Novel Laser Cure for Anal Fistula

Fistula-in-ano, a silent yet agonizing ailment, has always posed a treatment challenge to surgeons worldwide. The refractory nature of Fistula along with its tendency to recur continues to leave the best doctors perplexed. Consequently, those suffering from this condition find themselves anxiously searching for a definitive cure. In light of this scenario, Dr. Ashwin Porwal, renowned Proctologist and founder of Healing Hands Clinic, India, set out on devising a technique called DLPL that provides an assured and lasting cure.

Anal Fistula aka Fistula-in-ano is an abnormal track that forms between the anal canal and the skin around the anus. It is commonly associated with a collection of pus in the bottom area called Rectal Abscess. Symptoms may be due to the underlying Abscess or due to Fistula per se. This includes throbbing pain, oozing of pus/watery fluid, swelling, itching and foul odor. Diagnosis is confirmed by a simple test called Proctoscopy. For a detailed study of the abscesses and track branching, Dr. Porwal introduced 3D Endo-anal Imaging. This imaging can also be used intra-operatively thus increasing the precision of the surgery.

Until recent times, Fistula was treated using different techniques like Fistulectomy, VAAFT, LIFT, Ksharsutra, Fistula Plug etc. However, these conventional techniques were quite painful or had high recurrence rates. Being a Proctologist, Dr. Porwal would come across a large number of previously treated Fistula cases who were rendered helpless after recurrences. Subsequently, he developed his own technique DLPL (Distal Laser Proximal Ligation). In this procedure, any abscess cavity along with the internal opening is first excised. This is followed by the closure of the distal tract. The proximal part of the fistula track is then sealed with the Laser energy. With the radially emitting fiber of the laser, energy is applied circumferentially to the track ensuring it’s complete ablation. Complete healing takes about 8 weeks on average.

Using this technique Dr. Porwal has treated Complex and Recurrent Fistulae with noteworthy success. Patients from across the globe come to Healing Hands Clinic in the hope of a cure. Dr. Porwal has presented numerous research papers at national and international conferences. The benefits of DLPL will definitely bring hope to despondent patients of Fistula who muddle along for years in search of a cure.

Here is what you need to know about the new treatment for fistula

Treatment for fistula

With technological advances in medical field, we are witnessing great developments in treatment of various diseases. These advancements are further validated by impeccable medical expertise and that is exactly what super-speciality Proctology centre Healing Hands Clinic offers to all its patients. Proctology is a branch of medicine that deals with anorectal conditions like Piles, Fistula, Constipation, Fissure, Pilonidal Sinus and Prolapse amongst others.
What Is an Anal Fistula?
In its simplest form, it is a tunnel with one opening inside the lining of your anus and another opening in the skin of your butt. The noticeable symptoms include opening in the skin of the buttock with discharge of blood or foul-smelling pus, redness and swelling, and pain.
Laser: An assured treatment modality for Fistula
Fistula is a complex disease. It hardly ever recovers on its own, and once formed, needs some degree of surgical intervention. Ultimately, the aim of any fistula treatment is, firstly, to get rid of the tract while saving the sphincter muscle. Secondly, the treatment should be such that chances of recurrence are minimal. The latest improvisations on the conventional ways to treat fistula include procedures like FiLaC (Fistula Laser Closure) and DLPL (Distal Laser Proximal Ligation). The principle behind these techniques is to use defined energy to circumferentially vaporize and close the fistula tract while sparing the muscle around it. Laser is quick, precise, and the post-procedure healing is excellent. DLPL provides promising results in complicated and recurrent cases.
Fistula is notorious for its recurrence or its tendency to come back after treatment. However, a large number of Recurrent Fistulas have been successfully cured at Healing Hands. The statistics so far state that on an average there are about 30% chances of recurrence in treated cases of Fistula. At Healing Hands, the numbers are at a mere 2% which clearly exhibits a sturdy success rate of the surgical expertise offered here. Research papers on DLPL have been presented at various national and international conferences and the procedure has received a thumbs-up from the surgical community.

