✦ LASER TRACT SEALING

FiLaC (Fistula-tract Laser Closure)

Q: What makes FiLaC different from conventional fistula surgery?

Traditional fistulotomy cuts the sphincter - risking incontinence. FiLaC uses laser energy to close the fistula from inside without touching the sphincter, preserving full bowel control. It is particularly transformative for high and complex fistulas.

Q: What is the success rate of FiLaC fistula laser treatment in Hyderabad?

Published success rates range from 65–80% for primary complex fistulas, with good outcomes also seen in recurrent cases. Pre-operative ultrasound guidance further optimises Dr. Samhitha's results.

Q: Is FiLaC suitable for recurrent or previously operated fistulas?

Yes - FiLaC is particularly valuable for recurrent fistulas where previous surgery has created scar tissue. It avoids further sphincter damage and can achieve closure in tracts that resisted conventional approaches.

Q: Is FiLaC fistula laser treatment available in Hyderabad?

Yes - FiLaC is available at Lux Hospitals, Hyderabad. Dr. Samhitha Reddy is an experienced FiLaC surgeon offering this as part of the experienced fistula doctor Hyderabad programme.

A radially emitting laser fibre destroys and seals the fistula tract from within - the gold-standard minimally invasive treatment for complex anal fistulas in Hyderabad. Complete sphincter preservation with same-day discharge.

Laser MINIMALLY INVASIVE

Sphincter COMPLETELY PRESERVED

Day Care PROCEDURE

65–80% SUCCESS RATE

What is FiLaC (Fistula-tract Laser Closure)?

FiLaC (Fistula-tract Laser Closure) is a minimally invasive laser procedure for anal fistulas. A specially designed radially emitting laser fibre is introduced into the fistula tract through the external opening. As it is slowly withdrawn, it emits 360° laser energy that destroys the fistula epithelium and coagulates the tract walls from within - sealing the tract without any sphincter division or large external wound. Dr. Samhitha Reddy offers FiLaC laser fistula treatment in Hyderabad at Lux Hospitals as a leading option for complex and high fistulas where conventional surgery would risk sphincter damage. It is performed under brief anaesthesia as a day-care procedure with a tiny external wound and rapid recovery - making it one of the most sought-after fistula laser surgery options in Hyderabad.

FiLaC is particularly beneficial for high trans-sphincteric, complex, or recurrent fistulas where sphincter preservation is critical. Endoanal ultrasound maps the tract before surgery. Dr. Samhitha will confirm suitability at consultation.

How the Procedure Works

Pre-operative Endoanal Ultrasound

Endoanal ultrasound maps the fistula tract, classification, sphincter involvement, and any secondary branches - ensuring complete laser ablation of the entire tract.

Anaesthesia

Short spinal or general anaesthesia. Procedure in lithotomy position. Entire procedure typically under 20 minutes.

Laser Fibre Introduction

The radially emitting FiLaC laser fibre (360° emission) is introduced through the external opening and advanced to the internal opening under guidance.

Laser Activation & Withdrawal

The laser is activated at 8–12 watts as the fibre is slowly withdrawn at 1 mm/second - coagulating and sealing the tract epithelium from internal to external opening.

Wound Closure

The external opening is lightly sutured or dressed. A very small external wound remains. Patients are discharged the same day with minimal post-operative discomfort.

Outcomes

LaserMINIMALLY INVASIVE

SphincterCOMPLETELY PRESERVED

Day CarePROCEDURE

65–80%SUCCESS RATE

Who Needs This Treatment?

→Complete sphincter preservation - no sphincter muscle cut or divided at any point
→Minimally invasive - small external wound only, no large excisional wounds
→Day-care procedure - same-day discharge from Lux Hospitals, Hyderabad
→Very low post-operative pain compared to open sphincter-preserving surgery
→Can be repeated if needed - does not preclude other techniques
→Available as part of the leading fistula laser surgery programme in Hyderabad

FiLaC represents the future of complex fistula surgery. The ability to use laser energy to close a fistula tract from within - preserving every fibre of the sphincter - is a game-changer for patients with high fistulas who were previously told their only option was a seton for life.

— - Dr. Samhitha Reddy, Consultant Proctologist & Laparoscopic Surgeon

Common Questions

Frequently Asked

What makes FiLaC different from conventional fistula surgery?+

What is the success rate of FiLaC fistula laser treatment in Hyderabad?+

Is FiLaC suitable for recurrent or previously operated fistulas?+

Is FiLaC fistula laser treatment available in Hyderabad?+

Not sure which treatment is right for you?

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