ROLE OF HUMARI OIL (EXTRA PHARMACOPOEIAL DRUG) IN THE MANAGEMENT OF NON-HEALING POST FISTULECTOMY WOUND- A SINGLE CASE REPORT
Dr. Monica Shrestha* and Dr. T. S. Dudhamal
ABSTRACT
Medicinal plants are an important resource to traditional health care systems. It is estimated that 70-80% of the rural population in developing Asian countries depends on traditional medicine for primary healthcare. Non healing or delayed healing of post-fistulotomy wounds can be attributed to the compromised immunity, poor blood supply and its close association with the source of infection i.e. faecal matter. Humari in Gujarati is a folk plant used traditionally for management of boils, wounds, cuts etc. Studies indicate that S. leucopyrus posses anti-inflammatory, antimicrobial and antioxidant properties. In this case report a 56 years old patient came to Shalya OPD at IPGT & RA with complains of pus discharge from anal region. He was operated for fistula in ano (Partial Fistulectomy with Ksharsutra) twice earlier. On examination patient had a Ksharsutra-in-situ and a post-fistulotomy wound (6 cm x 4 cm) at 6 o’clock with pus discharge. Under spinal anesthesia both the tracts were layed open (fistulotomy) and margins were trimmed. After that wound the measurement of wound was 8cmx5cmx3cm. Dressing was done by conventional method but there was no change in wound size even after three weeks. So local wound dressing was done with Humari oil daily once in the morning after sitz bath. It was observed that post fistulectomy wound healed within 8 weeks treatment. Study concluded that Humari oil is a promising option for the treatment of non-healing wounds at and around anal region.
Keywords: Fistula, Humari, Non-healing wound, Securinega leucopyrus, Thumari.
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