Rubber Band Ligation
Rubber Band Ligation is one of the most widely used treatments for internal hemorrhoids. Typically, it is used for 2nd and 3rd degree hemorrhoids.
This procedure is performed in Dr. Kirkland's office, located in St. Louis, and thusly in an outpatient setting. A lighted anoscope is passed via the anus and the hemorrhoid tissue is identified.
A hemorrhoid bander with two rubber bands is attached to a suction device. The apparatus is passed through the anoscope and over the hemorrhoid plexus. Once appropriately placed, the tigger of the bander is pulled or fired. This restricts the blood supply to the hemorrhoid which will shrink and eventually drop off.
Patients, typically, will experience a sensation of tightness or fullness in the perianal region. Frank pain should not be expected. Done appropriately, the band should be placed above the dentate line where very few pain receptors are located. Typically, patients can return to work immediately after the procedure.
Rubber Band Ligation is considered the most effective non-surgical treatment for internal hemorrhoids. It furthermore is considered the best non-surgical approach for long term results and reduced recurrences.