{"id":2948,"date":"2022-02-10T08:54:47","date_gmt":"2022-02-10T08:54:47","guid":{"rendered":"https:\/\/ayurvedanetworkbhu.com\/?p=2948"},"modified":"2022-02-11T05:55:02","modified_gmt":"2022-02-11T05:55:02","slug":"ctvs-educational-video-on-management-of-penetrating-chest-injuries-by-dr-siddharth-lakhotia","status":"publish","type":"post","link":"https:\/\/ayurvedanetworkbhu.com\/?p=2948","title":{"rendered":"&#8220;Management of penetrating chest injuries : An integrative insight&#8221; &#8211; Prof. Siddharth Lakhotia, Dr. Ashish Sharma and Prof. Shivji Gupta"},"content":{"rendered":"<p><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/Rp1kz3sRhYE\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><span data-mce-type=\"bookmark\" style=\"display: inline-block; width: 0px; overflow: hidden; line-height: 0;\" class=\"mce_SELRES_start\">\ufeff<\/span><\/iframe><\/p>\n<h2 style=\"text-align: center;\"><strong>Cardio-Thoracic and Vascular Surgery <\/strong><strong>educational video on &#8220;Management of Penetrating Chest injuries&#8221; by Dr. Siddharth Lakhotia<\/strong><\/h2>\n<h2 style=\"text-align: center;\"><strong>A short commentary from Ayurveda\u2019s perspective of Shalya<\/strong><\/h2>\n<p style=\"text-align: left;\"><strong>Authors<\/strong><\/p>\n<ol style=\"text-align: left;\">\n<li><strong>Ashish Sharma<\/strong><br \/>\nMedical Officer (IM), Sir Sunder Lal Hospital, Banaras Hindu University<\/li>\n<\/ol>\n<ol style=\"text-align: left;\" start=\"2\">\n<li><strong>Shiv Ji Gupta<\/strong><br \/>\nHead, Department of Shalya Tantra<br \/>\nFaculty of Ayurveda, Institute of Medical Sciences, Banaras Hindu University<\/li>\n<\/ol>\n<div class=\"td-paragraph-padding-0\">\n<p><strong>Commentary<\/strong><\/p>\n<\/div>\n<div class=\"td-paragraph-padding-0\">\n<p style=\"text-align: justify;\">Since antiquity, human kind has faced the challenges of traumatic wounds inflicted either as a result of weaponry attacks or accidental injuries. Management of such cases require a sound understanding of the anatomy and physiology of the organ or structure involved, along with a proficient surgical expertise and a diligent temperament to plan and deal with the situation effectively. Present video clearly demonstrates the value of these attributes in saving the lives of patients enduring with life-threatening penetrating injuries of the thoracic region. However, it is pertinent to note that the management of trauma and wounds has also been a part of traditional medicinal practices prevalent across the globe since long. In traditional Indian system of medicine (i.e. Ayurveda) also, surgery has been an integral branch since beginning and the ancient Indian surgeons, namely Sushruta and others, have also shared their views about the ways to manage these kinds of cases in their respective literary compilations. Sushruta Samhita, the compendium written by Sushruta, which is based primarily on the principles and practices of surgery, contains two chapters dedicated to the features and management of penetrating injuries resulting from the weapons and foreign bodies (made up of metals and other materials) [1]. Vagbhata has also described about these in specific chapters in the foremost section i.e.<em> sootrasthana<\/em> of his compilations [2-3]<em>.<\/em><\/p>\n<p style=\"text-align: justify;\">As per Sushruta, the term \u201c<em>shalya<\/em>\u201d is used to denote something which moves swiftly and\/or causes pain or injury to the body [4].<\/p>\n<p><strong>\u2018\u0936\u0932\u2019 \u2018\u0936\u094d\u0935\u0932\u2019 \u0906\u0936\u0941\u0917\u092e\u0928\u0947 \u0927\u093e\u0924\u0942\u0903; \u0924\u092f\u094b\u0930\u093e\u0926\u094d\u092f\u0938\u094d\u092f \u0936\u0932\u094d\u092f\u092e\u093f\u0924\u093f \u0930\u0942\u092a\u092e\u094d ||\u2026\u0938\u0930\u094d\u0935\u0936\u0930\u0940\u0930\u093e\u092c\u093e\u0927\u0915\u0930\u0902 \u0936\u0932\u094d\u092f\u0902 ||<br \/>\n<\/strong>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0[Su. Soo. 26\/3-4]<\/p>\n<p style=\"text-align: justify;\">Though the definition includes both endogenous and exogenous causes; the term <em>shalya,<\/em> with reference to traumatic injuries, is however used for foreign bodies or weapons especially the arrows (barbed or smooth) and other penetrating weapons (like spear etc.) made up of metals. Other sharp and pointed objects like horns, bones and wooden armatures have also been mentioned as potential cause of injury [5]. The last part of the present video demonstrates cases of penetrating injuries inflicted off arrow and bull-horn.<\/p>\n<p style=\"text-align: justify;\">The forms and shapes of a <em>shalya<\/em> or foreign body may be of any sort, but some characteristic features have been described in Ayurveda. About the penetrating ends of <em>shalya<\/em> or foreign body, Vagbhata has mentioned that their pointed ends can either be round in shape or angulated; may be biangular (<em>prithu <\/em>or <em>dvyasram)<\/em>, triangular (<em>triputam <\/em>or<em> tryasram<\/em>), or quadrangular (<em>chatushkonam <\/em>or <em>chaturasram<\/em>). The course of <em>shalya<\/em> inside the body has also been described to be either in upward (<em>urdhwa<\/em>), downward (<em>adhah<\/em>) or sideward (<em>tiryak<\/em>) direction in a straight (<em>riju gati)<\/em> or curved fashion (<em>vakra gati<\/em>) [6-7].