Fistulotomy Treatment in Pune | Laser Fistulotomy Surgery
Are you looking for expert Fistulotomy Treatment in Pune? Kaizen Fistula Care is a trusted name for anal fistula treatment in the city. Our clinic is led by Dr. Samrat Jankar, a well-known Fistula Specialist in Pune. Dr. Samrat Jankar has 17+ years of experience. He has done more than 5,000 fistula surgeries . His work is recognised not just in India, but also on international platforms. At FISTULACON 2021, an international summit organised by the Association of Colon & Rectal Surgeons of India (ACRSI), he won First Prize for his Laser LIFT procedure demonstration. This procedure is used for complex and recurring fistula-in-ano cases. Surgeons from India and other countries take part in this summit, and winning First Prize here shows his skill is respected at a global level.
Dr. Samrat Jankar has also received specialised training at GEM Hospital, a centre known for advanced GI and colorectal surgery, respected by surgeons across India and abroad. He holds the Gold Medal Fellowship from ACRSI and the Fellowship in Minimal Access Surgery (FMAS) from AMASI. He was also awarded “Best Doctor in Pune” (2025) by Outlook Magazine’s healthcare survey.
Dr. Samrat Jankar is the developer of the PILTEC technique. This is a specialised method for complex and recurrent fistula cases. His research work has also been presented and appreciated at national medical conferences.
We use modern techniques and honest advice. Our goal is fast relief and long-term results. We treat every patient with care, dignity, and full transparency.
What is Fistulotomy?
Fistulotomy is a surgical procedure to treat an anal fistula. In a fistulotomy operation, the surgeon cuts open the entire length of the fistula tract. This converts the tunnel into a flat, open groove. The wound then heals naturally from the inside out.
The result? The fistulous opening closes permanently. The infection is gone. Pain and discharge stop completely.
Fistulotomy is considered the gold standard treatment for simple, low-lying anal fistulas. Studies show a success rate of up to 95%.
What is Fistulectomy? & How Is It Different?
Many patients ask about fistulectomy meaning when they come for a consultation. Fistulectomy is a different surgical procedure. In a fistulectomy, the entire fistula tract is removed — not just opened. It is a more extensive surgery. The wound is larger. Recovery takes longer. But it reduces the chance of a secondary tract forming.
Fistulotomy vs Fistulectomy — Which Is Better?
Understanding fistulotomy and fistulectomy side by side helps patients make an informed decision.
Symptoms That Suggest You Need Fistulotomy Treatment in Pune
Do not ignore these signs. They may indicate that your anal fistula needs surgical treatment:
- Persistent pain and swelling near the anus
- Pus or blood discharge from a small hole near the anus
- Itching, redness, and skin irritation around the anal area
- Recurrent anal abscess formation
- Pain during bowel movements
- Fever and fatigue due to ongoing infection
If you have any of these symptoms, consult Dr. Samrat Jankar at Kaizen Fistula Care immediately. Early treatment prevents serious complications.
How Is Fistulotomy Performed? Step-by-Step Procedure
Understanding the fistulotomy procedure helps reduce fear and anxiety before surgery. Here is what happens at Kaizen Fistula Care:
Step 1 — Diagnosis and Pre-Surgical Evaluation
Before recommending surgery, Dr. Samrat Jankar performs a thorough assessment. This includes:
- Physical examination of the anal area
- Proctoscopy (internal examination of the anal canal)
- MRI fistulography — this is a specialised MRI scan called fistulography. It maps the exact path of the fistula tunnel. It helps the surgeon plan the safest approach.
- Blood tests and routine pre-operative workup
Fistulography is very important for complex cases. It shows whether the tract passes through the sphincter muscles. This decides whether a fistulotomy or a sphincter-preserving procedure like LIFT or FiLaC is more appropriate.
Step 2 — Anaesthesia
Fistulotomy surgery is performed under spinal or general anaesthesia. The patient feels no pain during the procedure.
Step 3 — The Fistulotomy Operation
The entire fistulotomy operation takes about 30 to 60 minutes. It is usually done as a day-care procedure. Most patients go home the same day or the next morning.
