title: From 200 BC to 2015 AD: an integration of robotic surgery and Ayurveda/Yoga.
abstract: BACKGROUND
  Among the traditional systems of medicine practiced all over the world, Ayurveda and Yoga has a documented history dating back to beyond 200 BC. Robotic and video assisted thoracic surgery (VATS) is an invention of the 21(st) century. We aim to quantify the effects of integration of Ayurveda and Yoga on patients undergoing minimally invasive robotic and VATS.
  
  
  METHODS
  Four hundred and fifty-four 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 Urotarpan. 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. All patients suggested an improvement in satisfaction score. 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 healed wound sites.
  
  
  CONCLUSIONS
  Integration of Ayurveda, Yoga and minimally invasive robotic and VATS is acceptable to Indian patients and gives better clinical results and higher patient satisfaction.
authors.affiliation: 1 Department of Minimally Invasive Thoracic Surgery, 2 Department of Integrative Medicine, Medanta The Medicity, Gurgaon, India.
authors.forename: Ali Zamir
authors.initials: AZ
authors.lastname: Khan
authors.affiliation: 1 Department of Minimally Invasive Thoracic Surgery, 2 Department of Integrative Medicine, Medanta The Medicity, Gurgaon, India.
authors.forename: Geethakrishnan Gopalakrishna
authors.initials: GG
authors.lastname: Pillai
keywords: Ayurveda; Integrative medicine; Yoga; robotic thoracic surgery