SPECIAL MESSAGE ON PLASTIC SURGERY AN INVENTION FROM INDIA
HOW PLASTIC SURGERY WENT OUT OF INDIA
During 1769- 1799 AD there were a series of wars between Hyder Ali and British. A Maratha cart driver, Kawasajee, who had served the British and Indian soldiers in the British army had fallen into the hands of the Sultan. His nose and right arm were cut as punishment, after some days an English commanding officer noticed a merchant with a peculiar nose and scar on the forehead. On enquiry, the officer leaned that a substitute nose was made by a Maratha Vaidya of Kunhar-potter- caste and fixed on the merchant, The commander got the nose of Kawasajee also reconstructed with the help of the Vaidya. The operation was performed near Pune in the presence of Two English doctors; Dr. Thomas Cruso and Dr. Jame Findlay. An illustrated account of the operation carried out by the above unnamed Vaidya, appeared in the magazine namely Madras Gazette. Subsequently the article was reproduced in the gentleman’s magazine of London in October 1794. The details of the operation thus went from India to London.
“A thin plate of wax is fitted to the stump of the nose so as to make a nose of good appearance, it is then flattened and laid on the forehead, a line was drawn around the wax, which is then of no further use, and the operator then dissects off as much skin as it has covered, leaving the undivided a small slip between the eyes. This slip preserves the blood circulation till a union has taken place between the new and the old parts. The cicatrix of the stump of the nose is next paired off, and immediately behind the new part, an incision is made through the skin which passes around both alae, and goes along the upper lip. The skin, now brought down from the forehead and being twisted half around is inserted into this incision, so that a nose is formed with a double hold above and with its alae and septum below fixed in the incision, a little Terra Japonica plant product is softened with water and being spread on the slips of cloth, fixed or six of these are place over each other to secure the joining. No other dressing but this cement is used for four days. It is then removed and cloths dipped in ghee are applied. The connecting slip of skin is divided about the twentieth day and when a little more dissection is necessary to improve the appearance of the new nose, for five or six days after the operation, the patient is made to lie on his back and on the tenth day bits of soft cloth are put into the nostrils to keep them sufficiently open. This operation is always successful. The artificial nose is secured and looks nearly as well as the natural nose, nor is the scar on the forehead very observable after a length of time”
This description fired the imagination of young English surgeon J.C. Carpue, who after gathering more information on the Indian nose performed two similar operations in 1814 and published the report. After that a German surgeon Graefe performed this operation of the nose using the skin of the arm. After this, plastic surgery became popular in Europe. This was known as Indian plastic surgery. After getting more and more fresh input from India plastic surgery grew. The first plastic surgeons international conference was organised in Paris by reading the 16th chapter of Susrutha Samhita- Sutrasthaanam, in 1933.
This is the true explanation how plastic surgery route to out of India
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IISH COMMUNICATION TEAM