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India’s Proctology Experts
Trusted by Lakhs
Experienced Doctors
At Healing Hands Clinic, an anal fistula is diagnosed through a clinical examination and proctoscopy. Complex cases may require an MRI Fistulogram.
Fistula is a complex condition. The ultimate goal of any fistula treatment is not just to eliminate the current fistula but:
While most techniques like VAAFT, LIFT, FiLaC achieve the primary objective of closing the fistula and safeguarding the sphincter, they each come with varying rates of recurrence. Recognizing the challenges posed by fistulas, even a slight possibility of recurrence can be a significant concern for the patient.
Healing Hands Clinic, specializing in Proctology as a super specialty (a branch of surgery dealing with the rectum and gluteal region), has successfully treated numerous cases of fistula. Through years of treating fistula patients, we have sought to comprehend the intricacies of the disease and the factors contributing to recurrences. Through a comprehensive study and the application of knowledge and skills, we have developed a technique known as DLPL - Distal Laser Proximal Ligation.
In this procedure, the ulcer cavity is closed, and the opening is sealed, focusing on treating the distal part. The proximal portion of the fistula is then sealed using the Leonardo Laser. The radially emitting fiber of the laser applies energy to the fistula tract in a circumferential manner, ensuring complete closure of the fistula.
Healing Hands Clinic is renowned for its expertise in treating complex fistulas. Doctors from around the world often refer patients with intricate fistulas to Healing Hands Clinic. The team of surgeons at Healing Hands Clinic Gurugram, led by experienced professionals with over 10+ years in Proctology, specializes in addressing complex and recurrent cases of piles and fistulas. Patients receive recommendations for either FILAC or DLPL based on the grade and complexity of their condition.
Dr. Porwal, through an extensive study and the application of his knowledge and skills, has introduced a technique he named DLPL - Distal Laser Proximal Ligation. In this procedure, any abscess cavity, along with the internal opening, is initially excised. Subsequently, the distal tract is closed, and the proximal part of the fistula tract is sealed using the Leonardo Laser. The radially emitting fiber of the laser applies energy circumferentially to the fistula tract, ensuring complete closure.
| Open Surgical Procedure | Laser Procedure (Most Advanced) |
DLPL (Most Advanced) |
|
|---|---|---|---|
 Recurrence Chances |
20%-30% | 2%-4% | 0.1% |
 Cuts, Scars & Stitches |
Yes | Minimal | Minimal |
 Painful |
High | Low | Negligible |
 Blood Loss |
High | Low | Negligible |
 Infection Chances |
High | No | No |
 Bed Rest & Hospitalization |
1 Week | 2 Days | Same Day |
Recurrence Chances
20%-30%
2%-4%
0.1%
Cuts, Scars & Stitches
Yes
Minimal
Minimal
Painful
High
Low
Negligible
Blood Loss
High
Low
Negligible
Infection Chances
High
No
No
Bed Rest & Hospitalization
1 Week
2 Days
Same Day
We are recognized as the most innovative proctology hospital, pioneering our own treatment methods for intricate Anorectal conditions. Our primary focus is on curing with care.
Yes. Unlike piles, a fistula cannot be cured with medicines or home remedies — surgery is the only effective treatment. At Healing Hands Clinic Gurugram, our specialists use advanced techniques like DLPL (Distal Laser Proximal Ligation), developed by our founder Dr. Ashwin Porwal, which is known for its precision and very low recurrence rate. For simple fistulas, we often perform FiLaC (Fistula Laser Closure). Other minimally invasive, sphincter-saving options include SLOFT, LIFT, VAAFT, VAAPS, and TROPIS, ensuring faster recovery and less pain compared to traditional open surgery.
Yes. Our Gurugram branch provides advanced laser procedures for fistula, including FiLaC, SLOFT, TROPIS, LIFT, VAAPS, VAAFT, and our exclusive DLPL technique. These treatments are minimally invasive, protect the anal sphincter muscles, and ensure rapid healing with very low recurrence. Most patients are able to resume daily activities within 2–5 days after surgery.
Yes. Healing Hands Clinic Gurugram offers DLPL (Distal Laser Proximal Ligation), an internationally acclaimed technique invented by Dr. Ashwin Porwal. DLPL is considered one of the most advanced and effective solutions for complex fistulas, combining sphincter preservation with a very high success rate.
Fistula has a natural tendency to recur if not treated with the right technique. At Healing Hands Clinic Gurugram, our proctology experts use advanced sphincter-saving procedures like DLPL (Distal Laser Proximal Ligation), FiLaC (Fistula Laser Closure), and VAAFT (Video-Assisted Anal Fistula Treatment) to treat fistulas at their root and minimize recurrence. With these modern methods, we achieve 99% long-term success rates. For rare or complex fistulas, our surgeons design a personalized treatment plan and provide regular follow-ups, further reducing the chances of fistula coming back.
With our advanced laser and minimally invasive procedures, most patients at Healing Hands Clinic Gurugram return to work within 1–3 days, especially in desk-based jobs. Recovery time may vary depending on the complexity of the fistula, but overall downtime is significantly shorter than with traditional surgery.
At Healing Hands Clinic, Gurugram, the cost of fistula treatment may vary depending on the type, complexity, and severity of the fistula, as well as the treatment approach advised after clinical evaluation :
Approximate cost range:
The above cost generally includes :
Note : Additional procedures such as follow-up EUAs, if required, may involve extra charges.
schedule your consultation with our experts now.
Welcome to Healing Hands Clinic, where our expert team provides compassionate and specialized care in proctology. Our state-of-the-art facility ensures the highest standards of treatment and comfort for our patients. We prioritize your well-being and strive to make your experience as seamless and stress-free as possible. Trust Healing Hands Clinic for professional and personalized proctological care.
