scholarly journals Shastrabhyasa –A Research avenues in surgical aspects of Ayurveda

2018 ◽  
Vol 6 (04) ◽  
Author(s):  
Sowjanya J. Kashyap
Keyword(s):  
Surgical Procedures ◽  
Literary Work ◽  
Operative Procedures ◽  
Clinical Implementation ◽  
Suture Materials ◽  
Practical Difficulty ◽  
Contemporary Science ◽  
Effective Manner ◽  
Surgical Aspects ◽  
Operative Measures

“Many of the surgical procedures explained in texts are primitive, raw and are having practical difficulty. Thus we need to update rediscovered aspects and find few new things in surgery in Ayurveda.” Sushrutha Samhitha gives detail knowledge about surgical aspects in Ayurveda, where Agropaharaneeya adhyaya of Sushrutha Samhitha Sutra Sthana is considered as gist for the surgical procedures. Surgical aspects of Ayurveda emphasizes on Trividha karma which includes pre and post operative measures along with main surgical procedures. Concept of Anesthesia, Antiseptics and Antibiotics, Disinfectants, Sterilization of operation theater, Ashtavidhashastrakarma, different kinds of suturing materials are explained in an effective manner. It also emphasizes on Ksharakarma, Agnikarma, Raktamokshana, Raktaskandanopayas, concept and management of Vrana, different kinds of instruments, Sandhana, Bandhana, Asthi-Sandhibhagna and its management and various other surgical aspects, regarding which many research’s based on literature, clinical and experimentation have been conducted and proved effective. For an instance, in case of Arshas and Bhagandara, Ksharakarma has been proved to give better results rather than mere surgery. In case of wound, research’s shows tremendous effects by Ayurvedic management. The types of Suture materials as absorbable/non absorbable and synthetic/natural which were been described are taken as base in contemporary science. Even though there are ample of research avenues in surgical aspect of Ayurveda few aspects which are challenging and where we are lagging are Pre and Post Operative procedures. Hence a literary work with experimentation and its clinical implementation is highly necessary.

scholarly journals Complex Surgical Procedures: How much are they Costing your Hospital?

2011 ◽  
Vol 93 (3) ◽  
pp. 98-100
Author(s):  
RW Westerman ◽  
SB Mostofi ◽  
R Slack
Keyword(s):  
Surgical Procedures ◽  
Operative Procedures ◽  
True Cost ◽  
Complex Surgical Procedures ◽  
Technology Advances

In a climate of tightening budgets and rising cost the pressures on those performing complex and expensive operative procedures is ever increasing. As technology advances, the true cost for complex procedures continues to spiral. Hospital trusts are dependent on adequate remuneration for such procedures yet increases in the nationally agreed tariffs have not reflected the disproportionate rises in cost.

Surgical Aspects of Celiac Disease

2015 ◽  
Vol 81 (2) ◽  
pp. 157-160 ◽  
Author(s):  
Jon S. Thompson ◽  
David S. Thompson ◽  
Avishai Meyer
Keyword(s):  
Liver Transplantation ◽  
Celiac Disease ◽  
Surgical Procedures ◽  
Intestinal Inflammation ◽  
Adult Patients ◽  
Recurrent Pancreatitis ◽  
Motility Disorders ◽  
Increased Risk ◽  
Abdominal Operations ◽  
Surgical Aspects

Celiac disease, characterized by intestinal inflammation and malabsorption, occurs in 1 per cent of the population and is often undiagnosed. These patients are at increased risk for surgical procedures resulting from symptoms, associated intestinal disorders, and malignancy. Our aim was to determine the incidence and outcome of abdominal operations in patients with celiac disease. Records of 512 adult patients with celiac disease evaluated over a 22-year period were reviewed. Operations were classified as related or unrelated to celiac disease. One hundred eighty-eight (36%) of 512 patients underwent abdominal operations. One hundred twenty-seven (68%) of the 188 patients had unrelated procedures. Sixty-one (32%) had operations considered related to celiac disease. Twenty-six (43%) of 61 with related procedures were diagnosed preoperatively. Procedures were performed for pain, obstruction, motility disorders, and malignancy. Six patients had recurrent pancreatitis. Seven patients underwent liver transplantation. Thirty-five (57%) related procedures led to the diagnosis of celiac disease including “unmasking” (n = 25) and diagnostic findings (n = 10). One-third of patients with celiac disease undergo abdominal operations of which one-third are related to celiac disease. Operations are related to complications of celiac disease and often lead to the initial diagnosis.

scholarly journals Audit of Orthopaedic Surgical Documentation

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Fionn Coughlan ◽  
Prasad Ellanti ◽  
Cliodhna Ní Fhoghlu ◽  
Andrew Moriarity ◽  
Niall Hogan
Keyword(s):  
Surgical Procedures ◽  
Royal College ◽  
Operative Procedures ◽  
Tourniquet Time ◽  
Time Of Surgery ◽  
Standard Operation ◽  
Operative Notes

