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 challenging condition to heal. The ultimate goal of any fistula treatment should be to
The majority of treatments, such as VAAFT, LIFT, and FiLaC, work to close the fistula while leaving the sphincter intact. However, t hey all have distinct recurrence rates. Given the severity of a fistula, even a slight possibility of recurrence can jeopardise the patient's life.
Healing Hands Clinic has treated a huge number of Fistula cases as a specialised Proctology super specialty (a department of surgery that deals with the rectum and gluteal region). Based on our years of treating fistula patients, we've attempted to comprehend the nature of the sickness and the cause of recurrences. After completing considerable research and utilising all of our knowledge and experience, we developed the DLPL (Distal Laser Proximal Ligation) approach.
During this surgery, an abscess pit and the inner opening are initially excised. This is taken into account during distal tract closure. The Leonardo Laser is then utilised to shut the fistula tract's proximal end. In a circumstantial pattern, the laser's radially emitting fibre sends energy to the fistula tract. This ensures that the tract is closed entirely.
| Open Surgical Procedure | Laser Procedure (Most Advanced) |
DLPL (Most Advanced) |
|
|---|---|---|---|
| 20%-30% | 2%-4% | 0.1% | |
| Yes | Minimal | Minimal | |
| High | Low | Negligible | |
| High | Low | Negligible | |
| High | No | No | |
| 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.
Unlike piles, a fistula cannot be cured with medicines or home remedies - surgery is the only effective solution. At Healing Hands Clinic Pune, we specialise in DLPL (Distal Laser Proximal Ligation), a technique devised by Dr Ashwin Porwal, founder of Healing Hands Clinic, known for its precision and very low recurrence rates. FiLaC (Fistula Laser Closure) is our preferred treatment of choice for Simple Fistula. We also offer advanced procedures such as SLOFT (Submucosal Ligation of fistula Tract), LIFT (Ligation of the Intersphincteric Fistula Tract), VAAFT (Video-Assisted Anal Fistula Treatment), VAAPS (Video Assisted Anal Fistula Treatment) and TROPIS (Trans-anal Opening of Intersphincteric Space), all of which are minimally invasive, sphincter-saving, and provide faster recovery compared to traditional open surgery.
Yes. Healing Hands Clinic Pune specialises in laser surgery for fistula, using latest minimally invasive, sphincter-saving techniques. Our experts are pioneers in fistula care and perform advanced procedures including FiLaC, SLOFT, TROPIS, VAAPS, VAAFT, LIFT, and our globally renowned DLPL technique. These treatments ensure maximum healing with minimal pain and downtime, while significantly lowering the chances of recurrence or complications such as incontinence. Most patients return to daily activities within just 3–5 days after surgery.
Yes. Healing Hands Clinic Pune offers DLPL (Distal Laser Proximal Ligation) an internationally popular technique devised by Dr Ashwin Porwal, our Founder. It is the most advanced fistula treatment, offering faster recovery and an exceptionally low recurrence rate.
We do not offer Stem Cell therapy at Healing Hands Clinic because research shows that it’s success rate is roughly 65% which offers nothing over any other technique. Yes, Stem cell therapy is touted to be useful in cases of complex and recurrent fistula when muscle sparing is required, but DLPL offers just that. In fact, the advantage with DLPL is that it not only preserves sphincter muscle function but also has an extremely high success rate of over 98%.
Most patients at Healing Hands Clinic, Pune return to work within a day or two after the surgery, especially for a desk job.
At Healing Hands Clinic, Pune, 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