Fistula-tract Laser Closure (FiLaC): Best Practice Guidelines and Surgeon Insights
Anal fistulas can cause severe discomfort, recurrent infections, and significant lifestyle disruptions. Traditionally, fistula surgery involved open procedures that required longer healing times and carried a risk of incontinence.
However, with advancements in medical laser technology, the FiLaC (Fistula-tract Laser Closure) technique offers a minimally invasive fistula surgery option that provides better outcomes and faster recovery.
At Amrut Hospital, Dombivli, Dr. Pramod D. Bahekar, a highly experienced Fistula Surgeon with Laser Surgery in Dombivli East, provides advanced FiLaC laser closure for patients seeking safe, effective, and modern treatment solutions for anal fistulas.
What is the FiLaC Procedure for Fistula?
The FiLaC (Fistula-tract Laser Closure) procedure is a advanced laser-based technique designed to close the fistula tract internally without cutting through muscles. This helps preserve the anal sphincter and significantly reduces the risk of incontinence.
How the FiLaC Procedure Works?
- A special radial-emitting laser fiber is inserted into the fistula tract.
- Controlled laser energy is applied from the internal to the external opening.
- The laser energy destroys the fistula epithelium and seals the tract walls.
- The result is smooth healing from the inside out, with minimal scarring.
FiLaC represents a revolutionary shift in fistula treatment — combining precision, safety, and rapid recovery.
How does FiLaC Differ from Conventional Surgeries?
Unlike traditional surgeries such as fistulotomy, which involve cutting open the fistula tract, FiLaC is non-cutting and minimally invasive. It focuses on healing without damaging the surrounding tissue.
Key differences include:
- No muscle cutting or stitches.
- Minimal postoperative pain.
- Quick healing and short hospital stay.
- Excellent cosmetic results.
FiLaC vs LIFT Procedure: Which is Better?
Overview of the LIFT Procedure
The Ligation of Intersphincteric Fistula Tract (LIFT) procedure involves accessing the fistula between the anal sphincter muscles and tying off the tract to prevent infection. While effective, it may not be ideal for complex or high-level fistulas.
FiLaC vs LIFT Procedure Comparison
|
Feature |
FiLaC |
LIFT |
|---|---|---|
|
Type |
Laser-based minimally invasive |
Surgical ligation |
|
Healing Time |
Faster |
Moderate |
|
Risk of Incontinence |
Very Low |
Low |
|
Hospital Stay |
Day-care |
May require admission |
|
Recurrence Rate |
Low (in selected cases) |
Slightly higher |
Surgeon Insight:
According to Dr. Pramod Bahekar, FiLaC is preferred for complex and recurrent fistulas where sphincter preservation is critical. LIFT, on the other hand, may be suitable for simple intersphincteric tracts.
The choice depends on individual anatomy and the nature of the fistula.
Benefits of FiLaC Laser Closure
Key Advantages
Patients undergoing FiLaC laser closure enjoy several benefits, including:
- Sphincter Preservation: No cutting of muscle, reducing risk of incontinence.
- Minimally Invasive: Less bleeding, pain, and faster recovery.
- Short FiLaC Surgery Recovery Time: Most patients resume work within a few days.
- High Laser Treatment for Anal Fistula Success Rate: Over 85% success in selected cases.
- Cosmetically Superior: No visible scars or deformities.
Why Patients Prefer FiLaC at Amrut Hospital?
At Amrut Hospital, Dr. Pramod D. Bahekar, a leading Fistula Surgeon in Dombivli, offers personalized care and state-of-the-art laser technology for optimal results. Patients benefit from:
- Advanced laser systems for precision treatment.
- Expert diagnosis and case selection.
- Comprehensive aftercare ensuring faster healing and minimal recurrence.
FiLaC Surgery Recovery and Aftercare
FiLaC Surgery Recovery Time
The FiLaC surgery recovery time is remarkably shorter compared to conventional surgeries.
- Patients can typically return to routine activities within 2–3 days.
- Complete healing usually occurs within 2–3 weeks.
- Minimal postoperative discomfort and faster wound closure make FiLaC a preferred choice.
Postoperative Care Guidelines
To ensure smooth healing, Dr. Bahekar recommends:
- Maintaining anal hygiene and taking regular sitz baths.
- Eating a high-fiber diet and drinking plenty of fluids.
- Using prescribed stool softeners to prevent strain.
- Attending regular follow-ups at Amrut Hospital.
Laser Treatment for Anal Fistula Success Rate
Clinical Outcomes
Studies show a laser treatment for anal fistula success rate of 80–90%, particularly when performed by skilled surgeons. The key to success lies in proper patient selection, laser precision, and post-surgical care.
Expert Insights from Dr. Pramod Bahekar
According to Dr. Bahekar, the success of FiLaC depends on:
- Choosing the right candidate for the procedure.
- Complete closure of the tract using the appropriate laser energy.
- Managing underlying conditions like Crohn’s disease.
- Encouraging lifestyle modifications for long-term relief.
Cost of FiLaC Procedure
Understanding the Costs
The cost of FiLaC procedure varies based on:
- Complexity of the fistula.
- Laser equipment and disposables used.
- Hospital facilities and aftercare requirements.
- Surgeon’s experience and expertise.
While costs may be slightly higher than traditional surgery, patients save significantly on hospital stay, medication, and recovery time.
Affordable FiLaC Laser Closure at Amrut Hospital
At Amrut Hospital, Dombivli, Dr. Bahekar ensures transparent and affordable pricing for FiLaC laser closure.
Patients can schedule a consultation with a Fistula surgery doctor in Dombivli East to receive a personalized treatment and cost estimate.
Why Choose Dr. Pramod D. Bahekar for FiLaC Laser Surgery in Dombivli
About Dr. Pramod Bahekar
Dr. Pramod D. Bahekar is a highly skilled Fistula Surgeon with Laser Surgery in Dombivli East, known for his expertise in treating complex anorectal disorders.
With extensive experience and precision, he ensures painless, safe, and effective outcomes for patients with anal fistulas.
Amrut Hospital: Your Destination for Laser Fistula Treatment
Amrut Hospital is equipped with advanced laser systems and a dedicated surgical team.
The hospital’s patient-centric approach, advanced diagnostic support, and personalized care make it a trusted center for fistula laser surgery in Dombivli.
Conclusion
The FiLaC (Fistula-tract Laser Closure) procedure has transformed the way anal fistulas are treated — offering faster recovery, minimal pain, and excellent long-term results.
Under the expertise of Dr. Pramod D. Bahekar at Amrut Hospital, patients in Dombivli East can access the latest in minimally invasive fistula surgery with proven success.
Take the first step toward a pain-free life — Book a consultation with Dr. Pramod Bahekar, the trusted Fistula Surgeon in Dombivli, and learn if the FiLaC laser closure is the right treatment for you.