Monday, July 3, 2017

Epididymal cyst

Saturday, July 1, 2017

Sushruta - A hero or Myth?

Dear friend,
I want to tell a story regarding the 'Father of Surgery', the legend Sushruta who de facto started the scientific practice of surgery and now a totally forget hero of ancient India. I personally admire this person (may be school not a person) for achieving highest standards of surgical principles and practices.
Why am I narrating the story to you because it is a fact that He was a great surgeon of ancient India and everybody knows Him. It is not true; in fact, He is not remembered by the highest knowledgeable persons of India.

I got an opportunity to appear for a personal talk before a learned board of the highest selection body of this country. It was a friendly discussion.
But one thing was very disappointing. I was asked, 'Was Sushruta a myth or reality?'
Some years before our central government gave an affidavit, 'Ram was a mythological character.' I personally hate the word 'Myth' as it has never been a part of our culture and for we people each and every character of our history have given us enlightenment.

I replied, 'He devised many surgical instruments, demonstrated many surgical procedures, started many firsts and most importantly gave the concept of reconstructive surgery as well as the ethics in surgical practice.

The next question was also very disheartening, "Is it mentioned in any modern surgical books?'

I had to reply, 'Yes Sir, Sabiston in his book of Surgery mentioned the Sushruta's contributions in the field of surgery and he categorically mentioned that western writers ignored Sushruta contributions even He was first person to devise over 100 surgical instruments along with use of organic material in the management of wound. He was first to describe the puya as a foreign body, but we know J Lister as the father of aseptic surgery.

The next question was, 'Do modern surgeon follow the principles of Sushruta?'

I said, 'Yes?'

The pedicle flap plasty is the principle that is followed by all modern plastic surgeons. He was a little bit convinced as I thought. In the meanwhile, my mentor asked some questions regarding 'artery to vas saving procedure based on the principle of sushruta' and things went well.
Next came a question regarding use of modern medicines and I replied that I have been working with my surgeon friends to stop antabuse (Antibiotic abuse) and I have been using an Ayurvedic formulation containing Panchvalkal kashaya, chopchini and dalchini. The results have been encouraging.

Now the question arise whether our Ayurveda is myth as perceived by most of the educated Indians? We may have highest regard for Ayurveda but reality is different. In fact, Ayurveda is conceived as a science where 'Pudiya' or 'Kadha' are prescribed after examining pulse. Surgery has nothing to do with Ayurveda. I am not hurting the sentiments of people of different departments of Ayurveda but it is true that Shalya departments in Ayurvedic colleges are equally or most productive.

I leave the discussion with a question mark?

Why Sushruta has been a forgotten Hero in world, India and even in Ayurveda?
Why surgery has not been promoted to its highest level in Ayurveda?

Your's
Dr Praveen Choudhary
praveensurgeon9@gmail.com

Friday, May 5, 2017

Sushruta - The father of surgery - A forgotten Hero

My dear friends,

I am an Indian and I belong to a land of sages, the land of spiritualism and a land of persons who really have the attitude of brotherhood among the people of world. It is astonishing to note here that under the influence of foreign rule, the Indian science and philosophy vanished a lot.

I read in the first chapter of Sabiston's surgery about Sushruta's contribution to the development of surgery in the world and he recognized his contributions. He mentioned there, that why the western writers ignored this noble man? It is a matter of concern.

Why am I remembering the Sushruta and writing a blog because one should as a human being not ignore the contribution of anybody working for betterment of society.


In spite of doing all those innovations 3000 years before, he could not get desired place in history. One more thing regarding his principles of surgery, he mentioned that one should not jeopardize the blood supply of any tissue while performing surgical procedures. The perforators play an important part of revival of the tissue. 

Let us sign a petition to acknowledge the role of Acharya Sushruta in the development of surgery. 

Thanks

Dr Praveen Choudhary
praveensurgeon9@gmail.com
9968686823

Thursday, January 19, 2017

Does Yoga help in prevention of diseases and promotion of health?

What exactly the Yoga is?

Yoga is a sanskrit word derived from yujyate and it denotes the union of person to that of supreme power, the God. It has been said that Samatvam Yog muchyate; means, union of soul to God and to achieve oneness. However, applied aspects of Yoga includes different exercises (Asana) and respiratory controls (Pranayam). Yoga has 8 limbs and these above mentioned two aspects are among them.

What are 8 limbs?
1. Yama
2. Niyam

These two initial limbs are related to external and internal purification of body and after adopting these things the 3rd and 4th limbs are practised.

3. Asanas - The different postures of the body. In fact, it is the most practised part of Yoga, but it is a fraction of entire Yoga. These yogic exercises keep body in shape and relaxes the mind of the individual.

