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Treated complex fistula cases from around the globe
Center of excellence for proctology
World record holder of treating the most complex and longest fistula
Advanced Infrastructure to treat fistula
An anal fistula ( Bhagandar/Fistula in ano ) is a small pathway that makes between the anal region ( backside ) and the skin near the buttocks. It is the consequence of a past or existing anal sore. The fistula has 2 openings - An internal opening into the rectum or butt and an External opening piercing the skin of the rump.
Fistula needs a specialist expert's thought who is known as a colorectal surgeon or a proctologist as fistula cannot heal by itself and may grow and cause complications. It is thus recommended that the earlier the treatment, the better.
A brief history followed by clinical evaluation - including a high-level rectal inspection would be able to diagnose fistula. Proctoscopy may also be used for a minor assessment of the rectum using to check for any underlying condition in the rectum.
An MRI Fistulogram may be done for complex fistulas in which the fistula pathway is difficult to trace.
|Particulars||Open Surgery||Laser Surgery|
|Scars / Stitches||Multiple||Minimal|
|Hospital Stay||Bed Rest Required||Quick Recovery|
This procedure of treating fistula is done using the Leonardo Laser. The inspiration driving the clinical strategy is to carefully isolate the fistula bundle without harming the sphincter muscles.
The movement is done under concise General Anesthesia. The process takes around 30-40 minutes. A radially releasing Laser Fiber is set in according to an outer point of view of the backside. A predefined proportion of laser power is then exuded circumferentially into the fistula plot. The laser power helps in annihilating the fistula.
It has an astounding recovery pace when diverged from any other techniques.
The doctor ensures that there is no chance of postoperative incontinence. It will in general be done in puzzling complex fistulas like recto-inguinal, recto-gluteal fistulas and others.
It is secure for high-risk patients like those with hypertension, heart patients and regardless and even for senior residents. There may be regional inflammation for some period.
Fistula is a complex condition. Finally, the inspiration driving any fistula treatment isn't simply to discard the current fistula but to save the sphincter muscles and thusly avoid incontinence and to ensure no recurrence. By far most of the approaches like VAAFT, LIFT, FiLaC accomplish the central objective of closing the fistula and checking the sphincter. In any case, they all have their recurrence rate. Perceiving how vexing a fistula is, even a little chance of recurrence can be a pain for the patient.
Healing Hands Clinic, being an explicit Proctology super speciality centre ( a part of an operation that plans with the rectum and gluteal district), have the advanced infrastructure to treated Fistula cases. With advanced medical infrastructure and experience of treating fistula patients all through the years, have endeavoured to understand the substance of infirmity and the justification behind recurrence. Behind an all-around study and applying all data and capacities, we have developed a methodology which is known as DLPL - Distal Laser Proximal Ligation which has the lowest recurrence rate in the whole fraternity.
In this procedure, the focus is to exterminate the distal part of the fistula. The proximal piece of the fistula part is then closed with the Leonardo Laser. With the radially emitting fibre of the laser, energy is applied to the fistula in a circumferential nature. This guarantees that the fistula is completely cured without harming the sphincter.
Healing Hands Clinic is the brainchild of Dr Ashwin Porwal. Dr Ashwin Porwal as a major role in Spreading Healing Hands Clinic and its entire team in India including Ludhiana in Punjab with his ideology which has been very imperative in growing the organization to help patients which has it’s flagship centre at the heart of Pune to now being known as the best super speciality proctology chain of clinics in the country.
He has completed MBBS from Rajiv Gandhi University of health, Bangalore in 2009. He completed Masters of general surgery from Dr NTRUHS, Telangana. He was a senior resident in the department of upgraded surgery at the prestigious OSMANIA GENERAL HOSPITAL one of the largest in the country.
Dr. Neha is a vital element of our Ludhiana team. She is known for her ground breaking achievements when it comes to patient management. The treatment provided by this young and dynamic doctor is based on a multidisciplinary approach. She is highly motivated towards patient care. With considerable experience in proctology, her success rate is unmatchable. She aims to provide cutting edge medical care with a gentle and humane approach.
Healing Hands Clinic is renowned for complex Fistula treatment . Doctors from across the globe refer complex Fistulas to Healing Hands Clinic. Healing Hands Clinic ludhiana 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