Ayurvedic and modern recent treatment modalities on hemorrhoids: a review article`

Ayurveda is an ancient science which protect health in healthy individuals and cures the condition in diseased population.Ayurveda is the science of life and Shalya Tantra is important branch, Which represent the surgical field. One of the prime important disease from Ashtamahagad is Arsha. Arsha is defined as a disease which torture patients vital force as enemy is called as Arsha. Arsha correlated with hemorrhoids described in modern science.(Haema-blood & rhoos-flowing). In Ayurveda our Acharya described four type of treatment for Arsha, which is Bheshaj (conservative), Kshar, Agni, Shastra (surgery). In modern science hemorrhoids are defined as the protrusion of varicose vein from the rectal mucosal membrane in the rectal area which can grow to quit large size if not checked in time.it is one of the commonest diseas.Its incidence increases with advancing age. There are various kind of treatment Dietary Lifestyle modification,Tropical treatment, Oral medication, Parasurgical and Surgical treatment and modality is used to care. Sclerotherapy, Cryotherapy, Electriccoagulation, Infracoagulation, Radiofrequency coagulation & excision, Dopplerlar guided hemorrhoidal artery ligation, Stapled hemorrhoidectomy,these are parasurgical procedures on hemorrhoids. Closed and Open hemorrhoidectomy, Harmonic scalpel and literature, Atomizer ward, these are surgical treatment on hemorrhoids. In this review article on attempt has been made to review the study carried out on Arsha.

Diagnosis and treatment of snoring and sleep apnea syndrome

Aim. To assess the effectiveness of modern methods of diagnosis and surgical treatment of night snoring. Methods. Conducted was polysomnography in 117 patients suffering from snoring at night. In the case of evident signs of obstruction, patients were offered surgical treatment. Results. Out of 117 people with snoring polysomnography revealed obstructive sleep apnea syndrome: in 35 - mild form, 11 - moderate severity, 1 - severe. In 69 patients benign snoring was revealed, which does not lead to a decrease in blood oxygen saturation. Simultaneous complex surgical treatment was performed in 38 patients who according to polysomnography revealed upper airway obstruction. The obstruction was eliminated by endoscopic surgical correction of the intranasal structures and the nasopharynx, and minimally invasive uvuloplasty using the method of radiofrequency coagulation. Postoperatively the patients received local medications biclotymol (hexaspray), fusafungine (bioparox), rinsing of the pharynx with antiseptics. Positive effect (disappearance of snoring) was achieved in 29 patients after an average of 1.5-2 months after surgery, in 6 patients with obstructive sleep apnea syndrome of the II and III degree of severity and co-morbidities the episodes of apnea and hypopnea decreased significantly. In 3 patients with recurrent polypous rhinosinusitis secondary to bronchial asthma (2 patients) and encephalopathy (1 patient), surgical intervention (endoscopic polysinusotomy, radiofrequency uvuloplasty) did not achieve the desired effect and the patients were referred for conservative treatment. Conclusion. The method of polysomnography and surgical treatment strategy of night snoring meet the modern requirements and in most cases have shown to be effective.