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Dr. Ghorpade Pankaj* and Dr. Kedar Nita


Ayurveda is science of healing. Acharya Sushruta has described different measures for wound healing. Sushruta has described 60 types of chikitsa upakrama called ‘Shashtiupakrama’ for wound management. In this Upakrama Sushruta also described eight types of operative procedure under the heading of ‘Ashtavidha Shasrakarma’. Sivan karma is one of the main procedures in Ashtavidh Shastrakarma which means suturing. For practicing these Ashtavidh Shastrakarma Sushruta has described different techniques under the heading of ‘Yogya Vidhi’ Adhyaya. For the purpose of proper wound healing good surgical practice should be applied and for proper suturing one should practice it with ideal techniques. It gives better result for wound healing. If suturing done in proper way it avoids extra time and efforts for wound healing. This article was written to highlight the suturing techniques in healing of wound. Literature review was done to study the suturing techniques accelerating wound healing and role of Sivan karma yogya vidhi in wound healing. Sutures are typically used to close all type of wounds, whether they are surface level or deep. In order to close a profound wound the surgeon may be required to stitch two edges of the skin together layer by layer, which would involve placing and leaving sutures underneath the skin. There are some risks involved with all medical procedures involving stitches. There is always some chance that there will be permanent scarring from the sutures. A bulging scar (keloid) can occur after stitching, which will cause the area making it less flexible than surrounding skin and causing discomfort. So, proper suturing techniques are the need of the era.

Keywords: Suturing techniques, Sivan Karma, Yogya Vidhi.

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