Surgical Ethics In Ayurveda

Foreword It is matter of great pleasure to write a foreword for the monograph on Surgical Ethics written by Dr. G.D.Singhal and Shri Damodar Sharma Gour. That surgery as practiced by Sushruta and his followers in the ancient days was of a very high order is a well-known fact. Although the art of surgery of those days can by no means be compared with the most exciting advancements of modern era, one can certainly take advantage of the remarkable contributions they have made in some of the spheres of surgery. This will enable the modern surgeon to improve not only the care of his surgical cases but his attitude towards surgery as well.

It will not be out of place to mention here that due to the great progress made in the various techniques of surgery in the recent times we are more often liable to forget the importance of psychological and philosophical aspects of the care of surgical patients. Many a times these factors would greatly help us to improve the total care of the patients if proper attention is paid during the pre-operative, operative and post-operative periods. Therefore, this monograph will serve as an important guide to all those interested in knowing the non-operative methods of management of the surgical patient both from the historical point of view and the aspect of improving these measures to suit the modern times. Those whose wish to dive deep in the subject may well refer to the original books from where these aspect have been made. By giving an easy and readable explanation of the original texts quoted in the monograph the authors have rendered sincere service for advancing the cause of surgical science as a whole.

CONTENTS

Pages
1.	Foreword			3
2.	Introduction			9
3.	Acknowledgement			15
4.	Aamukham			19
5.	Dhanyavadarpanam			22
6.	Abbreviation			23
	Part I.			27-36

	GENERAL ETHICS
A .	The would be medical graduate.
B .	Qualities of a doctor in general.
C .	The high ideal of Medical profession.
D .	The four great ethical principles.
E .	Ideals of a doctor.
F .	Doctor's duty towards the faithful patient.
G .	Behavour towards ladies.
H .	Joint Consulations.
I .	Importance of differentiating between curable and non-curable cases.
J .	Special qualities of a surgeon.
K .	The nursing attendants.
	Part II.	37-46
	PERSONAL & ACADEMIC ETHICS
A.	There is no end to the learning of Ayurveda
B.	Anatomy and pathology as the basis of surgery.
C.	Knowledge has to be through.
D.	The value of related science
E.	Both academic qualifications and practical experience are equally important and essential.
F.	The specialist and the specialties.
	Part III.	47-58
	PRE-OPERATIVE ETHICS
A.	Forewarned is forearmed.
B.	Self assessment.
C.	The correct pre-operative.
D.	Emphasis on though history taking, physical examination and repeated assessment
E.	The treatment should be regulated according to the severity of the disease and the condition of the patient.
F.	Importance of the power of resistance.
G.	Choice between surgery and conservative treatment.
H.	The requirements should be collected beforehand.
I.	Preoperative localization of the foreign body.
J.	Preoperative light diet and starvation
	Part IV.	59-74
	OPERATIVE ETHICS
A.	Asepsis and antisepsis.
B.	Care in the use of instruments.
C.	The Incision.
	(1) Qualities of an incision.
	(2) The correct technique of incising.
	(3) Direction of incision.
	(1) The counter incision.
	(5) Extension of incision.
D.	Choice of operation.
E.	Importance of blood.
F.	Importance of fluid replacement in time.
G.	Replacement by identical substance which has been lost.
H.	Sheck.
I.	Careful Hemostasis.
J.	Final check up before closure.
K.	The correct technique of suturing.
L.	Cardiac arrest.
	Part V.	75-82
	POST OPERATIVE ETHICS
A.	The Post-operative ward and the bed.
B.	Care of the patient.
C.	Caution in the use of string medicines.
D.	Check the result.
E.	Post-operative dressing and bandage.
F.	Post-operative sedation.
	Part VI.	83-86
	THE ETHICS AND IMPOTANCE OF
	EXPERIMENTAL SURVERY
	Part VII.	87-90
	QUACKS
	Part VIII.	91-94
	ETHICS TOWARDS THE DYING
	Part IX.	95-98
	ETHICS IN EMERGENCY SURGERY
	Reference.	99

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