What It Is
Hemorrhoid ligation, also referred to as hemorrhoid banding, is a procedure in which one or two very small rubber bands are used to cut off blood flow to the hemorrhoid. Without blood flow, the tissue can wither up and fall off. Ligation is considered to be the most commonly used, and often most effective, non-surgical way to treat internal hemorrhoids that have not responded to home treatment.
How It Works
Hemorrhoid ligation is an outpatient procedure. The physician will use a special scope to view inside of the rectum. A device will gently hold the hemorrhoid and place the rubber bands at the base to cut blood flow. The procedure can take just a minute or two for each hemorrhoid. If the bands are too tight or cause too much pain, a medication may be injected directly into the tied-off hemorrhoid to reduce discomfort. The hemorrhoid should fall off on its own within the course of a week.
This treatment method is determined to be effective in approximately 80% of patients. Only about 10% of those treated with ligation are likely to need surgical intervention following a hemorrhoid banding procedure.