During the surgery:
- A probe is inserted into the fistula tract
- The surgeon cuts open the roof of the tract along its full length
- Infected tissue is cleaned and removed
- The wound is left open to heal from inside out
- Sterile gauze dressing is applied
In laser fistulotomy, Dr. Samrat Jankar uses laser energy as an adjunct tool. The laser helps to destroy infected tissue more precisely. It reduces post-operative pain. It also protects the sphincter muscle from unnecessary damage.
Step 4 — Post-Surgery Care
After fistulotomy surgery, the patient is shifted to the recovery room. Vitals are monitored. Once stable, the patient is discharged with detailed care instructions.
Laser Fistulotomy in Pune — Advanced Technology for Better Results
At Kaizen Fistula Care, Dr. Samrat Jankar uses laser technology as an adjunct to the standard fistulotomy procedure. This is called laser fistulotomy. Laser fistulotomy offers several advantages:
- Less post-operative pain
- Minimal bleeding during surgery
- Faster wound healing
- Lower chance of sphincter muscle damage
- Shorter hospital stay
Laser fistulotomy is especially useful for patients who have sensitive tissue or are concerned about recovery time. If you are looking for laser fistulotomy in Pune, Kaizen Fistula Care is the best choice.
Fistulotomy vs Other Fistula Treatments — Which Is Right for You?
Not every patient needs a fistulotomy. Dr. Samrat Jankar offers the full range of fistula treatments at Kaizen Fistula Care:
- Fistulotomy — for simple, low-lying fistulas
- LIFT Procedure — for fistulas passing through the sphincter muscle
- FiLaC (Laser Fistula Closure) — minimally invasive laser sealing of the fistula tract
- VAAFT — video-assisted procedure using a small camera inside the tract
- Fistula Plug — for selected complex cases
- PILTEC — Dr. Jankar’s own pioneering technique for the most complex fistulas
- Ksharsutra — a traditional Ayurvedic thread technique
The right treatment is chosen only after a detailed consultation and imaging report. There is no “one size fits all” approach at Kaizen Fistula Care.
When Should You Consider Fistulotomy?
If non-surgical treatments or lifestyle modifications fail to manage the condition, a fistulotomy is often the best course of action. Dr. Samrat Jankar, a leading fistula specialist in Pune, is highly skilled in performing this procedure with minimal pain and quick recovery.
Benefits of Fistulotomy:
- High Success Rate: Compared to other treatment methods, fistulotomy has a higher cure rate with minimal risk of recurrence.
- Minimally Invasive: The procedure is simple and effective, stimulating faster healing and less post-operative discomfort.
- Permanent Solution: Unlike temporary measures, fistulotomy completely resolves the fistula, preventing further infections.
- Quick Recovery: Most patients experience quick healing with proper post-surgical care.
- Reduces Recurrence: The method ensures complete healing, minimizing the chances of recurrence.
- Relieves Symptoms: It relieves pain, swelling, and recurrent infections caused by the fistula.
Recovery After Fistulotomy — What to Expect Week by Week
Recovery after fistulotomy is gradual. Here is a simple week-by-week guide:
- Week 1: Some pain, discharge, and wound wetness is normal. Take prescribed medicines. Avoid heavy lifting. Rest at home.
- Week 2 to 3: Pain reduces significantly. Wound starts to heal from inside. Sitz baths (sitting in warm water) help with hygiene and comfort.
- Week 4 to 6: Most patients recover fully. The wound flattens and closes. You can return to normal activities.
Full recovery from fistulotomy treatment in Pune typically takes 3 to 6 weeks. In some complex cases, it may take up to 8 weeks.
Risks and Complications of Fistulotomy:
Although fistulotomy is a highly successful procedure, some potential risks include:
- Mild postoperative pain (managed with medications)
- Bleeding and swelling at the surgical site
- Temporary incontinence issues in rare cases
- Slowed wound healing (especially in patients with underlying conditions like diabetes)
Under the care of Dr. Samrat Jankar, these risks are minimized, thanks to advanced techniques and personalized treatment protocols.
