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• Rubber band ligation
– Office procedure
– No hospital stay needed
– No anesthesia required
– No needles required
– Minimal postoperative discomfort
– Good for grade 1, 2 and some grade 3 internal hemorrhoids
– Not useful for external hemorrhoids due to nerve endings on outside of anal canal • Early proponent was Blaisdell 1954
• Most common office procedure
• Band placed using suction (Mcgown) or atraumatic clamp (Barron/McGivney)
• Band draws excess mucosa at apex of hemorrhoid, causes scar & fixation of lining of anal canal to prevent prolapse • Band must be placed above dentate line or severe anal pain will result – 240 pts. Prospective study w/ 32 month follow up
– Results:
– Grade 1 - 100 % success rate
– Grade 2 - 97% success rate
– Grade 3 - 69% success rate
– Grade 4 - 0% success rate
– Better results & no difference in complications with multiple bands vs. single band
– Rev Esp Enferm Dig. 2003 Feb;95(2):110-4, 105-9, J Med Assoc Thai. 2002 Mar;85(3):345-50
Complications can occur:
– delayed hemorrhage: 1% at 1-2 weeks
– thrombosis of external hemorrhoids: 3%
– rectal tenesmus: 11% – mild anal pain 7.4% (esp. with multiple bands)
– Dysuria: 4.3%
– transient anal bleeding (3.7%) usually 5-7days
– Rectal sepsis: • Rare complication associated with immunosupression • Symptoms: Fever, urinary retention, significant pain #hemorrhoids #piles #rubberbandligation www.hemorrhoidinstituteofst.com #somedocs
Less than 5% hemorrhoids require surgery, so talk to a doctor about your conservative treatment options.
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Here are a few treatments we offer here at our Avalon Hemorrhoid Program:
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• HET Heat Therapy: The HET™ Bipolar System is a proprietary technology that allows for the gentle, simple, and effective treatment of all symptomatic grades I and II hemorrhoids in a single procedure.
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• Rubber Band Ligation: This simple office based procedure is done without need for anesthesia and uses tiny rubber bands to shrink hemorrhoidal veins and tack up droopy hemorrhoidal tissue. Rubber band ligation is the most widely used treatment for internal hemorrhoids.
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• THD Treatment - Incisionless: THD uses Doppler guidance to locate the end branches of the arteries leading to the hemorrhoid. Once the arteries are located, absorbable sutures are used to tie-off the blood flow. No more blood can flow into the hemorrhoid and the vein remains intact so blood can still flow out. This allows the swollen tissue to shrink. The entire procedure is completed without excision of tissue.
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Learn more at: avalon-hemorrhoid.com, or call today to make an appointment (626) 310-0771
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#hemorrhoids #hemorrhoidtreatment #het #heattherapy #rubberbandligation #thd #minimallyinvasive #surgery #healthcare #glendale #burbank #pasadena #avalonsurgery
Office procedures for internal hemorrhoids are less painful than hemorrhoidectomy. Most patients are back to normal activities overnight. The risks are low compared with surgery for larger or more advanced hemorrhoids. #hemorrhoids #piles #hemorrhoidectomy #rubberbandligation #infraredcoagulation #fissure #colorectalsurgery #colorectalsurgeon #colorectalsurgeryservices www.hemorrhoidinstituteofst.com
Office procedures for internal hemorrhoids are less painful than hemorrhoidectomy. Most patients are back to normal activities overnight. The risks are low compared with surgery for larger or more advanced hemorrhoids. #hemorrhoids #piles #hemorrhoidectomy #rubberbandligation #infraredcoagulation #colorectalsurgery #colorectalsurgeon #colorectalsurgeryservices www.hemorrhoidinstituteofst.com