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) |
|
---|---|---|---|
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20%-30% | 2%-4% | 0.1% |
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Yes | Minimal | Minimal |
![]() |
High | Low | Negligible |
![]() |
High | Low | Negligible |
![]() |
High | No | No |
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1 Week | 2 Days | Same Day |
20%-30%
2%-4%
0.1%
Yes
Minimal
Minimal
High
Low
Negligible
High
Low
Negligible
High
No
No
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.