Fistula
FISTULA (BHAGANDAR) TREATMENT
Suffering from bloody and foul pus discharge from your anal area due to anal fistula? Looking for effective treatment in Pune for your condition? then don’t worry Dr. Samrat Jankar at Kaizen Colorectal Care is one of the most expert reliable and ethical fistula specialist in Pune and provides fistula treatment with advanced own surgical technique PILTEC at an affordable cost. This method has the highest success rate as compared to other treatment options. Dr. Samrat Jankar had successfully Performed more than 5000+ successful Anal Fistula Surgeries.
Dr. Samrat Jankar is a qualified surgical gastroenterologist and colorectal surgeon and had been awarded a gold medal for fellowship in colorectal surgery by the ACRISI (Association of Colon & Rectal Surgeons of India) board. Furthermore, he has been an international faculty member in this field. Recently, he has been awarded the First Prize for the best video presentation at FISTULACON 2021 for the LASER LIFT procedure in complex fistula in Ano in an international summit organized by ACRSI. He delivered talks on fistula at many national and international conferences and had a live demonstration of fistula surgery at many conferences. He had trained many surgeons for LASER fistula surgery. Dr. Samrat Janakr had been trained for complex fistula in ano surgery under renowned fistula surgeons Dr. Parvez Sheikh (Mumbai) and Dr. Arun Rajunasakul (Bangkok).
If you are looking for a fistula treatment or surgery in Pune, then Kaizen Gastro Care may be of great benefit to you. Kaizen Gastro Care” offers advanced comprehensive treatment & Management of fistula conditions.
Fistula (Bhagandar) Treatment in Pune
Fistula in Ano denotes a small opening/opening by the side of the anus discharging blood mixed with foul-smelling pus staining the undergarments of the patient. Fistulae either result from a ruptured abscess or a surgically drained peri-anal abscess.
These fistulas become painful if the outer opening gets blocked. All these fistulae will have communication with the rectum and hence do not spontaneously close. Some fistulae are superficial called low anal fistulae and some are quite deep called high anal fistulae. Some fistulae are multiple or branched.
Fistula in Ano treatment options
Types of Fistula in Ano
Fistulas are classified by their relationship to parts of the anal sphincter complex (the muscles that allow us to control our stool). They are classified as
- Intersphincteric
- Transsphincteric
- Suprasphincteric
- Extrasphincteric.
Intersphincteric is the most common and Extrasphincteric is the least common. These classifications are important in helping the surgeon make treatment decisions
What is Complex Fistula?
The Standards Committee for the American Society of Colon and Rectal Surgeons (ASCRS) divided anal fistula into simple and complex types based on the complexity of fistula, risk of recurrence, and risk of incontinence.
Simple fistula:
Simple fistulas are those that are Intersphincteric or low Transsphincteric involving less than 30% of the external sphincter where the risk of incontinence is low.
Complex fistula:
“Complex” fistulas included those with
- More than 30% sphincter muscle involvement
- Anterior fistulas in female patients
- Recurrent fistulas
- Fistula associated with preexisting fecal incontinence, inflammatory bowel disease, or prior radiation.
There are several different procedures. The best option for you will depend on the position of your fistula and whether it’s a single channel or branches off in different directions. Surgery aims to heal the fistula while avoiding damage to the sphincter muscles, the ring of muscles that open and close the anus, which could potentially result in loss of bowel control.
What symptoms does anal fistula surgery address?
An anal fistula usually causes the following symptoms:
- Blood or pus discharge near the back passage
- Constant discomfort in the anal area
- Irritated, swollen, hot, and/or red skin around the anus
- Discharge from the back passage
- A high temperature (indicating an infection)
Anal fistula surgery aims to correct an anal fistula and treat all of its associated symptoms. If you have any of the above symptoms or you’re concerned about having an anal infection, abscess or fistula, speak with Kaizen fistula specialist Dr. Samrat Jankar.
How is an anal fistula diagnosed at Kaizen Gastro Care:
Different Methods of Fistula Treatment at Kaizen Gastro Care:
Fistulotomy:
Ligation of the intersphincteric Fistula Tract (LIFT):
The ligation of the intersphincteric fistula tract (LIFT) procedure is the best treatment for fistulas that pass through the anal sphincter muscles, where a fistulotomy would be too risky. This is a Highly efficient procedure with almost no recurrences or incontinence. Dr. Samrat Jankar, a well-known colorectal surgeon in Pune, specializes in complex fistula surgery. Moreover, he is adept in LIFT, an advanced procedure for fistula treatment in Pune. Being well-trained with the LIFT procedure under Dr. Arun Rajunasakul (pioneer of the LIFT procedure, to date, Dr. Jankar has performed more than 1000 modified LASER LIFT procedures with excellent results. Had been awarded the best video award at an international conference for the management of complex fistula.
FiLaC ( Fistula-tract Laser Closure):
VAAFT:
Video-assisted anal fistula treatment (VAAFT) is a new minimally invasive and sphincter-saving endoscopic treatment for complex fistulas. The fistula tract and internal fistula are localized using a fistuloscope inserted through the external opening and under direct vision fistula tract is destroyed from the inside and closure of the internal opening is done by stapling or suturing or cutaneous-mucosal flap.
Advantages:
- No surgical wounds on the buttocks or perianal region.
- The internal opening is precisely located which is important in the treatment of any fistula.
- Less chance of damage to the sphincter muscle
Potential drawbacks:
- The biggest argument against VAAFT is its high rate of recurrence (~30%)
- Higher cost of treatment
FISTULA PLUG:
The fistula plug is a 100% synthetic bio-absorbable scaffold. This plug is placed in the fistula tract. Over time cells from the body migrate into the scaffold and new tissue is generated as the body gradually absorbs the plug material, leaving no permanent material in the body.
