ABSTRACTAy urvedai sconsi deredbymanyschol arst obet heol destheal ingsci ence.

In
sanskrit
, Ay urvedameansTheSci enceofl i
fe".Ay urvedi cknowl edgeor i
ginatedi nI ndiamor e
than5000y earsagoandi softencalledt he" Mot herofheal ing" .Anci entsur gi cal science-Shalya
Tantraisoneoft hev i
tal component sofAy urvedasci encewhi chi nv olvessur gical andpar a-
surgi
cal intervent ions.TheShal yachikitsadeal swi thdi f
ferentsur gical appr oachesf orthe
managementofv ariousdi seasessuchasBhagandr a, Pi
lonidal sinus, Ar shaset c.Shal yaTant ra
embr acesal l
pr ocessesai mingatt heremov aloff actor sresponsi blef orpr oduci ngpai nor
miserytot hebodyormi nd.Achar yasushr utahasment i
oned" TrividhaKar ma"and" Asht avi
dha
ShastraKar ma"asv ersatil
eappr oachesf ortherapeut icpurposes.TheconceptofAsht av i
dha
karmai sauni quecont ributi
onofAchar y aSushr uta.Theseei ghtspeci ficsur gical procedur es
areusef ulint hemanagementofal lthedi seaseswhi chr equir esur gical int
er vent ion.Inthe
presentt i
met houghmoder nsur geryhasdev elopedal otbutt hebasi cpr ocedur esusedi n
majorcondi ti
onsr emai nedsame.Theseei ghtbasi csur gical procedur esment i
onedbySushr uta
areequal lyappl iedev ent odaywi t
hrequi redmodi ficationst omanaget hedi seaseswhi ch
requir
esur geryi ncludingsur gicalemer gencycondi ti
ons.Thi sar ti
clesummar i
zesr oleof
AshtvidhaShast raKar mai nShal yakarmaf orthemanagementofv ari
oussur gical problems.

INTRODUCTI ONKnowl edgeofAy ur v

edaenabl esonet ounder standhowt ocr eat et hisbalance
ofbody , mindandconsci ousnessaccor dingt oone' sowni ndi vi
dual cont ribut ionandhowt o
makel ifestyl
echangest obringaboutandmai nt
ai nthisbal ance.Anci entsur gical sci ence-
Shalyat antraembr acesal l
processesai mi ngatt her emov al off act orsr esponsi bl ef or
produci ngpai ntothebodyormi nd.Sushr ut
at ooksur geryi nmedi eval Indi at oadmi r abl
e
height sandt haterawasl aterregar ded,"Thegol denageofsur ger y"inanci entI ndi a.Ment ionof
Ayurv edi cShal y
at antrawor ddoesn' tcompl etebywi thoutt hement ionofgr eatAnci entsurgeon,
Sushr uta.Achar yaSushr utadescr ibedei ghtsur gicalprocedur es.Sur ger ycan' tbet houghtof
withoutuseofi nstrument swhi char ethemeansofext ractingt heShal yaf rom i tsseatorpl ace
wher ei tisembedded.•Asht vi
dhashast rakar ma-Ei ghtki ndsofsur gi cal techni ques[ 1]-The
surgical procedur esar eofei ghtty pes-Chedy am (Excision), Bhedy am ( Inci sion) , Lekhy am
(Scrappi ng),Vedy am ( Punct uring), Eshyam ( Probing),Aahar yam ( Extract ion) , Visr avy am
(Drainage) ,Seev yam ( Sut uri
ng).Thei nstrument swhi char ehel pful i
nper for mi ngt heabov e
procedur esar ecalled-" Shast r
asn.•Achar yaSushr utadescr i
bedt heseei ghtsur gical
procedur esunderPr adhanaKar mai nchapt er5ofSut rasthana.Thesur gical procedur es
accor dingt odi f
ferentaut horsar easf ol
lows