Role of Yavakshara in the Management of Post Fistulectomy Wound – A Single Case Report

Abstract

Background: Anorectal disorders can cause discomfort and greatly affect a patient’s quality of life. Faulty lifestyles, and changing diet patterns, lead to various anorectal disorders. Bhagandara (Fistula in ano) is such a disorder regarded as one among the Ashtamahagadas by Acharyas. Acharya elaborated on Vrana, Dushtavrana, and its 60 different therapeutic procedures in Sushrutha Samhita. One of them is the Kshara application, a distinctive para-surgical technique that acts as a powerful debriding agent to promote the growth of healthy granulation tissue and efficient healing. The objective of the study is to know the role of the Kshara application in treating the post-fistulectomy wound. Method: In this study, the post-fistulectomy wound was treated with Yavakshara followed by daily cleaning and dressing with Jathyadi ghrita application for 14 days. The parameters like discharge, edge, floor, margin, surrounding area, bleeding, and temperature of the wound were assessed. Result: By the 6^th day of application there were significant changes like the gradual desloughing process had started, and pus discharge was reduced. By the end of 14 days, discharge - absent, edge – not attached, floor- healthy granulation present, margin – regular, surrounding area – normal, bleeding – active bleeding present, temperature – absent. Conclusion: The application of Yavakshara was found to be effective in treating post-fistulectomy wounds with proper dressing and care by its wound-cleansing quality and debriding nature.