975+
Satisfied Patients
25+
Years of Experience
500+
Total Surgery
Apollo Hospital Navi Mumbai
10:00 AM – 01:00 PM
5:00 PM – 7:00 PM (Mon-Sat)
Neoalta specialty Clinic Vashi/Seawoods
7:30 PM – 09:30 PM
Zen Hospital, Chembur
Tuesday by appointment on Call
Apollo Hospital
10:00 AM – 01:00 PM
5:00 PM – 7:00 PM (Mon-Sat)Neoalta specialty Clinic
7:30 PM – 09:30 PM
Zen Hospital
Tuesday by appointment on Call
Dr Nitish Jhawar
Dr Nitish Jhawar Laparoscopic, Robotic and Colorectal Surgeon with 23 years of experience at Apollo Hospital Navi Mumbai, Neoalta Speciality Clinic Vashi /Seawood and Zen Hospital Chembur is trained for advance treatment such as laser and VAAFT (Video Assisted Advance from USA, Austria, Germany and India.
Dr Jhawar regularly treats complex and recurrent fistula and provides tele consultation for second opinion and redo surgeries.
He is Expert in sphincter saving procedures like LASER, VAAFT, DLPL and LIFT.
He provides training to young surgeon across India and abroad.
Our Treatment Procedures
VAAFT
Video-assisted anal fistula treatment (VAAFT) is a new minimally invasive and sphincter-saving endoscopic treatment for complex fistulas. Fistula tract and internal fistula is localized using fistuloscope (endoscope) inserted through external opening and under direct vision fistula tract is destroyed from inside and closure of the internal opening is done by stapling or suturing or cutaneous-mucosal flap.
READ MOREFistula tract is destroyed from inside under direct vision by using endoscope and closure of the internal opening is done by stapling or suturing or cutaneous-mucosal flap.
Advantage
- Minimally Invasive Procedure
- Short Hospital Stay
Fistula LASER Closure (FiLaC)
Our Colorectal surgeon is performing new fistula treatment using diode Laser - Fistula LASER Closure (FiLaC) in Mumbai.
It is safe, effective minimally invasive and sphincter saving procedure. It usually takes approximately 15 min time
Advantage
- It doesn’t affect continence function.
- Less hospital stay as compared to endorectal advancement flap or LIFT.
Fistula treatment using diode Laser in Mumbai.
It is safe, effective minimally invasive and sphincter saving procedure. It usually takes approximately 15 min time
Advantage
- It doesn’t affect continence function.
- Short hospital stay
LIFT
In Lift technique after identification of internal sphincter, an incision is made at fistula tract and infected tissue is removed through inter-sphincteric approach..
Advantage of LIFT
- High success rate
- Preservation of continence function of sphincter
In LIFT technique after identification of internal sphincter, an incision is made at fistula tract and infected tissue is removed through inter-sphincteric approach.
Advantage of LIFT
- High success rate
- Preservation of continence function of sphincter
TESTIMONIAL
What Our Patients Says About Us
LASER
How Laser is Performed
Take A Stand Against Anal Fistula
Join us in raising awareness, advocating for better healthcare, and supporting those affected. Together, we can make a difference and ensure a brighter future for all.
Frequently Asked Questions
The main cause of a fistula is an injury to the anal area. Infection or inflammation can also cause formation of a fistula.
Anal fistulas are most commonly caused by infection of anal gland causing perianal abscesses. Abscess when it drains out through the skin next to anus Other causes of anal fistulas include inflammatory bowel diseases (IBDs) such as Crohn’s disease, anal sexually transmitted infections (STIs), tuberculosis, and trauma to the anal area.
Risk factors for anal fistulas include: * Trauma to the anal area *Infection to the anal area *History of perianal abscess * IBD such as Crohn’s disease * History of surgery or radiation therapy in the perianal region * Being immunocompromised or prone to more frequent infections
A fistula that goes untreated generally won’t heal on its own. This can lead to long-term complications, such as:
Persistent infection
Fistula extension
Cancer
An anal fistula is diagnosed through a physical exam and a digital rectal exam. Imaging tests such as an ultrasound or MRI may be needed to know extension of the fistula.
Your surgeon may require radiological imaging tests to visualize the course of your fistula. Such as
MRI (magnetic resonance imaging)
Endoscopic ultrasound
Fistulography
The different types of anal fistulas include:
Intersphincteric Fistula
Transsphincteric Fistula
Suprasphincteric Fistula
Extrasphincteric Fistula
Horseshoe Fistula
Blind-Ending Fistula
Treatment for an anal fistula often involves surgery. The type of surgery depends on the fistula’s complexity and may include procedures like fistulotomy, seton placement, LASER, VAAFT, DLPL and LIFT. The specific surgery is determined by your colorectal surgeon after through assesment.
You should see your healthcare provider if you experience symptoms like pain, discharge, or discomfort around the anus. Early evaluation is important to diagnose and treat an anal fistula promptly.
Recovery from anal fistula surgery typically involves:
Pain and discomfort, managed with medication.
Wound care and hygiene measures.
A temporary change in bowel habits or diet, as advised by your healthcare provider.
Follow-up appointments with your surgeon to monitor healing and address any concerns.
Surgery for an anal fistula is generally safe and effective, but like any surgical procedure, it carries certain risks, which may include:
Infection: There’s a risk of infection at the surgical site.
Bleeding: Some bleeding is common after surgery, but excessive bleeding can occur in rare cases.
Incontinence: In some cases, surgery can lead to temporary or permanent changes in bowel control (fecal incontinence).
Recurrence: Fistulas can sometimes recur after surgery.
Pain: Post-operative pain and discomfort are common.
Delayed healing: Some people may experience delayed wound healing.
Scarring: Surgical scars may form, which can be bothersome for some patients.
Damage to nearby structures: In rare instances, nearby structures such as nerves or muscles can be affected during surgery.
It’s essential to discuss these risks with your surgeon and follow their post-operative care instructions to minimize complications and promote successful healing. Surgical techniques have evolved to reduce the risks associated with anal fistula surgery, and the choice of procedure will depend on the specific characteristics of the fistula and the patient’s overall health.
If you have an anal fistula:
Expect symptoms like pain, discharge, and discomfort.
You’ll need surgery for treatment.
Recovery involves post-operative care.
Follow-up with your surgeon.
Understand potential risks like infection and changes in bowel control.
An anal fissure is a small tear in the anal lining, causing pain and bleeding during bowel movements.
An anal fistula is a tunnel-like connection between the anal canal and the skin, often with pain and discharge. It usually requires surgery for treatment.
For anal fissures or fistulas:
Eat high-fiber foods to prevent constipation.
Drink enough water.
Avoid spicy, alcoholic, and caffeinated foods.
Consider stool softeners under guidance.
Consult a specialist for personalized advice.
During anal fistula surgery, you’ll be under anesthesia, and the surgeon will address the fistula. After surgery, you can expect some pain and discomfort, possibly changes in bowel habits, and a follow-up with your surgeon to monitor healing. Follow post-operative care instructions for the best recovery.
For an anal fistula:
Eat: High-fiber foods, drink water, and include probiotics.
Avoid: Spicy foods, alcohol, caffeine, and anything that can cause constipation.
Consult a healthcare provider or dietitian for personalized guidance.