Abstract

KSHARKARMA WITH TUTTHA IN THE MANAGEMENT OF HYPERGRANULATION IN POST OPERATIVE FISTULA – A CASE STUDY

Vd. Swapnil Ulhasrao Chavan* and Vd. Shubhangi Badole

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Abstract

• A wound is a break in the continuity of the covering skin or mucous membrane due to any trauma or underlying pathology. • Wound healing is a process where the skin repairs itself after injury with the help of granulation tissue and epithelisation. • Hypergranulation is an unusual healing response, presenting as an overgrowth of fibroblasts and endothelial cells with a similar structure to healthy granulation tissue but in excess. • Acharya Sushruta stated Astavidha upakrama in the management of vranashopha in Misharakadhyaya. • Non-proliferation of granulated or hypergranulated tissue are two factors which can hinder the process of wound healing. • For such conditions Acharya Sushruta stated Utsadana and Avsadana Upakrama in astavidha upakrama. Hypergranulation can be managed either surgically or non-surgically.

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