• Painless Laser Procedure
  • 30-45 Minutes Procedure
  • No cuts & no stitches
  • Get Back To Your Regular Routine in 3 Days
  • Same day discharge
  • Cashless Facility, All Insurance Covered

Best Advanced Laser Fistula Treatment in Ahmedabad

Healing Hands Clinic - India’s Preffered Destination for Fistula Treatment in Ahmedabad

Trusted by over 1,00,000 + Patients

Trusted by over 1,00,000 + Patients

Best Fistula Hospital in India

Best Fistula doctors in Asia As Per Google (4.9) ★★★★★

Treated complex fistula cases from around the globe

Treated complex fistula cases from around the globe

Center of excellence for proctology

Center of excellence for proctology

World record holder of treating the most complex and longest fistula

World record holder of treating the most complex and longest fistula

Advanced Infrastructure to treat fistula

Advanced Infrastructure to treat fistula

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What is anal fistula ?

An anal fistula is an infected tunnel between the skin and anus, the opening of the muscle at the end of the digestive tract. Most anal fistulas are the result of an infection of the anal glands that spreads to the skin. Symptoms include pain, swelling, and the secretion of blood and pus from the anus. Treatment of anal fistula usually requires surgery.

Yes, Anal Fistula necessitates the attention of a specialist doctor known as a colorectal surgeon or a proctologist. Due to the abscess and infection, the fistula does not heal on its own and may spread and cause further complications. As a result, the earlier treatment begins, the better.

Diagnosis Of Fistula

At Healing Hands Clinic, a brief history followed by a clinical evaluation - which includes a digital rectal examination - is sufficient to diagnose an anal fistula. with Proctoscopy (a minor inspection of the rectum using a small tube like scope) is also performed at the same time to check for any concurrent rectum conditions lay in the region. For complicated fistulas with difficult-to-delineate tracts, an MRI Fistulogram may be required.

Causes Of Fistula

  • Anorectal abscess - A primary anorectal abscess is the most common cause of anal fistulas. An anorectal abscess develops when one of the anal glands becomes infected. The infection quickly forms an abscess, which is a collection of pus. When an abscess fails to heal completely with or without treatment, an anal fistula develops.
  • Intestinal diseases such as Crohn's disease, Diverticulitis, and others cause inflammation of the intestines.
  • Rectal cancer is a type of cancer that affects the area around the urethra.
  • Infections such as tuberculosis, HIV, and sexually transmitted diseases have also been linked to fistula formation.
  • Iatrogenic - As a result of previous surgery in the area.

Benefits of Laser Treatment

Particulars Open Surgery Laser Surgery
Cuts Multiple Minimal
Scars / Stitches Multiple Minimal
Painless Procedure No Yes
Blood Loss High Low
Infection Chances High Low
Hospital Stay Bed Rest Required Quick Recovery
Hospital Duration Long Short
Technology Outdated Most Advanced

Why get your anal fistula ( Bhagandar ) treated at Healing Hands Clinic?

Dr. Ashwin Porwal has treated a large number of fistula cases as a 'Proctology only hospital.'

He has successfully managed extremely difficult cases of Complex fistulas and Recurrent fistulas (those that have been unsuccessfully operated upon before ), demonstrating his expertise.

He has successfully treated fistulas extending from the rectum to the abdomen (Recto-abdominal), the rectum to the groin (Recto-inguinal), and the rectum to the tailbone ( Recto-nidal ).

Team Healing Hands Clinic's surgeons have introduced the Laser surgery FiLaC (Fistula-tract Laser Closure), the first of its kind in India, to add to the current armamentarium for ministering fistulas. The proctologist's team, was able to develop a treatment called Distal Laser Proximal Ligation. This fistula cure was developed by the Healing Hands Clinic team, led by Dr Ashwin Porwal himself, and is a sphincter-saving technique with a low recurrence rate compared to all other fistula procedures available, making Healing Hands Clinic Asia's number one in treating fistulas. Team Healing Hands Clinic holds the world record for treating the most complicated and longest fistula across the globe.

About Fistula Treatments

FiLaC ( Fistula-tract Laser Closure )

The Leonardo Laser is used to treat fistulas, and it was first introduced in India by Dr. Ashwin Porwal, the founder surgeon of Healing Hands Clinic. The goal of the medical approach is to carefully remove the fistula tract while avoiding injury to the sphincter muscles.

The procedure takes about 30-40 minutes and is performed under concise anaesthesia. From the outside of the anus, a radically emitting Laser Fibre is inserted. The laser is then radiated circumferential into the fistula tract in a specific amount. The laser's power forces the fistula tract to tumble to a greater degree through regulated photo thermal destruction. This also helps, supports, and speeds up the healing process.

