The Training Programme comprises of following lectures:
Lecture no. 1
Introduction of course- Role of Ayurvedic surgery in the present
era. Incorporation of contemporary knowledge. Introduction of
ayurvedic fundamentals wrt healing , stages of wound healing,
medicines & applications used for wound healing wrt fistula
in ano & fissure. Drugs used for wound debridement wrt fissure
& fistula in ano sp. Irrigations.
Lecture no. 2
Anatomy & physiology of the anal canal, arterial supply,
perianal spaces wrt anaesthesia. Examination of the anus, inspection,
p/r examination, proctoscopy, sigmoidoscopy.
Lecture no. 3
Introduction to ano rectal disorders wrt *piles aetiology, surgical
pathology, Classifacation, clinical features viz bleeding prolapse,
discharges, pain, anaemia. Investigations–inspection,
digital examination, proctoscopy. Complications-strangulation
thrombosis, ulceration, gangerene fibrosis suppuration, pyelephlebitis.
Treatment of haemorrhoids-nonoperative treatment, active treatment
viz injection therapy, elastic band application, kshar sutra
treatment. Cryo surgery photocoagulation.
Kshara sutra pre operative operative post operative procedure,
complications -intraoperative & post operative.
Lecture no. 4
Anal fistulae-Ano-rectal abscesses-perianal, ischiorectal, submucous
& pelvi rectal. Aetio-pathology, presentation, diagnostic
means–fistulogram, usg, classification low anal viz subcutaeneous
submucous, low anal, high anal (trans sphenteric may be high
or low) inter sphincteric pelvirectal Treatment-fistulectomy.
Lecture no. 5
Pilonidal sinuses-surgical pathology, clinical features, diagnosis,
treatment.
Lecture no. 6
Anal fissures, surgical pathology, clinical features, principal
of treatment.
Lecture no. 7
Anal polyps & anal prolapse—clinical features, methods
of treatment Instruments & equipments used in ksharsutra
therapy-sterlisation of fumigation Linens & garments.
Kshara sutra applications in SPECIFIC PATIENTS-Hypertensive
pt., diabetic patients, skin to skin track, high anal fistula,
tubercular fistulae.
POST OPERATIVE Care sec. Threading-position of the patient,
instruments required, observation of the wound, method of changing
k.s., precautions. Contra-indications of kshar-sutra therapy
wrt. Piles fistula etc.
Clinical demonstrations Assessment through oral examination.
Result of assessment
Certificate of participation in the programme
Farewell.
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