What is Hemorrhoid Ligation?
Hemorrhoid ligation, or banding, is a simple procedure often used to treat symptomatic
internal hemorrhoids. This consists of placing a ‘tourniquet’ in the form of a small
rubber band around the base of an internal hemorrhoid. The hemorrhoid will then
slough off after a few days.
Hemorrhoid Ligation Procedure
The procedure is usually done in the office, without sedation; taking only a few
minutes. There is minimal discomfort, consisting of pressure or rectal spasm. This lasts
anywhere from a few hours to a couple of days. Some patients have little or no
Warm water soaks ( sitz baths ), and non narcotic pain medicines are used to treat the
discomfort. Patients can resume activities as soon as they are comfortable, often the
Complications include significant bleeding and infection, but are very rare.
As noted, the procedure is done to treat symptomatic hemorrhoids.
Examination should be done by someone trained in the anatomy and diseases of the
anal canal and colon; such as a colorectal Surgeon. The evaluation should include a
detailed exam of the anal canal, and quite often colonoscopy to rule out a colonic
source of the symptoms.
Stay tuned for further discussions about common anorectal and colon problems.