Recent Advances in Fistula Surgery – Modern Solutions at The Gastro Clinic, Agra

Anal fistula is a painful and often recurring condition that can significantly affect a person’s daily life. Traditionally, surgery meant cutting open the tract (fistulotomy), which often led to long recovery periods and, in some cases, risk to the anal sphincter.
Today, thanks to Dr. Karan R. Rawat, Agra’s leading gastroenterologist, proctologist, and laser surgeon, patients have access to advanced, sphincter-sparing fistula treatments that offer quicker recovery, less pain, and better long-term results.

1. Laser Fistula Surgery (FiLaC – Fistula Laser Closure)

FiLaC is one of the most popular modern treatments for anal fistula.

  • How it works: A thin, radial laser fiber is inserted into the fistula tract, delivering controlled laser energy to seal it from the inside.

  • Benefits: Minimal pain, small wound, no stitches, quick healing, and reduced risk of incontinence.

  • Why choose Dr. Rawat: With extensive experience in laser proctology, Dr. Rawat ensures precision and personalized care for each patient.

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2. VAAFT – Video-Assisted Anal Fistula Treatment

VAAFT is a minimally invasive endoscopic technique that allows direct visualization of the fistula tract.

  • Advantages:

    • Accurately locates the internal opening.

    • Removes infected tissue under direct vision.

    • Closes the tract without damaging sphincter muscles.

  • Best for: Complex and branching fistulas that are difficult to treat with traditional methods.

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3. LIFT Surgery – Sphincter-Sparing Technique

The Ligation of Intersphincteric Fistula Tract (LIFT) method is an effective solution for many transsphincteric fistulas.

  • Benefit: Preserves continence while offering high success rates.

  • When used: Often chosen for fistulas passing through the sphincter muscle.

4. Stem Cell Therapy for Complex Fistulas

For recurrent or Crohn’s disease-related fistulas, stem cell therapy has emerged as a breakthrough option.

  • How it works: Mesenchymal stem cells are injected into the fistula area to promote healing and tissue regeneration.

  • Current status: Available in select advanced centers; Dr. Rawat keeps patients informed about emerging therapies.

5. Combined & Customized Approaches

At The Gastro Clinic, treatment is never “one-size-fits-all.”
Dr. Rawat uses a personalized treatment plan that may combine:

  • Laser closure + advancement flap

  • VAAFT + LIFT

  • Medical management for Crohn’s + local therapy

This approach increases success rates and minimizes recurrence.

Why Patients in Agra Trust Dr. Karan R. Rawat

  • Expertise in Modern Proctology: Years of experience in laser, laparoscopic, and endoscopic fistula surgeries.

  • Advanced Facilities: The Gastro Clinic is equipped with the latest surgical technology.

  • Faster Recovery, Less Pain: Most procedures are day-care, allowing patients to return home the same day.

  • Personalized Care: Every case is evaluated with MRI or imaging for accurate planning.

SEO-Optimized Call to Action

If you are suffering from pain, swelling, discharge, or repeated infections near the anal area, consult Dr. Karan R. Rawat at The Gastro Clinic, Agra.
Experience world-class fistula treatment with the latest techniques like FiLaC, VAAFT, and LIFT — ensuring faster healing and preserving your quality of life.

📍 Location: The Gastro Clinic – Safe Gastro & Surgery Center, Civil Lines, Agra