Rubber band ligation
Rubber band ligation is an outpatient treatment for second-degree internal hemorrhoids.
In this procedure, a small band is applied to the base of the hemorrhoid, stopping the blood supply to the hemorrhoidal mass. The hemorrhoid will then shrivel and die within 7 to 10 days. The shriveled hemorrhoid and band will fall off during normal bowel movements.
Rubber band ligation is a popular procedure, as it involves less pain than surgical treatments of hemorrhoids, as well as a shorter recovery period. Its success rate is between 60 and 80%.
History
Ligation of hemorrhoids was first recorded by Hippocrates in 460 BC, who wrote about using thread to tie off hemorrhoids.
In modern history, ligation using rubber band was introduced in 1958 by Blaisdell and refined in 1963 by Barron, who introduced a mechanical device called the antibiotics are often prescribed, especially to patients with immune deficiency or other medical condtions.
- Positioning
- The patient is laid down on the left side, with knees drawn up and buttocks projecting over the operating table.
- Application of the band
- A proctoscope is inserted into the anal opening. The hemorrhoid is grasped by forceps and maneuvered into the cylindrical opening of the ligator. The ligator is then pushed up against the base of the hemorrhoid, and the rubber band is applied.
Complications
Possible complications from rubber band ligation include:
