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Laparoscopic, G.I. & colorectal surgery, Navi Mumbai, India

  Click to call +919833290590


Anal Fistula Treatment-LASER/VAAFT/LIFT

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.

Anal Fistula Fissures abscess Internal Exeternal Hemorrhoids

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)

VAAFT Anal Fistula Treatment Tool

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)


What patient says about Dr. Nitish Jhawar

  • Person Image

    I was diagnosed with gall stones a year ago in Delhi, I showed it to a doctor at M.... hospital, he .... asked me to get a surgery done and get my gall removed on any date of my choice, I was sacred and too young to get it done I got a vibe from doctor that for him it’s just a small things, however according to for a patient it’s important first be convinced on the urgency to get it done and feel safe . A year later I shifted to Mumbai and started having a frequent pain in shoulder blades and gall area. It went sharp this time. We went to Dr Nitish , as oppose to Delhi doc, Dr Nitish was very polite, first asked us to get the scan done and understand the current scenario, the scan showed one big 17 mm stone which was earlier also there but this time also there were multiple various sized stones as well along with the big one. Dr Nitish examined the scan, explained me and my husband about the condition and need of surgery or else the stone Would have slipped in the panacea or bile calling for a bigger operation. He explained diagramatically . He was patient in explaining, gave us time to think and be convinced. We were ready and then he performed it . It was flawless, quick and went well. He is a very experienced and fine surgeon , he is caring and doesn’t create panic at all rather he takes it slowly and makes patient comfortable. It was lapro, it’s been 2 months I m writing this . I faced no issues till now. Fortis staff was also very caring and good. I would mention fortis Vashi in specific. Good follow up diet makes it normal. I would strongly recommend Dr Nitish. He knows his job perfectly. He is not money minded at all. He would recommend surgery only if it’s required.

  • I had surgery of my left hydrocele on 27th May 2017 by Dr Nitish Jhawar. An excellent experience of service I got particularly from Dr Jhawar. He is not only a qualified experienced doctor but also a splendid human being. Thanks a lot.

  • It was a Laparoscopic operation for the removal of Gall Bladder (stones). I had developed on and off pain in abdomen before the operation, after the operation feeling good, totally pain free. Thanks and respect for handling my case very well.

  • Person Image

    I met doctor Nitish for piles problem and wanted to undergo LASER procedure only, my operation is successful and I thank doctor for being a good human being and great surgeon.

  • Person Image

    I was suffering from piles since long time. For bleeding heavily I met Dr Nitish Jhawar and after meeting him decided to go for Stapler surgery for piles. I found him a doctor who listens to our problem and explains properly.

  • Person Image

    I got diagnosed about a year back but was avoiding operation for Hernia repair, Dr Nitish Jhawar explained me why surgery should be done and I chose surgery by laparoscopy method. I am happy with the doctor and the hospital.

  • Person Image

    I visited for Gall Bladder removal by Laparoscopy after searching for best laparoscopic surgeon. After meeting dr my fear for surgery was vanished and my surgery went well and recovery was smooth.

  • Person Image

    Honest doctor, expert in his field....can trust his words

  • Person Image

    Very good he describe everything in very pleasant manner about the problem which was very helpful to me to understand my disease.

  • Person Image

    Very nice. Doctor is very patient and gives you correct advice.

  • Person Image

    He is very erudite and smart at getting to the bottleneck of the problem. And before realized he had pinched away d growth bothering me near my anal area.

  • Person Image

    Dr. Jhawar is few of the best doctors in town. Extremely pleasant and comfortable experience