Classification of Surgical Errors - Ayurvedic Viewpoint
Abstract
Surgical error is described in the treatise of Sushruta Samhita, wherein it has been classified into four varieties, namely, an Insufficient procedure, a procedure done in excess, a procedure done by improper technique and lastly, during the procedure injury to the surgeon. This classification is unique, and is applicable to all streams of surgery. The former three types results in aggravation of the clinical condition, worsening of the pathological process and also will be fatal, hence, a surgeon must adhere to the core principles of Surgery as detailed in test and must possess theoretical and practical knowledge. The reasons for surgical errors as listed by Sushruta are Ajnana [Ignorance], Lobha [Greed], Bhaya [Fear], Pramoha [Nervousness or haste] and fear of being spurned or abused. Any surgeon who has deficiency of theoretical and practical knowledge, incomplete understanding of the subject, ill trained in judgment is sure to produce such errors.
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