Fistula Specialist in Pune

Dr. Samrat Jankar is one of the most sought-after fistula specialist in Pune. He is an expert in all treatment modalities but has a special interest in minimally invasive surgeries and laser treatment. He is also known as one of the best gastroenterologist in Pune.  

Dr. Samrat specializes in LIFT, an advanced procedure for complex fistula. 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, an international summit organized by The Association of Colon & Rectal Surgeons of India ACRSI. 


Ligation of the Intersphincteric Fistula Tract (LIFT)

It is a revolutionary treatment for deep or chronic fistulas. Dr Samrat Jankar, a renowned fistula specialist in Pune, can reach the fistula between the sphincter muscles using this approach without harming or cutting healthy tissues.


He implants a specialized gadget to help widen the fistula tract. After removing the diseased tissues, he plugs the internal fissure opening some weeks later. The LIFT technique not only heals quickly but also reduces incontinence and postoperative problems.


According to most colorectal surgeons, laser proctology is one of the most dependable approaches to treat perianal disorders. Surgeons can appropriately treat fissures, fistulas, haemorrhoids, and pilonidal sinuses or cysts with this simple day-care treatment.


Dr. Samrat Jankar, a well-known gastroenterologist in Punespecializes in laser surgery for fistula and haemorrhoids. Moreover, he is adept in LIFT, an advanced procedure for complex fissure and fistula treatment in Pune. Being a well-trained laparoscopic surgeon in Pune, to date, Dr. Jankar has performed more than 100 LIFT procedures and has executed many perianal fistula laser treatments.


Proctology Treatment

So, first, let’s know,

What is Laser Proctology?

Proctology is a branch of medical science that focuses on treating the conditions of the anus and rectum. Laser proctology is the surgical treatment of the colon, rectum, and anal diseases using a laser. 


Hemorrhoids, fissures, fistulas, pilonidal cysts, and polyps are common disorders treated with laser proctology. Both women and men are increasingly undergoing this procedure to address piles.


A laser is a high-energy light beam. The anomaly, which was the purpose of the surgery, is burned or cut with this light beam. Laser treatments are now far more advanced and safer. They are scarless, bloodless, and painless. They also have minor side effects.


Laser surgery Vs. Conventional surgery

Compared to traditional surgical treatment, laser surgery offers many benefits, including:

  • Short surgery time
  • Same-day discharge
  • Performed under local anaesthesia
  • Faster recovery time
  • Less risk of bleeding during surgery 
  • The risk of post-surgery complications is minimal, as is the risk of prolapse
  • Requires fewer follow-up visits 

Now, let’s know,

Which Anorectal Diseases Can Laser Surgery Treat?

There are several anorectal diseases that can be treated by Laser Surgery. Mentioned a few below :


i) Piles

Hemorrhoids or piles are swollen veins near the anus-rectum junction. Excessive blood flow in the arteries causes the veins to expand, causing the hemorrhoidal plexuses to swell and become congested.


ii) Anorectal Fissures 

When passing large or firm stools, the anus lining might tear or crack. An anal fissure is a tear that causes pain and bleeding when passing stool.


iii) Anal Fistula 

Anal fistulas are diseased connections between the skin and the end of the bowel near the anus. The infection causes an anal fistula in the anal gland that extends to the skin.


iv) Pilonidal Cyst 

When hair penetrates the skin near the end of the tailbone and slightly above the sacrum, pilonidal cysts occur. Skin debris is also present in the cysts. The body recognizes the hair as a foreign object, causing a sac formation around it. A painful abscess can develop if the cyst and the underlying skin become infected.


Sign and Symptoms of Anorectal Diseases 

Many anorectal medical issues go undiagnosed and untreated because people are too shy or ashamed to bring them to a doctor's attention. 


Anorectal disorders have evident symptoms that should be brought to the attention of a medical professional very once. Early detection means less suffering and quicker treatment. The following are some of the signs and symptoms:

  • Rectal pain and bleeding
  • Pain, strain, or bleeding while passing stool
  • Inability to sit for extended periods

Now, let’s discuss,

Types of Laser Surgeries for Anorectal Diseases


  • Hemorrhoidal Laser Procedure (HeLp)

HeLP is a non-invasive laser surgery for piles that requires no anaesthesia. A Doppler helps diagnose the damaged branches of the rectal artery. After diagnosis, the branches are photocoagulation with a laser diode fibre.