For appointments:
Healing Hands Clinic
Pune Station / Tilak Rd: 88882 88884
Kondhwa: 88885 22226
Baner: 88886 22221
Chinchwad: 88882 00004
Chakan: 88882 96666
Website: www.healinghandsclinic.co.in
Email: info@healinghandsclinic.co.in

मुळव्याध, फिस्तुला, पिसोनियस सायनसचे सोपे उपचार

मुळव्याध फिस्तुला पिसोनियस सायनसचे सोपे उपचार

मुळव्याधाचा त्रास होतोय असं म्हणणार्‍या माणसांची संख्या दिवसेंदिवस वाढत आहे. दोनात एक असं याचं गुणोत्तर असून ही धोक्याची घंटा आहे. मुळातच आयुष्याच्या कुठल्या ना कुठल्या टप्प्यावर प्रत्येकालाच मुळव्याधीचा त्रास होतो. मुळव्याधीचा त्रास स्वत:बाबत असो वा कुटुंबातल्या अन्य कोणाबरोबर रक्त जाणे हा घटक तर कोणालाही घाबरवणाराच आहे. मुळव्याध बरा करणारा सोपा उपचार म्हणणार्‍या असंख्य पद्धती बाजारात आहेत. त्यातील काही पद्धतींमध्ये तर वैज्ञानिक दृष्टीकोन, वैज्ञानिक सफाईदेखील नाही. त्यामुळे कोणती उपचार पद्धती स्विकारावी याबाबत साहजिकच रूग्णांचा गोंधळ उडतो. मुळव्याध आणि फिस्तुला बरं करण्यासाठी पारंपरिक पद्धतीने केली जाणारी सर्जरी तर वेदनादायक आहेच परंतु त्यातून रिकव्हर होण्यासाठीसुद्धा दीर्घकाळ लागतो.

सध्याच्या या प्रचलित चित्राचा विचार करून कोलोरेक्टल सर्जन आणि हिलींग हॅण्डस किल्निकचे डॉ. अश्‍विन पोरवाल यांनी मुळव्याध, फिस्तुला आणि इतर गुदाशय व मलमार्गाशीसंबंधीत आजारांवर उपचार करणारी पद्धती शोधली आहे. या पद्धतीत मुळव्याधीसाठी लिओनार्डो लेसर ट्रीटमेंट वापरी जाते. या पद्धतीने रूग्णाला तातडीने फरक पडतो आणि मुख्य म्हणजे आजार पुन्हा उद्भवण्याची शक्यताही खूप कमी आहे. कुठल्याही कापाकापीशिवाय होणारी आणि वेदनाहीन असणारी उपचारपद्धती आहे. त्यामुळे रूग्ण पुढच्या ३ ते ५ दिवसांच्या आरामानंतर नियमित कामे करू शकतात. लिओनार्डो लेसर पद्धतीचा फायदा फिस्तुला झालेल्या रूग्णांनाही होतो. पिसोनियस सायनस हा आजार तर सहजासहजी बरा होत नाही मात्र याही आजाराबाबत लेसर ट्रीटमेंट काम करत असल्याचे दिसत आहे.

भारतातील प्रणेते आणि नामवंत प्रोक्टोलॅाजिस्ट डॉ. अश्‍विन पोरवाल यांनी आत्तापर्यंत मुळव्याधीचे हजारो रूग्णांना बरे केले आहे आणि फिस्तुल्याच्या अत्यंत गुंतागुंतीच्या केसमधील रुग्णांनाही यशस्वीरित्या बरे केले आहे. डॉ. पोरवाल म्हणाले, ‘शौचासाच्यावेळी रक्त जाणे ही निश्‍चितच भीतीदायक बाब आहे. त्यामुळेच आम्ही मुळव्याधीसाठी लेसर हिमोर्‍होडोप्लास्टी (एलएचपी) आणि फिस्तुलासाठी फिस्तुला ट्रॅक्ट लेसर क्लोजर या उपचारपद्धती शोधल्या आहेत. प्रोक्टोलॉजीतील या दोन्ही पद्धती अत्यंत आधुनिक असून  माझ्या आजपर्यंतच्या अनुभवाचा विचार केला तर मुळव्याधीची नुकतीच सुरवात झालेल्या रूग्णांसाठी तर या उपचारपद्धती अत्यंत सुरक्षित आणि विश्‍वसनीय आहेत. फिस्तुलाच्या संदर्भातही ही पद्धत उपकारक ठरली आहे. लिओनार्डो लेसरपद्धतीने आम्ही अगदी अवघड केसेसमध्ये यश मिळवलं आहे. ज्या केसमध्ये इतर उपचारांनी फरक पडला नाही अशाही केसमध्ये ही लेसरपद्धत काम करून गेली. आपल्या आजच्या धांदलघाईच्या जीवनशैलीत प्रत्येकालाच त्वरित आणि परिणामकारक उपचार हवे असतात. लेसरपद्धती नेमकं तेच काम करते.’