<\/p>\n<p style=\"text-align: justify;\"><strong>\u0924\u094d\u0930\u093f\u0935\u093f\u0927\u093e \u0939\u093f \u0917\u0924\u093f\u0903 \u0936\u0932\u094d\u092f\u093e\u0928\u093e\u092e\u0941\u0930\u094d\u0927\u094d\u0935\u092e\u0927\u0938\u094d\u0924\u093f\u0930\u094d\u092f\u0915\u094d \u091a | \u0938\u093e \u092a\u0941\u0928\u0903 \u092a\u094d\u0930\u0924\u094d\u092f\u0947\u0915\u092e\u0943\u091c\u0941\u0935\u0915\u094d\u0930\u092d\u0947\u0926\u0947\u0928 \u0926\u094d\u0935\u093f\u0927\u093e || <\/strong><br \/>\n<strong>\u0938\u092e\u093e\u0938\u0924\u0936\u094d\u091a\u0924\u0941\u0930\u094d\u0935\u093f\u0927\u0902 \u0936\u0932\u094d\u092f\u0902 \u092d\u0935\u0924\u093f | \u0935\u0943\u0924\u094d\u0924\u0926\u094d\u0935\u093f\u0924\u094d\u0930\u093f\u091a\u0924\u0941\u0930\u0938\u094d\u0930\u092d\u0947\u0926\u0947\u0928 ||\u00a0 \u00a0<\/strong> \u00a0 \u00a0 \u00a0 \u00a0[A.S. Soo. 37\/2 &amp; 5]<\/p>\n<p style=\"text-align: justify;\"><strong>\u0935\u0943\u0924\u094d\u0924\u0902 \u092a\u0943\u0925\u0941 \u091a\u0924\u0941\u0937\u094d\u0915\u094b\u0923\u0902 \u0924\u094d\u0930\u093f\u092a\u0941\u091f\u0902 \u091a \u0938\u092e\u093e\u0938\u0924\u0903 |\u00a0 \u00a0 \u00a0<\/strong> \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 [A.H. Soo. 28\/18]<\/p>\n<p style=\"text-align: justify;\">Sushruta, on the other hand, has described the ends of <em>shalyas<\/em> to be either smooth (<em>shlakshna<\/em>) or barbed (<em>karni<\/em>) and their course inside the body has been categorized into upward (<em>urdhwa<\/em>), downward (<em>urdhwa<\/em>), sideward (<em>tiryak<\/em>), backward (<em>riju<\/em>) and frontward (<em>arwachina<\/em>) depending on the direction of their entry [8].<\/p>\n<p style=\"text-align: justify;\"><strong>\u0938 \u091a \u0926\u094d\u0935\u093f\u0935\u093f\u0927\u0903 \u0915\u0930\u094d\u0923\u0940 \u0936\u094d\u0932\u0915\u094d\u0937\u094d\u0923\u0936\u094d\u091a ||\u2026\u0938\u0930\u094d\u0935\u0936\u0932\u094d\u092f\u093e\u0928\u093e\u0902 \u0924\u0941 \u092e\u0939\u0924\u093e\u092e\u0923\u0942\u0928\u093e\u0902 \u0935\u093e \u092a\u091e\u094d\u091a\u0935\u093f\u0927\u094b \u0917\u0924\u093f\u0935\u093f\u0936\u0947\u0937<\/strong><br \/>\n<strong>\u090a\u0930\u094d\u0927\u094d\u0935\u092e\u0927\u094b\u093d\u0930\u094d\u0935\u093e\u091a\u0940\u0928\u0938\u094d\u0924\u093f\u0930\u094d\u092f\u0917\u0943\u091c\u0941\u0930\u093f\u0924\u093f || \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/strong>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 [Su. Soo. 26\/7-8]<\/p>\n<p style=\"text-align: justify;\">The iron rod injuring the chest in the present video can be categorized as a triangular (<em>tryasram <\/em>or <em>triputam<\/em>) <em>shalya<\/em> which, after entering from the front part of the chest, has followed a curved course (<em>vakra gati<\/em>) inside the body, before exiting through the back above the left scapular region (i.e. in <em>urdhwag <\/em>fashion according to Sushruta). Also, due to the force of trauma (as explained in video), a part of the rod got curved on itself; thus making it simulating a <em>karni <\/em>(barbed) <em>shalya<\/em>.<\/p>\n<p style=\"text-align: justify;\">As mentioned earlier, management of penetrating traumas require a thorough understanding of the case to devise an appropriate treatment strategy. The ancient Indian surgeons also narrated the same concept and advised to first assess the case in terms of depth and fixity of <em>shalya<\/em> inside the body. On the basis of these, the <em>shalyas<\/em> were categorized as <em>avabaddha<\/em> (impacted or fixed) and <em>anavabaddha<\/em> (loose) types [9].<\/p>\n<p style=\"text-align: justify;\"><strong>\u0936\u0932\u094d\u092f\u0902 \u0926\u094d\u0935\u093f\u0935\u093f\u0927\u092e\u0935\u092c\u0926\u094d\u0927\u092e\u0928\u0935\u092c\u0926\u094d\u0927\u0902 \u091a || \u00a0\u00a0<\/strong>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 [Su. Soo. 27\/3]<\/p>\n<p style=\"text-align: justify;\">When, after entering into the body, the <em>shalya <\/em>or foreign body gets lodged into deeper tissues like muscles, bones etc. in such a way that it becomes fixed and difficult to extract, it is termed as <em>avabaddha shalya <\/em>or impacted foreign body. The <em>anavabaddha shalya<\/em>, on the other hand, is not impacted and is easily extractable. Apart from this, <em>shalyas <\/em>have also been categorized into <em>arwachina<\/em> and <em>parachina<\/em> types, based on the depth of penetration inside the body. If, with respect to the entry wound, the <em>shalya <\/em>has penetrated more than half of the dimension of the concerned body part, it is considered to be <em>parachina <\/em>whereas, the term <em>arwachina<\/em> is used if it does not cross the halfway mark. This concept of <em>arwachina <\/em>and <em>parachina shalya <\/em>is important as it directs the path of extraction of the lodged foreign body. Sushruta has advised that the <em>arwachina shalya <\/em>should be extracted through the wound of entry itself (termed as <em>pratiloma aaharana<\/em>) while the <em>parachina<\/em> <em>shalya<\/em> should be extracted through the exit wound (termed as <em>anuloma aaharana<\/em>) so as to minimize the chances of injury to the vital structures in vicinity while extraction [10].