Rubber Band Ligation
Rubber band ligation dates back to ancient treatments, where a thread was used to cut blood
flow in humans, and was used to castrate farm animals. In 1958, Dr. Blaisdell recommended reviving the
treatment method for hemorrhoids, and in 1963, an inventor by the name of Barron invented an instrument used
to apply the bands and the technique and instrument became known as Barron’s Ligature method and the Barron
ligator.
Essentially, the tool allows doctors to place the bands with precision to the base of the hemorrhoidal tissue,
which makes it less painful. The bands used are small, an O-ring that measures 1mm in diameter that is 2.5mm
thick.
Rubber Band Ligation is a treatment for internal hemorrhoids, which is widely used. Usually, if symptoms
continue after three or four rubber band ligations, then surgery is considered. Approximately 80% of patients
report relief from symptoms, or at least some improvement.
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Rubber band ligation involves banding the base of the hemorrhoid to cut off blood flow until the tissue dies and
falls off. It is more effective than injection sclerotherapy or infrared photocoagulation therapy. It is primarily
used on small to medium sized hemorrhoids, but it is not as effective on larger ones.
Rubber band ligation is one of the least expensive and most effective treatments for hemorrhoids. It can be
painful, and might need to be repeated in the case of recurring hemorrhoids. Surgical removal might give longer
lasting results, but it also requires a longer recovery time and more risk of complications.
Not all doctors will perform the treatment, so you may need to ask your doctor to see whether it is something
they are experienced in, should you choose this option. Sometimes, there is not enough tissue to pull into the
band, to make it a feasible option. The procedure is done in a doctor’s office and typically 1 to 2 hemorrhoids are
treated at a time, and any additional ones in a 4-6 week interval.
After treatment, some people require 2-3 days of bedrest, and no heavy lifting is allowed for at least a couple
weeks. Also, you may need to take stool softener, avoid aspirin, or straining for a bowel movement, to avoid
bleeding. Once the area has healed, the scarring that is left is what keeps the hemorrhoid from reappearing.
Bleeding may occur 7-10 days after the rubber band ligation, when the hemorrhoid falls off.
Side effects are rare, but can sometimes occur. Severe pain that doesn’t respond to pain relief could mean that
the bands are too close to pain sensors, and trouble urinating or bleeding from the anus can occur. It is important
to drink plenty of fluids and keep the area as clean as possible to prevent anal infections.
Rubber band ligation has become the preferred treatment option for hemorrhoid removal, in cases where it can be
used. Because it is the most affordable and most effective option, there are many doctors that have become
proficient in the procedure, and it has brought relief to many hemorrhoid sufferers.
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