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


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All Posts Tagged: VAAFT

Anal-Fistula-treatment-Tools

VAAFT: Best Anal Fistula Treatment

Video Assisted Anal Fistula Treatment, also known as VAAFT is so far the newest and most advanced surgical intervention introduced for Fistula-in-ano. This procedure is usually done under general anesthesia, where a tiny telescope is entered through the external opening of the site of the skin where the fistula-in-ano is located. The HD-camera of latest technology attached to the other end, thereby visualizes the inner aspect of the fistula pathway on a HD- monitor and the surgeon will remove the complete length of the fistula with the help of precise visualization up to its inner opening, located on the wall of the anal canal.

More importantly, this method can also detect abnormal branching patterns of the fistula tracts and carry on the necessary therapeutic techniques at the same time. After the complete removal of the fistula, the internal opening is closed with the help of either sutures or staplers, preventing the leakage of stools back in to the fistula tract and the entire canal is sealed off using a mild electric cautery. Some surgeons may also use fibrin or cynao-acrylate glue in order to obliterate the fistula pathway.

At the end gentle flushing of the wound with normal saline is done followed by a routine dressing at the site of fistula removal.

This method is highly encouraged, in order to clean dead tissue left inside the fistula tunnel so that it will result in a proper and quick healing.

What are the advantages of VAAFT:

  • In this procedure, an incision is not made on the skin around the anus and therefore there is no visible scars unlike in other major surgeries.
  • Being a camera guided and very precise procedure, no damage is caused to the muscles around the anus which are responsible in controlling bowel movements. As a result, possible adverse effects like bowel incontinence and leakage are highly unlikely when compared to other open surgeries done.
  • Due to the minimal invasive nature of VAAFT and the lack of excisions, wounds or scar formation, the pain caused after the wearing off of anesthesia is very mild or negligible.
  • Complete removal of the fistula is guaranteed since the whole procedure is being done under direct visualization of the canal. As a result of that, the incidence of recurrence is very rare.
  • Since VAAFT is known to be a day surgery, patient will be discharged on the same day of the surgery after wearing off of anesthesia.
  • Complete and quick healing of the wound will take place within a few days compared to that of a normal open surgery so patient can get back to his day to day life relatively in a short period of time.
  • According to several research studies carried out, the technique of VAAFT has been accepted world-wide as a very efficient intervention made on fistula-in-ano, with a 100% success rate.
  • More importantly, the cost of VAAFT is comparatively lower than what is expected for normal open surgery, so in patient’s point of view it is a huge benefit.

Dr Nitish Jhawar, head of colorectal department at Fortis Hiranandani Hospital Vashi , Navi Mumbai has been trained for VAAFT procedure at Germany by the inventor Dr P.Meinero and he offers this procedure along with other latest treatments for Fistula in Ano.

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Doctor nitesh return from germany

Dr. Nitish returns from Germany after training in VAAFT for fistula

Dr. Nitish Jhawar General, Laparoscopic and Colorectal Surgeon at Fortis Hiranandani Hospital, Navi Mumbai, India recently attended a surgical workshop at Berlin (Germany )to understand and perform VAAFT – Video Assisted Anal Fistula Technique- better. This endoscopic treatment of fistula doesn’t have a risk of incontinence.

In today’s era of minimally invasive surgeries, emphasis on painless treatment and faster recovery without much dissection of the tissue is higher. Anal fistulas have been treated from the era of Hippocrates from 1600 DC. Everything starting from horse’s hair to laser has been tried to treat these nagging problem. The two main factors / fear in fistula surgery is recurrence and incontinence due to incomplete removal or excessive cutting of sphincter.

There are various surgical ways to treat fistula including removal of the fistula track completely. This is surely painful, requires daily dressing and also takes a lot of time to heal. Along with which there are higher chances of recurrence; whereas, VAAFT requires no incision, which helps patients to resume their daily lives with ease.

This endoscopic treatment offers a complete diagnosis of the fistulous tract in the form of fistuloscopy and since no cutting of the sphincter is involved, there is no risk of incontinence. The latest case studies are showing encouraging results in this particular modality. Tackling recurrence of the fistula with VAAFT is much easier option and acceptable to the patient because of its painless patient-friendly treatment.

On his visit to Berlin, Dr. Nitish Jhawar met Dr. Monreio, who is the inventor of this technique and have more than 10 centres all over the world.

Dr. Monreio takes pride in the efficacy of this treatment which is helping him treat patients all across the Globe. As per Dr. Jhawar –“ It was a wonderful experience to learn the Nitti gritty of the surgical challenges and their management from the inventor himself. VAAFT has clearly achieved a reputed place in ARMAMENTARIUM of fistula treatment modalities and is here to stay. I am aiming to continue his legacy of helping people with VAAFT and make it easier for the patients suffering from Anal Fistula.”

Doctor Nitesh Germany training
doctor-nitesh-germany-training-session
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Doctor nitesh return from germany

Dr. Nitish returns from Germany after training in VAAFT for fistula

Dr. Nitish Jhawar General, Laparoscopic and Colorectal Surgeon at Fortis Hiranandani Hospital, Navi Mumbai, India recently attended a surgical workshop at Berlin (Germany )to understand and perform VAAFT – Video Assisted Anal Fistula Technique- better. This endoscopic treatment of fistula doesn’t have a risk of incontinence.

In today’s era of minimally invasive surgeries, emphasis on painless treatment and faster recovery without much dissection of the tissue is higher. Anal fistulas have been treated from the era of Hippocrates from 1600 DC. Everything starting from horse’s hair to laser has been tried to treat these nagging problem. The two main factors / fear in fistula surgery is recurrence and incontinence due to incomplete removal or excessive cutting of sphincter.

There are various surgical ways to treat fistula including removal of the fistula track completely. This is surely painful, requires daily dressing and also takes a lot of time to heal. Along with which there are higher chances of recurrence; whereas, VAAFT requires no incision, which helps patients to resume their daily lives with ease.

This endoscopic treatment offers a complete diagnosis of the fistulous tract in the form of fistuloscopy and since no cutting of the sphincter is involved, there is no risk of incontinence. The latest case studies are showing encouraging results in this particular modality. Tackling recurrence of the fistula with VAAFT is much easier option and  acceptable to the patient because of its painless patient-friendly treatment.

On his visit to Berlin, Dr. Nitish Jhawar met Dr. Monreio, who is the inventor of this technique and have more than 10 centres all over the world.

Dr. Monreio takes pride in the efficacy of this treatment which is helping him treat patients all across the Globe. As per Dr. Jhawar –“ It was a wonderful experience to learn the Nitti gritty of the surgical challenges and their management from the inventor himself. VAAFT has clearly achieved a reputed place in ARMAMENTARIUM of fistula treatment modalities and is here to stay. I am aiming to continue his legacy of helping people with VAAFT and make it easier for the patients suffering from Anal Fistula.”

 

doctor nitesh germany trainingdoctor nitesh germany training session

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Testimonial

What patient says about Dr. Nitish Jhawar

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    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.

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    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.

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    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.

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    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.

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    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.

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    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.

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

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    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.

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