Definitive surgical excision techniques
Designed to preserve anal sphincter function
Ideal for complex, recurrent, or high fistulas
Lower risk of fecal incontinence
Common techniques include LIFT, VAAFT, FiLaC (laser), and advancement flap
Requires detailed assessment with MRI fistulogram to map all tracts
Focuses on identifying missed internal openings
Minimally invasive, high-precision treatment
Uses laser energy to close the fistula tract from inside
No cutting or stitches
Less pain, minimal scarring, quicker return to normal life
Advantages
No cuts or stitches
Minimal pain and bleeding
Sphincter-sparing technique
The fistula tract is identified and tied off between sphincter muscles
Eliminates infection while preserving continence
Minimal muscle damage and faster recovery
Advantages
Faster recovery
Used mainly for complex or high fistulas
Helps drain infection and prevent abscess formation
Protects sphincter muscles, reducing incontinence risk
Can be loose (drainage seton) or cutting seton depending on case
Dr. Ashvind Bawa is a Professor of General Surgery and Unit Head at Dayanand Medical College & Hospital, Ludhiana, with over 15 years of experience in advanced surgical practice, clinical leadership, and patient-focused innovation. His work centers on the management of complex and recurrent perianal fistulas, sphincter-preserving techniques, and the integration of AI-driven systems to improve surgical precision, outcomes, and safety.
A perianal fistula is a small, abnormal tunnel that forms between the inside of the anus and the skin around the anal area. It usually develops after an anal infection or abscess that does not heal completely. This condition can cause pain, swelling, itching, and continuous or occasional discharge near the anus. Without proper care, symptoms often worsen over time.
Anatomical Illustration:
A simple, patient-friendly diagram showing the anal canal, fistula tract, and external opening on the skin.
A fistula does NOT heal on its own — expert medical treatment is essential.
We specialize in advanced, patient-focused care for perianal fistula, combining clinical expertise with modern medical technology. Our approach is designed to deliver accurate diagnosis, effective treatment, and faster recovery with minimal discomfort.
Backed by internationally trained surgeons, a full range of treatment options, and AI-integrated follow-up care, we ensure every patient receives personalized and reliable medical support at every stage of healing.
Our lead surgeon is internationally trained and highly experienced in managing complex perianal fistulas with precision and care.
We offer the latest surgical and non-surgical solutions — personalized to your condition for the best possible outcomes.
Advanced technology supports your care journey, with AI-assisted planning and remote follow-up to keep you connected and progressing.
We are proud to be part of DMC&H, a name known for quality, safety, and excellence in patient care.
At Fistula.in, our patients’ recovery stories reflect our commitment to advanced fistula care, expert surgery, and compassionate treatment. Every testimonial represents trust, successful outcomes, and improved quality of life.
B-1/1040 Hambran Rd Near Old Dandi Swami Mandir, New Deep Nagar, Civil Lines, Ludhiana, Punjab 141001
A fistula is an abnormal tunnel or passage that forms between two body parts that normally shouldn’t be connected.
In the case of an anal fistula, this tunnel develops between the inside of the anus or rectum and the skin around the anus.