Anal Fistula With Multiple Tracts Cured With Dr. Porwal's 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 Porwal’s constructive Distal Laser Proximal Ligation (DLPL) technique. This sphincter-saving surgery is designed to provide a permanent cure for re-occurring anal fistula especially in a case like this one: Complex #fistula-in-ano 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