Abstract

A CRITICAL REVIEW ON VRANA SANDHANA WITH SPECIAL REFERENCE TO SKIN GRAFTING

Dr. Kavitha D.*, Dr. Aneesur Rehman Madni and Dr. Prasadshakti G. Gannur

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Abstract

In Shalyatantra much importance is given for the management of Vrana and many chapters of Sushruta Samhita are dedicated for understanding and management of Vrana. Acharya Sushruta has explained treatment like Saptakopakrama and Shastiupakrama in the context of vrana chikitsa. Sandhana karma which is explained under Shastiupakrama looks unique and we get direct reference of Nasa sandhana, Karna sandhana and Osta sandhana, the principles of which can be corelated to modern skin grafting procedure for large and chronic wound. This method is known as reconstructive therapy (skin grafting) which follows same principles. In cases of non-healing chronic ulcers due to underlined pathology, skin grafting fits good and helps in wound healing and gives better results by reducing the time of healing. The principles laid down by Acharya Sushruta centuries ago forms fundamentals for plastic surgery in present era.

Keywords: Vrana, Vrana sandhana, Skin grafting, Sandhana karma, Nasa sandhana.