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Treated complex fistula cases from around the globe
Center of excellence for proctology
World record holder of treating the most complex and longest fistula
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AUSTRALIAN DOCTOR FINDS CURE AT HEALING HANDS CLINIC AFTER SPENDING 3 YEARS IN PAINRead More...
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An anal fistula is a medical condition that can be quite uncomfortable and alarming. It occurs when a small tunnel develops between the skin and the anus, usually as a result of an infection in the anal glands. This tunnel can become infected and inflamed, causing pain, swelling, and discharge of blood or pus from the anus.
Unfortunately, anal fistulas do not typically heal on their own, and delaying treatment can lead to further complications. Surgery is usually necessary to treat the condition effectively. However, the specific type of surgery required will depend on the location and severity of the fistula.
In summary, an anal fistula is a medical condition that requires prompt attention and treatment from a qualified medical professional. While it can be a discomforting and embarrassing condition to discuss, it's important to seek help in order to avoid further complications and to achieve a full recovery.
To diagnose an anal fistula, a doctor will typically begin by taking a brief medical history and conducting a physical examination. During this examination, the doctor will perform a digital rectal exam, which involves inserting a gloved, lubricated finger into the rectum to feel for any abnormalities.
In addition to the physical exam, a proctoscopy may be performed to further evaluate the condition of the rectum and rule out any other potential causes of symptoms. This procedure involves using a short, tube-like scope to inspect the rectum for signs of inflammation or other abnormalities.
For more complex or difficult-to-define fistulas, an MRI fistulogram may be required. This is a specialized imaging test that uses magnetic resonance imaging (MRI) to create detailed images of the anal region and identify the precise location and extent of the fistula.
| Particulars | DLPL | Laser Procedure | Open Surgery |
|---|---|---|---|
| Cuts | Minimal | Minimal | Multiple |
| Scars / Stitches | Minimal | Minimal | Multiple |
| Incontinence | < 0.1 | Upto 40% | Upto 40% |
| Recurrence | < 0.1 | 7% - 40% | 7% - 40% |
| Painless Procedure | Yes | Yes | No |
| Blood Loss | Low | Low | High |
| Infection Chances | Low | Low | High |
| Hospital Stay | Quick Recovery | Quick Recovery | Bed Rest Required |
| Hospital Duration | Short | Short | Long |
| Technology | Most Advanced | Advanced | Outdated |
Fistula is a complex condition that requires a treatment approach that not only closes the fistula but also prevents its recurrence while keeping in mind the preservation of the sphincter muscles to prevent incontinence. At Healing Hands Clinic, as a specialized Proctology super specialty, we have treated a large number of Fistula cases over the years and have developed a unique approach called DLPL (Distal Laser Proximal Ligation) after extensive research and clinical experience.
DLPL ensures complete closure of the fistula tract, and the use of laser energy minimizes the risk of recurrence. This approach has shown promising results and has helped us achieve our goal of treating fistula while preserving the sphincter muscles and preventing recurrence.
IN A SERIES OF 100 PATIENTS WITH COMPLEX HIGH FISTULAS TREATED WITH DLPL, THERE WAS NOT A SINGLE CASE OF RECURRENCE OR INCONTINENCE.
During the DLPL procedure, patients can expect to feel minimal discomfort. Local anesthesia is applied before the surgery, which may cause a small needle prick. However, this is usually the only discomfort experienced during the procedure. The surgery typically lasts approximately 30 minutes, and patients can expect to feel relaxed and comfortable throughout. In some cases, only the lower half of the body is anesthetized, allowing patients to remain alert and communicate with their doctor throughout the procedure. Overall, patients can expect a pain-free and comfortable experience during the DLPL procedure.
Yes, during DLPL surgery, the laser probe is carefully inserted within the fistula tract to deliver laser energy circumferentially, effectively burning and sealing the tract. This is a highly precise and targeted approach that helps to close the fistula tract while preserving the surrounding tissue. After the procedure, the body's natural healing process kicks in, allowing the tract to heal by a process known as 'secondary intention.' During this process, the tissue gradually regenerates, filling in the closed fistula tract with healthy tissue. This approach is highly effective and minimally invasive, allowing for faster healing and a reduced risk of complications compared to other surgical approaches. Overall, DLPL is an innovative and highly effective surgical technique that offers a safer and more comfortable alternative to traditional fistula treatments.
After the DLPL surgery for fistula, the patient is closely monitored in the recovery area for a brief period. The patient is generally able to drink water shortly after the procedure, and once they feel hungry, they can start eating. The patient is usually able to get out of bed and walk a few hours after surgery, with assistance if necessary. Pain and discomfort are common after the procedure, but they can be easily managed with painkillers prescribed by the doctor. It is recommended to avoid heavy lifting, strenuous exercise, or any activity that puts pressure on the surgical site for a few weeks after the surgery. The doctor will give specific instructions regarding wound care, medication, and follow-up appointments to ensure a smooth and successful recovery.
When your surgery is scheduled as a day care procedure, you can typically go home as soon as you feel comfortable, have passed urine, and are able to eat and drink. It is important to have a responsible adult accompany you and stay with you for 24 hours following the surgery, as a general anaesthetic is used during the procedure. In some cases, you may need to stay in the hospital for one night before being discharged.
While there is no specific diet that is mandatory before or after fistula surgery, it is generally recommended to follow a healthy and fiber-rich diet. This can help prevent constipation, which is a common problem after surgery. Foods rich in fiber include fruits, vegetables, whole grains, nuts, and seeds. Additionally, it is important to stay hydrated by drinking plenty of water and other fluids. Your doctor may give you specific instructions regarding your diet before and after surgery, so be sure to follow them carefully. In some cases, a temporary modified diet may be recommended, such as avoiding spicy or acidic foods, to prevent any irritation or discomfort in the surgical area.
It is generally recommended to wait at least a week after fistula surgery before resuming any travel. However, the exact timing may depend on the nature of the surgery and the individual's healing progress. It's important to consult with your doctor to determine when it is safe to travel and to make sure that any necessary precautions are taken to prevent any complications.
Healing hands clinic,
C/O Sbg hospital, Opposite federal bank,
Ganeshpur Rd, Laxmi Tek, Belagavi,
Karnataka 590001.