<\/p>\n<p style=\"text-align: justify;\"><strong>\u0938\u0930\u094d\u0935\u0936\u0932\u094d\u092f\u093e\u0928\u093e\u0902 \u0924\u0941 \u092e\u0939\u0924\u093e\u092e\u0923\u0942\u0928\u093e\u0902 \u0935\u093e \u0926\u094d\u0935\u093e\u0935\u0947\u0935\u093e\u0939\u0930\u0923\u0939\u0947\u0924\u0942 \u092d\u0935\u0924\u0903- \u092a\u094d\u0930\u0924\u093f\u0932\u094b\u092e\u094b\u093d\u0928\u0941\u0932\u094b\u092e\u0936\u094d\u091a ||<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>\u0924\u0924\u094d\u0930 \u092a\u094d\u0930\u0924\u093f\u0932\u094b\u092e\u092e\u0930\u094d\u0935\u093e\u091a\u0940\u0928\u092e\u093e\u0928\u092f\u0947\u0924\u094d, \u0905\u0928\u0941\u0932\u094b\u092e\u0902 \u092a\u0930\u093e\u091a\u0940\u0928\u092e\u094d ||<\/strong> \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 [Su. Soo. 27\/6]<\/p>\n<p style=\"text-align: justify;\">In other cases, where due to loss of momentum owing to the resistance offered by the body tissues, a pointed or barbed-end <em>shalya <\/em>is not able to come out of the body but is just visible under the skin (may be, by a raised prominence), the <em>shalya<\/em> can be taken out via <em>anuloma aaharana<\/em> by making a wound by giving an incision over the skin (at the raised area) and cutting off the barbed end [10].<\/p>\n<p style=\"text-align: justify;\"><strong>\u0909\u0924\u094d\u0924\u0941\u0923\u094d\u0921\u093f\u0924\u0902\u00a0 \u091b\u093f\u0924\u094d\u0924\u094d\u0935\u093e \u0928\u093f\u0930\u094d\u0918\u093e\u0924\u092f\u0947\u091a\u094d\u091b\u0947\u0926\u0928\u0940\u092f\u092e\u0941\u0916\u092e\u094d ||\u00a0<\/strong>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 [Su. Soo. 27\/6]<\/p>\n<p style=\"text-align: justify;\">However, exception has been added for the foreign bodies lodged in or piercing through certain important regions like abdominal cavity (<em>kukshi<\/em>) and the axillary (<em>kaksha<\/em>), intercostal (<em>parshukantara<\/em>) and thoracic (<em>vaksha<\/em>) regions which have been advised to be brought out with utmost caution, through its entry wound only. Further, it is advised to cut off the pointed or barbed end of foreign body using a sharp instrument, if the need arises, to make it easily extractable through the entry wound [10].<\/p>\n<p style=\"text-align: justify;\"><strong>\u091b\u0947\u0926\u0928\u0940\u092f\u092e\u0941\u0916\u093e\u0928\u094d\u092f\u092a\u093f \u0915\u0941\u0915\u094d\u0937\u093f\u0935\u0915\u094d\u0937\u0903\u0915\u0915\u094d\u0937\u093e\u0935\u0919\u094d\u0915\u094d\u0937\u0923\u092a\u0930\u094d\u0936\u0941\u0915\u093e\u0928\u094d\u0924\u0930\u092a\u0924\u093f\u0924\u093e\u0928\u093f \u091a \u0939\u0938\u094d\u0924\u0936\u0915\u094d\u092f\u0902 \u092f\u0925\u093e\u092e\u093e\u0930\u094d\u0917\u0947\u0923 \u0939\u0938\u094d\u0924\u0947\u0928\u0948\u0935\u093e\u092a\u0939\u0930\u094d\u0924\u0941\u0902 \u092a\u094d\u0930\u092f\u0924\u0947\u0924 || \u0939\u0938\u094d\u0924\u0947\u0928\u0948\u0935\u093e\u092a\u0939\u0930\u094d\u0924\u0941\u092e\u0936\u0915\u094d\u092f\u0902 \u0935\u093f\u0936\u0938\u094d\u092f \u0936\u0938\u094d\u0924\u094d\u0930\u0947\u0923 \u092f\u0928\u094d\u0924\u094d\u0930\u0947\u0923\u093e\u092a\u0939\u0930\u0947\u0924\u094d ||\u00a0<\/strong> \u00a0 \u00a0[Su. Soo. 27\/6]<\/p>\n<p style=\"text-align: justify;\">Explaining the process in his commentary, Chakrapani has also clarified that a foreign body with a smooth end may be extracted with caution through the entry wound without injuring the neighboring structures but a barbed-end foreign body needs either the barbed end to be cut off or to be manipulated in such a way that it can be extracted safely through the entry wound, especially when lodged in places like abdominal, thoracic or inguinal regions.<\/p>\n<p style=\"text-align: justify;\">The iron rod pierced in the chest of the patient in the present video is an example of <em>parachina avabaddha<\/em> <em>shalya <\/em>pierced through the thoracic and axillary region, the piercing end of which has become barbed or <em>karni <\/em>after being rolled on itself due to the force of trauma. This rolled on (barbed or <em>karni<\/em>) part had to be cut off using an electrical cutter, so as to take out the rod cautiously from the entry wound. This is exactly in accordance to the above mentioned management principles advocated by Sushruta wherein a <em>karni shalya <\/em>lodged in <em>vaksha<\/em>, <em>parshukantara<\/em> and <em>kaksha<\/em> region must be taken out of the entry wound by <em>pratiloma aaharana <\/em>by cutting off its barbed end by using a sharp surgical instrument. Further, simultaneous implementation of resuscitation measures to prevent the shock, which is a basic part of management of such cases, was also advised by Sushruta and can be seen in the present video also [11].<\/p>\n<p style=\"text-align: justify;\"><strong>\u0936\u0940\u0924\u0932\u0947\u0928 \u091c\u0932\u0947\u0928\u0948\u0928\u0902 \u092e\u0942\u0930\u094d\u091a\u094d\u091b\u0928\u094d\u0924\u092e\u0935\u0938\u0947\u091a\u092f\u0947\u0924\u094d | \u0938\u0902\u0930\u0915\u094d\u0937\u0947\u0926\u0938\u094d\u092f \u092e\u0930\u094d\u092e\u093e\u0923\u093f \u092e\u0941\u0939\u0941\u0930\u093e\u0936\u094d\u0935\u093e\u0938\u092f\u0947\u091a\u094d\u091a \u0924\u092e\u094d ||<br \/>\n<\/strong>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0[Su. Soo. 27\/7]<\/p>\n<p style=\"text-align: justify;\">After removing the <em>shalya<\/em>, Sushruta has advised to ensure the hemostasis. After this, the wound must be cleaned (or debrided if necessary) and antiseptic measures should be adopted to prevent infection and wound should be allowed to heal by secondary intention. In that era, thermal cauterization (<em>agnikarma<\/em>) was a useful and effective tool for hemostasis, debridement and antisepsis [12].