Diseases
Anal Fistula
Surgery is necessary to cure an anal fistula.
Fistulectomy is the conventional treatment mode, 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 such as:
- LIFT (Ligation)
- VAAFT (Video Assisted Anal Fistula Treatment)
- LASER fistula Treatment
Advantage
- It doesn’t affect continence function.
- Less hospital stay as compared to endorectal advancement flap or LIFT.
LASER Treatment of Anal Fistula (FiLaC)
Diode Laser – Fistula LASER Closure (FiLaC) is a safe, effective minimally invasive and sphincter saving procedure. It usually takes approximately 15 min time.
Steps:
- 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 Slowly it is withdrawn
Appointment
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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.
What Are You Waiting For...
Make an appointment
Don’t hesitate to address your rectal concerns. Schedule a consultation with Dr. Kaushik Vora today.
Our location
Apollo Clinic, Kanchan Road, GS Rd, opp. Bora service, Guwahati, Assam 781007
Contact
Phone: 070027 11528
Email: contact@theproctocare.com
Opening Hours
Monday to Saturday: 9am to 10:30am and 5:30pm to 7pm
Sunday: Closed