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*Dr. Suryakant D. Waghmare, Dr. Gani Shaikh and Dr. M. J. Qadri


Good surgeon is required, to coduct a surgery successfully with minimum complications, yet it relies on the pre-operative care, operative techniques and the post- operative care. For this Acharya Sushruta has explained trividha karma in details. Trividha karma include poorva karma (pre-operative care), pradhan karm (operative procedures) and paschat karma(post operative care). Poorvakarma includes basic preparation of patient and collection of instruments which are require for pradhankarma. Pradhankarma includes mainly ashtavidha shastra karma such chedana, bhedana etc. And paschata karma includes all antiseptic majors not only for wound care but also to prevent other systemic infections in which wound dressing with madhu, ghrita and dupana with ayurvedic drugs are mentioned by ancient acharyas. Each and every step from above three persists an equal importance. If anyone from above is missing, it will cause defect in management of disease.

Keywords: Trividha karma, poorva karma, pradhan karma, paschta karma.

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