<\/p>\n<p style=\"text-align: justify;\"><strong>\u0924\u0924\u0903 \u0936\u0932\u094d\u092f\u092e\u0941\u0926\u094d\u0927\u0943\u0924\u094d\u092f \u0928\u093f\u0930\u094d\u0932\u094b\u0939\u093f\u0924\u0902 \u0935\u094d\u0930\u0923\u0902 \u0915\u0943\u0924\u094d\u0935\u093e \u0938\u094d\u0935\u0947\u0926\u093e\u0930\u094d\u0939\u092e\u0917\u094d\u0928\u093f\u0918\u0943\u0924\u092a\u094d\u0930\u092d\u0943\u0924\u093f\u092d\u093f\u0903 \u0938\u0902\u0938\u094d\u0935\u0947\u0926\u094d\u092f\u093e\u0935\u0926\u0939\u094d\u092f \u092a\u094d\u0930\u0926\u093f\u0939\u094d\u092f \u0938\u0930\u094d\u092a\u093f\u0930\u094d\u092e\u0927\u0941\u092d\u094d\u092f\u093e\u0902 \u092c\u0926\u094d\u0927\u094d\u0935\u093e\u093d\u093d\u091a\u093e\u0930\u093f\u0915\u092e\u0941\u092a\u0926\u093f\u0936\u0947\u0924\u094d ||\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/strong>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 [Su. Soo. 27\/8]<\/p>\n<p style=\"text-align: justify;\">In the present video, the surgeon also narrates the same steps of ensuring hemostasis, cleaning by peroxide, dressing with antiseptics (povidone iodine solution) and leaving the wound for secondary healing.<\/p>\n<p style=\"text-align: justify;\">Towards the end of the video, the surgeon or the narrator is shown to be exclaiming over the fact that patient, in spite of a fatal injury of such a magnitude, was not only able to survive but was also drinking tea and water on the very evening of the operative day and was walking the very next day. This really seems like a miracle because such cases usually, as the narrator said, succumb to death either at the site or during transportation to hospital and hence, the whole team deserves lot of applauses for managing the patient so well. However, the survival and the rapid mobilization of the patient point towards two very important principles told by Sushruta. In his treatise, Sushruta has clearly emphasized the role of maintaining hemodynamic state of the patient by hemostasis and other measures [13].<\/p>\n<p style=\"text-align: justify;\"><strong>\u0926\u0947\u0939\u0938\u094d\u092f \u0930\u0941\u0927\u093f\u0930\u0902 \u092e\u0942\u0932\u0902 \u0930\u0941\u0927\u093f\u0930\u0947\u0923\u0948\u0935 \u0927\u093e\u0930\u094d\u092f\u0924\u0947 | \u0924\u0938\u094d\u092e\u093e\u0926\u094d\u092f\u0924\u094d\u0928\u0947\u0928 \u0938\u0902\u0930\u0915\u094d\u0937\u094d\u092f\u0902 \u0930\u0915\u094d\u0924\u0902 \u091c\u0940\u0935 \u0907\u0924\u093f \u0938\u094d\u0925\u093f\u0924\u093f\u0903 ||<\/strong><br \/>\n[Su. Soo. 14\/44]<\/p>\n<p style=\"text-align: justify;\">Also, in case of penetrating trauma to the organs of abdominal or thoracic cavity, he has mentioned that the chances of survival are good if the natural processes of alimentary, urinary and respiratory tracts are intact [14].<\/p>\n<p style=\"text-align: justify;\"><strong>\u0938\u094d\u0935\u092e\u093e\u0930\u094d\u0917\u092a\u094d\u0930\u0924\u093f\u092a\u0928\u094d\u0928\u093e\u0938\u094d\u0924\u0941 \u092f\u0938\u094d\u092f \u0935\u093f\u0923\u094d\u092e\u0942\u0924\u094d\u0930\u092e\u093e\u0930\u0941\u0924\u093e\u0903 | \u0935\u094d\u092f\u0941\u092a\u0926\u094d\u0930\u0935\u0903 \u0938 \u092d\u093f\u0928\u094d\u0928\u0947\u093d\u092a\u093f \u0915\u094b\u0937\u094d\u0920\u0947 \u091c\u0940\u0935\u0924\u093f \u092e\u093e\u0928\u0935\u0903 ||<br \/>\n<\/strong>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0[Su. Chi. 2\/55]<\/p>\n<p style=\"text-align: justify;\">In this patient also, the bleeding was already ceased by the time the patient arrived in the hospital. Further, and most importantly, the breathing was somehow maintained, though on a single lung only. Also, there were no other vital injuries except the patient was in shock which was very well managed by the experienced team members.<\/p>\n<p style=\"text-align: justify;\">In conclusion, it can be said that although the technological advances in the field of surgery, medicine and anaesthesia has made it possible to manage even the impossible of the cases successfully with rapid recovery and mobilization of the patient, the basic principles of management have remained the same from the ages of Sushruta and Vagbhata to the present times. The concept and principles of surgery and trauma management told by Sushruta and other ancient Indian Surgeons thousands of years ago, still hold valid in present era and hence, should be duly acknowledged and followed.<\/p>\n<p style=\"text-align: justify;\"><strong>References<\/strong><\/p>\n<ol style=\"text-align: justify;\">\n<li>Shastri AD, editor. Ayurveda Tattva Sandeepika Hindi commentary on Sushruta Samhita of Sushruta, Sootra Sthana: Chapter 26 &amp; 27. Reprint ed. Varanasi: Chaukhamba Sanskrit Sansthan; 2009:138-46p.<\/li>\n<li>Chhangani GS. Arthprakashika Hindi commentary on Ashtanga Sangraha of Vagbhata, Sootra Sthana: Chapter 37. Reprint ed. Varanasi: Chaukhamba Sanskrit Sansthan; 2005:307-12p.<\/li>\n<li>Gupta AD, editor. Vidyotini Hindi Commentary on Ashtanga Hridayam of Vagbhata, Sootra Sthana: Chapter 28. Reprint ed. Varanasi: Chaukhambha Prakashan; 2011:208-14p.<\/li>\n<li>Shastri AD, editor. Ayurveda Tattva Sandeepika Hindi commentary on Sushruta Samhita of Sushruta, Sootra Sthana: Chapter 26, Verse 3-4. Reprint ed. Varanasi: Chaukhamba Sanskrit Sansthan; 2009:138p.<\/li>\n<li>Shastri AD, editor. Ayurveda Tattva Sandeepika Hindi commentary on Sushruta Samhita of Sushruta, Sootra Sthana: Chapter 26, Verse 6-7. Reprint ed. Varanasi: Chaukhamba Sanskrit Sansthan; 2009:139p.<\/li>\n<li>Chhangani GS. Arthprakashika Hindi commentary on Ashtanga Sangraha of Vagbhata, Sootra Sthana: Chapter 37, Verse 2 &amp; 5. Reprint ed. Varanasi: Chaukhamba Sanskrit Sansthan; 2005:308-9p.