Diet and Lifestyle After Fistulotomy:
A good diet and healthy habits help you heal faster after fistulotomy. Simple care at home can prevent infection and speed up recovery. Here are some easy tips to follow.
- Eat Fibre-Rich Food: Constipation can hurt the healing wound. Eat foods like whole grains, fruits, and green vegetables. Fibre keeps your stool soft and easy to pass.
- Drink Enough Water: Drink 8 to 10 glasses of water daily. Add coconut water or buttermilk to stay well hydrated. This helps keep your stool soft.
- Avoid Spicy and Oily Food: Spicy and fried food can irritate your stomach. Choose light, home-cooked meals for a few weeks after surgery.
- Limit Tea, Coffee, and Alcohol: Too much tea or coffee can cause dehydration. Alcohol can slow healing. Limit both during recovery.
- Don’t Strain During Bowel Movements: Straining can hurt the wound. If you feel constipated, talk to your doctor instead of straining.
- Keep the Area Clean: Take warm sitz baths as advised. This keeps the wound clean and reduces the risk of infection.
- Avoid Heavy Activity: Skip heavy lifting and intense exercise for a few weeks. Light walking is fine and good for healing.
- Wear Comfortable Clothes: Choose loose, cotton clothing. This reduces friction near the wound area.
- Follow Doctor’s Advice: Always follow Dr. Samrat Jankar’s specific instructions. Attend follow-up visits so your recovery stays on track.
With simple diet and lifestyle care, most patients heal well after fistulotomy.
Why Choose Dr. Samrat Jankar for Fistulotomy Treatment In Pune?
Dr. Samrat Jankar is a highly qualified, experienced, and awarded surgeon. Choosing the right surgeon is very important for fistula treatment. A skilled surgeon gives better results and fewer complications. His strong academic and professional background includes:
- MBBS from Grant Medical College and Sir JJ Hospital, Mumbai (2007), one of India’s oldest medical colleges
- MS in General Surgery from Maharashtra University of Health Sciences, Nashik (2012)
- DNB in Surgical Gastroenterology from National Board of Examination (2017), a specialised degree in GI surgery
- 17+ years of hands-on surgical experience in treating fistula and related conditions
- More than 5,000 fistula surgeries performed successfully, giving him deep practical knowledge
- More than 3,000 laparoscopic surgeries performed with good results
- Specialised training at GEM Hospital, a well-known centre for advanced GI surgery
- Awarded “Best Doctor in Pune” (2025) by Outlook Magazine’s healthcare survey, for his dedication and patient care
- Gold Medal Fellowship from the Association of Colon & Rectal Surgeons of India (ACRSI), for topping his fellowship exam
- First Prize at FISTULACON (2021), an international summit, for his Laser LIFT procedure demonstration
- Best Video Award at AMASICON (2019), a national conference for minimal access surgeons
- Second Best Video Presentation Award at ACRISICON (2018), for a complex laparoscopic procedure
- Fellowship in Minimal Access Surgery (FMAS) from AMASI (2019), a recognised advanced surgical fellowship
- Developer of the PILTEC technique, a special method designed for complex and recurrent fistula cases
These qualifications and awards are not just titles. They show years of hard work, learning, and hands-on skill. His deep experience, continuous learning, and dedication make him one of the most trusted names for fistula treatment in Pune and nearby areas.
Benefits of Fistulotomy Treatment in Pune at Kaizen Fistula Care
Kaizen Fistula Care Clinic is a dedicated center specializing in the treatment of anal fistulas and other colorectal conditions. Here’s why it stands out:
- Expert-Led Care: Dr. Samrat Jankar, a leading colorectal surgeon, provides cutting-edge treatment with a patient-focused approach.
- Advanced Technology: The clinic is equipped with modern surgical tools, including laser-assisted and minimally invasive procedures.
- Comprehensive Diagnosis: Every patient undergoes a detailed evaluation, including proctoscopy, MRI fistulogram, and anoscopy, to determine the best treatment.
- Minimally Invasive Options: The clinic offers advanced techniques like Laser Fistulotomy, VAAFT, and LIFT, ensuring faster healing with minimal pain.
