A study to evaluate the efficacy of Nirgundi (Vitex negundo Linn.) Patra Arka in the management of Post-Operative Fistulotomy Wound - A Case Report
Abstract
Fistulotomy is considered the standard treatment modality for fistula-in-ano and is the most widely performed procedure in an average of 55.6% of cases. A post-operative fistulotomy wound is a contaminated wound and is more prone to further contamination by faeces, which may lead to secondary infections or delayed wound healing. Management of these wounds have been a challenging task, due to their anatomical position and patient’s minimal resting period, hence delaying its healing. Thus, these wounds are co-related to Dushta Vrana in Ayurveda which requires Vrana Shodhana and Vrana Ropana for management. Nirgundi Patra Arka has shown promising results by the virtue of its Vrana Vishodhana, Vrana Ropana, Shoolahara and Kandughna property and is considered a novel approach for the same. Therefore, a patient aged 25 years/ male with a post-operative fistulotomy wound was subjected to dressing with Nirgundi Patra Arka twice a day for a period of 14 days. Complete healing of the wound was observed in 21 days and findings as per VAS score and Bates - Jensens criteria for wound assessment tool were documented.
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