HEALING BEYOND STITCHES: PERINEOTOMY RECOVERY BY AYURVEDA - CASE SERIES

Abstract

BACKGROUND:- Perineotomy is a common surgical procedure during vaginal delivery, frequently associated with postpartum pain, inflammation, and delayed wound healing. In Ayurveda Samhita, no direct reference of perineotomy wound has been traced, but Vrana (wound) is described very well, and a perineotomy wound can be considered as Shudh Vrana. As ayurveda expressed wound management under Vrana Ropana, emphasizing both local care and systemic balance. In today’s scenario excess use of antibiotics, NASIDs, and other drugs causes drug resistance, plus delayed wound healing. Hence, the prime focus is proper care and treatment to promote perineotomy wound healing by the esteemed power of natural herbs by avoiding complications.

AIM- To evaluate the preventive and therapeutic efficacy of “Nimbhadi Ointment” on perineal wound healing after perineotomy.

OBJECTIVE- To analyse the effect of “Nimbhadi ointment” in managing perineotomy wounds.

MATERIALS AND METHODS- The study was conducted among three post-natal patients with vaginal delivery with RMLE who were admitted to PTSR IPD of Shri Babu Singh Jay Singh Ayurvedic Medical College and Hospital, Farrukhabadh.

RESULTS:-These patients were successfully treated with “Nimbhadi ointment” followed by Nimbha Patra Prakshalan which contains Nimbha patara, Ghrita and Honey and has Vrana Shodhana and Vrana Ropana qualities. The result was assessed by using the REEDA Scale and VAS scale. The considerable results were noticed are reduction in pain, oedema, discharge, redness, and tenderness in perineotomy wounds.

CONCLUSION- Thus, we can conclude from the study that this Ayurvedic formulation was influential in managing perineotomy wounds.