Surgical Ethics: Then and Now
Journal Title: International Journal of Ayurveda and Pharmaceutical Chemistry - Year 2017, Vol 0, Issue 0
Abstract
Purpose: A study of surgical ethics in SushrutaSamhita in comparison to modern surgery. Method: Though different manuscripts of medical sciences are found in ancient civilization, probably Sushrut is the foremost oldest literary resource in the field of surgery. Considering the time and socio-political scenario, Sushrut attained the reputation of highest level of surgical practice as found in SushrutSamhita. In the era of Sushruta fundamental basics of production of skilled surgeon started from selection of student, theoretical classes, practical training, recognition from administrator and ethical behavior of a surgeon are described. In the present era, lot of improvement in the field of surgery was observed; still the selection criteria for surgical discipline, the teaching and training methodology along with surgical ethics etc. remain similar as described in SushrutSamhita. The concept of surgical ethics is not specifically described in a single chapter of SushrutSamhita. But these are narrated in different chapters of different sections. Discussion & Conclusion: AcharyaSushruta started the elaboration of surgical ethics from Sutrasthana. The ethical concept of surgery is described in SushrutSamhita in reference to both physical and moral conduct of a student, professional and academic ethics, pre-operative ethics, operative ethics, post-operative ethics and importance of experimental surgery and ethics in emergency surgery etc. All these concepts show strict parallence with modern surgical ethics which also show the concept like importance of informed consent, doctor-doctor relationship, doctor- patient relationship, doctor-state relationship, doctor-attendant relationship, attendantpatient relationship, patient autonomy etc. Therefore AcharyaSushruta can also be called as the forefather of surgical ethics.
Authors and Affiliations
Bijit Das, Pankaj Kr. Barman, Dhaneswar Kalita
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