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Abstract

BREAKTHROUGHS IN THE MANAGEMENT OF WOUND WITH SPECIAL REFERENCE TO SHASHTHI UPKRAMA

Khandagale Rajesh* and Kedar Nita

ABSTRACT

In Ayurveda Sushruta has explained 60 treatment modalities called Shashthi Upkrama for wound management, that can be corelated with modern techniques of wound management. Shashthi Upkrama plays vital role in case of different types of wound management. Management of wound is one of the important clinical challenges faced by clinicians. Nowadays, disease like Diabetes, peripheral vascular disorders, malnutrition, immunosuppression are increasing as it interferes wound management resulting in increased prevalence of non-healing wounds. Traditional approach of wound management is sometimes not significantly effective in non-healing wounds hence we must look for upgraded modalities such as advanced dressings, Negative pressure wound therapy, skin substitutes, Hyperbaric oxygen therapy for better results. Objectives: (1) To review “Shashthi Upkrama” in Ayurveda. (2) To study newer techniques of wound management. Methodology: Data collected from Sushruta Samhita, modern books and articles from web database. Basic principles mentioned in Shashthi Upkrama are relevant to modern modalities of wound management. Traditional techniques for wound management are still being used along with well-developed techniques. The foundation of basic principles of wound management was laid down by Sushruta long ago, which are valid techniques used for wound care today. While dealing with the wound, Sushruta has mentioned detailed stepwise methods for wound care. Newer techniques are still in development but the basic principle of wound management remains same i.e. Shodhana (wound cleaning) which is essential before Ropana (Healing).

Keywords: Shashthi upkrama, Negative pressure wound therapy.


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