Introduction. The Royal College of Surgeons in England published guidelines in 2008 outlining the information that should be documented at each surgery. St. James’s Hospital uses a standard operation sheet for all surgical procedures and these were examined to assess documentation standards.Objectives. To retrospectively audit the hand written orthopaedic operative notes according to established guidelines.Methods. A total of 63 operation notes over seven months were audited in terms of date and time of surgery, surgeon, procedure, elective or emergency indication, operative diagnosis, incision details, signature, closure details, tourniquet time, postop instructions, complications, prosthesis, and serial numbers.Results. A consultant performed 71.4% of procedures; however, 85.7% of the operative notes were written by the registrar. The date and time of surgery, name of surgeon, procedure name, and signature were documented in all cases. The operative diagnosis and postoperative instructions were frequently not documented in the designated location. Incision details were included in 81.7% and prosthesis details in only 30% while the tourniquet time was not documented in any.Conclusion. Completion and documentation of operative procedures were excellent in some areas; improvement is needed in documenting tourniquet time, prosthesis and incision details, and the location of operative diagnosis and postoperative instructions.

scholarly journals INTERPRETATION OF SNAYU IN CLASSICAL TEXTS BASED ON INFERENTIAL ANATOMICAL EXPLORATIONS: A REVIEW

2020 ◽  
Vol 11 (5) ◽  
pp. 171-176
Author(s):  
Vidhyaprabha R
Keyword(s):  
Human Body ◽  
Review Article ◽  
Anatomical Structure ◽  
Cadaveric Dissection ◽  
Observation Methods ◽  
Contemporary Science ◽  
Dissection Techniques ◽  
Surgical Aspects ◽  
The Impact ◽  
Ancient Texts

Contemporary validation is the need of the hour when it comes to Ayurveda. Discrepancy in theories of Ayurveda and contemporary science makes this validation quite challenging. The anatomical terms mentioned in the classical texts need to be deciphered appropriately as the impact of these ideas are not just limited to a structure but to its physiological, surgical, pathological and surgical aspects. The term Snayu has always been a controversial structure when it comes to an anatomical validation. The objective of this review article is to correlate Snayu and its types to structures in the human body on the basis of cadaveric dissection through observation and inference. The methodology involved is a thorough literary review on structure and location of Snayu and its comparison to the anatomical structure in the background of dissection techniques and observation methods used in the ancient texts. It was observed that Snayu can be correlated to fibrous structures of human body like fascia, ligaments, tendons, aponeurosis etc.

Surgical Aspects of Pancreatitis

1959 ◽  
Vol 36 (1) ◽  
pp. 19-25
Author(s):  
John M. Waugh
Keyword(s):  
Surgical Aspects

1426: BPH-Related Surgical Procedures in Incontinent Males with BPH

2006 ◽  
Vol 175 (4S) ◽  
pp. 460-461
Author(s):  
Euna Han ◽  
Libby K. Black ◽  
John P. Lavelle
Keyword(s):  
Surgical Procedures

Spinal Fluid Leakage After Skull Base Surgical Procedures

1984 ◽  
Vol 17 (3) ◽  
pp. 601-612 ◽  
Author(s):  
Donald L. Myers ◽  
Robert Thayer Sataloff
Keyword(s):  
Skull Base ◽  
Surgical Procedures ◽  
Spinal Fluid ◽  
Fluid Leakage

Absorbable suture material in carotid surgery

VASA ◽  
2015 ◽  
Vol 44 (6) ◽  
pp. 451-457 ◽  
Author(s):  
Vincenzo Gasbarro ◽  
Luca Traina ◽  
Francesco Mascoli ◽  
Vincenzo Coscia ◽  
Gianluca Buffone ◽  
...  
Keyword(s):  
Suture Material ◽  
Absorbable Suture ◽  
Paediatric Surgery ◽  
Carotid Surgery ◽  
Suture Materials ◽  
Absorbable Suture Material ◽  
Absorbable Sutures ◽  
Group A ◽  
Group B

Abstract. Background: Absorbable sutures are not generally accepted by most vascular surgeons for the fear of breakage of the suture line and the risk of aneurysmal formation, except in cases of paediatric surgery or in case of infections. Aim of this study is to provide evidence of safety and efficacy of the use of absorbable suture materials in carotid surgery. Patients and methods: In an 11 year period, 1126 patients (659 male [58.5 %], 467 female [41.5 %], median age 72) underwent carotid endarterectomy for carotid stenosis by either conventional with primary closure (cCEA) or eversion (eCEA) techniques. Patients were randomised into two groups according to the type of suture material used. In Group A, absorbable suture material (polyglycolic acid) was used and in Group B non-absorbable suture material (polypropylene) was used. Primary end-point was to compare severe restenosis and aneurysmal formation rates between the two groups of patients. For statistical analysis only cases with a minimum period of follow-up of 12 months were considered. Results: A total of 868 surgical procedures were considered for data analysis. Median follow-up was 6 years (range 1-10 years). The rate of postoperative complications was better for group A for both cCEA and eCEA procedures: 3.5 % and 2.0 % for group A, respectively, and 11.8 % and 12.9 % for group B, respectively. Conclusions: In carotid surgery, the use of absorbable suture material seems to be safe and effective and with a general lower complications rate compared to the use of non-absorbable materials.

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