Browsing by Author "Waliwita, W.A.L.C."

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    Case Study Of Leech Application In Varicose Ulcer
    (International Journal of Scientific & Technology Research, 2016) Samaranayake, G.V.P.; Pushpakumara, A.A.J.; Waliwita, W.A.L.C.
    Varicose ulcers are wounds that are thought to due to impropr fundioning of venous valves, usually of the legs. They are the major occurrence of chronic wounds, occurring in 70% to 90% of leg ulcer cases. In Sushrut Samhita, where get the most scientific description of wound and its management Similarly, Sushrut has given the almost importance to Bloodletting therapy and considered leech as the most unique and effective method of bloodletting even in infected wounds and abscesses. Aforesaid description let us to try leech therapy in venous ulcer was advised to continue weekly application of leech around the ulcer which was followed by dressing with Seethodaka oil and Dashanga lepa. This leech therapy proved very effective and the ulcer healed completely within 30 days. However further evaluation is required to done by taking a large samples size to prove is' treating Venous ulcer
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    Management of Pilonidal Sinus by Ksharasuthra
    (International Journal of Recent Scientific Research, 2016) Samaranayake, G.V.P.; Pushpakumara, A.A.J.; Waliwita, W.A.L.C.
    A Pilonidal sinus (PNS) occurs in the cleavage between the buttocks (natal cleft) and can cause discomfort, embarrassment and absence from work. The incidence of the disease is calculated to be 26 per 100,000 people. It occurs 2.2 times more often in men than in women. It is more common in men (as they have more hair). The most commonly used surgical techniques for this disorder include excision and primary closure and excision with reconstructive flap. However, the risk of recurrence or of developing an infection of the wound after the operation is high. Also the patient requires longer hospitalization, and the procedure is expensive. There is a similarity between ShalyajaNadiVrana described in Sushruta Samhita and Pilonidal sinus. Sushrutahas advocated a minimally invasive para-surgical treatment, KsharaSuthraprocedure for NadiVrana. Hence this therapy was tried in Pilonidal sinus, and is described in this case report. Kshar,ßutra treatment not only minimizes complication and recurrence but also enables the patients to resume work quicker and with less discomfort, impact upon body image and self- esteem as well as reduce cost.