Abstract

CONCEPT OF SHUSHURUTOKT SIVAN KARMA IN THE MANAGEMENT OF WOUND- A LITERATURE REVIEW

*Dr. Rahul Shukla, **Dr. Suman Yadav and ***Dr. Ashutosh Kumar Yadav

Abstract

In our surgical practice suturing (Sivan karma) is very important procedure and it is equally important procedure in both traumatic wound (emergency surgery) as well as in the elective surgery. Wounds are commonest problem faced by surgeon. Good approximation of wound margin with good healing is the main aim of suturing. Sivan karma is one of the main procedures in Ashtavidh Shastrakarma which means suturing as described by Acharya Sushruta in his book Sushurut Samhita.[1] Acharya Sushruta has also described 60 types of chikitsa upakrama called ‘Shashti upakrama’ for wound management.[2] For practicing these Ashtavidh Shastrakarma, Sushruta has described different techniques under the heading of ‘Yogya Vidhi’ Adhyaya of sutrasthan.[3] For the purpose of proper wound healing good surgical practice should be applied and for proper suturing one should practice it with ideal techniques. It gives better result for wound healing. If suturing is done in proper way it avoids extra time and efforts for wound healing. This article is written to highlight the suturing techniques in the management of wound. Literature review was done to study the suturing techniques accelerating wound healing and role of Sivan karma in the of wound management. Sutures are typically used to close all type of wounds, whether they are on surface level or deep. In order to close a profound wound, the surgeon may be required to stitch two edges of the skin together layer by layer, which would involve placing and leaving sutures underneath the skin. There are some risks involved with all medical procedures involving stitches. There is always some chance that there will be permanent scarring from the sutures. A bulging scar (keloid) can occur after stitching, which will cause the area making it less flexible than surrounding skin and causing discomfort. So, proper suturing techniques are is required for proper wound management.

Keywords: Sevana karma, Ashtavidh Shastrakarma, Shashti upakrama, Yogya Vidhi.