orthopedic treatment in jaipur
Avail free emergency ambulance service for Knee replacement surgery, Hip Replacement Surgery, Arthroscopy, Piles & Fistula critical care.
 jyoticashless@yahoo.in
+91 9314404024

LASER TREATMENT FOR FISTULA


Laser Surgery for an complex anal fistula may result in recurrence or impairment of continence. The ideal treatment for an anal fistula should be associated with low recurrence rates, minimal incontinence and good quality of life. Because of the risk of a change in continence with conventional techniques, sphincter-preserving techniques for the management complex anal fistulae have been evaluated. First, the complex anal fistula plug is made of lyophilized porcine intestinal submucosa. The complex anal fistula plug is expected to provide a collagen scaffold to promote tissue in growth and fistula healing. Another addition to the sphincter-preserving options is the ligation of intersphincteric fistula tract procedure. This technique is based on the concept of secure closure of the internal opening and concomitant removal of infected cryptoglandular tissue in the intersphincteric plane. Recently, cell therapy for an complex anal fistula has been described. Adipose-derived stem cells have two biologic properties, namely, ability to suppress inflammation and differentiation potential. These properties are useful for the regeneration or the repair of damaged tissues. This article discusses the rationales for, the estimated efficacies of, and the limitations of new sphincter-preserving techniques for the treatment of complex anal fistulae.

Laser treatment for Fistula in jaipur

Proctology provides excellent cutting and coagulation by limiting thermal damage to the surrounding tissue and reducing post-operative pain. The recent applications of complex perianal and sacrococcygeal fistula closure and endoscopic coagulation of haemorrhoids and their peduncles are of much interest.

LIFT (ligation of inter sphincteric fistula tract) procedure is based on 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

Application of Laser in Proctology

  • Haemorrhoidectomy
  • Endoscopic coagulation of haemorrhoids and haemorrhoidal peduncles
  • Rhagades
  • Low, medium and high transphincteric anal fistulas, both single and multiple, and relapses
  • Perianal Fistula
  • Sacrococcigeal fistula (sinus pilonidanilis)
  • Polyps
  • Neoplasms

Advantages of Laser treatment

  • Maximum respect of the sphincter muscle
  • No excision
  • Performed in just a few minutes
  • No medication
  • Very little pain
  • No need for special hygien

AUTHOR

Piles surgeon Dr Jaya Maheshwari

Dr.Jaya Maheshwari

MS FAIS FIAGES
EC WEST IAGES
FACULTY FIAGES
CERTIFIED LASER PROCTOLOGY ( BERLIN GERMANY )
CERTIFIED STAPLER PROCEDURE HEMORRHOIDS ( PUNE )
CERTIFIED STARR SURGERY ( PUNE)
CERTIFIED 3 D MESH REPAIR ( DR J MURPHY USA )
DEPT HEAD MAS AND ADVANCE PROCTOLOGY,AND
JT DIRECTOR JYOTI HOSPITAL JAIPUR, RAJASTHAN
INDIA 302013

She is Advance Proctology and laparoscopic Doctor/Surgeon in Jaipur and Director Jyoti Nursing Home, Jaipur.She also acts as the best Proctology and laparoscopic doctor in jaipur for performing all minimal invasive and the most advance techniques,like the STARR for severe constipation, STAPLERS and LASERS for piles, fistula and fissures, various types of mesh repairs for all hernias and all general surgeries.

Read More...