Abstract

ROLE OF WOUND BED PREPARATION IN THE MANAGEMENT OF CHRONIC NON HEALING ULCER

Awadhesh Kumar Pandey*, Pathak Meenakshi S.N., Prof.M.Sahu

Abstract

A wound must be clean to heal and wounds which are not cleaned heal slowly or not at all and also get a reduced supply of blood.[1] Wound debridement is a method used to remove dead and infected tissue from a wound.[2] Any infection in the tissue can also spread to nearby areas or to other parts of the body through the blood. Wound debridement can be done through a surgical procedure or various other methods. So to solve the problem in the management of wound, contaminated with dead tissue or slough, Safe and effective wound debridement to keep the wound clean is a requirement for the management of Dustavrana (Ch. non healing ulcer). Sushruta, the father of Ayurvedic Surgery, have described a number of drugs for Vrana Sodhana(wound cleaning agents) and Vrana Ropan (healing agents). Sushruta mention Kshar (alkali material) as a drug which has the property of Sodhan (cleaning), Ropan (healing), Pachan , Vilyan and Lekhan (scrapping), so the local application of Kshar in the form of a Pichu (gauge pice) has been taken as debriding agent and it also promotes the healing of chronic non healing ulcer.[3]

Keywords: Kshar pichu,Wound Debridement,Wound Bed Prepration.