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BEST ANAL FISTULA DOCTOR IN AGRA
Minimal Pain
No Stitch
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30 Min Procedure
NO PAIN
NO CUT
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BEST ANAL FISTULA DOCTOR IN AGRA
Minimal Pain
No Stitch
No Scar
30 Min Procedure
NO PAIN NO CUT
ANAESTHESIA
ACCEPT AYUSHMAN CARD
24 HOUR OBSERVATION
What is Anal Fistula?
An anal fistula ( Bhagander / Fistula in ano ) is an abnormal connection, or tunnel that develops between a small opening inside the anal canal (or sometimes in the rectum), and another opening on the skin around the anus or perianal region. The fistula or bhagander is a result of a current or perianal or gluteal abscess.
Fistula has a tract with two openings – Internal opening into the rectum or anal canal and External opening through the skin of the buttocks.
Patients with small or tiny opening on the skin around the anus, may not be aware of about disease
Looking for the best Fistula in ano doctor in Agra?
Dr. Shavez khan is a fistula in ano specialist in Agra. Expert in laser fistula treatment in agra. Specialized in Piles| Fissure | Fistula | Pilonidal sinus laser treatment in agra. He’s renowned as the best Proctologist doctor in Agra.
Causes Of Fistula
- Perianal abscess –Nearly all anal fistulas result from a previous or current anorectal infection. An anal fistula begins in the form of an infection of the anal gland that leads to the formation of an anal or perianal or gluteal abscess. An abscess is formed when the infection forms a pus-filled pool. If after treatment, the abscess does not heal properly, an anal fistula is formed, and there is a 50 % probability of fistula formation in case of abscess drains on its own.
- Conditions that cause inflammation of the intestines like Crohn’s disease, Diverticulitis, Colitis, Anal cancer, chronic diarrhea
- Infections: TB, HIV, STD
Symptoms Of Anal Fistula?
Anal fistula or bhagander and Perianal abscess symptoms are present in a similar pattern:
- Throbbing pain that worsens on sitting
- Swelling, redness, itching, or tenderness around the anus
- Discharge of pus, blood, and debris which is usually foul-smelling
- Pain associated with bowel movements
- Fever occasionally
Causes Of Fistula
INTER-SPHINCTERIC
Track in the space between the two anal sphincters
TRANS-SHINCTERIC
Track passes through both the sphincters
SUPRA-SPHINCTERIC
Track loop over the sphincters and passes through the pelvic floor muscle
EXTRA-SHINCTERIC
Track from rectum to perianal skin without involving sphincters
Diagnosis Of Anal Fistula | Bhagandar
Usually, a brief history followed by clinical evaluation – including a digital rectal examination is enough to diagnose an anal fistula or bhagander.
- At the same time, Proctoscopy ( a minor inspection of the rectum using a small tube-like scope ) is also done to check for any concomitant condition in the rectum.
- An MRI Fistulogram may be needed for complicated fistulas in which the tract is difficult to delineate.
- Fistulography, an X-ray of the fistula after injecting a contrast solution is not done any longer as it may lead to the formation of a false tract due to forceful injection of the dye.
Treatment for Anal Fistula l Bhagandar
Anal fistula does not heal completely on its own, surgery is necessary to treat it.
Fistula operation treatment techniques are now divided into two categories:
- Traditional open surgery
- Laser surgery of Anal Fistula
1. Traditional open surgery
- Fistulotomy: This is the most common and effective treatment for patients with simple fistulas. In this surgery, the entire length of the fistula lay opened so it can heal naturally by daily dressing and sitz bath.
- Seton techniques: In this procedure, the surgeon tightened the fistula with the help of a suture or rubber band. It heals the fistula behind the seton and also lowers the risk of incontinence. Recommended for long, complex, and high fistulas.
2. Laser surgery of Anal Fistula
How is laser treatment for anal fistula performed?
Laser surgery for fistula treatment or bhagander gaining popularity in India, because laser surgery has short recovery period and less chance of re0ccurence. During the laser procedure, a precise amount of laser energy is emitted by radial fiber circumferencially in the fistula tract. Radial fiber introduce in tract to destroy epithelial fistula tract tissues and the laser fiber is pulled back closing the tract. The procedure takes only a few minutes to leave the healthy tissues intact.
(A). FiLaC ( Fistula-tract Laser Closure )
The procedure aims to gently remove the fistula tract without damaging the sphincter muscle
The procedure is done under Spinal anesthesia and requires about 30-40 minutes. A radially emitting Laser Fibre is inserted from the outside. A defined amount of laser energy is then emitted circumferentially into the fistula tract. The laser energy causes controlled photothermal destruction of the fistula tract causing it to collapse to a high degree. This also helps support and accelerate the healing process.
Advantages of FiLaC
- It has an excellent healing rate as compared to traditional techniques.
- No risk of post-operative incontinence, An anal sphincter is preserved in laser surgery
- It can be done in complex fistulas or Recurrent fistulas
- It is safe in high-risk patients like those with hypertension, and cardiac ( heart ) problems and in senior citizens.
(B). Distal Laser Proximal Ligation ( DLPL )
Fistula is a complex disease. The ultimate goal of fistula treatments is not to eliminate the fistula, but rather:
- To save the sphincter muscle and thus prevent incontinence.
- Recurrence prevention.