<\/li>\n<li>Gupta AD, editor. Vidyotini Hindi Commentary on Ashtanga Hridayam of Vagbhata, Sootra Sthana: Chapter 28, Verse 18. Reprint ed. Varanasi: Chaukhambha Prakashan; 2011:210p.<\/li>\n<li>Shastri AD, editor. Ayurveda Tattva Sandeepika Hindi commentary on Sushruta Samhita of Sushruta, Sootra Sthana: Chapter 26, Verse 8. Reprint ed. Varanasi: Chaukhamba Sanskrit Sansthan; 2009:139p.<\/li>\n<li>Shastri AD, editor. Ayurveda Tattva Sandeepika Hindi commentary on Sushruta Samhita of Sushruta, Sootra Sthana: Chapter 27, Verse 3. Reprint ed. Varanasi: Chaukhamba Sanskrit Sansthan; 2009:142p.<\/li>\n<li>Shastri AD, editor. Ayurveda Tattva Sandeepika Hindi commentary on Sushruta Samhita of Sushruta, Sootra Sthana: Chapter 27, Verse 6. Reprint ed. Varanasi: Chaukhamba Sanskrit Sansthan; 2009:143p.<\/li>\n<li>Shastri AD, editor. Ayurveda Tattva Sandeepika Hindi commentary on Sushruta Samhita of Sushruta, Sootra Sthana: Chapter 27, Verse 7. Reprint ed. Varanasi: Chaukhamba Sanskrit Sansthan; 2009:143p.<\/li>\n<li>Shastri AD, editor. Ayurveda Tattva Sandeepika Hindi commentary on Sushruta Samhita of Sushruta, Sootra Sthana: Chapter 27, Verse 8. Reprint ed. Varanasi: Chaukhamba Sanskrit Sansthan; 2009:143p.<\/li>\n<li>Shastri AD, editor. Ayurveda Tattva Sandeepika Hindi commentary on Sushruta Samhita of Sushruta, Sootra Sthana: Chapter 14, Verse 44. Reprint ed. Varanasi: Chaukhamba Sanskrit Sansthan; 2009:73p.<\/li>\n<li>Shastri AD, editor. Ayurveda Tattva Sandeepika Hindi commentary on Sushruta Samhita of Sushruta, Chikitsa Sthana: Chapter 2, Verse 55. Reprint ed. Varanasi: Chaukhamba Sanskrit Sansthan; 2009:23p.<\/li>\n<\/ol>\n<p style=\"text-align: justify;\"><strong>Original video link &#8211; https:\/\/www.youtube.com\/watch?v=QeknY30NvSU<\/strong><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\ufeff Cardio-Thoracic and Vascular Surgery educational video on &#8220;Management of Penetrating Chest injuries&#8221; by Dr. Siddharth Lakhotia A short commentary from Ayurveda\u2019s perspective of Shalya Authors Ashish Sharma Medical Officer (IM), Sir Sunder Lal Hospital, Banaras Hindu University Shiv Ji Gupta Head, Department of Shalya Tantra Faculty of Ayurveda, Institute of Medical Sciences, Banaras Hindu [&hellip;]<\/p>\n","protected":false},"author":20,"featured_media":2951,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"video","meta":{"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[40,55,54],"tags":[],"class_list":["post-2948","post","type-post","status-publish","format-video","has-post-thumbnail","hentry","category-shalya-tantra","category-text","category-videos","post_format-post-format-video"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 5.0.0.1 - aioseo.com -->\n\t<meta name=\"description\" content=\"\ufeff Cardio-Thoracic and Vascular Surgery educational video on &quot;Management of Penetrating Chest injuries&quot; by Dr. Siddharth Lakhotia A short commentary from Ayurveda\u2019s perspective of Shalya Authors Ashish Sharma Medical Officer (IM), Sir Sunder Lal Hospital, Banaras Hindu University Shiv Ji Gupta Head, Department of Shalya Tantra Faculty of Ayurveda, Institute of Medical Sciences, Banaras Hindu\" \/>\n\t<meta name=\"robots\" content=\"max-image-preview:large\" \/>\n\t<meta name=\"author\" content=\"Administrator\"\/>\n\t<link rel=\"canonical\" href=\"https:\/\/ayurvedanetworkbhu.com\/?p=2948\" \/>\n\t<meta name=\"generator\" content=\"All in One SEO (AIOSEO) 5.0.0.1\" \/>\n\t\t<meta property=\"og:locale\" content=\"en_US\" \/>\n\t\t<meta property=\"og:site_name\" content=\"Ayurveda Network, Banaras Hindu University - Supported by the Ministry of Education and the Ministry of Ayush, Govt. of India\" \/>\n\t\t<meta property=\"og:type\" content=\"article\" \/>\n\t\t<meta property=\"og:title\" content=\"\u201cManagement of penetrating chest injuries : An integrative insight\u201d \u2013 Prof. Siddharth Lakhotia, Dr. Ashish Sharma and Prof. Shivji Gupta - Ayurveda Network, Banaras Hindu University\" \/>\n\t\t<meta property=\"og:description\" content=\"\ufeff Cardio-Thoracic and Vascular Surgery educational video on &quot;Management of Penetrating Chest injuries&quot; by Dr. Siddharth Lakhotia A short commentary from Ayurveda\u2019s perspective of Shalya Authors Ashish Sharma Medical Officer (IM), Sir Sunder Lal Hospital, Banaras Hindu University Shiv Ji Gupta Head, Department of Shalya Tantra Faculty of Ayurveda, Institute of Medical Sciences, Banaras Hindu\" \/>\n\t\t<meta property=\"og:url\" content=\"https:\/\/ayurvedanetworkbhu.com\/?p=2948\" \/>\n\t\t<meta property=\"article:published_time\" content=\"2022-02-10T08:54:47+00:00\" \/>\n\t\t<meta property=\"article:modified_time\" content=\"2022-02-11T05:55:02+00:00\" \/>\n\t\t<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n\t\t<meta name=\"twitter:title\" content=\"\u201cManagement of penetrating chest injuries : An integrative insight\u201d \u2013 Prof. Siddharth Lakhotia, Dr. Ashish Sharma and Prof. Shivji Gupta - Ayurveda Network, Banaras Hindu University\" \/>\n\t\t<meta name=\"twitter:description\" content=\"\ufeff Cardio-Thoracic and Vascular Surgery educational video on &quot;Management of Penetrating Chest injuries&quot; by Dr. Siddharth Lakhotia A short commentary from Ayurveda\u2019s perspective of Shalya Authors Ashish Sharma Medical Officer (IM), Sir Sunder Lal Hospital, Banaras Hindu University Shiv Ji Gupta Head, Department of Shalya Tantra Faculty of Ayurveda, Institute of Medical Sciences, Banaras Hindu\" \/>\n\t\t<script