Abstract

MANAGEMENT OF POST OPERATIVE COMPLICATIONS IN MENINGOMYELOCELE THROUGH PANCHKARMA

Dr. Parul Sharma*, Dr. Ved Bhushan Sharna

ABSTRACT

Meningomyelocele is a congenital defect occurs because the caudal neural tube fails to close properly. It is characterized by herniation of spinal meninges and spinal cord through a posterior vertebral defect to form a cyst like pouch. Because such lesion exposes the central nervous system to outside environment, infection is a common complication. Other major manifestation includes paraplegia, disturbance in bladder and bowel control. The treatment is surgery to excise the redundant membranes. Repeated orthopaedic & urological surgeries are necessary to rectify the orthopaedic defect and urinary incontinence. Here a female patient of neurogenic bowel and bladder with weakness in lower limbs (complication of operated meningomyelocele) is treated with Ayurvedic measurements. As the symptoms reveals the involvement of Vata, so the treatment to disintegrate the pathology of vitiated Vata is planned for the patient. She is treated with Abhyang , Swedan, Awagahan, Parisheka and Basti. And the patient gained much relief in her signs and symptoms.

Keywords: Meningomyelocele, Paraplegia, Neurogenic Bowel and Bladder, Swedan, Parisheka, Basti.