Abstract
Wound dehiscence is the common problem which is faced by most of the surgeons in case of obese people. As we know, in case of post-operative wound management, avascularity and excessive adipose tissue lysis can lead to fluid collection which leads to gapping of sutured wound. This may also cause Dushta vrana i.e. secondary infection to the wound. Wound dehiscence in surgical field leads to most fatal outcome which can lead to cause local as well as systemic sepsis in the patient. Present case report reveals a treatment modality which involves multidisciplinary team approach such as management of wound as well as obesity by using Ayurvedic perspective. Whereas modern technique of resuturing the gapped wound exposes patient to another surgical procedure which is expensive and increases the hospital stay. The local and oral drugs formulations were proven effective in reducing excessive wound discharge as well as they stimulate the wound healing mechanism when administered in both local and systemic ways. The cost and benefit ratio was found high as there is no re-exposure to the surgical procedure and patient will get benefitted with non-invasive technique along with minimal expenses and hospital stay.
Highlights
Wound dehiscence or post-operative gapping of the wound can be considered as Chinna vrana (Incised wound) mentioned by Sushrutacharya, is a commonest problem in the obese patients in the field surgery. (1)(2)Charakachrya mentioned that obese people are prone to develop fatal conditions and are difficult to treat.(2) Complications of surgery in such patients includes gapping of the wound due to dhatushaithilya due to vitiated dosha (2)which is similar to excessive tissue adepolysis mentioned as per the modern science can be considered due to inherent anatomical feature, vascular insufficiency, cellular and composition modification, alteration in immune mediators and nutritional deficiencies
That again expose the patient to the another surgical procedure and prolongs the hospital stay. Such cases can be treated with Ayurvedic treatment modalities which includes internal medication i.e. abhyantar chikitsa with Chandraprabhavati and triphala guggulu along with local application of Kshar tail. (5)(6)(7)(8) This will promote rapid healing of wound dehiscence without any surgical intervention. !
A 33 years old male patient presented with Umbilical hernia with omentum as a content in the hernia sac and hernioplasty done
Summary
Wound dehiscence or post-operative gapping of the wound can be considered as Chinna vrana (Incised wound) mentioned by Sushrutacharya, is a commonest problem in the obese patients in the field surgery. (1)(2). Wound dehiscence or post-operative gapping of the wound can be considered as Chinna vrana (Incised wound) mentioned by Sushrutacharya, is a commonest problem in the obese patients in the field surgery. Surgical attempt can be made to correct wound dehiscence with debridement and resuturing of the post-operative wound with proper wound. Such cases can be treated with Ayurvedic treatment modalities which includes internal medication i.e. abhyantar chikitsa with Chandraprabhavati and triphala guggulu along with local application of Kshar tail. Such cases can be treated with Ayurvedic treatment modalities which includes internal medication i.e. abhyantar chikitsa with Chandraprabhavati and triphala guggulu along with local application of Kshar tail. (5)(6)(7)(8) This will promote rapid healing of wound dehiscence without any surgical intervention. !
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