HEALING OF WOUND WITH SPECIAL REFERENCE TO UTSADANA - A CRITICAL REVIEW

Aim and Objective: To define the term ?Utsadana? described under Shasthi-Upakrama of Vrana in Sushrut Samhita.To explore the basic principle of wound healing in context to Utsadana. Methodology: References regarding the term Utsadana are collected from Sushruta Samahita and other Ayuvedic classics. Modern textbooks of surgery were also referred to understand the wound healing process in detail. An attempt is made to define the term Utsadana and discuss Utsadana karma on the basis of modern medical sciences. A very limited conceptual work has been carried out on Shasti-Upakrama for Vrana, mentioned by Sushruta. It is the need of hour to explore and elaborate the knowledge of wound and its management at different stages of wound healing stated in Sushrut Samhita. Utsadana karma is one of the Shasthi-Upakrama stated by Sushruta for the management of Vrana. Dalhana described Utsadana karma as an important karma for enhancing wound healing. In the chapter Dvivraniya, he has described Utsadana as an elevation of the floor of the wound, causing a wound to fill up and any application applied to a wound producing granulation is termed as ?Utsadaneeya. Utsadana karma is an intermediate procedure between Shodhana and Ropana karma. An attempt is made to correlate the term Utsadana with granulation formation in modern surgery. Conclusion: It is concluded that Utsadana is a stage in process of wound healing and may be identical to the stage of granulation formation.