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Rubber Band Ligation for Hemorrhoids

Rubber band ligation is the most commonly used and effective non-surgical treatment for internal hemorrhoids. As the name itself describes, the procedure involves ligation of rubber band at the base of hemorrhoids to cut off their blood supply. This will eventually result in falling off of hemorrhoids.
Indications for Banding
Early internal hemorrhoids
Hemorrhoids developed above the dentate line
Hemorrhoids with enough tissue to pull into the banding device
Banding is performed as a day care procedure and generally without anesthesia. The surgeon inserts anoscope (viewing instrument) into the anus of the patient. The hemorrhoid is grasped with an instrument, and a device places a rubber band around the base of the hemorrhoid. The patient is asked if the rubber bands feel too tight. In case the band is tight or causes extreme pain, a medicine is injected into the banded hemorrhoids to numb them.
The banded hemorrhoid then shrinks, dies and, falls off in about a week leaving a scar at the place of the hemorrhoid.
What will happen after Banding and before falling of Hemorrhoid?
Patient may feel some pain or discomfort (painkillers may be prescribed) for a day or so.
Patient may notice blood on the toilet paper (which is normal) immediately after the procedure
Patient may feel sensation of fullness or need to have a bowel movement
Mucus discharge within a week of the procedure indicates falling off of hemorrhoids
Ulcers (open sores) may occur at the banding site which usually heal without any treatment
Patient may not realize falling off of hemorrhoids, as they pass out of the body during toilet.
Advantages of Rubber Band Ligation Procedure:
Painless & Outpatient procedure
No or local anaesthesia required
Most patients return to their normal activities the next day
Several hemorrhoids can be treated at one time under general anesthesia
Successful procedure in about 8 out of 10 people
Less likely to need another treatment after banding

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