Anal fistula is a complex medical condition that requires advanced treatment to prevent recurrence and preserve sphincter function. While techniques like VAAFT, LIFT, and FiLaC help in closing the fistula, they have varying success rates. The PILTEC (Partial Ligation and Transfixion with Electrocauterization) procedure is a revolutionary technique developed by Dr. Samrat Jankar to improve the success rate of fistula treatment.
Dr. Samrat Jankar, an internationally recognized fistula surgeon in Pune, India, has successfully performed over 5000+ anal fistula surgeries. He has also trained numerous surgeons in the PILTEC technique and has demonstrated it at various surgical conferences and workshops.
What is the PILTEC Procedure?
PILTEC (Partial Ligation and Transfixion with Electrocauterization) is an advanced modification of the LIFT (Ligation of Intersphincteric Fistula Tract) procedure. It is designed to enhance the success rate of LIFT, particularly in complex anal fistula cases. By combining partial ligation, transfixion, and electrocauterization, PILTEC significantly lowers the risk of recurrence while preserving the sphincter function.
Why is the PILTEC Procedure Performed?
PILTEC is performed to treat high-risk or recurrent anal fistulas while preserving anal sphincter integrity. It is specifically recommended for cases where traditional treatments have failed or have a high likelihood of failure.
Reasons for Performing PILTEC:
- Closure of complex, high-transsphincteric fistulas.
- Recurrent fistulas after failed previous surgeries.
- To prevent damage to the anal sphincter and avoid incontinence.
- A safer alternative to conventional fistula surgery.
- Preserve the sphincter muscle and prevent fecal incontinence.
- Minimize the risk of recurrence in complex fistula cases.
- Offer a minimally invasive solution with faster recovery.
Symptoms Indicating the Need for PILTEC Procedure:
If you experience the following symptoms, you may need the PILTEC procedure:
- Persistent pain or discomfort around the anus.
- Recurrent abscess formation near the anal region.
- Pus or foul-smelling discharge from an opening around the anus.
- Swelling or redness around the anal area.
- Difficulty in passing stool or painful bowel movements.
- Fever and fatigue due to infection.
When Should You Consider the PILTEC Procedure?
The PILTEC procedure is advised for patients with:
- Anterior high trans-sphincteric fistula
- Posterior high trans-sphincteric fistula
- Complex low trans-sphincteric fistula
- Recurrent fistula cases
- Anterior fistula in females
Benefits of the PILTEC Procedure:
- Higher success rate compared to LIFT and other techniques.
- Minimally invasive with a quick recovery period.
- Lower risk of fecal incontinence as the sphincter is preserved.
- Reduced risk of recurrence, providing long-term relief.
- Can be performed on an outpatient basis, reducing hospitalization time.
- Faster recovery time with minimal discomfort.
- Lower postoperative complications compared to traditional fistula surgeries.
The PILTEC Procedure: Step-by-Step Guide:
Pre-Surgical Evaluation:
- Thorough clinical evaluation and medical history examination.
- Imaging studies like MRI fistulogram to determine fistula complexity.
- Pre-operative blood tests and stool examination.
- Bowel preparation as recommended by the surgeon.
Surgical Procedure:
- The patient is given local, spinal, or general anesthesia.
- The fistula tract is identified using a probe or imaging techniques.
- The tract is partially ligated and transfixed to close it securely.
- Electrocauterization is used to destroy infected tissue and seal the tract.
- The sphincter muscle is preserved to prevent incontinence.
- The wound is closed with minimal suturing, providing fast healing.
Post-Surgical Care & Recovery:
- Hospital stay: Usually a day-care or one-day hospitalization.
- Pain management: Mild painkillers are prescribed.
- Dietary modifications: High-fiber diet to prevent constipation.
- Hygiene: Proper perianal hygiene to avoid infections.
- Follow-up visits for dressing changes and wound healing assessment.
