Abstract

MANAGEMENT OF DUSTA VRANA WITH SKIN GRAFT- A CASE STUDY

*Dr. Pankaj Kumar Barman, Dr. Mustafizur Rahman

Abstract

Introduction: Discontinuation of the covering epithelium of skin or mucous membrane is called as ulcer which is described as Vrana in Ayurveda. The healing of the ulcer is a physiological response of the body. When a person does not maintain the proper treatment regimen, hygiene, along with indulgence of apathya ahar vihar and the wound contaminated with various micro organisms, converted to Dusta Vrana or non healing ulcer. Vrana Sandhan karma is known as repair and reconstructive surgery for wound which includes primary repair and skin grafting. In this study this principle of sushrut samhita for vran chikitcha applied. Aim of the Study: Management of dusta vran with skin graft. Material & Method: A 45 years non diabetic male patient had had been selected from OPD sufferings from non healing wound over medial malleous of left foot associated with pain and serous Discharge since 2 months. The wound was debrided after proper investigation. The edges were excited. After observing healthy granulation tissue the wound covered with partial thickness autografts taken from antero medial aspect of left thigh and dressing done. Result: wound healed completely without any complications with a proper functional skin. Discussion: This case report proved that non healing wound can be managed by proper vrana sodhan (wound debridement) and vrana ropana (wound bed preparation) along with partial thickness Skin graft without any contracture. Summary & Conclusion: Skin graft has good effect in management of Dusta vran.

Keywords: Dusta vrana, sandhan karma, skin graft, plastic surgery.