scholarly journals KSHARAKARMA IN SHALAKYA TANTRA: A REVIEW

2021 ◽  
Vol 12 (3) ◽  
pp. 131-134
Author(s):  
Shifali Sahu ◽  
V R Hiremath ◽  
Shashikala K ◽  
Gururaj N
Keyword(s):  
Cost Effectiveness ◽  
Postoperative Pain ◽  
Surgical Procedures ◽  
Effective Management

Kshara is one of the Ayurvedic modalities used from the ancient period for the treatment of various diseases. Acharya Sushruta who is worshipped as the "Father of Surgery" is the pioneer of Kshara Kalpana. Kshara karma is important among all the "Anushastra karma". It is multifunctional hence advised in several urdhwajatrugata vikaras according to stage and predominance of Doshas. Kshara application is the best one, taking into consideration of its convenience, easy adaptability, cost-effectiveness, and curative. It also has mild postoperative pain, no bleeding, minimum hospitalization and fewer chances of recurrence. The correct way of adopting the procedure has been considered as wealth and a strong weapon in the Ayurvedic pharmacopeia. There is a need of adopting such Para surgical procedures, doing research works, and popularize it in Shalakya practice for effective management and cure of the urdhawavikaras.

Conceptual understanding of Kshara Karma in Shalakya Tantra

2017 ◽  
Vol 2 (3) ◽  
Author(s):  
Mahantaswamy S. Chappanmath ◽  
Vinod M. Jadhav
Keyword(s):  
Conceptual Understanding ◽  
Surgical Procedures ◽  
Research Work ◽  
Effective Management ◽  
Optimum Result

Kshara Karma, Agni Karma is known as Anushastra Karmas. Popularly understood as Para surgical procedures. They are outstanding contributions of Acharya Shushruta. The surgical disorders are managed with these procedures with ease and comfort for both surgeon and patients. In Shalakya Tantra there is a need of adopting these procedures for effective management of disorders such as Upajihwa, Adhijihwa, Upakusha, Dantavaidharbha, three types of Rohini, Nasarsha, Karnarsha and Pakshmakopa. Kshara Karma said to be one among the Anushastra Karma explained by Acharya Shushruta which is not widely practised and popularised in Shalakya diseases. There is need of research work in this area to utilize Kshara Karma and give optimum result.

Pre‐emptive administration of gabapentinoids to reduce postoperative pain and opioid usage following oral and maxillofacial surgical procedures

Oral Surgery ◽  
2021 ◽  
Author(s):  
Surya A. Bhavaraju ◽  
John S. Vorrasi ◽  
Sandeep Talluri ◽  
Mythili Kalladka ◽  
Junad Khan
Keyword(s):  
Postoperative Pain ◽  
Surgical Procedures

scholarly journals Otoplasty: a graduated approach

2020 ◽  
Vol 36 (1) ◽  
Author(s):  
Ahmed Soliman Ismail
Keyword(s):  
Postoperative Pain ◽  
Surgical Procedures ◽  
Adult Patients ◽  
Surgical Results ◽  
Auricular Cartilage ◽  
Surgical Time ◽  
Common Presentation ◽  
Ear Deformity ◽  
Surgical Tool ◽  
Bat Ear

Abstract Background Bat ear deformity is a common presentation among the ENT patients (22.5%). Many surgical procedures have been described to manage such a problem. A thorough study of the anatomical anomalies contributing to such deformity is required by any plastic surgeon in handling this anomaly. Results Modified anterior scoring (Chong-Chet) was done on 45 bat ear deformities in 31 patients. Good surgical results were obtained in 97.7% of patients, and the surgical time ranged from 60 t0 90 min. Postoperative pain and infection were minimal and effectively managed. Conclusions The modified Chong-Chet anterior scoring is a reliable and effective surgical tool for managing bat ear deformity done through one postauricular incision. This technique could be used in young as well as adult patients because it renders the auricular cartilage easier to manipulate.

scholarly journals Postoperative Pain, an Unmet Problem in Day or Overnight Italian Surgery Patients: A Prospective Study

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Sara Campagna ◽  
Maria Delfina Antonielli D’Oulx ◽  
Rosetta Paradiso ◽  
Laura Perretta ◽  
Silvia Re Viglietti ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Surgical Procedures ◽  
Pain Therapy ◽  
Pain Treatment ◽  
Day Surgery ◽  
North West ◽  
Local Practices ◽  
Surgery Rates ◽  
A Prospective Study ◽  
Postoperative Pain Treatment

Background. Because of economic reasons, day surgery rates have steadily increased in many countries and the trend is to perform around 70% of all surgical procedures as day surgery. Literature shows that postoperative pain treatment remains unfulfilled in several fields such as orthopedic and general surgery patients. In Italy, the day surgery program is not yet under governmental authority and is managed regionally by local practices. Aim. To investigate the trends in pain intensity and its relation to type of surgeries and pain therapy protocols, in postoperative patients, discharged from three different Ambulatory Surgeries located in North West Italy (Piedmont region). Method. The present study enrolled 276 patients who undergone different surgical procedures in ambulatory regimen. Patients recorded postoperative pain score twice a day, compliance with prescribed drugs, and pain related reasons for contacting the hospital. Monitoring lasted for 7 days. Results. At discharge, 72% of patients were under weak opioids, 12% interrupted the treatment due to side effects, 17% of patients required extra drugs, and 15% contacted the hospital reporting pain problems. About 50% of patients experienced moderate pain during the first day after surgery. Results from our study show that most of the patients experienced avoidable pain after discharge.