type=\"application\/ld+json\" class=\"aioseo-schema\">\n\t\t\t{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"BlogPosting\",\"@id\":\"https:\\\/\\\/ayurvedanetworkbhu.com\\\/?p=2948#blogposting\",\"name\":\"\\u201cManagement of penetrating chest injuries : An integrative insight\\u201d \\u2013 Prof. Siddharth Lakhotia, Dr. Ashish Sharma and Prof. Shivji Gupta - Ayurveda Network, Banaras Hindu University\",\"headline\":\"&#8220;Management of penetrating chest injuries : An integrative insight&#8221; &#8211; Prof. Siddharth Lakhotia, Dr. Ashish Sharma and Prof. Shivji Gupta\",\"author\":{\"@id\":\"https:\\\/\\\/ayurvedanetworkbhu.com\\\/?author=20#author\"},\"publisher\":{\"@id\":\"https:\\\/\\\/ayurvedanetworkbhu.com\\\/#organization\"},\"image\":{\"@type\":\"ImageObject\",\"url\":\"https:\\\/\\\/ayurvedanetworkbhu.com\\\/wp-content\\\/uploads\\\/2022\\\/02\\\/sidharth.jpg\",\"width\":1920,\"height\":942},\"datePublished\":\"2022-02-10T08:54:47+05:30\",\"dateModified\":\"2022-02-11T05:55:02+05:30\",\"inLanguage\":\"en-US\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/ayurvedanetworkbhu.com\\\/?p=2948#webpage\"},\"isPartOf\":{\"@id\":\"https:\\\/\\\/ayurvedanetworkbhu.com\\\/?p=2948#webpage\"},\"articleSection\":\"Shalya Tantra, Text, Videos, Video\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/ayurvedanetworkbhu.com\\\/?p=2948#breadcrumblist\",\"itemListElement\":[{\"@type\":\"ListItem\",\"@id\":\"https:\\\/\\\/ayurvedanetworkbhu.com#listItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/ayurvedanetworkbhu.com\",\"nextItem\":{\"@type\":\"ListItem\",\"@id\":\"https:\\\/\\\/ayurvedanetworkbhu.com\\\/?cat=40#listItem\",\"name\":\"Shalya Tantra\"}},{\"@type\":\"ListItem\",\"@id\":\"https:\\\/\\\/ayurvedanetworkbhu.com\\\/?cat=40#listItem\",\"position\":2,\"name\":\"Shalya Tantra\",\"item\":\"https:\\\/\\\/ayurvedanetworkbhu.com\\\/?cat=40\",\"nextItem\":{\"@type\":\"ListItem\",\"@id\":\"https:\\\/\\\/ayurvedanetworkbhu.com\\\/?p=2948#listItem\",\"name\":\"&#8220;Management of penetrating chest injuries : An integrative insight&#8221; &#8211; Prof. Siddharth Lakhotia, Dr. Ashish Sharma and Prof. Shivji Gupta\"},\"previousItem\":{\"@type\":\"ListItem\",\"@id\":\"https:\\\/\\\/ayurvedanetworkbhu.com#listItem\",\"name\":\"Home\"}},{\"@type\":\"ListItem\",\"@id\":\"https:\\\/\\\/ayurvedanetworkbhu.com\\\/?p=2948#listItem\",\"position\":3,\"name\":\"&#8220;Management of penetrating chest injuries : An integrative insight&#8221; &#8211; Prof. Siddharth Lakhotia, Dr. Ashish Sharma and Prof. Shivji Gupta\",\"previousItem\":{\"@type\":\"ListItem\",\"@id\":\"https:\\\/\\\/ayurvedanetworkbhu.com\\\/?cat=40#listItem\",\"name\":\"Shalya Tantra\"}}]},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/ayurvedanetworkbhu.com\\\/#organization\",\"name\":\"Ayurveda Network, Banaras Hindu University\",\"description\":\"Supported by the Ministry of Education and the Ministry of Ayush, Govt. of India\",\"url\":\"https:\\\/\\\/ayurvedanetworkbhu.com\\\/\"},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/ayurvedanetworkbhu.com\\\/?author=20#author\",\"url\":\"https:\\\/\\\/ayurvedanetworkbhu.com\\\/?author=20\",\"name\":\"Administrator\",\"image\":{\"@type\":\"ImageObject\",\"@id\":\"https:\\\/\\\/ayurvedanetworkbhu.com\\\/?p=2948#authorImage\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/648ee6b55f05ee048c818f59b1b10762fa05b02d38dea435bda9167b0f26a14a?s=96&d=mm&r=g\",\"width\":96,\"height\":96,\"caption\":\"Administrator\"}},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/ayurvedanetworkbhu.com\\\/?p=2948#webpage\",\"url\":\"https:\\\/\\\/ayurvedanetworkbhu.com\\\/?p=2948\",\"name\":\"\\u201cManagement of penetrating chest injuries : An integrative insight\\u201d \\u2013 Prof. Siddharth Lakhotia, Dr. Ashish Sharma and Prof. Shivji Gupta - Ayurveda Network, Banaras Hindu University\",\"description\":\"\\ufeff Cardio-Thoracic and Vascular Surgery educational video on \\\"Management of Penetrating Chest injuries\\\" by Dr. Siddharth Lakhotia A short commentary from Ayurveda\\u2019s perspective of Shalya Authors Ashish Sharma Medical Officer (IM), Sir Sunder Lal Hospital, Banaras Hindu University Shiv Ji Gupta Head, Department of Shalya Tantra Faculty of Ayurveda, Institute of Medical Sciences, Banaras Hindu\",\"inLanguage\":\"en-US\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/ayurvedanetworkbhu.com\\\/#website\"},\"breadcrumb\":{\"@id\":\"https:\\\/\\\/ayurvedanetworkbhu.com\\\/?p=2948#breadcrumblist\"},\"author\":{\"@id\":\"https:\\\/\\\/ayurvedanetworkbhu.com\\\/?author=20#author\"},\"creator\":{\"@id\":\"https:\\\/\\\/ayurvedanetworkbhu.com\\\/?author=20#author\"},\"image\":{\"@type\":\"ImageObject\",\"url\":\"https:\\\/\\\/ayurvedanetworkbhu.com\\\/wp-content\\\/uploads\\\/2022\\\/02\\\/sidharth.jpg\",\"@id\":\"https:\\\/\\\/ayurvedanetworkbhu.com\\\/?p=2948\\\/#mainImage\",\"width\":1920,\"height\":942},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/ayurvedanetworkbhu.com\\\/?p=2948#mainImage\"},\"datePublished\":\"2022-02-10T08:54:47+05:30\",\"dateModified\":\"2022-02-11T05:55:02+05:30\"},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/ayurvedanetworkbhu.com\\\/#website\",\"url\":\"https:\\\/\\\/ayurvedanetworkbhu.com\\\/\",\"name\":\"Ayurveda Network, Banaras Hindu University\",\"description\":\"Supported by the Ministry of Education and the Ministry of Ayush, Govt. of India\",\"inLanguage\":\"en-US\",\"publisher\":{\"@id\":\"https:\\\/\\\/ayurvedanetworkbhu.com\\\/#organization\"}}]}\n\t\t<\/script>\n\t\t<!