International Journal For Multidisciplinary Research

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Triphaladi Oil Ointment in the Management of Post-Fistulectomy Surgical Site Infection: An Ayurvedic Case Report

Author(s) Dr. Vinod B Hendawale, Dr. Omkar Khatkar, Prof. Dr. Sanjay c. Babar, Dr. Snehal G. Pansare
Country India
Abstract Background:
Surgical site infection (SSI) is a common postoperative complication that may result in delayed wound healing, persistent inflammation, and patient discomfort following anorectal surgeries. In Ayurveda, infected or non-healing wounds are described as dushta vrana (contaminated or chronic wound) and are managed with therapies possessing vrana shodhana (wound cleansing) and vrana ropana (wound healing) properties. Triphaladi oil is a classical Ayurvedic formulation traditionally indicated for wound management.
Case Presentation:
A 40-year-old female presented with a non-healing postoperative wound in the perianal region one month after fistulectomy. The patient complained of pain, itching, and intermittent discharge from the wound despite repeated conventional dressings. Clinical examination revealed an infected postoperative wound corresponding to dushta vrana.
Intervention:
Local wound dressing with Triphaladi oil ointment was performed daily for 21 days following wound cleansing. Healing progression was assessed using the Bates-Jensen Wound Assessment Tool.
Outcome:
Progressive improvement was observed during the treatment period with reduction in pain, inflammation, and wound discharge. Healthy granulation tissue formation and epithelialization were noted, indicating improvement in wound healing parameters.
Conclusion:
Triphaladi oil ointment may be beneficial in the management of postoperative infected wounds corresponding to dushta vrana and may support wound healing when used as a topical dressing.
Keywords Surgical site infection, dushta vrana (infected wound), Triphala, fistulectomy, Ayurvedic wound care
Field Medical / Pharmacy
Published In Volume 8, Issue 2, March-April 2026
Published On 2026-03-23
DOI https://doi.org/10.36948/ijfmr.2026.v08i02.71665
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