Presenting Author Government Ayurveda Medical College Thiruvananthapuram, Kerala, India
In recent Ayurveda Anatomy education, hydro-dissection method (HDM) has made technical advancements. It has been introduced as part of regular Ayurveda Anatomy lab. The author undertook investigation of dorsum of an embalmed human hand, using HDM, to visualise and analyse the intricacies of fascial components.
Designing and assembling of the hydro-dissection unit: An instrumentation is prepared, simulating the Sushruta Samhita mentioned method of dissection, for the concerned study. The instrument maintains an optimal standard for hydro-dissection, monitoring and maintaining the temperature, slipstream, pH of the water and asepsis. The instrument also facilitates adequate visualization of the specimen without compromising the austerity of the procedure.
Hydro-dissection method and hydro-dissection instruments: A blunt dissection is done using brushes and scrapers of various dimensions which help in segregation and differentiation of structures seen during HDM. Photos and videos along with textual documentation will be performed during the entire duration of each session. Identification and confirmation of the structures will be done by experts. Side-by-side comparison with existing atlases will be also done.
The dorsal fascia of the hand is situated on the dorsal tendons of dorsal aspect of hand. The superficial fascia or the subcutaneous tissue is described as a layer of loose areolar tissue or adipose tissue. The difference in the thickness of fascia of palmar and dorsal hand is attributed to the difference in the range of mobility of structures passing through these areas. In this experiment, the author has tried to determine the relations in the transitional zones between the mid hand and the fingers by a layer-by-layer dissection. The superficial fascia is identified as a double layer of superficial fat and deeper fibrous tissue. It is separated from deeper layers by loose areolar tissue. The deep fascia becomes extremely thin distally. Usually, when the deep fascia becomes thin, it cannot be prepared as a continuous layer beyond the mid hand. As it passes distally, the fascia tends to blend with the superficial fascia. In the current scenario, the author has identified remarkable progress in the dissection, using HDM by delineating various planes of the fascia along with the resident and traversing structures.
Support or Funding Information
Technically supported by Government Ayurveda College, Thiruvananthapuram, Kerala and Parul Ayurveda Institute, Vadodara, Gujarat, India. No funding received.
Technically supported by Government Ayurveda College, Thiruvananthapuram, Kerala and Parul Ayurveda Institute, Vadodara, Gujarat, India. No funding received.amp;nbsp;
