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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 little section that makes between the anal ( backside ) and the skin near the anal region. It is the aftereffect of a past or existing anal sore. The fistula contains a plot with 2 openings - An internal opening into the rectum or anal canal and an External opening penetrating the skin of the rump.
Fistula treatment needs a specialist expert who is known as a colorectal surgeon or a proctologist. A fistula may grow because of the bubble and defilement and may spread and introduce additional challenges. Therefore the earlier the treatment, the better.
A succinct history followed by a clinical appraisal - including a high-level rectal evaluation is the result of diagnosing an anal fistula. All the while Proctoscopy ( a minor assessment of the rectum using a little chamber like degree ) is similarly done to check for any other condition in the rectum.
An MRI Fistulogram may be expected for tangled fistulas in which the parcel is difficult to diagram.
| Particulars | Open Surgery | Laser Surgery |
|---|---|---|
| Cuts | Multiple | Minimal |
| Scars / Stitches | Multiple | Minimal |
| Painless Procedure | No | Yes |
| Blood Loss | High | Low |
| Infection Chances | High | Low |
| Hospital Stay | Bed Rest Required | Quick Recovery |
| Hospital Duration | Long | Short |
| Technology | Outdated | Most Advanced |
This approach of treating fistula is done using the Leonardo Laser. The inspiration driving the clinical approach is to carefully isolate the fistula package without harming the sphincter muscles.
The movement is done under concise General Anesthesia and prerequisites around 30-40 minutes. A radially releasing Laser Fiber is set in according to an outer viewpoint of the backside. A predefined proportion of laser power is then exuded circumferentially into the fistula plot. The laser power desires coordinated photothermal decimation of the fistula plot driving it to tumble to an extended degree. This is like manner helps, maintains and accelerates the strong cycle. It has an astounding recovery pace when stood out from any leftover systems.
The anal sphincter stays aware of so there is no chance of postoperative incontinence. It will in general be done in confusing and perplexing fistulas like recto-inguinal, recto-gluteal fistulas and others.
It is secure for high-danger patients like those with hypertension, heart patients and regardless, for senior residents. There may be regional consumption for some period. Postoperative subcutaneous blister: It is commonly managed with meds and a swathe. In fascinating cases, it could require cut and waste under nearby sedation.
Fistula is a muddled condition. Finally, the inspiration driving any fistula treatment isn't simply to discard the current fistula yet :
By far most of the techniques like VAAFT, LIFT, FiLaC accomplish the principal objective of closing the fistula and checking the sphincter. Nevertheless, they all have their speeds of rehash. Perceiving how vexing a fistula is, even a slight chance of recurrence can be a crisis for the patient.
Recovering Hands Clinic, being explicit Proctology super speciality ( a part of an operation that plans with the rectum and gluteal region), have everything considered treated in incalculable Fistula cases. Apparently, by treating fistula patients all through the latest years, we have endeavored to comprehend the substance of the infirmity and the justification for rehashes. Behind an all-around study and applying all data and capacities, we have imagined a system which is known as DLPL - Distal Laser Proximal Ligation.
In this procedure, an ulcer pit is closed and the opening is separated. This is focused to treat the distal part. The proximal piece of the fistula is then closed with the Leonardo Laser. With the radially communicating fibre of the laser, energy is applied to the fistula bundle in a circumferential nature. This guarantees the entire finish of the fistula.
Healing Hands Clinic is renowned for complex Fistula treatment . Doctors from across the globe refer complex Fistulas to Healing Hands Clinic. Healing Hands Clinic Surat 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 F1,
Third Floor, VIP Plaza,VIP Road,
Near Shyam Baba Mandir, Bharthana,
Surat, Gujarat 395007.
