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Trusted by over 1,00,000 + Patients
Best Fistula doctors in Asia As Per Google (4.9) ★★★★★
Treated complex fistula cases from around the globe
Center of excellence for proctology
World record holder of treating the most complex and longest fistula
Trained 500+ Fellow Surgeon for Laser Procedures
CROATIAN WOMAN FINDS CURE AT HEALING HANDS CLINIC AFTER SPENDING LONG YEARS IN PAINRead More...
DOCTOR AT HEALING HANDS CLINIC CURES WOMAN AILING FROM FISTULA FOR 7 YEARSRead More...
AUSTRALIAN DOCTOR FINDS CURE AT HEALING HANDS CLINIC AFTER SPENDING 3 YEARS IN PAINRead More...
EX-ARMY MAN SUFFERING FROM RARE FISTULA FINDS CURE AT HEALING HANDS CLINICRead More...
An anal fistula ( Bhagandar / Fistula in ano ) is a small tunnel that develops between the end of the bowel ( anus ) and the skin near the anus. It is the outcome of a previous or existing anal abscess. The fistula contains a tract with 2 openings – An inner opening into the rectum or anal canal and an External opening piercing the skin of the buttocks
Yes, Fistula needs a specialist doctor's attention who is known as a colorectal surgeon or a proctologist. Fistula does not heal on its own due to the abscess and infection and may spread and cause further complications. Thus the earlier the treatment, the better
At Healing Hands a brief history followed by clinical evaluation - including a digital rectal examination is enough to diagnose an anal fistula. At the same time Proctoscopy ( a minor inspection of the rectum using a small tube like scope ) is also done to check for any concomitant condition in the rectum.
An MRI Fistulogram may be needed for complicated fistulas in which the tract is difficult to delineate.
| 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| Technology | Most Advanced | Advanced | Outdated |
Being a 'Procto-surgeon only hospital', Dr. Ashwin Porwal has treated a large number of fistula cases. His expertise is evident from the fact that he has efficiently managed extremely difficult cases of Complex fistulas and Recurrent fistulas ( those that have been unsuccessfully operated upon before ). He has successfully cured rare cases of fistula, like those extending from rectum to abdomen ( Recto-abdominal ), rectum to groin ( Recto-inguinal ), rectum to tailbone ( Recto-nidal ).
Delivering momentum to the current armamentarium for ministering fistulas, Team Healing Hands Clinic's surgeons have introduced the Laser surgery FiLaC ( Fistula-tract Laser Closure ), the one of its kind in India. The team's enthusiasm in investigation and continual vigilance for advancement allowed the team of a proctologist to develop a treatment that we have named Distal Laser Proximal Ligation ( DLPL ). This cure for fistula is an innovation of team Healing Hands Clinic led by Dr Ashwin Porwal himself and is a sphincter-saving technique with a negligible recurrence rate in comparison to all other procedures out there for fistula, making Healing Hands Clinic number one in treating fistulas across Asia. Team Healing Hands Clinic holds the world record for treating the most complex and longest fistula across the globe.
Fistula is a complex condition. Eventually, the purpose of any fistula treatment is not simply to get rid of the current fistula but :
Most of the approaches like VAAFT, LIFT, FiLaC accomplish the preliminary objective of closing the fistula and conserving the sphincter. However, they all have their own rates of recurrence. Viewing how vexing a fistula is, even a small possibility of recurrence can be a crisis for the patient.
Healing Hands Clinic, being specialised Proctology super speciality ( a department of surgery that deals with the rectum and gluteal region), have collectively treated a large number of Fistula cases. In our experience of treating fistula patients over the past years, we have tried to comprehend the essence of the illness and the cause of recurrences. Behind an in-depth study and applying all knowledge and skills, we have devised a technique which is known as DLPL - Distal Laser Proximal Ligation.
In this procedure, an abscess pit along with the interior opening is foremost excised. This is heeded by the closure of the distal tract. The proximal portion of the fistula tract is then closed with the Leonardo Laser. With the radially emitting fibre of the laser, energy is applied to the fistula tract in a circumferential nature. This guarantees entire closure of the tract.
IN A SERIES OF 100 PATIENTS WITH COMPLEX HIGH FISTULAS TREATED WITH DLPL, THERE WAS NOT A SINGLE CASE OF RECURRENCE OR INCONTINENCE.
Healing Hands Clinic is renowned for complex Fistula treatment . Doctors from across the globe refer complex Fistulas to Healing Hands Clinic. Healing Hands Clinic kolhapur is headed by a team of Surgeons with more than 10+ years of experience in Proctology treating complex and recurrent Piles & Fistulas. Patients are advised either FILAC or DLPL based on the grade and complexity.
Dr.Porwal , After an in-depth study and applying all his knowledge and skills, he devised a technique he has labelled DLPL - Distal Laser Proximal Ligation.he devised a technique he has labelled DLPL - Distal Laser Proximal Ligation. In this procedure any abcess cavity along with the internal opening is first excised.This is followed by closure of the distal tract. The proximal part of the fistula tract is then sealed with the Leonardo Laser. With the radially emitting fibre of the laser, energy is applied circumferentially to the fistula tract. This ensures complete closure of the tract.
HEALING HANDS CLINIC PUBLISHED A SERIES OF100 PATIENTS WITH COMPLEX HIGH FISTULAS TREATED WITH DLPL, THERE WAS NOT A SINGLE CASE OF RECURRENCE OR INCONTINENCE.
It's like taking a small nap! All you will feel is a small needle prick during your preparation for the procedure. The entire surgery takes about 30 minutes. Occasionally, only the lower half of your body is anaesthetised and you will be alert and probably having a chat with your doctor!
Yes, the laser probe is inserted within the fistula tract and the laser energy is applied circumferentially to coagulate ( burn ) it. The tract heals by a process called 'secondary intention'.
You will normally be able to start drinking water shortly after the procedure and can start eating as soon as you are hungry. You will be able to get out of bed a few hours after surgery. You are likely to have some pain after the procedure that is easily controlled with painkillers.
If your operation is planned as a day care procedure you can go home as soon as the effect of the anaesthetic has worn off, you have passed urine and you are comfortable, eating and drinking. Since a general anaesthetic is used, it is advisable that a responsible adult take you home and stay with you for 24 hours.
At times you may be given a discharge after 24 hours in which case you may need to stay in the hospital for a night.Before you are discharged you will be advised about post-operative care, painkillers and laxatives.
You do not need a specific diet. Just make sure you eat a healthy, fiber-rich diet before and after surgery.
Get plenty of rest, take a Sitz bath about 3 times a day ( especially after a bowel movement ), maintain self-hygiene and consume a fibre rich diet.
You may start travelling after a week.
Fever > 101 degree F
Pain not relieved by prescribed medicines
Unusual bleeding with bowel movement
Persistent nausea or vomiting
Healing Hands Clinic,
Kukreja Nursing home,
232 3b 2a, near Telephone Bhavan,
Tarabai Park, Kolhapur, Maharashtra 416003
