Wound Dehiscence – An Ayurvedic Viewpoint

Abstract

Wound dehiscence during the post operative stage is a huge distress both to the surgeon and patient as it has negative impact on the physical, psychological, social and economic life. Sushruta was the most primitive author narrated the subject in his treatise. The factors which disrupt the wound include local disharmony of the doshas, local vascular pathological events, fear, grief, anger, trauma and indigestion along with medical and surgical errors. Wound related factors include Dosha prakopa [disharmony or disequilibrium of doshas] and rakta dushti. The causes related to patient are Krodha [anger], Bhaya [fear], Harsha [excessive laughter], Ajeerna [Indigestion] and Vyayama [strenuous exercise] which in turn affects normalcy of doshas thereby wound disruption.