Parul Institute of Ayurved and Research

》A 60 yr old male patient approached to opd of shalya ta**ra, khemdas ayurveda hospital with complaints of pain and heaviness in abdomen since 1.5 year
》On clinical examination swelling at umbilicus region was present and coughing impulse was positive.
USG findings was 6 mm & 4 mm size defect seen in mid line supra umbilical region through which omental fat herniation p/0:- supra umbilical hernia
》Under spinal anaesthesia hernioplasty was done successfully.
Surgeon: Dr.Shailesh Jaiswal
Assistant Surgeon: Dr.Mukund, Dr.Digvijay, Dr.Hemanshu

A case of Vesical Calculus.
A 52 year old male patient having pain and burning sensation during micturition, dribbling micturition , nocturia since 3 yrs approched to OPD of Shalya Ta**ra, Khemdas AyurvedHospital.

On clinical examination tenderness at lower abdomen, no scar present, no skin discoloration

USG - Abdomen and Pelvis revealed bladder minimally full shows 33mm sized calculus, prostate 23 cc, normal in sized, rt intrarenal 3- 4 mm sized calculi, large urinary bladder calculus and cystitis.
Under spinal anaesthesia suprapubic cystolithotomy was done successfully.

Surgeon name - Dr Shailesh Jaiswal,
Dr. Nidhi
Assistant Surgeon: Dr. Aarti,Dr. Hemanshu

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A 19-year-old female patient having Swelling over the left upper outer quadrant of the left breast since 1 year, consulted at OPD of Shalya Ta**ra, Khemdas Ayurveda hospital.

On clinical examination, a Lump is presented over the upper outer quadrant of the left breast

USG Local part revealed

Approx 5.1*2.2 cm sized well lobulated hypoechoic mass lesion seen at the site of swelling at left breast 2'0 clock position

P/o Fibroadenoma

Under local anaesthesia, excision was done successfully.

Surgeon Name: Dr Shailesh Jaiswal

Assistant Surgeon: Dr Aquib, Dr Vaibhav

The patient was apparently normal before 2 months. One fine day he noticed acne like appearances over his body. This was associated which severe itching. For which he consulted an allopathic physician and was prescribed medications for 2 weeks. But as soon as the medicine was over, the condition reappeared with much intensity, for which he visited Panchakarma OPD, Khemdas Hospital for further treatment.
The patient was diagnosed as Vicharchika and appropriate treatment was advised, both internally and externally. Within a span of 5 days of treatment, itching completely reduced and marked reduction was seen in discharge also. On the 8th day of treatment, the skin lesion completely disappeared.
Consulting Physicians: - Dr Abhilesh VS, Assistant Professor, Dr Divya B, Associate Professor, Department of Panchakarma, PIAR.

Case of Transiant Ischemic Attack

A 29year old male patient admitted in Department of Panchakarm at Khemdas Ayurveda Hospital with complaints of hemiparesis with loss of speech. He was diagnosed as Sardit Pakshawadh.

After 8 days of treatment, he was able to speak and walk properly and went home happily.

Patient underwent Ayurvedic management with Panchakarma treatment under supervision of Dr. Shivani Gavande and Dr. Divya Deva at Khemdas Ayurved Hospital.

A 52 Years Male patient consulted Panchakarma OPD at Khemdas Hospital with Complaining of Loss of Strength in Right Upper Limb and Lower Limb for the Last 4 Months. He was diagnosed to be suffering with Hemiplegia as per MRI findings.
He was admitted and treated with Sarvanga Abhyanga (Whole Body Massage) and Shashtikashali Pinda Swedana, Dashamoola Nirooha Basti (Yoga Basti Krama), Mustadi Rajayapana Basti (Karma Basti Krama), Shiropichu and Pratimarsha Nasya

He got symptomatic improvement.

Consultant:
Dr.Divya S
Assistant Professor
Department of Panchakarma
Parul Institute of Ayurved and Research

A Case of giant Fibroadenoma Excision

A 19-year-old female patient having Swelling over the left upper outer quadrant of the left breast since 1 year, consulted at OPD of Shalya Ta**ra, Khemdas Ayurveda hospital.

On clinical examination, a Lump is presented over the upper outer quadrant of the left breast

USG Local part revealed

Approx 5.1*2.2 cm sized well lobulated hypoechoic mass lesion seen at the site of swelling at left breast 2'0 clock position

P/o Fibroadenoma

Under local anaesthesia, excision was done successfully.

Surgeon Name: Dr Shailesh Jaiswal

Assistant Surgeon: Dr Aquib, Dr Vaibhav

A 28 year-old female patient was admitted to Dept of Shalya Ta**ra at Khemdas Ayurved Hospital with c/o swelling in the Right breast along with mild pain. Case was diagnosed as Fibroadenoma.

Patient underwent excision under local anaesthesia considering all aseptic precautions by a team of surgeons. The procedure was executed smoothly with no post-operative complications.