  • Laser Hemorrhoidoplasty (LHP) 

In LHP, blood flow is stopped to the hemorrhoidal plexus by photocoagulation of the afflicted branches of the rectal artery, which is comparable to HeLP.


  • Laser Hemorrhoidectomy

This treatment, also known as laser cauterization, involves burning the inflated piles with a laser to shrink them. Sometimes, the surgeons employ a tiny laser beam that focuses on the haemorrhoids to avoid damage to the adjacent tissues. The narrow beam is guided via the anus and focuses on the piles' mass. When the submucosa zone exposes to the laser's energy in a regulated manner, the mass shrinks.


To build connective tissue, the fibrosis is rebuilt. It makes it possible for the mucosa to stick to the underlying tissue. It guards against prolapse. It is a safe procedure that causes minimal bleeding and heals quickly.


  • FILAC Technique (Fistula–Tract Laser Closure)

Dr. Samrat Jankar, a skilled anal fistula doctor in Pune, performs FILAC. It is minimally invasive fistula surgery in Pune that keeps the sphincter intact. By focusing the laser in a regulated, circular movement, the epithelialized tissue is neutralized.


  • Lateral Internal Sphincterotomy (LIS)

When medicine and conventional treatments fail to relieve persistent anal fissure, Dr Samrat Jankar may recommend LIS, an advanced fissure surgery in Pune. It involves removing a small part of the sphincter muscle using a laser. It reduces pressure, lowers pain, and promotes healing of the fissure.


What To Expect From Laser Proctology Surgery?

Before the Surgery

The surgeon will go over the entire procedure with the patient and explain what to expect. Before the surgery, the medical staff will give the patient detailed instructions about the precautions. They will also perform various pre-operative tests.


During Surgery

The surgeons conduct the surgery under local anaesthesia. The procedure might take anything from a few minutes to an hour, depending on the condition.


Post Surgery

Although most laser proctology surgeries are performed as outpatient procedures, certain patients may need an overnight hospital stay. The recovery period varies by patient, but they should return to normal activities in one or two days.


If you experience any of the mentioned signs and symptoms, plan a consultation with Dr Samrat Jankar, our expert gastroenterologist. He will provide the best possible and effective treatment for your condition.


Frequently Asked Questions

One of the least painful surgical treatments for piles is laser treatment. Most people used to be afraid of piles surgery because of the amount of discomfort is produced. There are no sparks, steam, or smoke produced during laser surgery. It ensures that the surgery is carried out safely.

When you have a bowel movement, most certainly, the anus is likely to have some minor bleeding and clear or yellow secretions. After surgery, these symptoms may continue for 1 to 2 months. You should be able to do most of your routine activities after 1 to 2 weeks.

Frequently, doctors treat hemorrhoids with surgery. However, the long-term success of hemorrhoid surgery is highly dependent on the patient’s ability to adjust their everyday bowel habits to avoid constipation and straining.

Despite the surgery, there is a potential for piles recurrence. Fortunately, according to recent advances in medical technology, piles can now be treated with minimally invasive laser surgery, with a faster recovery period, a lower risk of complications or infections, and substantially less pain.

Relevant Questions

Q. What is colonoscopy and how does it help in treating colon cancer?

A colonoscopy is a procedure in which doctor examines the inside of your large intestine to seek for the cause of symptoms such as abdominal pain, rectal bleeding or changes in bowel habits.


To check the inside of the colon, doctor will insert a long, flexible tube with a camera on one end into the rectum. A particular diet may be required for 24-48 hours before to the surgery. In a process called as bowel prep, the colon will also need to be cleaned using strong laxatives.


If polyps are discovered in the colon, they will be removed by a surgeon and referred for biopsy. A pathologist examines the polyps under a microscope for malignant or precancerous cells during a biopsy.

Read more

Q. Can i know about bariatric surgery and the criteria on meeting which i will qualify for this surgery?

To be eligible for bariatric surgery, you must meet the following requirements:

  • Have a body mass index (BMI) of 40 or higher, or have a BMI between 35 and 40.
  • An obesity-related condition, such as heart disease, diabetes, high blood pressure or severe sleep apnea.
  • Weigh less than 450 pounds, the maximum weight that hospital radiology equipment can accommodate. If you need to lose weight to meet this requirement, a nutritionist is available to help.
Read more

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