Abstract

A COMPREHENSIVE STUDY OF SURGICAL INCISIONS WITH SPECIAL REFERENCE TO TIRYAK CHEDA AND ITS APPLIED ANATOMY

Dr. E. R. Surabhi*

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Abstract

Acharya Sushruta has described Astavidha Shastrakarmas, incisions being one among them. The type of incisions according to region has also been described. Chedana should be Tiryak at Bhru (eyebrow), Ganda (cheek), Shankha (temple), Lalata (forehead), Akshiputa (eyelid), Ostha (lip), Dantaveshtaka (gum), Kaksha (axilla), Kukshi (belly) and Vankshana (groin)region. Otherwise there is cutting of veins and ligaments, severe pain, delayed healing and appearance of polypus-like growth. The understanding of Tiryak Chedana is still vague and needs to be studied in depth. There are various types of surgical incisions indicated in modern surgery. So in light of Ayurvedic and Modern references the surgical incisions in the regions were Tiryak Cheda has been advised by Acharyas were compared and assessed along with cadaveric dissection of these regions. From the present study it was observed that there is significant relation between the Tiryak Cheda explained by Sushruta to the surgical incisions being practiced now. The incisions advised by Acharyas mostly follow the pattern of relaxed skin tension line and produces lesser damage of beneath structures.

Keywords: Tiryak Cheda, surgical incisions, dissection.