Anal Fistula Treatment in Mumbai (Fistula –in-Ano)
Surgery is necessary to cure an anal fistula. Fistulectomy is treatment of choice in fistula surgery. Fistulotomy, fistula plug and fibrin glue are some of the options for Fistula treatment.
In some patients with high fistula and with recurrent or complex fistula, there is a risk of potential damage to the anal sphincters during fistula procedures.
Therefore with a goal to minimize injury to anal sphincter a number of newer sphincter-saving procedures with faster recovery are being used at our Colorectal Clinic such as –
- LIFT (Ligation)
- VAAFT (Video Assisted Anal Fistula Treatment)
- LASER fistula Treatment
Dr. Nitish Jhawar is fistula specialist at Fortis Hiranandani Hospital, Navi Mumbai, India and is trained at Berlin (Germany) in VAAFT – Video Assisted Anal Fistula Technique. VAAFT requires no incision, which helps patients to resume their daily lives with ease. He routinely performs LIFT procedure and fistula LASER treatment in Mumbai.
What is Anal Fistula?
Fistula-In -Ano is a tunnel like track in the area surrounding anus (Perianal area) that connects to an internal opening in the anus. It may cause pain, and bleeding and pus discharge during passing stools.
Symptoms of anal abscess or fistula
Patient with anal abscess will usually have pain and swelling around the anus. There may be fevers and chills. Once fistula is farmed there may be irritation of the skin around the anus (perianal area), bleeding and discharge of pus.
Diagnosis of Anal abscess and fistula
Digital rectal examination is important step in the evaluation anal fistula.
Sigmoidoscopy may be required to locate the internal opening and to check for any other issue.
Sometimes colonoscopy may be done for patients with recurrent anal fistula with symptoms of inflammatory bowel disease.
Endoanal ultrasonography is useful in the total assessment of anal fistula.
Fistulography and magnetic resonance imaging may be useful for complex recurrent anal fistula.
LASER treatment of Anal Fistula (FiLaC)
Our Colorectal surgeon is performing new fistula treatment using diode Laser – Fistula LASER Closure (FiLaC) in Mumbai. It is safe, effective minimally invasive and sphincter saving procedure. It usually takes approximately 15 min time.
- Hydrogen peroxide or mythelene blue is injected from external opening to identify Internal opening of fistula.
- Fistula tract is debrided with curate.
- Through guide wire a plastic hollow 14F catheter is inserted in tract.
- Radial-emitting disposable laser fibre is inserted into the catheter with its tip emerging at the internal opening.
- Diaode LASER is used, fibre delivers laser energy homogenously and the tract is closed. Slowly it is withdrawn
- It doesn’t affect continence function.
- Less hospital stay as compared to endorectal advancement flap or LIFT.
Video Assisted Anal Fistula Treatment (VAAFT)
Video-assisted anal fistula treatment (VAAFT) is a new minimally invasive and sphincter-saving endoscopic treatment for complex fistulas.
Fistula tract and internal fistula is localized using fistuloscope (endoscope) inserted through external opening and under direct vision fistula tract is destroyed from inside and closure of the internal opening is done by stapling or suturing or cutaneous-mucosal flap.
Advantage of VAAFT
- Less pain, early recovery
- Very Low risk of incontinence (sphincter injury)
LIFT (ligation of intersphincteric fistula tract)
In Life technique after identification of internal sphincter, an incision is made at fistula tract and infected tissue is removed through inter-sphincteric approach. Defect is sutured.
Advantage of LIFT
- High success rate
- Preservation of continence function of sphincter
To enquire what is best treatment for Anal Fistula repair and cost of LASER treatment of fistula in Mumbai (Call now 9833290590)