A study to evaluate the role of Lavanga Taila Varti in Postoperative Pain Management in Partial Anal Sphincterotomy - A Case Report

Abstract

A patient's speedy recovery and shorter hospital stay depend greatly on effective postoperative pain management. It is imperative for surgeons to prioritize pain reduction or elimination from the very first day of the procedure until the patient is capable of resuming their daily activities without any discomfort. Partial Anal Sphincterotomy is widely acknowledged as the standard treatment for chronic anal fissures. In order to manage postoperative pain, contemporary analgesics are typically utilized. It is important for Ayurveda practitioners to explore alternative options to the standard diclofenac suppositories that are typically utilized for reducing postoperative pain in anorectal surgeries. This will help to ensure that patients receive effective pain relief while also avoiding any potential side effects or complications associated with the use of diclofenac suppositories. Vata is the causative factor for pain and Lavanga Taila is known for its Tridoshaghna and Shoola Hara properties, it is taken up in the form of Guda Varti as an effective mode of analgesia in postoperative pain after partial anal sphincterotomy. Therefore, a 36 years old male patient who underwent Partial Anal Sphincterotomy under local anaesthesia was administered Lavanga Taila Varti every eighth hour for 3 days postoperatively. Conclusion: Lavanga Taila Varti was found to be effective in reducing post-operative pain after partial anal sphincterotomy. Varti administration represents a convenient, alternative route of drug administration. They are safe and easier for administration with a higher rate of bioavailability, and less wastage, can target delivery systems with a lower dose and reduce systemic toxicity.