- High Patient Satisfaction: Kaizen Fistula Care Clinic has successfully treated numerous patients, earning a reputation for excellence.
- Affordable & Transparent Pricing: We offer affordable Fistulotomy Treatment in Pune with clear pricing, flexible payment options and insurance support.
- Personalized Treatment Plans: Each patient receives a customized plan to ensure the best possible outcome and quicker recovery.
Cost of Fistulotomy Surgery in Pune
The cost varies based on the complexity of the fistula, hospital facilities, and surgeon’s expertise. You can contact Kaizen Fistula Care Clinic for exact pricing details.
At Kaizen Fistula Care Clinic, Dr. Samrat Jankar ensures affordable and high-quality treatment with transparent pricing. Flexible payment options and insurance support are available to assist patients.
Book Your Fistulotomy Consultation in Pune Today
Book your Fistulotomy Treatment in Pune with our best Fistula Doctor in Pune, India. Dr. Samrat Jankar is qualified and expert fistula surgeon in Pune, India at Kaizen Fistula Care, Pune offers trusted medical advice and expert private care for a wide range of digestive disorders, including Piles, Fissures, and Fistulas. Don’t hesitate to get in touch with our Fistula specialist in Pune, India if you’re experiencing symptoms of Piles and 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 79041 39064 .
Don’t let fistula disrupt your life – get the best care with Dr. Samrat Jankar!
Frequently Asked Questions about Fistulotomy
A fistulotomy is a surgical procedure used to treat anal fistulas by cutting open the infected tract, allowing it to heal naturally.
If you experience persistent pain, pus, or blood discharge near the anus, swelling, recurrent infections, or abscesses, you may need a fistulotomy. A consultation with Dr. Samrat Jankar can confirm the need for the procedure.
The procedure is performed under local, spinal, or general anesthesia, so you won’t feel pain during the surgery. Post-surgery discomfort is manageable with medications.
A fistulotomy typically takes 30 to 60 minutes, depending on the complexity of the fistula.
Most patients recover within 4 to 6 weeks, but this may vary depending on the size of the fistula and the patient’s overall health.
While fistulotomy has a high success rate, recurrence is possible if the fistula is complex or if post-surgical care is not followed properly. Regular follow-ups can help prevent recurrence.
- Keep the area clean and dry
- Follow dressing changes as advised by the doctor
- Avoid straining during bowel movements
- Maintain good hygiene to prevent infection
Initially, you may experience mild discomfort, but your bowel movements should return to normal within a few days. High-fiber foods and plenty of fluids can help ease the process.
Yes, depending on the fistula type, alternatives include:
- LIFT procedure (Ligation of Intersphincteric Fistula Tract)
- VAAFT (Video-Assisted Anal Fistula Treatment)
- Seton placement
- Fistula plug treatment
Do you have any questions related to fistula, then don’t hesitate to ask with our expert.? Do you need any help?
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Dr. Samrat Jankar is one of the most expert reliable and ethical fistula specialists in Pune India. He is a qualified surgical gastroenterologist and colorectal surgeon and had been awarded a gold medal for fellowship in colorectal surgery by the ACRISI (Association of Colon & Rectal Surgeons of India) board. Furthermore, he has been an international faculty member in this field. Recently, he has been awarded the First Prize for the best video presentation at FISTULACON 2021 for the LASER LIFT procedure in complex fistula in Ano in an international summit organized by ACRSI. He delivered talks on fistula at many national and international conferences and had a live demonstration of fistula surgery at many conferences. He had trained many surgeons for LASER fistula surgery. Dr. Samrat Janakr had been trained for complex fistula in ano surgery under renowned fistula surgeons Dr. Parvez Sheikh (Mumbai) and Dr. Arun Rajunasakul (Bangkok). He is an expert in many surgical procedures for fistula treatment and also pioneered his surgical technique PILTEC for complex fistula treatment which has the highest success rate. Dr. Samrat Jankar had successfully Performed more than 5000+ successful Anal Fistula Surgeries.