Oz Doc Finds Cure in Pune After Spending 3 yrs in Pain

What is anal fistula

An error in clinical judgement literally turned a young doctor’s life into a nightmare for three long years, during which he consulted six specialists who treated him for everything, but

complex anal fistula

— the condition he was suffering from.

It was only after Aamir

(33), a Bangladeshi practising as a doctor in Australia, consulted a doctor in Pune that he was diagnosed correctly. He was operated upon here on January 17.

Aamir used to have intermittent pain in his bottom after passing off the stool. “The pain would go away within two to three days to resurface again,” he said, adding that the first episode of tremendous pain and large abscess formation occurred in July 2015.

In 2016, he was almost bedridden due to the condition. He lost 22kg weight in four months as he could eat only two bread slices to avoid defecation.

Aamir attributed the cause of his condition to lactose intolerance. “My liking for milk aggravated my problem to the extent that I ended up injuring my bowel,” he said.

Aamir initially consulted doctors at a hospital in Australia, but his condition did not improve. He then consulted another specialist who “misdiagnosed his symptoms as that of anal fissure”.

In February 2016, Aamir had his colonoscopy done at another hospital in Australia where doctors found a lesion in the lower bowel on the left side. “But they completely misdiagnosed it as a mucosal prolapse,” he said.

As the pain persisted, the doctors did a CT scan on Aamir’s earnest request and admitted him to a hospital on September 2, 2016. “This was the time that I had my first abscess drain surgery. But sadly, the doctors did not find any opening in my rectal wall. Eventually, I had seven abscess drain surgeries done and every time the treating doctors failed to find an internal opening or fistula,” Aamir alleged. Frustrated and sullen, Aamir came across the work of Pune-based proctosurgeon Ashwin Porwal while browsing on internet for a probable cure to his condition. He eventually flew down to Pune in January 2018.

When contacted, Porwal said, “Recurrent abscess have tendency to form fistula. To obtain accurate diagnosis, we do 3D endo anal pelvic floor imaging. This facility is available at select places across the world,” said Porwal.

Aamir is doing well postsurgery.

Kshar Sutra: Is it the Ultimate Answer to Fistula?

Kshar Sutra Treatment
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There are some diseases which are a real challenge, not only for the patient to endure but for the doctor to treat. Amongst them is anal fistula, where a channel is formed between the end of the bowel ( rectum or anal canal ) and the surrounding skin. The fortunate ones are affected with a simple fistula, however, the condition is often complicated with multiple interlinked channels and distant openings. These include recto-inguinal, recto-vaginal, ano-scrotal fistulas which are extremely troublesome.

A number of treatment options are available and thus there is always an ongoing debate about which one outmatches the other. Here we will have a look at

Kshar Sutra

, an age-old Ayurveda technique that has its origin in India. Kshar Sutra has mentions in the archaic Indian literature. It was supposed to be Sushruta’s ( ancient Indian surgeon known to have laid the foundations of surgery ) method of treating Bhagandara ( Sanskrit word for fistula ). The technique has been used since then, albeit modified with developing times. It makes the use of Seton – cotton thread impregnated with layers of medicinal plant extracts ( latex ). It takes about 4 weeks to prepare the Kshar Sutra. Other than fistula, it is also used for the treatment of other anorectal conditions like hemorrhoids, sentinel piles, polyps, warts and pilonidal sinus.

How does this ancient technique work in fistula-in-ano?

The Kshar Sutra is placed in the fistulous tract after giving appropriate anesthesia and both its ends are tied together. It is replaced at weekly intervals. The Kshar sutra remains in direct contact of the tract and, therefore, it physically and chemically curettes out the tract and sloughs out its lining, thereby allowing it to collapse and heal. It is a less invasive, cost efficient treatment. The complications are minimal; chances of loss of sphincter control and resulting anal incontinence are very low.