-- All in One SEO -->\n\n","aioseo_head_json":{"title":"\u201cManagement of penetrating chest injuries : An integrative insight\u201d \u2013 Prof. Siddharth Lakhotia, Dr. Ashish Sharma and Prof. Shivji Gupta - Ayurveda Network, Banaras Hindu University","description":"\ufeff Cardio-Thoracic and Vascular Surgery educational video on \"Management of Penetrating Chest injuries\" by Dr. Siddharth Lakhotia A short commentary from Ayurveda\u2019s perspective of Shalya Authors Ashish Sharma Medical Officer (IM), Sir Sunder Lal Hospital, Banaras Hindu University Shiv Ji Gupta Head, Department of Shalya Tantra Faculty of Ayurveda, Institute of Medical Sciences, Banaras Hindu","canonical_url":"https:\/\/ayurvedanetworkbhu.com\/?p=2948","robots":"max-image-preview:large","keywords":"","webmasterTools":{"miscellaneous":""},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"BlogPosting","@id":"https:\/\/ayurvedanetworkbhu.com\/?p=2948#blogposting","name":"\u201cManagement of penetrating chest injuries : An integrative insight\u201d \u2013 Prof. Siddharth Lakhotia, Dr. Ashish Sharma and Prof. Shivji Gupta - Ayurveda Network, Banaras Hindu University","headline":"&#8220;Management of penetrating chest injuries : An integrative insight&#8221; &#8211; Prof. Siddharth Lakhotia, Dr. Ashish Sharma and Prof. Shivji Gupta","author":{"@id":"https:\/\/ayurvedanetworkbhu.com\/?author=20#author"},"publisher":{"@id":"https:\/\/ayurvedanetworkbhu.com\/#organization"},"image":{"@type":"ImageObject","url":"https:\/\/ayurvedanetworkbhu.com\/wp-content\/uploads\/2022\/02\/sidharth.jpg","width":1920,"height":942},"datePublished":"2022-02-10T08:54:47+05:30","dateModified":"2022-02-11T05:55:02+05:30","inLanguage":"en-US","mainEntityOfPage":{"@id":"https:\/\/ayurvedanetworkbhu.com\/?p=2948#webpage"},"isPartOf":{"@id":"https:\/\/ayurvedanetworkbhu.com\/?p=2948#webpage"},"articleSection":"Shalya Tantra, Text, Videos, Video"},{"@type":"BreadcrumbList","@id":"https:\/\/ayurvedanetworkbhu.com\/?p=2948#breadcrumblist","itemListElement":[{"@type":"ListItem","@id":"https:\/\/ayurvedanetworkbhu.com#listItem","position":1,"name":"Home","item":"https:\/\/ayurvedanetworkbhu.com","nextItem":{"@type":"ListItem","@id":"https:\/\/ayurvedanetworkbhu.com\/?cat=40#listItem","name":"Shalya Tantra"}},{"@type":"ListItem","@id":"https:\/\/ayurvedanetworkbhu.com\/?cat=40#listItem","position":2,"name":"Shalya Tantra","item":"https:\/\/ayurvedanetworkbhu.com\/?cat=40","nextItem":{"@type":"ListItem","@id":"https:\/\/ayurvedanetworkbhu.com\/?p=2948#listItem","name":"&#8220;Management of penetrating chest injuries : An integrative insight&#8221; &#8211; Prof. Siddharth Lakhotia, Dr. Ashish Sharma and Prof. Shivji Gupta"},"previousItem":{"@type":"ListItem","@id":"https:\/\/ayurvedanetworkbhu.com#listItem","name":"Home"}},{"@type":"ListItem","@id":"https:\/\/ayurvedanetworkbhu.com\/?p=2948#listItem","position":3,"name":"&#8220;Management of penetrating chest injuries : An integrative insight&#8221; &#8211; Prof. Siddharth Lakhotia, Dr. Ashish Sharma and Prof. Shivji Gupta","previousItem":{"@type":"ListItem","@id":"https:\/\/ayurvedanetworkbhu.com\/?cat=40#listItem","name":"Shalya Tantra"}}]},{"@type":"Organization","@id":"https:\/\/ayurvedanetworkbhu.com\/#organization","name":"Ayurveda Network, Banaras Hindu University","description":"Supported by the Ministry of Education and the Ministry of Ayush, Govt. of India","url":"https:\/\/ayurvedanetworkbhu.com\/"},{"@type":"Person","@id":"https:\/\/ayurvedanetworkbhu.com\/?author=20#author","url":"https:\/\/ayurvedanetworkbhu.com\/?author=20","name":"Administrator","image":{"@type":"ImageObject","@id":"https:\/\/ayurvedanetworkbhu.com\/?p=2948#authorImage","url":"https:\/\/secure.gravatar.com\/avatar\/648ee6b55f05ee048c818f59b1b10762fa05b02d38dea435bda9167b0f26a14a?s=96&d=mm&r=g","width":96,"height":96,"caption":"Administrator"}},{"@type":"WebPage","@id":"https:\/\/ayurvedanetworkbhu.com\/?p=2948#webpage","url":"https:\/\/ayurvedanetworkbhu.com\/?p=2948","name":"\u201cManagement of penetrating chest injuries : An integrative insight\u201d \u2013 Prof. Siddharth Lakhotia, Dr. Ashish Sharma and Prof. Shivji Gupta - Ayurveda Network, Banaras Hindu University","description":"\ufeff Cardio-Thoracic and Vascular Surgery educational video on \"Management of Penetrating Chest injuries\" by Dr. Siddharth Lakhotia A short commentary from Ayurveda\u2019s perspective of Shalya Authors Ashish Sharma Medical Officer (IM), Sir Sunder Lal Hospital, Banaras Hindu University Shiv Ji Gupta Head, Department of Shalya Tantra Faculty of Ayurveda, Institute of Medical Sciences, Banaras Hindu","inLanguage":"en-US","isPartOf":{"@id":"https:\/\/ayurvedanetworkbhu.com\/#website"},"breadcrumb":{"@id":"https:\/\/ayurvedanetworkbhu.com\/?p=2948#breadcrumblist"},"author":{"@id":"https:\/\/ayurvedanetworkbhu.com\/?author=20#author"},"creator":{"@id":"https:\/\/ayurvedanetworkbhu.com\/?author=20#author"},"image":{"@type":"ImageObject","url":"https:\/\/ayurvedanetworkbhu.com\/wp-content\/uploads\/2022\/02\/sidharth.jpg","@id":"https:\/\/ayurvedanetworkbhu.com\/?p=2948\/#mainImage","width":1920,"height":942},"primaryImageOfPage":{"@id":"https:\/\/ayurvedanetworkbhu.com\/?p=2948#mainImage"},"datePublished":"2022-02-10T08:54:47+05:30","dateModified":"2022-02-11T05:55:02+05:30"},{"@type":"WebSite","@id":"https:\/\/ayurvedanetworkbhu.com\/#website","url":"https:\/\/ayurvedanetworkbhu.com\/","name":"Ayurveda Network, Banaras Hindu University","description":"Supported by the Ministry of Education and the Ministry of Ayush, Govt. of