Trusted by over 1,00,000 + Patients
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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
Trained 500+ Fellow Surgeon for Laser Procedures
CROATIAN WOMAN FINDS CURE AT HEALING HANDS CLINIC AFTER SPENDING LONG YEARS IN PAINRead More...
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AUSTRALIAN DOCTOR FINDS CURE AT HEALING HANDS CLINIC AFTER SPENDING 3 YEARS IN PAINRead More...
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An anal fistula ( Bhagandar / Fistula in ano ) is a tiny tunnel that expands between the border of the anus and the surface near the anus. It is the effect of an occurring anal bump. The fistula includes an area with 2 openings – An internal opening into the rectum or an Outer opening piercing the surface of the buttocks
Yes, It is important to consider a specialist doctor's treatment who is understood as a proctologist. Fistula does not cure on its own due to the disorder, the infection may spread and create complications. Thus early medication is better for you if you are diagnosed with Fistula.
If the doctor believes you have a fistula, they'll ask about your medical record and give you a medical test. Some fistulas are spotted easily and some aren’t. The doctor will probably send you to give some medical tests like MRI Fistulogram, Proctoscopy followed by a brief history understanding.
Inside your anus are many glands that create fluid. Periodically, they get clogged. When that occurs, bacteria can develop a swollen bag of infected tissue and fluid which are also known as an abscess. If you don’t deal with the abscess, it’ll develop. Ultimately, it’ll create its direction to the outside and hit a hole in the skin near your anus so the gunk inside it can soak. The fistula is the hole that relates the gland to that entrance. For most of the duration, an abscess affects a fistula. They can also arrive from situations like tuberculosis, sexually transmitted diseases, and ongoing disease that causes your bowels, such as Crohn’s infection and ulcerative colitis
|Particulars||DLPL||Laser Procedure||Open Surgery|
|Scars / Stitches||Minimal||Minimal||Multiple|
|Incontinence||< 0.1||Upto 40%||Upto 40%|
|Recurrence||< 0.1||7% - 40%||7% - 40%|
|Hospital Stay||Quick Recovery||Quick Recovery||Bed Rest Required|
Healing Hands Clinic, being a specialist in Proctology ( a department of surgery that deals with the rectum and gluteal region), have altogether dealt with a large number of Fistula patients. In our understanding of dealing with fistula patients over the prior years, we have tried to understand the importance of the disease and the reason for recurrences. Behind in-depth research and applying all understanding and skills, we have devised a method which is recognised as DLPL - Distal Laser Proximal Ligation to treat complex fistula.
In this procedure, an abscess hole along with the inner opening is only excised. This is regarded as the closure of the distal area. The proximal part of the fistula area is then closed with the Leonardo Laser. With the radially emitting fiber of the laser, power is applied to the fistula area in a circumferential behavior. This ensures the entire closure of the area
The Centre has trained more than 100+ Fistula experts across the world. It is recognised as a centre of superiority for training specialists from Europe, the Middle East, Asia.
Youthful and energetic, Dr Yuvraj Mahajan is also a product of Healing Hands Clinic. Having worked in-depth with Dr Porwal, he has an excellent knowledge of anorectal disorders. Not only does Dr Mahajan have a good surgical hand but he understands the patient’s pain and apprehensions and gently tackles them. He completed his BAMS and MS from MUHS University. He is an expert in providing treatments with advanced technologies for fissure, fistula, piles and hernia.
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 Nashik 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.
Healing Hands Clinic is renowned for complex Fistula treatment . Doctors from across the globe refer complex Fistulas to Healing Hands Clinic. Healing Hands Clinic Nashik 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