Hemorrhoids are not at all pleasant for both patients and doctors. Patients, of course, want the hemorrhoids to be cleared up, and the sooner, the better. Patients are in pain, embarrassed and want this problem to be over at the earliest. The medical professionals are well aware of the patient’s concerns, but some hemorrhoids don't resolve as quickly as anyone would like.

Conservative, at home treatment options, is usually the first thing people choose. Hemorrhoid banding, a quick outpatient procedure is the next step in the treatment process.

What are the benefits of Hemorrhoid Banding?

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Rubber band ligation cuts off the blood supply to a hemorrhoid. Without blood to nourish it, the pile will shrivel up and eventually separate from the body.

This is a non-surgical procedure for resolving hemorrhoids. Compared to more intense procedures, such as hemorrhoidectomy, it demands less recovery time and usually requires fewer treatment sessions. Most of the doctors will apply bands to more than one hemorrhoid in the same session.

Rubber band ligation procedures have a success rate of 60 to 80%.

Who is it for?

Ligation is most often suggested for patients with level one or level two internal hemorrhoids. Sometimes, level three hemorrhoids can also get benefitted from the treatment. In rare cases, a doctor may suggest treating a level four hemorrhoid with ligation if the patient is a poor candidate for other treatments.

To be successful, rubber band ligation requires hemorrhoid to have enough tissue to retract into the ligator device. Otherwise, the band cannot be properly placed.

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There are some patients for whom ligation is not recommended. In the following situations, the patient should go for another treatment or proceed with extreme caution:

• Patients with HIV or Crohn's disease are at a greater risk of complications.
• Those who are on anticoagulants have a higher risk of severe bleeding after the procedure.
• Banding is not a good treatment for the patients suffering from anal fissures.
• The process should not be performed on patients who are suffering from colorectal septic concerns.

How is it done?

For a ligation procedure, the patient normally lies in the position used for rectal exams. The doctor inserts a lighted proctoscope into the patient's rectum in order to have a clear view of the procedure.

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The doctor then inserts a ligator. This device has two roles. First, the doctor uses it to retract hemorrhoid, pulling it away from the anal wall with slight suction, by using a low-pressure aspirator or a suction device built into the ligator. Once the pile is denied, the doctor releases a band, which fits around the hemorrhoidal tissue.

The procedure apparatus is removed from the rectum, and the patient can carefully return to everyday activities. Over the next few weeks, as the band prevents blood from reaching the hemorrhoidal tissue, it will die and fall off. The tissue and band are eliminated from the body.

What is the Recovery Time?

Mild pain is common after hemorrhoid ligation, but this usually resolves by about 48 hours after treatment. Pain relievers help in easing the discomfort that patients experience after the surgery. Around 75% of patients report that their pain has cleared entirely within one week of ligation.

Patients may experience bleeding one to two weeks after the procedure. This usually occurs when hemorrhoid separates from the body. It is usually minor and not a cause for concern. Major bleeding should be evaluated by a practitioner immediately.

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What devices are used?

The primary instruments used in banding are hemorrhoid ligators. A ligator retracts hemorrhoid so that the band can be placed. Then, the same device is used to apply the band over the retracted hemorrhoid.

Hemorrhoid ligators can retract piles in one or two ways. Some ligators take hold of hemorrhoid with forceps. Others use suction whether manual or from an aspirating device to perform the retraction.

Rubber band ligation is a simple, non-surgical treatment option for level one and level two hemorrhoids.

• The doctor retracts hemorrhoid and places a band around it.
• The band cuts off blood flow to the piles, so it will wither and fall off.
• The patient may experience little discomfort for some of the days and mild bleeding after one or two weeks.