India","inLanguage":"en-US","publisher":{"@id":"https:\/\/ayurvedanetworkbhu.com\/#organization"}}]},"og:locale":"en_US","og:site_name":"Ayurveda Network, Banaras Hindu University - Supported by the Ministry of Education and the Ministry of Ayush, Govt. of India","og:type":"article","og:title":"\u201cManagement of penetrating chest injuries : An integrative insight\u201d \u2013 Prof. Siddharth Lakhotia, Dr. Ashish Sharma and Prof. Shivji Gupta - Ayurveda Network, Banaras Hindu University","og:description":"\ufeff Cardio-Thoracic and Vascular Surgery educational video on &quot;Management of Penetrating Chest injuries&quot; by Dr. Siddharth Lakhotia A short commentary from Ayurveda\u2019s perspective of Shalya Authors Ashish Sharma Medical Officer (IM), Sir Sunder Lal Hospital, Banaras Hindu University Shiv Ji Gupta Head, Department of Shalya Tantra Faculty of Ayurveda, Institute of Medical Sciences, Banaras Hindu","og:url":"https:\/\/ayurvedanetworkbhu.com\/?p=2948","article:published_time":"2022-02-10T08:54:47+00:00","article:modified_time":"2022-02-11T05:55:02+00:00","twitter:card":"summary_large_image","twitter:title":"\u201cManagement of penetrating chest injuries : An integrative insight\u201d \u2013 Prof. Siddharth Lakhotia, Dr. Ashish Sharma and Prof. Shivji Gupta - Ayurveda Network, Banaras Hindu University","twitter:description":"\ufeff Cardio-Thoracic and Vascular Surgery educational video on &quot;Management of Penetrating Chest injuries&quot; by Dr. Siddharth Lakhotia A short commentary from Ayurveda\u2019s perspective of Shalya Authors Ashish Sharma Medical Officer (IM), Sir Sunder Lal Hospital, Banaras Hindu University Shiv Ji Gupta Head, Department of Shalya Tantra Faculty of Ayurveda, Institute of Medical Sciences, Banaras Hindu"},"aioseo_meta_data":{"post_id":"2948","title":null,"description":null,"keywords":null,"keyphrases":null,"primary_term":null,"canonical_url":null,"og_title":null,"og_description":null,"og_object_type":"default","og_image_type":"default","og_image_url":null,"og_image_width":null,"og_image_height":null,"og_image_custom_url":null,"og_image_custom_fields":null,"og_video":null,"og_custom_url":null,"og_article_section":null,"og_article_tags":null,"twitter_use_og":false,"twitter_card":"default","twitter_image_type":"default","twitter_image_url":null,"twitter_image_custom_url":null,"twitter_image_custom_fields":null,"twitter_title":null,"twitter_description":null,"schema":{"blockGraphs":[],"customGraphs":[],"default":{"data":{"Article":[],"Course":[],"Dataset":[],"FAQPage":[],"Movie":[],"Person":[],"Product":[],"ProductReview":[],"Car":[],"Recipe":[],"Service":[],"SoftwareApplication":[],"WebPage":[]},"graphName":"","isEnabled":true},"graphs":[]},"schema_type":"default","schema_type_options":null,"pillar_content":false,"robots_default":true,"robots_noindex":false,"robots_noarchive":false,"robots_nosnippet":false,"robots_nofollow":false,"robots_noimageindex":false,"robots_noodp":false,"robots_notranslate":false,"robots_max_snippet":null,"robots_max_videopreview":null,"robots_max_imagepreview":"large","priority":null,"frequency":null,"local_seo":null,"breadcrumb_settings":null,"limit_modified_date":false,"ai":null,"created":"2025-06-06 19:57:28","updated":"2025-06-06 19:57:28","focus_keyword":null,"additional_keywords":null,"truseo_locale":null,"seo_analyzer_scan_date":null},"aioseo_breadcrumb":"<div class=\"aioseo-breadcrumbs\"><span class=\"aioseo-breadcrumb\">\n\t\t\t<a href=\"https:\/\/ayurvedanetworkbhu.com\" title=\"Home\">Home<\/a>\n\t\t<\/span><span class=\"aioseo-breadcrumb-separator\">&raquo;<\/span><span class=\"aioseo-breadcrumb\">\n\t\t\t<a href=\"https:\/\/ayurvedanetworkbhu.com\/?cat=40\" title=\"Shalya Tantra\">Shalya Tantra<\/a>\n\t\t<\/span><span class=\"aioseo-breadcrumb-separator\">&raquo;<\/span><span class=\"aioseo-breadcrumb\">\n\t\t\t\u201cManagement of penetrating chest injuries : An integrative insight\u201d \u2013 Prof. Siddharth Lakhotia, Dr. Ashish Sharma and Prof. Shivji Gupta\n\t\t<\/span><\/div>","aioseo_breadcrumb_json":[{"label":"Home","link":"https:\/\/ayurvedanetworkbhu.com"},{"label":"Shalya Tantra","link":"https:\/\/ayurvedanetworkbhu.com\/?cat=40"},{"label":"&#8220;Management of penetrating chest injuries : An integrative insight&#8221; &#8211; Prof. Siddharth Lakhotia, Dr. Ashish Sharma and Prof. Shivji Gupta","link":"https:\/\/ayurvedanetworkbhu.com\/?p=2948"}],"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/ayurvedanetworkbhu.com\/index.php?rest_route=\/wp\/v2\/posts\/2948","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ayurvedanetworkbhu.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ayurvedanetworkbhu.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ayurvedanetworkbhu.com\/index.php?rest_route=\/wp\/v2\/users\/20"}],"replies":[{"embeddable":true,"href":"https:\/\/ayurvedanetworkbhu.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2948"}],"version-history":[{"count":0,"href":"https:\/\/ayurvedanetworkbhu.com\/index.php?rest_route=\/wp\/v2\/posts\/2948\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ayurvedanetworkbhu.com\/index.php?rest_route=\/wp\/v2\/media\/2951"}],"wp:attachment":[{"href":"https:\/\/ayurvedanetworkbhu.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2948"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ayurvedanetworkbhu.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2948"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ayurvedanetworkbhu.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2948"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}