On the downside, Kshar Sutra is a multi-staged procedure and patients need to come to the hospital every week. The wound discharge is typically more as compared to other techniques. The healing time is also comparatively longer. Pain is a relative component, and whether Kshar Sutra is less or more painful than other procedures remains a matter of subjective variation. Although this technique provides satisfactory results in simple fistula, its efficacy in complicated ones remains debatable.

Bottom line :

Kshar Sutra has withstood the test of time and thus, its credibility cannot be denied. The best approach would be to get it done from a skilled Proctologist who can combine it with other modalities for an effective treatment.

Fistula-in- ano

Anal fistula or fistula-in- ano is an abnormal hollow tract or cavity between primary opening inside the anal canal to a secondary opening in the perianal skin; secondary tracts may be multiple and can extend from the same primary opening. Different types of anal fistulas are classified by their location. In order of most common to least common, the various types include:

Inter-sphincteric fistula : The tract begins in the space between the internal and external sphincter muscles and opens very close to the anal opening. It is a tract between two anal sphincters.

Anatomy of rectum anal canal

Transphincteric fistula : The tract begins in the space between the internal and external sphincter muscles or in the space behind the anus. It then crosses the external sphincter and opens an inch or two outside the anal opening. These can wrap around the body in a U shape, with external openings on both sides of the anus. It is also called as horseshoe fistula.

Fistula type 2

Suprasphincteric fistula : The tract begins in the space between the internal and external sphincter muscles and turns upward to a point above the puborectal muscle, crosses this muscle, then extends downward between the puborectal and levator ani muscle and opens an inch or two outside the anus

Fistula type 3

Extrasphincteric fistula : The tract begins at the rectum and extends downward, passes through the levator ani muscle and opens around the anus. These fistulas are usually caused by an appendiceal abscess, diverticular abscess or Crohn’s disease.

Fistula type 4

Cause of Fistula in ano – The most common cause of fistula is an anal abscess, though there are several other possible causes which may lead to fistula in ano which can be stated as follows:

1.Anal Abscess : An abscess is a collection of pus in an area of the body. An anal abscess develops when a small anal gland becomes infected with bacteria. It can be very painful and is one of the utmost reason which causes fistula. Approx 80% of cases having fistula are caused by abscess

2.Intestinal Inflammation : Intestinal inflammation which causes due Crohn’s disease which is a type of inflammatory bowel disease and Diverticulitis which is a condition which leads to inflammation of the small out pouching or diverticulitis which forms a number of tiny pockets from the side of the colon.

3.Malignancy in the an rectal area can lead to fistula in anal area.

4.Infections – Infection like Human Immunodeficiency Virus(HIV), Acquired Immunodeficiency Syndrome(AIDS),Tuberculosis etc are infections which leads to fistula

4.Iatrogenic – As a complication of a previous surgery in the region.
Symptoms of Fistula in Ano

Possible symptoms include:

1. Constant pain and discomfort which is throbbing and worsens when sitting down.

2. Skin irritation around the anus which includes swelling and tenderness.

3. Pus discharge

4. Constipation

5. Fever

 

Diagnosis of Fistula in Ano:

1. A brief history and required information is taken which is then followed by a clinical examination along with a digital rectal examination which is enough to diagnose an anal fistula

2. Proctoscopy – A small inspection of the rectum is done with a small tube like scope called as proctocopy to check for any concomitant condition in rectum area.

In certain conditions doctors may also take help of MRI Fistulogram if the fistula tract is difficult to diagnose.

Treatment for Fistula in ano (Anal Fistula)

There are two approaches to treatment of Anal Fistula viz. Traditional technique and Modern technique.

A)Traditional Technique include :

1. Fistulectomy : This process involves cutting open the whole length of the fistula in so that the surgeon can flush out all the content in the fistula. The fistula tract is removed and the groove which is formed is left behind to heal. This procedure comes with a risk of damaging the sphincter muscle which results in fecal incontinence and is usually used for treatment of complex anal fistula.

2. Ksharsutra : This technique has an Ayurvedic approach in which a thread of a special kind which is coated with ayurvedic medications is inserted into a fistula tract. This kind of treatment has no cuts and stitches but also needs to be done in multiple weekly sessions that is completed over a few months

B) Modern Technique include :

1. Video Assisted Anal Fistula Treatment : Also known as VAAFT is a technique used for a surgical treatment of complex fistula and is preformed with the help of a fistuloscope

2. Ligation of Intersphincteric Fistula tract : Also known as LIFT is a technique used to treat a complex or deep anal fistula. A seton is firstly placed in the tract which forces it to widen over a period of time. A few weeks later, the surgeon doctor removes the infected tissue and closes the internal fistula opening.