scholarly journals The Effect of Intraoperative Methadone Compared to Morphine on Postsurgical Pain: A Meta-Analysis of Randomized Controlled Trials

2020 ◽  
Vol 2020 ◽  
pp. 1-9 ◽  
Author(s):  
Mark C. Kendall ◽  
Lucas J. Alves ◽  
Kristi Pence ◽  
Taif Mukhdomi ◽  
Daniel Croxford ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Randomized Controlled Trials ◽  
Surgical Procedures ◽  
Meta Analysis ◽  
Analgesic Efficacy ◽  
Opioid Consumption ◽  
Cochrane Library ◽  
Postanesthesia Care Unit ◽  
Controlled Trials ◽  
Randomized Controlled

Background and Objectives. Methadone is commonly used in chronic pain, but it is not frequently used as an intraoperative analgesic. Several randomized studies have compared intraoperative methadone to morphine regarding postsurgical analgesia, but they have generated conflicting results. The aim of this investigation was to compare the analgesic efficacy of intraoperative methadone to morphine in patients undergoing surgical procedures. Methods. We performed a quantitative systematic review of randomized controlled trials in PubMed, Embase, Cochrane Library, and Google Scholar electronic databases. Meta-analysis was performed using the random effects model, weighted mean differences (WMD), standard deviation, 95% confidence intervals, and sample size. Methodological quality was evaluated using Cochrane Collaboration’s tool. Results. Seven randomized controlled trials evaluating 337 patients across different surgical procedures were included. The aggregated effect of intraoperative methadone on postoperative opioid consumption did not reveal a significant effect, WMD (95% CI) of −0.51 (−1.79 to 0.76), (P=0.43) IV morphine equivalents. In contrast, the effect of methadone on postoperative pain demonstrated a significant effect in the postanesthesia care unit, WMD (95% CI) of −1.11 (−1.88 to −0.33), P=0.005, and at 24 hours, WMD (95% CI) of −1.35 (−2.03 to −0.67), P<0.001. Conclusions. The use of intraoperative methadone reduces postoperative pain when compared to morphine. In addition, the beneficial effect of methadone on postoperative pain is not attributable to an increase in postsurgical opioid consumption. Our results suggest that intraoperative methadone may be a viable strategy to reduce acute pain in surgical patients.

Cost-effectiveness analyses of elective orthopaedic surgical procedures in patients with inflammatory arthropathies

2011 ◽  
Vol 40 (2) ◽  
pp. 108-115 ◽  
Author(s):  
H Osnes-Ringen ◽  
MK Kvamme ◽  
IS Kristiansen ◽  
M Thingstad ◽  
JE Henriksen ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Surgical Procedures

Measuring Cost-Effectiveness of Surgical Procedures

2000 ◽  
Vol 43 (3) ◽  
pp. 551-560 ◽  
Author(s):  
LESLEE L. SUBAK ◽  
AARON B. CAUGHEY
Keyword(s):  
Cost Effectiveness ◽  
Surgical Procedures

Cost effectiveness of tension-free vaginal tape for the surgical management of female stress incontinence

2004 ◽  
Vol 20 (4) ◽  
pp. 455-463 ◽  
Author(s):  
Mary Kilonzo ◽  
Luke Vale ◽  
Sally C. Stearns ◽  
Adrian Grant ◽  
June Cody ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Surgical Procedures ◽  
Cost Effective ◽  
Sensitivity Analyses ◽  
Sling Procedure ◽  
Tension Free ◽  
Tension Free Vaginal Tape ◽  
Life Years ◽  
Cure Rates ◽  
The Impact

Objectives: Stress urinary incontinence affects between 10 percent and 50 percent of women. Surgery is commonly recommended for troublesome incontinence that does not respond to nonsurgical management. Tension-free vaginal tape (TVT) is a newer, minimal access surgical sling procedure, which is being increasingly adopted worldwide. The cost-effectiveness of TVT in comparison with other surgical procedures, particularly open colposuspension, is assessed.Methods: Effectiveness estimates came from a systematic review of TVT compared with other surgical procedures (open and laparoscopic colposuspension, traditional slings, and injectables). Deterministic and probabilistic analyses were used to assess the likelihood of TVT being cost-effective. Sensitivity analyses assessed the impact of changing assumptions about cure rates and costs for TVT, cure rates for retreatment open colposuspension, and proportions of women who choose retreatment.Results: Reliable estimates of relative effectiveness were difficult to derive because the few randomized controlled comparisons had not been optimally analyzed or fully reported. Results of the economic model suggested that TVT dominates open colposuspension (lower cost and same quality of life years[QALYs]) within 5 years after surgery. Stochastic analysis indicated that the likelihood of TVT being cost-effective was 100 percent if decision-makers are unwilling to pay for additional QALYs. TVT's dominance depended on the assumption fact that retreatment open colposuspension has lower cure rates than a first colposuspension.Conclusions: Analysis based on current short-term data indicates dominance of TVT over open colposuspension from approximately 5 years. There is a need for longer-term follow-up data from methodologically rigorous randomized trials to provide a sounder basis for estimating the relative benefits and cost implications.

scholarly journals PSY30 COST-EFFECTIVENESS OF BARIATRIC SURGICAL PROCEDURES VERSUS NO TREATMENT FOR MORBID OBESITY

2010 ◽  
Vol 13 (3) ◽  
pp. A211
Author(s):  
A Pasricha ◽  
G Blackhouse ◽  
R Goeree ◽  
JE Tarride ◽  
D O'Reilly
Keyword(s):  
Morbid Obesity ◽  
Cost Effectiveness ◽  
Surgical Procedures
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