Fistula is the name for a channel through which things can pass. Fistula is formed as an abnormal channel between the inner surface of the anal canal and the opening of the anus. This channel allows flow of fecal matter, pus and blood which keeps the area infected and results in pain, bleeding, pus drainage and discomfort during the bowel movement.
The anal glands which make fluids get blocked due to many reasons and this produces bacteria which causes infection in the surrounding tissue and creates abscess. If this abscess is not treated in time then the abscess creates a path for itself to move out of the body. This path is known as fistula.
Fistulas can have many reasons like a sexually transmitted disease, tuberculosis, trauma, rectal cancer, HIV, AIDS, Syphlis, Ulcer, Surgical Complication, Injury to the rectum wall etc. The symptoms for fistula are discomfort while defecating, blood and pus from the anus, fever, chills and fatigue, foul smelling liquid from the abscess opening, recurrent chronic anal abscess. One must not ignore these symptoms as a small problem can become much more complicated if left untreated.
The first thing that you should do in such cases is to consult a good ano-rectal surgeon who would do a physical examination and diagnose the disease. Most of the anal fistulas are visible from the outside but in order to see the complete path of the fistula the following investigations are of great help - MRI, Contrast CT Fisultogram. Once the diagnosis is confirmed then the line of treatment would be decided.
The most common surgery for Fistula is known as Fistulotomy where the surgeon cuts the channel and completely drains the pus and removes the infected tissue. The surface of the channel is destroyed surgically so that scarring takes place and finally when the healing happens the channel collapses and the cavity is finished. The surgery takes about 30 - 45 minutes and the patient is discharged from the hospital in 1-2 days time. The entire healing takes about 2 weeks. Sometimes the surgeon may use a stapler to close the opening of the fistula channel into the internal body and then destroy the channel using electrocautery.
Laser Surgery for Fistula is a new technique which is completely non-invasive and can be done in OPD settings without requiring hospitalization. However for insurance patients one day of hospital stay may be required for claiming the insurance. In this surgery a Diode Laser Machine is used which is similar to the machine which is used in Hair Removal procedures by the Dermatology centres. This machine works at a different frequency than the hair removal laser and delivers different amounts of energy so that the laser achieves the same goals as an open surgery but without any pain or bleeding.
Since there are no cuts in Laser Surgery for Fistula your post procedure visit to the doctor would be minimal and you would be able to do normal work from the next day onwards. It has been seen that the recurrence rate in Laser Surgery is lesser than the open surgery and the recovery period is much shorter.
Dr Sumita Singh is a general and laparoscopic surgeon with good experience of working at some of the busiest hospitals in India. In the last 30 years she has done several thousand surgeries. She specializes in Ano-rectal surgeries whether open or through Laser Technique. One must remember that not all cases can be done by Laser technique and in some cases open surgery might be required. With her you will get the best of both the techniques. There are very few female surgeons in India who specialize in Ano-rectal diseases and Dr Sumita is one of the seniormost with close to 30 years of experience in this field. Apart from Laser Surgery for Fistula she also uses Laser in the treatment of Piles, Fissure, Haemorrhoids and Pilonidal Sinus.
Dr Vikram Singh is one of the finest surgeon when it comes to Ano Rectal Surgeries. He has done the highest number of Stapler Surgeries for Haemorrhoids in the Gurgaon region. He has been doing these surgeries for the last 20 years and has done several thousand of them with successful outcomes. Dr Vikram has trained abroad in the use of Diode Laser for doing Ano-rectal surgeries like Fistula, Piles, Haemorroids and Pilonidal Sinus. In addition Dr Vikram is also doing Varicose Veins Surgery using the Diode Laser.
Dr Suresh Kumar Vatsyayann has developed a special technique for doing Pilonidal Sinus Surgery which can be done under Local Anaesthesia and the patient goes home in less than 2 hours. The patient can resume normal work from the next day itself. This technique is at par with the Laser Surgery with much lower cost.
The cost of Laser Surgery for Fistula ranges between Rs. 55000 - 95000 depending on the severity of the case.
Our cosmetic clinics and hospitals are located in the northern part of the country specially in the NCR region within a distance of 20-50 kms from the New Delhi airport. Our hospitals are super specialty centres which also host the skin lasers and modern operating rooms to carry out the cosmetic surgeries with finesse. All our hospitals offer quality treatment and are accreditated by NABH or JCI.
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Our team of doctors include some of the best names from the Indian Medical Fraternity. Dr Rashmi Taneja, Dr Vishal Mohan Goyal, Dr Preeti Pandya - Cosmetic Surgeons, Dr Sumita Singh - Breast and Vaginal Surgeon, Dr Raman Tanwar, Dr Yogesh Taneja - Penile Implant Surgeons, Dr Suresh Vatsyayann - Pilonidal Sinus and Lipoma Surgery and Dr Meenakshi Goyal for Hymen Repair. Our Dermatologists offer the Skin and Laser Procedures with great results.
These patients from different parts of the world came to India for different treatments. In this video they are sharing their experiences about the doctors, hospitals and the treatment which they got from CLACS during their stay in India.
This American Patient aged 80 plus came to India for a complete makeover. He underwent several surgeries over a period of 15 days and by the time he was to return to his country he looked much much younger.
This 39 year old patient from abroad came to India for breast augmentation surgery. The surgery was done at CLACS and the patient was delighted with the results. The cost of this surgery is USD 3000 in India.