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AYURVEDA, YOGA & MINIMALLY INVASIVE THORACIC SURGERY: A STRATEGY FOR BETTER CLINICAL OUTCOMES IN INDIAN PATIENTS
Ali Zamir Khan, shaiwal Khandelwal, Narendra Agarwal, Kamran Ali, Geetha Krishnan.
Medanta, The Medicity, Gurgaon, India.

Objective
To quantify the effects of integration of Ayurveda and Yoga on patients undergoing minimally invasive thoracic surgery
Methods
322 patients undergoing VATS and robotic thoracic surgery were introduced to a pre and postoperative protocol of yoga therapy, mediation and oil massages. Yoga Exercises included pranayam, Anulom Vilom, and Oil massages included Uro Tarpan. Preoperative and postoperative respiratory functions were recorded. Patient satisfaction questionnaire were noted. Statistical comparison was made to control group undergoing minimally invasive thoracic surgery without integrative medicine. Only one patient refused to undergo Ayurveda therapy and was deleted from the group.
Results:
Acceptability was high among all patients. Preoperative training led to implementation as early as 6 hours post surgery. Pulmonary function test showed significant improvement (p< 0.005). All patients suggested an improvement in satisfaction score (p<0.05). Pain score were less in study patients. Quicker mobilization led to early discharge and drain removal. Chronic pain was prevented in patients having oil massages over the wounds.
Conclusion:
Integration of Ayurveda, Yoga and minimally invasive thoracic surgery gives better is acceptable to Indian patients and gives better clinical results and higher patient satisfaction.


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