Abstract

Abstract

Background: Post-operative anorectal pain is unavoidable which needs appropriate management. The goal for post- operative pain management is to reduce or eliminate pain and discomfort with minimal side effect. There is need of soothing ointment which can reduce irritation, relieve pain & promote wound healing. Objective: To study the effect of Gambhari Phala gel in the management of post fissurectomy wound healing.Methods: The present case series was conducted in OPD and IPD of Dept. of Shalyatantra, 10 patients in the age group of 18 – 60 years of either gender operated for fissurectomy were enrolled after informed consent and randomized into two groups. In 05 patients enrolled in trial group, the wound was cleaned with normal saline & dressed with Gamhbari Phala gel where as in 05 patients enrolled in control group, the wound was cleaned with normal saline & dressed with betadine ointment. Regular follow-up of two groups for 21 days was taken. The criteria for efficacy assessment were Pain (VRS), Pain (NRS), Burning sensation (Daha), Granulation and wound Discharge in post fissurectomy wound were applied. The data were subjected to unbiased statistical analysis to draw valid conclusions.Results: The average age of patients in trial and control groups were 34.20 ± 5.31 years and 39.60 ± 11.68 years respectively with statistically insignificant difference. The difference in all efficacy parameters in two groups were statistically insignificant. The days requited for wound healing in trial and control groups were 21.20 ± 2.78 days and 24.60 ± 2.07 days respectively with statistical insignificant difference. No adverse events were observed in both the groups during study duration. Conclusion: Gambhari phala gel and conventional method (betadine ointment) have shown equally effective results in post fissurectomy wound.