An anal Fistula (Bhagandar/Fistula in ano) is abnormal connection between end of the bowel and skin around the anus. These are related with anorectal abscess formation and are common in both male and females. Anal abscess is usually treated though surgery. More than 50% of abscesses are formed in the fistula.

Why get your fistula ( Bhagandar ) treated at Healing Hands Clinic???

Being a 'Proctosurgeon', Dr. Laxman Salve in Mumbai has effectively treated large number of complex fistula cases as well as recurrent fistula cases (unsuccessfully operated upon before).
Dr. Ashwin Porwal is the founder surgeon of Healing Hands Clinic. He has introduced the Laser surgery FiLaC (Fistula-tract Laser Closure), the first of its kind in India. He devised a Distal Ligation Proximal Laser ( DLPL ) treatment though his research experience. He himself trained doctors at various centers of Healing Hands Clinic in Mumbai, Pune, Bengaluru and Nashik. Healing hands clinic is a certified centre of excellence for fistula treatment in India for fistula care.

Treatment of Fistula

Fistula is treated through surgery by colon and rectal specialists. In most of the cases fistulas are treated with a fistulectomy, in which the skin and muscle over the tunnel are cut open and are converted into open groove. Then fistula tract is healed from inside out. For complex fistula cases VAAFT (Video Assisted Anal Fistula Treatment) technique is used. During this phase the inner side of the tract is fulgurated from the internal opening towards the external opening. Then cleaning of tract is done and external opening is closed.

This is a surgery in which the fistula tract is totally extracted. It is done under general anesthesia, the fistula tract is evacuated and groove is left behind to heal by itself with time. In this procedure there is risk of sphincter muscle resulting in fecal incontinence (ability to control bowel movements).
At Healing Hands Clinic, Laser technology is used instead to fistulectomy to reduce the risk of fecal incontinence.


In this method special thread coated with ayurvedic preparations is used. This thread is inserted into the fistula tract and then pus or abscessed is removed completely.

Other advanced techniques used at Healing Hands Clinic for complex fistula cases are FiLaC (Fistula-tract Laser Closure) and VAAFT (Video Assisted Anal Fistula Treatment). FiLac has an excellent healing rate as compared to all other techniques. Also there is no risk of post operative incontinence.

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Author's Bio: 

Proctosurgeon at Healing Hands Clinic