Dr. Samrat Jankar is one of the most expert reliable and ethical fistula specialists in Pune. He is a qualified surgical gastroenterologist and colorectal surgeon and has 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 was 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.
An anal fistula is a tunnel connecting the skin near the anus to the inside of the bowel (usually the rectum). This means that the inside of the bowel is connected to the outside of the body through an additional opening. An anal fistula often results from a previous or current anal abscess. As many as 50% of people with an abscess get a fistula. However, a fistula can also occur without an abscess.
Surgery is usually necessary to treat an anal fistula as they usually do not heal by themselves or only with medication. The goal of any surgery for a fistula in ano is to balance between getting rid of the fistula and protecting the anal sphincter muscles, which could cause incontinence if damaged. In fistula treatment in Pune what matters most is recurrence and incontinence, the only expert in fistula surgery will have a clear understanding of it. Looking for the best doctor for fistula in ano treatment in Pune, Dr. Samrat Jankar an Internationally recognized surgeon at KAIZEN Gastro care, Wakad Pune offers holistic treatment for complex fistula with the least recurrence rate & almost zero incontinence rate.
Fistulas are classified by their relationship to parts of the anal sphincter complex (the muscles that allow us to control our stool). They are classified as
Intersphincteric is the most common and Extrasphincteric is the least common. These classifications are important in helping the surgeon make treatment decisions
The Standards Committee for the American Society of Colon and Rectal Surgeons (ASCRS) divided anal fistula into simple and complex types based on the complexity of fistula, risk of recurrence, and risk of incontinence.
Simple fistula:
Simple fistulas are those that are Intersphincteric or low Transsphincteric involving less than 30% of the external sphincter where the risk of incontinence is low.
Complex fistula:
“Complex” fistulas included those with
There are several different procedures. The best option for you will depend on the position of your fistula and whether it’s a single channel or branches off in different directions. Surgery aims to heal the fistula while avoiding damage to the sphincter muscles, the ring of muscles that open and close the anus, which could potentially result in loss of bowel control.
The most common type of surgery for anal fistulas is a fistulotomy. This involves cutting along the whole length of the fistula to open it up so it heals as a flat scar. A fistulotomy is the most effective treatment for many anal fistulas, although it’s usually done in simple fistula where the risk of incontinence is less. This procedure is not suitable in complex fistula in ano in cases where the risk of incontinence is considered too high, sphincter preserving procedures are recommended.
At KAIZEN Gastro Care, Dr. Samrat Jankar Fistula Specialist Surgeon in Pune uses a LASER as an adjunct to Fistulectomy to minimize the risk of damage to the sphincter muscle. Thus, with the added advantage of Laser, the chances of post-operative pain will be negligible.
The ligation of the intersphincteric fistula tract (LIFT) procedure is a best treatment for fistulas that pass through the anal sphincter muscles, where a fistulotomy would be too risky. This is a Highly efficient procedure with almost no recurrences or incontinence. Dr. Samrat Jankar, a well-known colorectal surgeon in Pune, specializes in complex fistula surgery
Moreover, he is adept in LIFT, an advanced procedure for fistula treatment in Pune. Being well-trained with the LIFT procedure under Dr. Arun Rajunasakul (pioneer of the LIFT procedure, to date, Dr. Jankar has performed more than 1000 modified LASER LIFT procedures with excellent results. Had been awarded the best video award at an international conference for the management of complex fistula.
It is a minimally invasive fistula-in-ano surgery that keeps the sphincter intact. This technique attempts to gently remove the anal fistula by using laser energy. The flexible, all-around radiating fiber-optic probe is inserted into the fistula tract from the outside. Then the laser is slowly withdrawn. The inflammatory tissue is destroyed in a controlled manner and the fistula tract contracts. The anal gland that originally caused the fistula is inactivated
Video-assisted anal fistula treatment (VAAFT) is a new minimally invasive and sphincter-saving endoscopic treatment for complex fistulas. The fistula tract and internal fistula are localized using a fistuloscope inserted through the external opening and under direct vision fistula tract is destroyed from the inside and closure of the internal opening is done by stapling or suturing or cutaneous-mucosal flap.
Advantages
Potential drawbacks
The fistula plug is a 100% synthetic bio-absorbable scaffold. This plug is placed in the fistula tract. Over time cells from the body migrate into the scaffold and new tissue is generated as the body gradually absorbs the plug material, leaving no permanent material in the body.
Advantages of Fistula Plug
Potential Drawbacks
Dr. Samrat Jankar an internationally recognized fistula surgeon pioneered the LASER procedure named PILTEC having the highest cure with zero incontinence rate. He had demonstrated at many surgical conferences and workshops. He had trained many surgeons in fistula treatment using the PILTEC procedure.
Anal fistula treatment remains a challenge for surgeons owing to its persistence or recurrence. Recurrent anal fistulas after surgery are more difficult to treat as there is even more risk of re-recurrence. Now, the challenge is that, even with the availability of so many techniques, there is a high risk of recurrence of the fistula after surgical intervention depending upon the location of the fistula, the kind of procedure performed, the expertise of the surgeon, extent of disturbing anatomy of the perianal region, unexpected findings, the effect of excess fibrosis and scarring after surgery and lack of proper postoperative care in the early and late periods following the surgery. This means that fistulas can keep on coming back even after surgery.