Most of the techniques like VAAFT, LIFT, and FiLaC achieve the primary purpose of closing the fistula and saving the sphincter. However, All of them have different rates of recurrence. Considering how bothersome a fistula is, even a small chance of recurrence can be a concern for the patient.
Dr. Shavez khan, having specialized in Proctology ( a branch of surgery that deals with the rectum and gluteal region), has treated a large number of Fistula or bhagander cases. With years of experience in treating fistula, he tried to understand the nature of the disease and the cause of recurrences. He is doing a complex fistula by a technique, known by the name of DLPL – Distal Laser Proximal Ligation – after a thorough study and using all of his knowledge and expertise.
This procedure involves the first excision of any abscess along with its internal opening. The distal tract is then closed. The proximal part of the fistula tract is then sealed with the Neo laser Laser. With the radially emitting fiber of the laser, energy is applied circumferentially to the fistula tract. This ensures complete closure of the tract
(C). LIFT-ligation of the intersphincteric fistula tract
It is a new technique for fistulas associated with anal sphincter muscles. The incision is made in the intersphincteic region just above the tract, the sphincter muscles are pushed apart, the internal opening secured, then the tract of the fistula is ligated (tied off) with an intersphincteric approach, with a suture. The infected tract is then removed and the infected granulation tissue is cleaned and scraped thoroughly.
𝗗𝗿. Shavez khan stands out as a leading fistula specialist in Agra. Expert in laser fistula treatment. He’s renowned as the best Proctologist doctor in Agra. Located in Shaheed nagar, Agra. Dr Shavez khan offers specialized laser treatment for Piles| Fissure | Fistula | Pilonidal sinus treatment in Agra, tailored to individual needs and ensures top-notch care for patients.
Benefits of laser treatment for anal fistula
There are some benefits of laser treatment for bhagander or anal fistula
- Minimally invasive procedure
- Faster healing than conventional surgeries
- Back to normal routine life in a short period of recovery due to faster healing
- Daycare procedure
- Short and medically advanced procedure
- Post-surgery complications are lesser
- Chances of recurrence are negligible
| POINTS | CONVENTIONAL SURGERY | LASER SURGERY(FiLaC) |
|---|---|---|
|
Hospital Stay |
3-5 Days |
Daycare/24 Hours Stay |
|
Pain |
Intense 3-4 week |
Painless |
|
Bleeding During Surgery |
Moderate |
Bloodless |
|
Ability to sit after Operation |
No/Difficult sitting for 4 weeks |
Can Sit From 2nd Day |
|
Wound |
Moderate to Large |
No Obvious Wound |
|
Healing |
2 Months Approx |
Few Days |
|
Medication |
Long Course |
5-7 Days |
|
Anal Stenosis |
Yes |
No |
|
Relief of Constipation after surgery |
No |
Yes |
What is the Recovery Process of Anal Fistula Laser Operation?
Laser treatment for fistula recovery is very quick and comfortable. As it is a minimally invasive daycare procedure, the patient can go home the same day of the surgery.
- Patient can resume daily activities after 2-3 days of the surgery.
- Do not perform any strenuous activities until the doctor suggests.
- Although there are no diet restrictions, follow the diet chart given by the surgeon for a few days after the fistula laser surgery.
- Contact the doctor immediately if you notice something unusual.
What To Do After Anal Fistula Surgery?
- Follow your doctor’s instructions: Your doctor will give you specific instructions on how to care for the wound after surgery. Follow these instructions carefully to prevent any complications and promote healing.
- Take medicines on time: After surgery, you may experience mild pain and discomfort. Your doctor may prescribe over-the-counter medication to help you manage the pain. Make sure to take the medication as directed and inform your doctor if the pain persists or worsens.
- Keep the wound clean and dry: It is crucial to keep the surgical wound clean and dry to prevent infection. Your doctor may give your some instructions on how to clean your surgical site.
- Avoid strenuous activity: Avoid strenuous activity for up to 1 week after the surgery. Strenuous activities can put pressure on the wound and slow down the healing process.
- Eat a healthy diet: A healthy diet can help you recover faster after surgery. Include foods that are rich in vitamins and minerals such as fruits, vegetables, and lean proteins.
- Attend follow-up appointments: Attend follow-up appointments with your doctor to monitor your progress and ensure that your wound is healing properly.
- Stay hydrated: It is essential to stay hydrated after surgery. Drink plenty of water and avoid caffeinated and alcoholic beverages.
FAQs Around Anal Fistula Treatment
Usually, anal fistula can’t heal on its own. Surgery is the best and most effective treatment option to cure an anal fistula. The doctor will suggest the best surgical option based on the severity of the condition.
Anal fistula surgery is performed under the influence of anesthesia so you won’t feel pain and discomfort during the procedure. The doctor may suggest over-the-counter medications to manage the post-operative symptoms.
The main cause of anal fistula is an infection or abscess in the nearby tissue. When the abscess doesn’t heal completely, it can lead to a tunnel or fistula forming between the skin and the inside of the body. Other causes include trauma, surgery, or certain diseases like Crohn’s.
No, anal fistula laser surgery is a minimally invasive procedure that can be performed on an outpatient procedure, meaning you can return to your home on the same day of the procedure.
Here are some common side effects of the anal fistula laser surgery includes:
- Post-operative pain and discomfort
- Bleeding
- Infection at the surgical site
- Swelling
