Waghmare Dinesh1 ,Dharne Vidya2 ,Kashikar Shrikant3 , Yadav Sanjeev4

 Paper Index :

M.S.(Scholar)1,Assistant Professor2, Professor and Head of Dept3,Professor and Dean4.

Department of Shalya Tantra, Dr G.D Pol’s YMT Ayurvedic College And PG Institute, Kharghar, Navi Mumbai,Maharashtra, India.

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Abstract

Wounds related to Fistula in ano are difficult problem that surgeons have struggled with since the time of Hippocrates.Practically management of Fistulectomy wound is challenging and demands special attention.Wound healing is a natural process but factors like slough,infection and foreign body affect the normal process of healing.The developing resistance of microorganisms to antibiotics proportionally demands the need of new antibiotics.A simple wound turns highly septic while showing negligible effect to strongest antibiotics at times.Time tested safe compounds explained in Ayurvedic texts are the highlights of Ayurvedic medicine when it comes to wound healing. Due to moist anal region,continuous post-operative discharge from wound and daily bowel habit the wound get recurrently soiled and infected.Ultimately results into delayed and impaired wound healing.Thus post Fistulectomy wound management is very necessary for uncomplicated Post fistulectomy  wound healing. After referring the Ayurvedic texts we observed that Yashtimadhu Ghrita and Tiktaadi Ghrita has Vrana Ropana, Dahashamana, Vata Pitta shaman, Vedanashamana properties which can help the Fistula(Vrana) to heal rapidly.Tiktadi Ghrita has property of Krumighna, Puya nashak, Kandunashak. Yashtimadhu is considered as best drug for Vrana Ropan (wound) and it has analgesic property also. In both products base is Ghrita which itself has Samskara Anuvarti, analgesic and healing properties.

The present study was conducted to evaluate and compare local effect of Yashtimadhu Ghrita and Tiktaadi Ghrita in management of post-operative fistulectomy.The symptoms  which were assessed during study are Pain, Bleeding, Itching and Size of Ulcer.

The Results revealed that Statistically Yashtimadhu Ghrita and Tiktaadi Ghrita both are effective in conservative management of Fistula in ano but Yashtimadhu ghrita per rectal local application is more effective remedy for management of pain, bleeding, itching and for healing of ulcer when compared to Tiktaadi Ghrita.

Introduction

Vrana means a condition which leads to discolouration of skin. Vranayati eti Vrana, vranayati vaivarnya karoti.

The wounds and their managements are fundamental in elective surgery. It is through wound that assess is obtained to deal with underlying pathology. Wounds related to Fistula in ano are a difficult problem that surgeons have struggled with since times of Hippocrates. Practically

management of Fistulectomy wound is challenging and demands special attention. So further efforts are taken for post op Fistulectomy wound management using Herbal preparations.

      References

1.      Baileys & Loves Short Practice Of Surgery 24th edition Chapter 72 pageno 1253,1254.

2.    Concise Text book Of Surgery 4th Edition S.Das Chapter no 54 Rectum & Anal canal Treatment of Fistula in Ano- page no 1084.

3.    Concise Text book Of Surgery 4th Edition S.Das Chapter no 54 Rectum & Anal canal Treatment of Fistula in Ano- page no 1085

4.  Concise Text book Of Surgery 4th Edition S.Das Chapter no 54 Rectum & Anal canal- Treatment of Fistula inAno & complications- page no 1086.

5.    Dravyaguna Vijnyan [ayurvedic medicinal plants] part 1 & 2 by Dr.A.P.Deshpande- Subhash Ranade, Anmol Prakashan, Pune, pg no. 349-352.

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11.  Oprative surgery, 5th Edition, S.Das 2007 Calcutta,chapter no 32,page no 408.

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15. Sindhav vijayasinha. V – Role of yastimadhvadi Ghrita in the management of Fistula in anow.s.r Fistula-in-ano.Jamnagar: Gujarat Ayurvedic University;2001.

16. Dr.Shindhe Anatakumar. Comparative study of Yastimadhu tail in the management of Fistula in ano, S.D.M College of Ayurveda Kuthpady Udapi-2008

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