3. Fistula plug : A fistula plug is a plug that is 100% synthetic bio-absorbable scaffold. The fistula plug is placed in the fistula tract. Over a period of time the cells from the body migrate into the scaffold and new tissues are generated as the body absorbs the plug material which leaves no permanent material in the body.

4. Fistula-tract laser closure – Also known as Filac is done using Leonardo laser which was first introduced in India by Dr Ashwin Porwal at Healing Hands Clinic. This procedure helps in gently removing the fistula tract without damaging the sphincter muscle.

5. Distal Ligation Proximal laser – Known as DLPL aims not only at treating fistula but also to save the sphincter muscle which helps to prevent incontinence and to prevent recurrence, considering the nature of the fistula.In this treatment of fistula, firstly abscess cavity with internal opening is excised and then closing of distal tract is done. The proximal area of fistula tract is then sealed with the help of Leonardo laser which helps in complete closure of tract.

For more information on anal fistula you can click on the following link :https://www.healinghandsclinic.co.in/fistula-treatment-centre/

For appointments : https://www.healinghandsclinic.co.in/online-appointment/

Innovative Treatment for Fistula

Many a times unless we suffer from a certain diseases we never get an idea of that disease. And even if we get through that symptom sometimes we don’t understand through which phase of diseases we are suffering from. Similarly, Anal Fistula (Bhagandar) is one of the ailments that most of the people suffer from but are not aware. Anal Fistula (Bhagandar) is an abnormal communication between the anus and perianal skin. Most anal fistulas are the result of an infection in an anal gland that spreads to the skin. The common symptoms of Fistula are extreme anal pain, Non-healing anal wounds, discharging boils formed near the anus, Pus & watery discharge along with fever and chills.

Based on the symptoms of fistula, it is diagnosed by Proctoscopy or MRI Fistulogram. Based on your medical reports, your doctors will advise you to undergo one of the following treatments:

1. VAAFT- Also known as Video Assisted Anal Fistula Treatment. It is an innovative technology for selected fistula cases only.

2. Ksharsutra- It is a traditional ayurvedic therapy.

3. Fistulectomy- The fistula tract is totally taken out using an advanced radiofrequency device under a strong light source.

4. FiLAC- It is known as Fistula Laser Closure. It’s a procedure performed with the help of the Leonardo Laser Device that gently and effectively cures the anal fistula and also prevents the damage to the sphincter.

Treatment of fistula on timely manner is very important to avoid the future complications. People have mis-conception that after surgery also the recovery and healing period last for years and years but this is not true. The healing & recovery period is relatively shorter via FiLac surgery. Dr. Ashwin Porwal is the 1st Fistula Surgeon in India to introduce the Filac surgery for the treatment of the fistula in Pune. Dr. Ashwin Porwal is also known as a fistula specialist & Colo rectal surgeon. He is the founder of Healing hands Clinic, Pune. He has performed & successfully treated more than 500 cases of FiLac in last one year which is highest in Asia Pacific.

Healing Hands Clinic in Pune is a Proctology (Piles, Constipation & Fistula) clinic along with Varicose Veins and Hernia treatment. Healing Hands Clinic is an ISO certified, ESCP recognized and a member of ECTA clinic in Pune. HHC is awarded as a centre of Excellence for Hernia treatment by Dr. John Murphy (Ex- President of American Hernia Society)

An advanced treatment for Fistula at Healing Hands Clinic

An advanced treatment for Fistula at Healing Hands Clinic

Fistula is an abnormal communication between the anus and perianal skin. Healing Hands Clinic is a unique and specialty clinic for Ano-Rectal diseases. We are fully committed in offering patients the most current and advanced surgical and medical management right from prevention, detection of constipation and piles to its treatment, besides extending and improving the quality of the lives of these patients.

Dr. Ashwin Porwal, founder of Healing Hands Clinic and renowned fistula surgeon in Pune, introduces you to a new world which assures relief from ano rectal diseases. Erratic lifestyle, poor food habits, lack of physical activity and stress are the common factors that contribute to these syndromes