European Journal of Biomedical and Pharmaceutical Sciences

JALAUKA (LEECH) APPLICATION WITH SPLITS THICKNESS SKIN GRAFT (STSG) ON CHRONIC NON-HEALING ULCER-A CASE STUDY

Dr. Vaghasiya C. S. and Dr. Shah H. S.*

ABSTRACT

An ulcer is a discontinuity of epithelial surface. It is characterized by progressive destruction of surface epithelium and a base may be necrotic granulating or malignant. Chronic non-healing ulcer contain unhealthy granulation tissue and slough, poor capillary bed, serosanguineous-purulent-bloody discharge, regional draining lymph nodes may be enlarged. In spite of advances (like splits thickness skin graft etc.) that have made, management of non-healing ulcer is still challenge for surgeon because there is more chance to reject skin graft in dustavrana(chronic non-healing ulcer) due to poor capillary bed and other reasons. Sushruta has described Shashthi upakramas (sixty measures) for Vranaropan. Sushruta and Vagbhatta also describe jalaukavacharan in dustavrana. So it has been use of jalauka application with splits thickness skin graft (STSG) in dustavrana(chronic non-healing ulcer). Result is coming with complete healing of dustavrana(chronic non-healing ulcer)without any complication.

Keywords: Chronic non-healing ulcer, Sushruta, STSG, Upkarmas, Jalauka.