Rubber band ligation

Rubber band ligation is a common medical procedure used to treat hemorrhoids, a condition characterized by swollen veins in the lower part of the rectum and anus. The procedure involves the use of small rubber bands to cut off the blood supply to the hemorrhoids, causing them to shrink and eventually fall off.

Procedure

The rubber band ligation procedure is typically performed in a doctor's office or an outpatient clinic. The patient is usually placed in a position that allows the doctor to clearly see the hemorrhoids. A proctoscope, a hollow tube with a light on the end, is inserted into the anus to provide a clear view of the area. The doctor then uses a special instrument to place a small rubber band around the base of the hemorrhoid. This cuts off the blood supply to the hemorrhoid, causing it to shrink and eventually fall off within a week.

Effectiveness

Rubber band ligation is considered to be one of the most effective treatments for hemorrhoids. Studies have shown that it is successful in about 80% of cases. However, it may not be as effective for large hemorrhoids or for those that do not respond to other treatments.

Risks and Complications

As with any medical procedure, rubber band ligation carries some risks. These may include pain, bleeding, infection, and the development of anal fissures or anal fistulas. In rare cases, the procedure can cause a serious infection known as sepsis.

Aftercare

After the procedure, patients may experience some discomfort and bleeding for a few days. Over-the-counter pain medications and sitz baths can help to alleviate these symptoms. Patients are usually advised to avoid heavy lifting and strenuous activity for a few days after the procedure.

See Also

• Hemorrhoids
• Proctoscope
• Anal fissure
• Anal fistula
• Sepsis