Surgeon- Dr Shailesh Jaiswal

Assistant Surgeon- Dr Aaditya Karve, Dr Neel Prajapathi

A 14 year old boy came to KB OPD Khemdas Ayurved Hospital with complaints of Back pain, Burning Micturation, occasional abdominal pain since 2weeks. X-Ray Investigation done but report was normal,no any abnormalities detected. He was diagnosed as MUTRAKRUCHRA. He was admitted and treated with Ayurved diuretics and Stanika Abhyanga & swedana. Within 3days back ache reduced and he took treatment for 7 days. The patient got relief within 7 days

Consultant: Dr Sreevisakh T S
Associate Professor
Department of Kaumarabhritya,
Parul Institute of Ayurved and Research

STORY #
*Case of Diabetic Foot*

A 52 year old male patient admitted in the Department of Shalya Ta**ra at Khemdas Ayurveda Hospital with complaints of Non healing Wound over 3rd & 4 rth digit of Right foot, Pain in foot, Discharge, Difficulty in walking since 2 years. K/c/o DM on Medication since 2 years. He was diagnosed as Diabetic foot.

X- ray finding suggestive of no any bony abnormality.

Patient underwent Anti Diabetic drug and daily dressing with Jatyadi ghrita ointment for up to 2 months and weakly Jalaukavacharan done by a team of surgeons at Khemdas Ayurveda Hospital.
Procedure executed smoothly and no complications found during the procedure.

*Surgeon- *Dr.Gajiram Banothe,
Guided by-*Dr.C.S.Pawar*Dr Shailesh Jaiswal*Dr.Nidhi
*Assistant Surgeon- *Dr. Dhanik* Dr.Emran *

An operated Case of Right side Direct Reducible Inguinal Hernia

A 47 year old Male patient having swelling over the right side inguinal region since 1 year with mild pain since 15 days approached OPD of shalya ta**ra, Khemdas ayurveda hospital.

On clinical examination, the swelling was present over the right side inguinal region. Approx 1.6cm sized gap defect was noted at the right inguinal region in which bowel loops and omental fat herniates

P/h No major past illness

Under Spinal anaesthesia Right side Inguinal Hernioplasty was done successfully

Surgeon Name: Dr Shailesh Jaiswal & Dr Akhi Radhakrishnan

Assistant surgeon: Dr Arti & Dr Nikhil

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OF SECONDARY INFERTILITY #

A 25yr old female patient came to PTSR OPD of Khemdas Ayurved hospital. She was anxious for a child and was unable to conceive in spite of consulting with several Doctors over the past 5yrs.

Current complaints of Patient was Irregular menstrual cycle and white discharge per va**na .

USG finding were suggestive of both ovaries enlarged with multiple non-dominant follicles (Right overy-13.5cc,left overy- 19.3cc)

On the Examination of Patient hypertrophied cervix , Erosion with abnormal discharge was observed.

She was treated with external local procedure and internal ayurvedic medicine through couple counseling regarding procedure, medicines and guidance about fertile period.

Within 3 months of starting treatment she conceived .

Consultant - Dr.Priyanka Dolhare (Assistant Professor, Department of Prasuti Ta**ra and Strirog, Parul Institute of Ayurved and Research).

STORY #
*A Case of Recurrent Fistula in Ano *

A 65 year old male patient admitted in the Department of Shalya Ta**ra at Khemdas Ayurveda Hospital with complain of Pus discharge from Peri A**l Region on & off since 6 months, H/O operated for Fistula in Ano at Gov. Hospital before 6 months . He was diagnosed as Fistula in Ano.

Patient underwent Ksharasutra ligation under Local Anaesthesia with all aseptic precaution by a team of surgeons at Khemdas Ayurveda Hospital.
Procedure executed smoothly and no complications found during the procedure.

*Surgeon- *Dr.Gajiram Banothe,
Guided by-*Dr.C.S.Pawar*Dr Shailesh Jaiswal*
*Assistant Surgeon- Dr.Imran & Dr.Dhanik

A case of Bilateral Inguinal Hernia

A 63 year old male patient c/o swelling over the bilateral inguinal region since 4 months with lower back ache since 4 months approached OPD of Shalya Ta**ra, Khemdas Ayurveda Hospital..
USG findings suggestive of
Approximately 18mm defect was noted on the right side and a 19mm gap defect was noted on the left side with herniation of omentum.

The patient underwent B/l Inguinal Hernioplasty under spinal anaesthesia with all aseptic precautions by a team of surgeons at Khemdas Ayurveda Hospital.

Surgeon:- Dr Shailesh Jaiswal, Dr Nidhi
Assistant Surgeon:- Dr Imran, Dr Dhanik

Glad to inform that last week our final year student Miss sneha has participated in a paper presentation competition “ Dosh Pe Charcha – A National Webinar on Ayurveda “.
The group of 4 registered under 1 students name “Sneha” of final year and participated. It is proud moment to inform that they bagged the first prize in the competition.. Prize worth Rs 10000/- ( Books worth 5000 rupees and cash pize of 5000 rupees )
Mentor:Dr.Abhilesh
Assistant professor
Dept. of Panchakarma,PIAR.