Anal Fistula With Multiple Tracts Cured With Dr. Porwals DLPL Sphincter Saving Laser Surgery. India

A patient diagnosed with complex, analfistula that extended up to the hip joint was successfully cured with Dr. Ashwin Porwals constructive Distal Laser Proximal Ligation (DLPL) technique. This sphinctersaving surgery is designed to provide a permanent cure for reoccurring anal fistula especially in a case like this one: Complex, fistulainano with multiple tracts that have supra levator abscess. Timestamps and chapter: 0:00 Start 0:55 Step 1 Entering the intersphincteric space to scoop out horseshoe abscess 1:33 Excision of the internal opening with a laser fiber 2:11 Exploring the superficial sphincter to enter the internal cavity 3:46 Scooping the muck out of intersphinchteric space 4:03 Introducing laser fiber to destruct the fistula tract 4:18 Laser ablation of the second mucosal internal opening 4