Anal Fistula


An anal fistula is a little channel that is created between the lumen of the anus and the skin close to the perianal area.

At times, It causes tireless seepage. In different cases, where the outside of the channel opening shuts, the outcome might be intermittent anal abscesses. The main cure for an anal fistula is surgery.


Conceivable indications include:

  • Discharge of pus or blood on and off from the fistula opening.
  • Pain which is generally consistent, throbbing and more terrible when taking a seat
  • Skin excoriation and itching around the anus.
  • Constipation or torment related with bowel moments
  • Fever in acute cases


The most widely recognized reason for fistula is an anal abscess, in spite of the fact that there are a few other conceivable reasons for the condition. Most anal fistulas shape in the back midline.

At the point when fistulas are found in different areas, they are regularly connected with optional conditions. These include:

  • intestinal provocative illness
  • sexually transmitted diseases
  • injury
  • tumors including leukemia
  • tuberculosis
  • anorectal growth
  • HIV


  • Open fistulectomy
  • Seton tie (ligation of fistulous tract by non-absorbable thread), like keshar sutra in ayurveda,
  • New innovation: laser treatment.

Comparison between Open & Laser Surgery

Open Fistula Surgery

Laser fistula surgery


  • Excellent Healing rates.
  • The postoperative dressing is required for a very short duration.
  • Post-operative bleeding less likely.
  • Fewer complications have been observed.
  • The laser also can be done in post CABG (Cardiac), Pregnant & Lactational Patient.
  • Chances of loss of stool control (Incontinence) is not there, as no sphincter damage.
  • Recurrence of Fistula is uncommon after Laser treatment. 

Pilonidal Sinus

  1. Laser treatment is the best treatment for pilonidal sinus.
  2. There is negligible pain and faster recovery with no stitches.
  3. No open wound remains after operating with <1mm laser fiber hence the need for long term post-op dressing is less likely.
  4. Patient can be discharged within 6 – 8 hours of surgery.
  5. Recurrence of Pilonidal sinus is less likely after the procedure.


  1. Long term post-op dressing is not required.
  2. Complaint of post-op pain is very low.
  3. Good post-op results.
  4. Superior operator control for Fistula.
  5. Can be done in Local Anaesthesia.
  6. It is a day care procedure with minimum post-op discomfort.
  7. There are very few chances of bleeding as there is very less tissue damage.
  8. Patient recovers very quickly.
  9. Patient satisfaction is very high.
  10. There is no loss of control over stool, i.e. no incontinence.



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