Rubber Band Ligation
Rubber band ligation is a medical procedure used to treat internal hemorrhoids. It involves the placement of a small rubber band around the base of the hemorrhoid, cutting off its blood supply.
Indications
The procedure is typically indicated for:
- Internal hemorrhoids that are grade 1, 2, or 3
- Hemorrhoids that are bleeding or prolapsing
- Patient preference for a non-surgical treatment option
Contraindications
The procedure is not recommended for:
- External hemorrhoids
- Grade 4 internal hemorrhoids
- Patients with active rectal bleeding or severe anemia
- Patients with a history of rectal surgery or radiation therapy
Procedure
The procedure is typically performed in a doctor's office and involves the following steps:
- A lubricated anoscope is inserted into the anus to visualize the hemorrhoid
- A special instrument is used to grasp the hemorrhoid and pull it into the anoscope
- A small rubber band is placed around the base of the hemorrhoid, cutting off its blood supply
- The anoscope is removed, leaving the rubber band in place
Post-Procedure Care
After the procedure, patients may experience:
- Mild pain or discomfort
- Bleeding or spotting
- Urge to have a bowel movement
To manage these symptoms, patients are advised to:
- Avoid heavy lifting or straining
- Take warm baths to relieve discomfort
- Use stool softeners to prevent constipation
Risks and Complications
Possible risks and complications of rubber band ligation include:
- Bleeding or hemorrhage
- Infection
- Rectal pain or discomfort
- Narrowing of the anal canal (stenosis)
Success Rate
The success rate of rubber band ligation is high, with:
- 80-90% of patients experiencing significant improvement in symptoms
- 50-70% of patients experiencing complete resolution of symptoms
Follow-Up Care
Patients are typically scheduled for a follow-up appointment 1-2 weeks after the procedure to:
- Check for any complications or adverse effects
- Remove any remaining rubber bands
- Discuss further treatment options if necessary
Article last updated on: 4th May 2025.
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