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09 Feb 2017

Laser Treatment of Fistula


Anatomically, the ano-rectal region is quite a complex portion. The anal canal is richly supplied with nerves to sense and control the storage of bowel, muscles to assist with holding and expelling the bowels and glands for lubricating the faecal stuff, and ease the defecation process. Due to the nature of its function, the anal canal can become infected and cause pus deposition, forming abscess. The pus at times drains out from the buttock skin by its own, but often needs clinical intervention. Generally, the abscesses recur and leave a tract behind because of chronic pus deposition; thus resulting in formation of perianal or perirectal fistula. A proctologist confirms the fistula through physical and digital examination, and performs an ultrasound for in-depth study of the extent of infection and size of the fistula.

The fistula is a severely contaminated tube, inflamed and constantly produces pus, which needs to be drained out periodically. Given the nature of the bacterial infection, fistulas are difficult to treat, except for any surgical procedure. Fistulotomy is an easier and safer operative solution in which the muscles overlying the fistular area and nicked, forming an open duct and allowing the fistula to heal. However, the procedure is quite complex and less successful for fistulas that are deep, wide and large. The fistulas that develop circumscribing the anal sphincter muscles are largely at a risk of cutting through the sphincter during a fistulotomy, causing incontinence. Having lost the muscular control post a fistulotomy, a person fails to have any control on their bowel movement and flatulence. Other procedures are fistula glue, plug, flap and LIFT (ligation of intersphincteric fistula tract); with varying success rate.

Fistula Treatment Laser Instrument: Sunway Medical Centre

Fistula laser closure (FiLaC™) is the most advanced and latest procedure to circumvent the sphincter muscle damage by using laser energy. The fistular tract is closed through the laser energy that helps in shrinking the tissues. During the procedure, radial fibre emits defined energy in the tract from a laser probe. The tissues inside the tract are destroyed in a least invasive way and less tedious, unlike the other surgical procedures employed to treat an ano-rectal fistula. The laser probe is slowly worked down the fistula, shrinking the tissues and closing the tract. FiLaC™ is the most efficient way to treat deeper, longer and wider fistulas. Given the flexibility of the laser probe, the length of the fistula has no impact on the outcome of the efficiency.

FiLaC™ procedure lasts only for a couple of minutes and can be performed as a walk-in procedure. The treatment is almost painless, highly successful and with minimal recovery period, unlike the fistulotomy. Other advantages of the procedure are:

  • Maximum care taken and the anal sphincter muscles remain unharmed
  • There is no cutting of the tract required
  • Tissue repair and healing process is fast without affecting the daily routine for long
  • Can be combined with other methods of fistula therapy

Koya Stopiles Clinic in Hyderabad, and now in Bangalore, is a specialized clinic with expertise to deal with ano-rectal problems. The team of doctors have years of experience in diagnosis and treatment of ano-rectal problems, aided by experts overseas. The techniques and products are US-FDA approved, and minimally invasive. Laser treatment of fistula is the most promising procedure at the facility, performed by experienced ano-rectal surgeons and backed by skilled clinical staff.




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