Advantages of FiLaC

  • It has a faster recovery time than all other techniques, and the anal sphincter is preserved, so there is no risk of incontinence after surgery.
  • It is also safe for high-risk patients like those with hypertension, cardiac patients, and even senior citizens. It can be done in complex and complicated fistulas like recto-inguinal, recto-gluteal, and others.

Possible Drawback of FiLaC

  • For a period, there may be regional burning.
  • Medications and a bandage are usually used to treat a postoperative subcutaneous abscess, but in rare cases, an incision and drainage under regional anaesthesia may be required.

Distal Laser Proximal Ligation ( DLPL )

Fistula is a difficult condition to treat. Ultimately, the goal of any fistula treatment is -

  1. To Save the sphincter muscles and avoid incontinence.
  2. To prevent recurrence, taking into account the nature of the condition

The majority of techniques, such as VAAFT, LIFT, and FiLaC, achieve the initial goal of closing the fistula and preserving the sphincter. They all, however, have different recurrence rates. Given how troublesome a fistula can be, even a small chance of recurrence can be a crisis for the patient.

Healing Hands Clinic as a specialised Proctology super speciality (a department of surgery that deals with the rectum and gluteal region) has collectively treated a large number of Fistula cases. We've tried to understand the essence of the illness and the cause of recurrences based on our years of treating fistula patients. We developed a technique known as DLPL - Distal Laser Proximal Ligation - after conducting extensive research and applying all of our knowledge and skills.

An abscess pit and the interior opening are first excised during this procedure. The closure of the distal tract takes notice of this. The Leonardo Laser is then used to close the proximal portion of the fistula tract. The laser's radially emitting fibre applies energy to the fistula tract in a circumferential manner. This ensures that the tract is completely closed.


Healing Hands Clinic is renowned for complex Fistula treatment . Doctors from across the globe refer complex Fistulas to Healing Hands Clinic. Healing Hands Clinic Ahmedabad is headed by a team of Surgeons with more than 10+ years of experience in Proctology treating complex and recurrent Piles & Fistulas. Patients are advised either FILAC or DLPL based on the grade and complexity. 

Dr.Porwal , After an in-depth study and applying all his knowledge and skills, he devised a technique he has labelled DLPL - Distal Laser Proximal Ligation.he devised a technique he has labelled DLPL - Distal Laser Proximal Ligation. In this procedure any abcess cavity along with the internal opening is first excised.This is followed by closure of the distal tract. The proximal part of the fistula tract is then sealed with the Leonardo Laser. With the radially emitting fibre of the laser, energy is applied circumferentially to the fistula tract. This ensures complete closure of the tract.


Frequently Asked Questions (FAQ's)

It's like taking a small nap! All you will feel is a small needle prick during your preparation for the procedure. The entire surgery takes about 30 minutes. Occasionally, only the lower half of your body is anaesthetised and you will be alert and probably having a chat with your doctor!

Yes, the laser probe is inserted within the fistula tract and the laser energy is applied circumferentially to coagulate ( burn ) it. The tract heals by a process called 'secondary intention'.

You will normally be able to start drinking water shortly after the procedure and can start eating as soon as you are hungry. You will be able to get out of bed a few hours after surgery. You are likely to have some pain after the procedure that is easily controlled with painkillers.

If your operation is planned as a day care procedure you can go home as soon as the effect of the anaesthetic has worn off, you have passed urine and you are comfortable, eating and drinking. Since a general anaesthetic is used, it is advisable that a responsible adult take you home and stay with you for 24 hours.

At times you may be given a discharge after 24 hours in which case you may need to stay in the hospital for a night.Before you are discharged you will be advised about post-operative care, painkillers and laxatives.

You do not need a specific diet. Just make sure you eat a healthy, fiber-rich diet before and after surgery.

Get plenty of rest, take a Sitz bath about 3 times a day ( especially after a bowel movement ), maintain self-hygiene and consume a fibre rich diet.

You may start travelling after a week.

Fever > 101 degree F
Pain not relieved by prescribed medicines
Unusual bleeding with bowel movement
Persistent nausea or vomiting

Patient Resources

Dr Porwal Treats Re Recurrent Guteal Fistula with Distal Laser Proximal Ligation

Recurrent fistula case from Zagreb Croatia Europe finally got cured by Dr Porwal Laser DLPL surgery

8 Years old boy suffering from Fistula (Bhagandar) successfully treated at Healing Hands Clinic

Spread across Ahmedabad City

Ahmedabad, Gujarat

Healing Hands Clinic,
Dhs Hospital, 3rd Floor,
Sunrise Park, Gurukul, Ahmedabad,
Gujarat 380052

Tel :+918956713061