Risks and Complications of PILTEC Procedure:
While the PILTEC procedure has a high success rate, like any surgery, it carries some risks:
- Mild post-surgical pain and swelling.
- Minor bleeding or infection.
- Slowed wound healing in some cases.
- Recurrence risk, though extremely lower than other procedures.
Preventing Recurrence After PILTEC Procedure:
To reduce the risk of recurrence, follow these steps:
- Maintain proper anal hygiene.
- Follow the doctor’s post-surgical care instructions.
- Eat a fiber-rich diet to prevent constipation.
- Avoid straining during bowel movements.
- Stay hydrated and active to promote digestion.
- Attend regular follow-ups for post-operative care.
- Use prescribed antibiotics and medications properly.
- Avoid smoking and alcohol consumption.
- Seek immediate medical attention if symptoms return.
Why Kaizen Fistula Care Clinic is the Best Choice for PILTEC Procedure in Pune?
- Experienced Surgeon: Dr. Samrat Jankar is a leading fistula specialist.
- High Success Rate: Over 5000+ successful fistula surgeries performed.
- Advanced Infrastructure: State-of-the-art surgical facilities.
- Personalized Treatment Plans: Tailored strategies based on patient needs.
- Minimally Invasive Techniques: Faster recovery and less discomfort.
- Internationally Recognized Expertise: Training and demonstrations at global conferences.
- Comprehensive Post-Operative Care: Dedicated team for aftercare support.
- Affordable Treatment Options: Cost-effective solutions for all patients.
- Easy Accessibility: Located in Pune’s prime medical hub.
How Much Does the PILTEC Procedure Cost in Pune?
The cost varies based on the complexity of the fistula, hospital facilities, and surgeon’s expertise. On average, the cost of PILTEC in Pune ranges from ₹50,000 to ₹1,50,000. You can contact Kaizen Fistula Care Clinic for exact pricing details.
Book Your Fistula Treatment:
If you are suffering from anal fistula and need expert treatment in Pune, schedule an appointment with Dr. Samrat Jankar at Kaizen Fistula Care Clinic today.
For more information about our comprehensive treatment options, or to request an appointment with the best Fistula specialist in Pune call 9763635252.
Frequently Asked Questions
How is PILTEC different from LIFT?
PILTEC is a modified version of LIFT with higher success rates and lower recurrence.
Is the PILTEC procedure painful?
No, the procedure is performed under anesthesia, and post-operative pain is manageable.
How long does the surgery take?
The PILTEC procedure takes about 30-60 minutes.
Will I need hospitalization?
It is usually a day-care procedure, meaning you can go home the same day.
When can I resume work?
Most patients can resume work within a few days, depending on healing.
Does PILTEC completely cure fistula?
Yes, PILTEC has a high success rate, significantly lowering recurrence chances.
Is PILTEC covered by insurance?
Many health insurance plans cover fistula surgeries, including PILTEC.
What diet should I follow after surgery?
A high-fiber diet with plenty of water helps smooth recovery.
Can fistula return after PILTEC?
While recurrence is low, proper post-surgical care is essential to prevent it.
What is the success rate of the PILTEC procedure?
PILTEC has a higher success rate than traditional LIFT, with significantly lower recurrence.
What is the difference between PILTEC and LIFT?
PILTEC modifies LIFT by using electrocautery and transfixion, improving success rates.
Can a fistula return after PILTEC?
The recurrence rate is extremely low, but proper post-surgical care is crucial.
Book your Fistula Treatment:
Book your Fistula Treatment with our best Fistula Specialist in Pune. Dr. Samrat Jankar is qualified and expert fistula specialist in Pune at Kaizen Gastro Care, Pune offer trusted medical advice and expert private care for a wide range of digestive disorders, including Piles, Fissure, and Fistula. Don’t hesitate to get in touch with our Fistula specialist in Pune, India if you’re experiencing symptoms of Piles, Itching in the Ano region. For more information about our comprehensive treatment options, or to request an appointment with the best Fistula specialist in Pune call 97 6363 5252