According to Dr. Samrat Jankar, a successful fistula surgery requires proper diagnosis, a perfectly performed and reported MRI, along with the surgeon’s expertise and the method of surgery. Dr. Samrat Jankar, the best fistula surgeon in Pune pioneer of the PILTEC procedure. In almost all cases Dr. Samrat Jankar performs a single-setting surgery with a success rate of more than 98% including fistula with perianal abscess. It is not only about surgery at kaizen gastro care dr Samrat Jankar and their team provide very good postoperative care which is one of the most important components in the complete cure of fistula.
The signs and symptoms of an anal fistula include:
Anal fistula surgery aims to correct an anal fistula and treat all of its associated symptoms. If you have any of the above symptoms or you’re concerned about having an anal infection, abscess or fistula, speak with Kaizen fistula specialist Dr. Samrat Jankar, the best fistula doctor in Pune.
Dr. Samrat Jankar at KAIZEN Gastro Care usually diagnoses an anal fistula by examining the area around the anus. He will look for an opening (the fistula tract) on the skin, then try to determine how deep the tract is, and the direction in which it is going. In many cases, there will be drainage from the external opening. Some fistulas may not be visible on the skin’s surface. Most of the time need further tests to better understand fistula relations with sphincter. An anoscopy is a procedure in which a special instrument is used to see inside your anus and rectum. Also in most cases, he advises an MRI fistulogram of the anal area to get a better view of the fistula tract. Some atypical cases need a colonoscopy to rule out IBD which will be the cause of the recurrence of fistula.
The leading causes of an anal fistula are clogged anal glands and anal abscesses. Other, much less common, conditions that can cause an anal fistula to include:
Connect with your surgeon if your temperature is greater than 101 degrees, significant bleeding, and unbearable pain.
KAIZEN Gastro Care offers the fistula treatment at an affordable cost. The Approxiamate cost of the Fistula surgery in Pune ranges from INR 50,000/- to INR 70,000/-. The exact cost of the surgery depends on the extent and complexity of the disease. Depending on factors like medication cost, price of diagnostic tests, Fistula treatment, etc, the cost of fistula surgery in Pune varies from one person to another.
Kaizen Gastro Care expert Dr. Samart Jankar has performed more than 5000+ fistula surgery in his surgical experience. He has reported a success rate of more than 95%.
Fistula is a disease that won’t heal on its own. Hence, you should see a doctor as soon as you notice symptoms like blood or pus discharge, pain in anal region, skin maceration, etc.
Fistula Surgery is the only effective way to treat severe fistulas. Some alternatives to Fistula Surgery are:
Fistula surgery isn't more painful. You won't be experiencing pain during this process because you will be under the effect of anesthesia. Also, Laser procedures minimize the pain.
Dr. Samart Jankar is one of the best fistula specialists in Pune. He is an expert in all treatment modalities but has a special interest in minimally invasive surgeries and laser treatment.
Yes. Fistula is Completely Curable. You will need to have surgery to cure the fistula
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
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
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ExcellentBased on 148 reviewsRajesh Agrawal25/04/2024Dr. Samrat is very good doctor and always cares for his patient.A patient can freely interact with him and he gives sufficient time to the patient to express their health issues. The way he handles the patient is very much impressive. He recommends surgery only when it is really required also I never found commercial nature in him. Dr smart is a gentle giant with fine surgical skills. He is sensible, kind and involuntarily indulges in outcome concerns of his patients. I wish him all the very best.Santoshkumar Naik23/04/2024This is one of the best Gestro hospital.Last week I had done my Gulbladder surgery .Support from Dr. Samrat Jankar was very good.Rajan Sawant23/04/2024I learnt of Dr. Samrat Jankar @ KaiEn Gastro Care through the Internet. His highly professional and genuinely compassionate approach was evident in the very first consultation. Dr. Jankar and his able team instantly and accurately diagnosed a complex problem - achlasia cardia - that seriously troubled me, physically and emotionally, over many many long years. Dr. Jankar took us through a fascinating virtual journey explaining the nature of the problem and the approach to surgery. This greatly relieved the anxiety of surgery and hospitalisation which was planned and executed in a matter of few days. Dr. Jankar’s personal attention and warmth during hospitalisation and post surgery is acknowledged with appreciation and gratitude. Rajan Sawant, Pune / Bangalore🙏Sushanta Mallick23/04/2024Thank you Dr. Samrat Jankar for handling it very smoothly. I had a very good experience.abhi kulshrestha19/04/2024I had a very nice experience with Dr. Samrat Jankar. He is very soft spoken, patient and friendly. He did my endoscopy too which was a very smooth experience. The overall staff is very friendly too. Thank you Kaizen gastro care.SHUBHAM VYAS17/04/2024I was diagnosed with achlicia cardia. Dr. Samrat Jankar suggested to do laparoscopic hellers cardiomyotomy,surgery. He is one of the best laparoscopic surgeons in Pune. He did my surgery successfully. He is a very experienced doctor. I felt like I was in safe hands. He gave confidence to me during pre and post surgery. Lot of thanks to Dr. Samrat jankar Last month I had an operation for laproscopic hellers cardiomyoyotomy, my weight was 46.600 kg and after 1.5 months of the operation my weight became 51.700 kg. he helps mi for weight gaining He is best doctor for gastrologygade anup14/04/2024Great experience with Dr Jankar, I was suffering from appendix, he understood the issue pretty well & helped me speedy recovery
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