Keloid and alike conditions - Prof. Dr. J.N. Mishra
Professor J. N. Mishra, BAMS, Ph.D Ayurveda retired in 2004 after serving 37 yrs as post Graduate teacher Head and Dean Faculty of Ayurveda, Lucknow University, Uther Pradesh, India. He has guided about 75 MD's in ayurveda and 15 PhD scholars in ayurveda and involved in research activities achieving many milestones during this period. Prof. Mishra attended many National and International conferences, seminars and workshops and recently was facilitated by International Charak Award of excellence in teaching and research at Los Angeles, USA by Association of Ayurvedic Professionals of North America. He enjoys 45 yrs practice in Ayurveda and succeeded in many difficult cases disappointed by conventional medicine. He has many publications of his research work in National and International journals and is author of 2 books. Prof. Mishra is member of different selection committees, Faculty of Universities, Executive councils and specially to be life member and General Secretary, Bharat Sewa Sansthan which deals with education, medical health and training programs for downtrodden and BPL in India particularly in rural areas.
Evaluation and scope of Sushrut’s Ligation with Compression Gradient technique on Keloid and alike conditions
Elephinstono says, 'Hindu Surgery is as remarkable as their medicine'. There were more than 127 different types of surgical instruments in common usage, some of them were sharp enough to divide hair. They include scalpels, lancets, bone-nippers, scoops, forceps etc. Ancient surgeons conducted amputations, practiced dichotomy, explored abdomen, cured hernia, fistula and piles, set fractures and dislocations, and F.B. (Foreign bodies) extraction. Cancer is used for group of diseases which may effect any part of the body. Synonyms to it are malignant tumors and neoplasm defined as rapid creation of abnormal growth of the cells beyond their usual boundaries and may invade adjoining parts of the body (metastasis). Metastasis are the major cause of the death.
Keloid may not be inducted into malignancy but the behaviour is reconned to line up the cancer like, since the management is frustrating due to recurrence and psychosocial reasons. Keloid formation occurs as a result of abnormal wound healing. Despite the high prevalence of Keloid in general population, they remain on the more challenging dermatologic conditions to manage. More than a cosmetic nuisance, they are often symptomatic and can have a significant psychosocial burden on the patient. Although multiple treatment modalities exist, no single treatment has proven widely effective. In fact, recurrence following treatment is generally the norm. Combination therapy is likely the optimal strategy. It is defined as a benign growth of dense fibrous tissue developing from an abnormal healing response to a cutaneous injury. Lee et al. evaluated 20 patients with Keloids and found that more than 80% of patients experienced Keloid associated with pruritus and pain. Many report a severe negative impact on quality of life (Arch Dermatal Res 2006, 297:433-8). For unknown reasons, Keloid occurs more frequently among blacks, Hispanics and Asians and less commonly Caucasians. (Facial plast surg 2001, 17:263-72; Aesthetic plast surg 2002, 26:184-8). Intense research is under way to better understand the pathophysiology of the abnormal processes leading to Keloid formation. For now, our greatest weapon lies in patient education, combination therapy, and prevention. The approach to this is counselling against body piercing and should avoid elective cosmetic procedures with a risk for scarring and the use of silicone gel sheet following surgical excision to reduce recurrence. The author intends to address Sushrut’s technique of Ligation added with compression gradient to evaluate its success rate. The presentation shall also share the other modalities and its scope in other like conditions.