The Clinical Breakthrough
What Makes DLPL Distinct?
DLPL (Distal Ligation with Proximal Laser) is an innovative, dual-stage surgical approach for fistula-in-ano. Developed by the renowned proctologist Dr. Ashwin Porwal, it is designed to overcome the limitations of conventional fistula treatments while ensuring maximum comfort and safety for the patient.
While traditional fistulotomy involves cutting the sphincter muscle—which can lead to fecal incontinence—DLPL protects the muscle completely. Unlike basic laser treatments that only ablate the tract, DLPL combines this with a precise distal ligation of the internal opening, ensuring a significantly higher success rate even for complex "horseshoe" or recurrent fistulas.
In our Gurugram facilities, DLPL has become the gold standard for patients who have failed prior surgeries. By sealing the internal source and obliterating the tract with a high-precision diode laser, we achieve a permanent cure with minimal downtime and zero muscle damage.
The 5 Steps of DLPL Healing
1
Advanced Mapping
A detailed MRI fistulogram is performed to create a visual roadmap of the fistula's anatomy, ensuring no branch is missed.
2
Pain-Free Procedure
Performed under effective anesthesia, the transition is seamless for the patient, lasting typically 45–60 minutes.
3
Distal Ligation
The internal opening (source of infection) is precisely ligated without touching any part of the sphincter muscle.
4
Proximal Laser Ablation
A specialized laser fiber is used to collapse the remaining tract from within, stimulating natural healing.
5
Rapid Recovery
Patients are encouraged to walk within hours and can resume their professional duties within a few days.
Success Metrics
DLPL Success Rates at HHC Gurugram
Documented clinical data from our network centers highlights the superiority of the DLPL technique:
95-98%
Long-Term Success Rate
0%
Continence Damage Risk
4–7
Days to Normal Routine
1 Day
Maximum Hospital Stay
Choosing the Best Treatment
DLPL vs. Traditional Fistula Surgery
| Surgery Type |
DLPL (HHC Technique) |
Standard Fistulotomy |
VAAFT / LIFT |
| Muscle Preservation |
✓ 100% Protected |
✗ Muscle must be cut |
✓ Partially Protected |
| Complex Fistula Suitability |
✓ Highly Effective |
✗ High Recurrence Risk |
✗ Moderate Effectiveness |
| Bowel Incontinence Risk |
✓ Zero Risk |
⚠ Significant Risk (5-30%) |
✓ Low Risk |
| Recurrence Rate |
✓ Minimal (<5%) |
⚠ High (15-25%) |
⚠ Variable (20-35%) |
| Recovery Duration |
✓ 5–7 Days |
✗ 4–6 Weeks |
✓ 7–12 Days |
| Available in Gurugram |
✓ Sector 49 & 14 Branches |
✓ Common |
✓ Selective Centers |
Clinical Indications
Who Should Opt for DLPL in Gurugram?
DLPL is specifically recommended for patients facing the following challenges:
🔄
Failed Previous Surgeries
If your fistula has recurred after a conventional procedure, DLPL's unique source-sealing approach offers a permanent solution.
⬆️
High-Lying (Suprasphincteric) Fistula
Traditional methods for high fistulas often risk muscle damage. DLPL treats high-grade fistulas safely without cutting.
🔀
Horseshoe or Branched Fistula
Multiple tracts and deep cavities are expertly addressed using the combination of laser and ligation.
👤
Patients Prioritizing Continence
For patients where any risk of incontinence is unacceptable, DLPL remains the safest choice.
💊
Inflammatory Fistulas (Crohn's)
The gentle, minimally invasive nature of DLPL makes it a viable option for Crohn's disease patients.
⏱
Busy Professionals
For those who cannot afford weeks of downtime, DLPL offers the fastest track back to work.
Patient Success Stories
Verified Reviews from Gurugram
Our Gurugram patients share their journey towards becoming fistula-free with DLPL.
"I suffered for two years with fistula. After a lot of research, I chose DLPL at the Sector 49 clinic. Dr. Rajiv Khurana and his team were amazing. The procedure was painless and I was back to work in 5 days. Highly recommend!"
R
Rahul Sharma
Treated at Sector 49, Gurugram
★★★★★
"The experience at Healing Hands Gurugram was world-class. I was terrified of possible incontinence with my complex fistula. But Dr. Rajiv explains everything clearly. The DLPL surgery changed everything. Completely healed now."
A
Amit Verma
Treated at Gurugram Center
★★★★★
"Best decision for my recurrent fistula. After two failed surgeries elsewhere, DLPL finally cured me. The staff at the Sector 14 clinic was very supportive throughout the post-op care. A big thank you to the whole team."
N
Nitin Gupta
Treated at Sector 14, Gurugram
★★★★★
Expert Guidance
Gurugram DLPL Surgery FAQ
Where can I get DLPL surgery in Gurugram?
DLPL is available exclusively at Healing Hands Clinic in Gurugram, specifically at our Sector 49 and Sector 14 branches. As a proprietary technique, it is only performed by HHC-trained specialists using standardized protocols.
Is DLPL surgery covered by insurance in Gurugram?
Generally, yes. DLPL is a standard surgical procedure for fistula treatment, and most insurance policies cover it. Our Gurugram clinics offer cashless facilities for various TPA and insurance providers. Please check with our front desk for specific policy details.
Can I drive myself home after DLPL surgery?
Since the procedure is performed under anesthesia, you should not drive immediately. We recommend having a family member or friend accompany you. Most patients are comfortable walking and performing light activities by the next morning.
How do I know if I have a complex fistula?
Complexity is determined by the depth of the tract, its proximity to the sphincter muscles, and whether it has multiple openings (branches). At our Gurugram center, we use advanced MRI Imaging to provide an accurate diagnosis before recommending DLPL.
Is there any specific post-op diet to follow?
Post-op care usually includes a fiber-rich diet and adequate hydration to ensure soft stool passage, which aids in healing the perianal area. Our expert nutritionists at the Gurugram branch will provide you with a tailored diet plan after the surgery.
