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Phone – 9822772882, 7058850478
Email : [email protected]
As modern fistula surgery technique is unable to assure fistula cure. The doctors and researchers always try to invent new techniques. The focus of fistula surgery is “removal of infection” and not healthy tissue creation. They have invented new cutting tools like laser. It means they improved cutting tool to minimizes the risks during surgery. But they never changed the basic technique. Modern theory assumes that body will create healthy tissue with the help of antibiotics once the infection removed. Below is short information of other surgical techniques available in the world.
This page gives short information about available modern surgical techniques for anal fistula in the world. We don’t follow this practice. We do only Kshar sutra treatment in our clinic.
See world’s first animated video on YouTube which explains
* Fistula can be cured permanently without surgery.
* You can avoid surgery by this natural way. Kshar sutra treatment has low recovery time & high success rate.
Surgical Techniques -
Following is the summary of failure rate of existing surgical methods –
Fistulectomy 9.5%
Simple Fistulotomy – 12.5%
Cutting seton Fistulotomy – 5 to 29%
Fibrin sealants – 69%
Anal Fistula Plugs – 32%
Flap procedure – 30 to 60%
Fistula tract is completely excised / removed under general anesthesia. A big wound is left behind to heal. Risk of damage to the sphincter muscle is always there. One randomized study conducted in 1985 say that the failure rate was 9.5% at that time
It is the opening the fistula tract and possibly dividing sphincter muscle. One randomized study conducted in 1985 say that the failure rate was 12.5% at that time
( Video Assisted Anal Fistula Treatment )
Under anaesthesia, a small telescope is passed through the outer opening of the fistula-in-ano on the skin. This is connected to an HD-camera which transmits the image of the inner side of the fistula tract to an HD- monitor. Under vision, the whole length of the fistula tract is removed up to its internal opening which is present inside the anal canal on its wall. Any branching of the fistula tracts can also be identified and treated by this method. The internal opening is then closed using a stitch or a stapler so that stools / feces do not leak back again into the fistula tunnel. Daily dressing is gently done by just flushing with saline using a syringe to remove the dead tissue inside the healing fistula tract.
( Ligation of Intersphincteric Fistula Tract )
This is secure closure of the internal opening and removal of infected cryptoglandular tissue through the intersphincteric approach. Steps of the procedure include – incision at the intersphincteric groove, identification of the intersphincteric tract, ligation of intersphincteric tract close to the internal opening and removal of intersphincteric tract, scraping out all granulation tissue in the rest of the fistulous tract, and suturing of the defect at the external sphincter muscle
(Fistula Laser Closer)
A flexible, radial emitting laser fiber is inserted from the outside and positioned exactly by using the pilot beam. The infected tissue is destroyed in a controlled way by laser and the fistula tract collapses.
(Distal Laser Proximal Ligation)
In this procedure any abscess cavity along with the internal opening is first excised which is followed by closure of the distal tract. The proximal part of the fistula tract is then sealed with the Leonardo Laser.
This surgery involves plugging the fistula with a device made from small intestinal submucosa. The fistula plug is positioned from the inside of the anus with suture.
This is a method explored in recent years, with variable success. It involves injecting the fistula with a biodegradable glue which should, in theory, close the fistula from the inside out, and let it heal naturally.
Cutting seton
If the fistula is in a high position and it passes through a significant portion of the sphincter muscle, a cutting seton may be used. This involves inserting a thin tube through the fistula tract and tying the ends together outside of the body. The seton is tightened over time, gradually cutting through the sphincter muscle and healing as it goes. Once the fistula tract is in a low enough position it may be cut open to speed up the process or the seton is kept in place until the fistula is completely cured and the seton eventually falls out. The whole process keeps patient in sever pain.
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