Lall Sawh
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Lall Ramnath Sawh CMT, FRCS (Edin), FACS (born 1 June 1951) is a
Trinidadian Trinidadians and Tobagonians, colloquially known as Trinis or Trinbagonians, are the people who are identified with the country of Trinidad and Tobago. The population of Trinidad is notably diverse, with approximately 35% Indo-Trinidadian, 34% ...
urologist Urology (from Greek οὖρον ''ouron'' "urine" and ''-logia'' "study of"), also known as genitourinary surgery, is the branch of medicine that focuses on surgical and medical diseases of the urinary system and the reproductive organs. Org ...
in the
Caribbean The Caribbean ( , ; ; ; ) is a region in the middle of the Americas centered around the Caribbean Sea in the Atlantic Ocean, North Atlantic Ocean, mostly overlapping with the West Indies. Bordered by North America to the north, Central America ...
and
Latin America Latin America is the cultural region of the Americas where Romance languages are predominantly spoken, primarily Spanish language, Spanish and Portuguese language, Portuguese. Latin America is defined according to cultural identity, not geogr ...
. Based in
Trinidad and Tobago Trinidad and Tobago, officially the Republic of Trinidad and Tobago, is the southernmost island country in the Caribbean, comprising the main islands of Trinidad and Tobago, along with several List of islands of Trinidad and Tobago, smaller i ...
, Sawh was a pioneer of
kidney In humans, the kidneys are two reddish-brown bean-shaped blood-filtering organ (anatomy), organs that are a multilobar, multipapillary form of mammalian kidneys, usually without signs of external lobulation. They are located on the left and rig ...
transplantation in the Caribbean in 1988 and is a recognized leader in the field of
urology Urology (from Ancient Greek, Greek wikt:οὖρον, οὖρον ''ouron'' "urine" and ''wiktionary:-logia, -logia'' "study of"), also known as genitourinary surgery, is the branch of medicine that focuses on surgical and medical diseases of t ...
."Caribbean Icons in Science, Technology and Innovation"
/ref>"Celebrity in the 21st Century: A Reference Handbook"
/ref>


Early life and medical training

Lall Sawh was born in a Couva, Trinidad and Tobago where most of his time was spent selling produce in a local market. Despite having to utilize brown paper bags as notebooks,"Caribbean Icons in Science, Technology and Innovation Volume II"
/ref> Sawh was able to excel in school and attended Naparima College, San Fernando, one of Trinidad's premiere secondary schools. He held the position of "Head Prefect""Notable Naparima College Graduates"
/ref> and subsequently entered medical school at the
University of the West Indies The University of the West Indies (UWI), originally University College of the West Indies, is a public university system established to serve the higher education needs of the residents of 18 English-speaking countries and territories in t ...
- Jamaica, when he was just seventeen years old. Graduating with first class honours, Sawh was awarded a Commonwealth Scholarship after medical school and moved to the United Kingdom to specialize in urology."T&T Icons in Science and Technology"
/ref> In 1985, he moved to the United States to complete his training as a Laparoscopic and Endoscopic Urology Fellow at
Mayo Clinic Mayo Clinic () is a Nonprofit organization, private American Academic health science centre, academic Medical centers in the United States, medical center focused on integrated health care, healthcare, Mayo Clinic College of Medicine and Science ...
in Rochester, Minnesota. He completed further training at the Urology Department at
Washington University School of Medicine Washington University School of Medicine (WashU Medicine) is the medical school of Washington University in St. Louis, located in the Central West End neighborhood of St. Louis, Missouri. Founded in 1891, the School of Medicine shares a ca ...
. He would later complete further training in transplant surgery and minimally invasive laparoscopic surgery and is credited as introducing these procedures to the Caribbean.


Career

By 1962 Trinidad and Tobago had gained independence from Great Britain, and by 1976 the country had become a republic with the Commonwealth nations. Urology in Trinidad was in its infancy, and the departure of the only two practising urologists left a void in the field. Dr. Sawh was therefore left as the sole urologist, giving him the opportunity to pioneer several urological procedures at the San Fernando General Hospital.Opedia"
/ref> This included the introduction of the percutaneous nephrolithotomy surgery for staghorn calculi on the island. After observing the high rate of diabetes and renal failure on the island, Dr. Sawh returned to America for further training in renal transplant surgery. On 27 January 1988, Sawh was the lead Urologist who performed the first set of kidney transplants in the country."Profiles - Heroes, Pioneers & Role Models of Trinidad and Tobago"
/ref> He would later collaborate with some of the surgeons on that team on what would become very high-profile cases on the island."Naraynsingh or Sawh"
/ref> Sawh is also acknowledged for introducing renal hypothermic surgery on the island and is credited as the first surgeon in the Caribbean to perform a phalloplasty. In 1994, Sawh, through his company Uroco Limited, implemented the use of the first Dornier lithotripsy machine in Trinidad, thereby expanding the treatment options available for kidney stone treatment in Trinidad. In 1989, he was awarded the post of Consultant Urologist at
Port-of-Spain Port of Spain ( ; Trinidadian and Tobagonian English, Trinidadian English: ''Port ah Spain'' ) is the capital and chief port of Trinidad and Tobago. With a municipal population of 49,867 (2017), an urban population of 81,142 and a transient dail ...
General Hospital. Due to a paucity of equipment in the government hospitals, he was forced to purchase and use his own equipment during his career at the Port-of-Spain General Hospital.used my own equipment"
/ref> Sawh was also awarded the post of senior lecturer at the University of the West Indies - Mt. Hope Medical Sciences Complex in the fields of surgery and urology. He was also a senior examiner for the final year surgery examinations. In 2007, the Government of Trinidad and Tobago authorized free brachytherapy services for the treatment of prostate cancer as a direct appeal from Sawh for that service. In December 2015, Dr. Sawh made history again when he removed the second largest renal tumor in the western hemisphere. Sawh and his team removed an eight-pound tumour from a 52-year-old man at the Southern Medical Clinic, San Fernando."Doctors make history"
/ref>"Local doctors remove world's second largest tumor"
/ref> On June 1, 2017, Dr. Sawh introduced the Aries system by Dornier MedTech. This is a novel, minimally invasive approach for the treatment of erectile dysfunction."Non-invasive treatment for erectile dysfunction"
/ref>


Awards

Dr. Sawh's services to Trinidad and Tobago have earned him a National award, "The Chaconia Gold Medal" - the highest award given by that country for excellence in the fields of medicine and surgery. At the time of the award, he was 43 years old, making him the youngest person in the history of Trinidad and Tobago to be awarded the Chaconia Medal Gold for his contribution to surgery in Trinidad. In 2009, Sawh was named a "National Icon" by the Government of Trinidad and Tobago and was furthered honoured by the Society of Surgeons in Trinidad and Tobago when he was featured in their publication ''Trinidad and Tobago Icons in Science and Technology - Volume II''. In 2012, Sawh was included as one of the few surgeons, and only urologist, in Nasser Khan's historical recount, "Profiles - Heroes, Pioneers & Role Models of Trinidad and Tobago". In 2018, Sawh was named one of twelve people who helped transform Trinidad and Tobago. He was the only surgeon to make the list."12 East Indian Trinbagonians who helped transform Trinidad and Tobago"
/ref>


References


External links


American Urological Association
{{DEFAULTSORT:Sawh, Lall 1951 births Living people Trinidad and Tobago physicians University of the West Indies alumni Fellows of the Royal College of Surgeons of England Recipients of the Chaconia Medal Washington University in St. Louis fellows People educated at Naparima College