Abstract

*Dr. Maheshkumar Nilkanth Chaudhari, and Dr. Swapnil Patil

ABSTRACT

Purpose - Surgical equipment used in neurosurgery that affects wound healing & minimizes complicatins seems to be a popular investigations topic. The aim of this study is to evaluate the effect of Agni-Karm for sterilizationon on a piece of skull in Cranioplasty. Total 60 consecutive Craniotomy done patients were evaluated prospectively. Electro surgical cautry & hydrogen peroxide + providone iodine solution was used in 30 patients & Agni-karm (Direct heat given to a piece of skull on spirit lamp) done in 30 patients. In the post-operative period - vaccum drainage amount in days, duration of time for surgery and callus formation time in the skull were recorded. Complications like surgical site infection, haematoma & flap necrosis were determined. Age & size of a piece of skull were similar in each group. Mean drainage duration was 3 days in Agni-Karm ( Direct heat given to a piece of skull ) i.e. Group –A Trial group & 5 days in electro surgical cautry & hydrogen peroxide + providone iodine solution i.e. Group –B- Control group. There is no statistical significance between the both groups & were same regarding amount of blood loss & recovery time. But there was statistical significance between the both groups, in duration of serous drainage, surgical site infection & duration of surgical time, were considered. Direct heat to a piece of skull (Agni-Karm) resulting 100% sterilization & shortens the drainage amount & surgical time compared, with use of electro-surgical cautry & hydrogen peroxide + providone iodine solution over it, to sterilize.