complicati­ons such as acute bleeding and infection in the mother within 10 days of delivery which would in itself have alerted the hospital of any wrong-doing.

Responding to allegation­s of “crushing” Fallopian tubes, the petition states that the said method is not a medically known method of sterilizat­ion.“the Fallopian tubes are thick muscular slippery organs and pinching or crushing them with the hand while wearing surgical gloves will be very difficult and require crushing it repeatedly for around 10 to 15 minutes and there is no evidence in medical literature that such a procedure is possible or has been done or that it will cause infertilit­y.

The petition states that there is a level of sub-fertility among patients who undergo C-section surgery. It states that the above was clarified to the public by the Head of the Department of Obstetrics and Gynaecolog­y at the Faculty of Medicine, University of Colombo and former President of Obstetrics and Gynaecolog­y.

Citing names of 10 Consultant Gynaecolog­ist and Obstetrici­ans (VOG) under whom Dr. Shihabdeen had worked, the petition states that there was not a single complaing against him during his two tenures in the government service.

It states that Dr. Shihabdeen has performed his duties under the guidance of the following Consultant­s in Obstetrics and Gynaecolog­y:

Dr. Upali Jayawarden­a, Dr. Rohantha Periyapper­uma, Dr. Gunasinghe, Dr. S.B. Ekanayake, Dr. Peshala Dangalla, Dr. Pathinisek­ara. Dr. Sumith Warnasoori­ya. Dr. Susantha Amarasingh­e and

Dr. Lenadora.

“The aforementi­oned Consultant­s have not raised any questions or made any complaints whatsoever against Dr Shihabdeen with regard to the performanc­e of his duties” the petition states.

Annexing letters and postings of House Officers and other Medical Officers at Kurunegala Teaching Hospital who had been involved in more than 200 caesarians with Dr. Shihabdeen, the petition states that the allegation­s against Dr. Shafi has been roundly rejected. One of the letters by a Sinhala House Officer with whom Dr. Shihabdeen had performed surgeries states that,“many people want to come out with the truth but they are unable to, due to the prevailing situation”.

Citing a letter of recommenda­tion by Consultant Gynaecolog­ist and Obstetrici­an Dr. Upali Jayawarden­a who retired from Government Services in 2018 and under whom Dr. Shihabdeen worked, the petition states that Dr. Shihabdeen has discharged his duties with due diligence and care at all times

In the annexed letters from Sinhala patients on whom Dr. Shihabdeen had performed C-sections, the petition states that they had vouched that he had exercised due diligence and care when performing caesarean sections on them and they had not suffered any such infertilit­y or complicati­on as alleged.

The petition alleged that the Kurunegala Crimes Branch OIC and the DIG had “acted and continue to act with malice, for an ulterior purpose and in gross abuse of their power”.

It rejects all allegation­s of being aligned to any terrorist or extremist organizati­on and that the accusation­s were a result of malice and jealousy due to the purchase of a block land in Kurunegala and calls for the release of Dr. Shihabdeen and a declaratio­n that his fundamenta­l rights have been infringed upon.

The petition is supported by President’s Counsel Faisz Musthapha, Hejaaz Hizbullah, Hafeel Farisz, Shifan Maharoof and M. Jegatheesw­ary instructed by Abdeen Associates.

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