Advantages of Fistula Plug:
- No cutting involved and no operation wound. Therefore it is associated with less pain and faster recovery.
- No damage to the sphincter muscle.
Potential Drawbacks:
- Failures can occur due to the dislodgement of the plug from the fistula tract.
- The plug can get infected
- Failure of treatment can occur in 25-30% of cases
PILTEC: a modification of the LIFT procedure
Why does the Fistula recure again and again?
Anal fistula treatment remains a challenge for surgeons owing to its persistence or recurrence. Recurrent anal fistulas after surgery are more difficult to treat as there is even more risk of re-recurrence. Now, the challenge is that, even with the availability of so many techniques, there is a high risk of recurrence of the fistula after surgical intervention depending upon the location of the fistula, the kind of procedure performed, the expertise of the surgeon, extent of disturbing anatomy of the perianal region, unexpected findings, the effect of excess fibrosis and scarring after surgery and lack of proper postoperative care in the early and late periods following the surgery. This means that fistulas can keep on coming back even after surgery.
According to Dr. Samrat Jankar, a successful fistula surgery requires proper diagnosis, a perfectly performed and reported MRI, along with the surgeon’s expertise and the method of surgery. Dr. Samrat Jankar, the best fistula surgeon in Pune pioneer of the PILTEC procedure. In almost all cases Dr. Samrat Jankar performs a single-setting surgery with a success rate of more than 98% including fistula with perianal abscess. It is not only about surgery at kaizen gastro care dr Samrat Jankar and their team provide very good postoperative care which is one of the most important components in the complete cure of fistula.
Post-operative care after fistula surgery
- Take sitz baths (sit for 15-20 minutes in warm water with antiseptic solution) three times a day and after each bowel movement for the first few days.
- If you were given a topical ointment, place this over the anal skin and a little into the anal canal 2-3 times a day.
- Don’t worry if you have some bleeding, discharge, or itching during your recovery. This is normal.
- Avoid constipation.
- Take stool softener before bedtime every day till the wound heals.
- The use of dry toilet tissue should be avoided. After bowel movements use a jet water cleaning, if possible, followed by taking a warm bath.
- If you were given a prescription for an ointment, apply these two or three times a day at the edge of the anal opening and inside by finger (not by applicator).
- Eat a regular diet including plenty of fresh fruit and vegetables. Drink 6-8 glasses of water a day.
Connect with your surgeon if your temperature is greater than 101 degrees, significant bleeding, and unbearable pain.
Frequently Asked Question (FAQ):
Dr. Samart Jankar is one of the best fistula specialists in Pune. He is an expert in all treatment modalities but has a special interest in minimally invasive surgeries and laser treatment.
The fistula Treatment Laser Procedure (FiLAC technique) is the best surgery having numerous advantages. Dr. Smarat Jankar's fistula Specialist mostly recommended the Laser technique for the fistula treatment.
The cost of the Fistula treatment in Pune ranges from INR 50000 to INR 120000. Mostly the cost depends on the patient's Age, Patient Medical Condition, Type of Treatment used, Kaizen procedures, and Post surgical treatment.
Fistula surgery isn't more painful. You won't be experiencing pain during this process because you will be under the effect of anesthesia. Also, Laser procedures minimize the pain.
Kaizen Gastro Care expert Dr. Samart Jankar has performed more than 5000+ fistula surgery in his surgical experience. He has reported a success rate of more than 95%.
Fistula Surgery is the only effective way to treat severe fistulas. Some alternatives to Fistula Surgery are:
- Medicines
- Fibrin glue
Some of the advantages of Fistula Surgery are:
- Reduces pain
- No sphincter damage
- No longer infection in the anus
- Shorter healing time
- Prevents the drainage from the fistulas
Why Choose Kaizen Gastro Care for Fistula Treatment:
- Experienced Fistula Specialist Team: Dr. Samrat Jankar is renowned as the best Fistula Specialist in Pune which is available at Kaizen Gastro Care Pune for treating various Piles, Fistula, and other anal diseases.
- Advanced diagnosis and treatment: Kaizen Gastro Care provides a full range of diagnostic tests and innovative treatments which are used for the diagnosis and management of different Piles and Ananl conditions.
- Clinic Location: Kaizen Gastro Care Clinic is located at the Pune and PCMC Prime location i.e. Wakad Area. This is the central location of Pune city. The patient can easily come with all public transport.
- Leading-edge technology: Kaizen Gastro Care is equipped with leading-edge technology such as Endoscopy tests, Manometry, 24 Hr Ph Monitoring, Biopsy, and biofeedback. Also equipped with Piles Specialists and nutritionists.
- A Dedicated Center for Fistula Treatment: Kaizen Gastro Care is the First Dedicated center for Fistula and different Anal Disease treatments in Pune and all over Maharashtra.
- We Manage Your Care for the Long Term: We at Kaizen Gastro Care manage Piles, Fistula, and Anal disease for the long term. Kaizen Gastro Care manages the patients for the long term, taking regular follow-ups and long-term care.
Request a Call Back:
Dr. Vikrant Kale & Dr. Samrat Jankar at Kaizen Gastro Care team of highly specialized doctors offer trusted medical advice and expert private care for a wide range of digestive disorders, including Piles, Fissure, and Fistula. Don’t hesitate to get in touch with our acid reflux specialist in PCMC, Pune if you’re experiencing symptoms of Piles, Itching in the Ano region. For more information about our comprehensive treatment options, or to request an appointment with the best Gastroenterologist in Pune call 97 6363 5252