Fistula in ano is a challenging medical condition that requires expert intervention for successful treatment. Surgery is the primary approach to managing this condition. While post-operative concerns such as pain, bleeding, wound healing, incontinence, and recurrence may arise, they can be effectively managed with proper care and an experienced surgeon. Dr. Samrat Jankar, one of Pune’s top fistula surgeons, leads Kaizen Fistula Care Clinic, offering advanced treatments tailored to each patient’s unique needs.
Dr. Samrat Jankar is the best gastrointestinal surgeon & colorectal surgeon in Pune, India specializing in fistula treatment. His expertise in advanced surgical techniques, coupled with a compassionate approach, has made him a top choice for patients in Pune and beyond. As the Director and Head of the Department of Gastrointestinal Surgery at Kaizen Fistula Care Clinic, Dr. Jankar is committed to providing advanced, minimally invasive treatments tailored to each patient’s needs.
Types of Surgery for Fistula in Ano:
The primary goal of fistula surgery is to remove the fistula tract, promote healing, and minimize complications such as recurrence and incontinence. Depending on the complexity and location of the fistula, different surgical techniques are employed.
There are two main surgical approaches for fistula treatment:
Sphincter-Cutting Surgery:
Best suited for simple, low-risk fistulas, this method offers a high success rate with a lower risk of recurrence. However, there’s an increased risk of incontinence in complex cases.
Examples of Sphincter-Cutting Surgeries:
- Fistulotomy: A procedure to open the fistula tract and allow it to heal from the inside out.
- Fistulectomy: The complete removal of the fistula tract, typically used for straightforward cases.
- Cutting Seton (Ksharsutra): A method where a seton (special thread) is used to gradually cut through the fistula while promoting healing.
Sphincter-Preserving Surgery (SPS):
Ideal for high-risk or complex fistulas, SPS aims to minimize the risk of incontinence. However, it may have a slightly higher recurrence rate compared to sphincter-cutting techniques.
Examples of Sphincter-Preserving Surgeries:
- LIFT (Ligation of Intersphincteric Fistula Tract): A minimally invasive technique that preserves the sphincter muscles.
- VAAFT (Video-Assisted Anal Fistula Treatment): A cutting-edge method that uses video guidance for precise treatment.
- Laser Fistulotomy: A minimally invasive approach using laser energy to seal the fistula tract.
- FILAC (Fistula Tract Laser Closure): A highly advanced procedure involving a radial laser probe to close the fistula.
- Fibrin Plug: A biocompatible fabric inserted into the fistula tract to promote healing.
- Fistula Plug: A biodegradable plug used to fill the fistula tract and encourage tissue regeneration.
- PILTEC procedure: PILTEC is a modification of the LIFT (Ligation of Intersphincteric Fistula Tract) method that aims to enhance the success rate of LIFT in complex anal fistula cases.
Choosing the Right Surgery:
Determining the most appropriate surgical method depends on several factors:
- Fistula Complexity:
- For simple fistulas, sphincter-cutting surgery is preferred.
- For complex or recurrent fistulas, sphincter-preserving surgery is recommended to minimize incontinence risk.
- Risk of Incontinence: High-risk cases necessitate sphincter-preserving approaches.
- Surgeon Expertise: Skilled surgeons can significantly reduce complications and recurrence rates.
At Kaizen Fistula Care Clinic, patients receive a thorough evaluation to determine the best treatment plan. Advanced diagnostic tools and a patient-centered approach ensure optimal outcomes.
Common Post-Surgical Concerns for Fistula Treatment in Pune:
Post-operative outcomes like pain, bleeding, and wound healing are common concerns:
- Pain: Post-surgery pain is common but manageable with proper care. While techniques aim to minimize discomfort, a completely painless fistula surgery is not achievable.
- Bleeding: Mild bleeding or oozing is expected post-surgery. The extent depends on the wound’s status.
- Wound Healing: Healing duration depends on the complexity of the fistula and the surgical technique. Most wounds heal within 2-3 weeks with proper management.
- Incontinence: For complex fistulas, sphincter-preserving surgeries are chosen to minimize incontinence risk. However, discussing this with your surgeon is essential to make an informed decision.
- Recurrence: The possibility of recurrence depends on the surgery type, the surgeon’s expertise, diagnosis accuracy, and post-operative care.
How Kaizen Fistula Care Experts Help You?
At Kaizen Fistula Care Clinic, we specialize in advanced and personalized treatment for fistula in ano. Under the guidance of Dr. Samrat Jankar, a highly skilled and experienced fistula surgeon in Pune, we offer:
- A comprehensive evaluation of your condition using advanced diagnostic techniques.
- Expertise in both sphincter-cutting and sphincter-preserving surgeries.
- Personalized treatment plans are tailored to minimize complications like incontinence and recurrence.
- State-of-the-art facilities and cutting-edge technologies such as Fistulotomy and VAAFT.
- Comprehensive post-operative support: To promote faster healing and recovery.
Why Choose Kaizen Fistula Care?
- Expertise: Dr. Samrat Jankar is a leading gastroenterologist and colorectal surgeon in Pune, renowned for his expertise in advanced fistula treatments.
- Cutting-Edge Technology: Access to state-of-the-art surgical tools and minimally invasive techniques.
- Patient-Centered Care: A dedicated team that prioritizes your comfort and recovery.
- High Success Rate: Proven track record in treating simple and complex fistulas effectively.
- Comprehensive Services: From diagnosis to post-operative care, every aspect of treatment is covered under one roof.
Frequently Asked Questions (FAQ's):
Recovery typically takes 2-3 weeks, depending on the complexity of the surgery.
In most cases, incontinence risks are minimized with proper surgical techniques. Discussing this with your surgeon is important.
Yes, recurrence is possible, mainly in complex cases. Proper care and experienced surgical expertise minimize this risk.
Post-surgery pain is painless with proper medications and care. Your doctor will guide you on effective pain management strategies.
Regular follow-ups, maintaining good hygiene, and following your surgeon’s advice are key to preventing recurrence.
Common symptoms include pain, swelling, and discharge near the anus. Recurring abscesses or difficulty sitting comfortably may also indicate a fistula.
Contact Us:
Don’t let fistula in ano affect your quality of life. Schedule a consultation with the best anorectal fistula specialist in Pune, India, Dr. Samrat Jankar at Kaizen Fistula Care Clinic, Pune.
- Phone: 09763635252 / 07558423708
- Address: Kaizen Gastro Care, Shop no. 208 / 209, Oriana Crest building, Datta mandir road, Opposite Costa Rica society, Wakad, Pune – 411057
- Email: gastrosamrat@gmail.com
Take the first step toward a pain-free life with Kaizen Fistula Care Clinic.