4. Pranayam - Means holding the breath and breathing exercises. It helps in maintaining the perfusion of blood with oxygen and keep health of lungs and hearts.

These above 4 limbs are also known as external Yoga. The rest 4 are internal yoga limbs in which mind is involved. The meditation results in control of mind.

5. Pratyahar: To control the senses.

6- Dharana: Going towards meditation process.

7. Dhyan - A state of meditation.

8. Samadhi - A state of complete meditation. In this stage, the metabolism is reduced up to lowest level. Man can servive without eating and drinking for months. However, it is not possible by ordinary human beings.

Prevention of diseases by Yoga:

Give 10 minutes a day and keep yourself disease free.

What to do?

Pranayam for 5 minutes
Bhujangasana for 5 minutes

Vajrasan after taking meal.





Sunday, January 8, 2017

Minimal Invasive Surgical approach in Fissure in ano

What is Anal Fissure?
Anal fissure is a very painful condition. Pain occurs while passing stool and it remains for a considerable period after the passing of stool. It is a linear crack in the skin of anal canal and it occurs in cases of hard stool trauma caused during passing of stool. Sometimes, it may also occur in cases of dysentry or irritable bowel syndrome.

What are the symptoms?

Pain is the chief complaint and it occurs during defecation and remains for a considerable time even after passing stool. The patients remain uncomfotable even during the daytime.
Bleeding may occur in fresh cases and it evantually stops in due course.
A small skin tag is formed at the end of fissure in chronic cases and it is known as sentinel tag.
Itching is also noticed by some patients.

Complications:
Pus formation may occur in fissure and then it is termed as fistula in ano. There is narrowing of anal canal in fissure due to spasm of internal sphincter. It further increases the symptoms of fissure.

Management:

Keep bowel normal - Means avoid constipation by taking fibre rich diet and adeqaute exercise.
Taken warm water sitz bath by sitting in a tub of warm water.
Apply some soothing creams or oils.

If symptoms persist, then consult a doctor for further diagnosis and treatment.


Thanks

Dr Praveen Choudhary

9968686823

praveensurgeon9@gmail.com 

Wednesday, October 12, 2016

How to manage a case of Elephantiasis

Hi friends, 
Elephantiasis is a disease in which lymph vessels are blocked by a parasite and it gives rise to swelling in legs, hands and scrotum. The name of the disease is Filarisis or Filaria. It is caused by Waucheria bancrofti and it is a tropical disease. In India, it occurs mainly in Bihar, bangal and Odisha. 

The treatment is very unsatisfactory. It is better to manage the disease in acute condition in order to avoid the chronic course. It damages the penis gives rise to Ram's horn penis and extensive solid oedema is noticed in scrotum, legs, hands etc. 


The treatment is very challanging and our main aim is to minimize the deformity caused by chronicity of the disease. 
We have some drugs to cleanse the lymphatic system so that the residual edema should be reduced. 

Thanks

Surgery in Ayurveda - reality and facts

Dear Friends,
India has been seen a country of spiritual discourses and occult sciences. However, there are some sciences who gave world a vision to develop and excel. Ayurveda is one among them. Since, we lived under foreign rule for a considerable period of time and it influenced our thought process as well as behavioural pattern.
When I ineract to my allopathic doctor friends, they outrightely reject the scientific aspects of Ayurveda and say that Ayurveda is an empirical medicine.
It is pertaining to mention here that the first surgical procedure and instruments were designed by famous Ayurvedic surgeon of India, the Sushruta. It is documented and variefied by Sabiston in his textbook. He mentioned that western writers ignored these ancient Indian surgeons.
The surgery in Ayurveda is a very developed discipline and many procedures and instruments have been mentioned in the Sushruta samhita. As a follower of this discipline, my efforts are to convince the people that we are still in a very confortable condition to treat some diseases. I am not against the allopathic medicines, even I admire the developments in that field.
It is a ripe time to practice and make some research in this field to propagate the science and it is the moral duty of all scientist to prove that Ayurveda is a scientific knowledge and not an empirical one.


Sushruta, the father of surgery didn't get the desired status in the world on account of geopolitical reasons. 



I have also seen that some unqualified and untrained persons practising some Ayurvedic procedures bring bad name to our system. I urge the people that please be sure that your treating physician should have a degree from a recongnised university. I have also seen some surgeons doing modern surgical operations in the name of ksharsutra. There are some graduates of Ayurveda who have been carrying out modern surgical procedures in the name of ksharsutra, it is not ethical practice and one should condemn such practices. 

We are sure that we would be able in near future to minimize the use of antibiotics and painkillers; instead, Ayurvedic drugs may be supplemented in their place. 

Jai Ayurveda