Rubber Band Ligation

What Is Rubber Band Ligation?

Rubber band ligation is a safe and effective, non-surgical treatment method used primarily for grade 2 and grade 3 internal hemorrhoids. In this technique, a special rubber band is placed around the base of the hemorrhoid, cutting off its blood supply. The hemorrhoidal tissue shrinks and falls off spontaneously over time.

How Is Rubber Band Ligation Performed?

The procedure is usually performed in an outpatient setting and does not require anesthesia. Using an anoscope, the internal hemorrhoid is identified and a rubber band is applied to its base with a special applicator. The procedure takes only a few minutes, and the patient can return to normal activities the same day.

Who Is a Suitable Candidate?

• Patients with grade 2 or 3 internal hemorrhoids

• Individuals with bleeding, fullness, or prolapsing hemorrhoids

• Patients who prefer non-surgical treatment

Advantages

• No surgical incision

• No anesthesia required

• Short procedure time

• No hospitalization

• Rapid return to daily life

Possible Side Effects and Risks

Mild pain, a feeling of pressure, or minor bleeding may occur after the procedure. Rarely, infection or severe pain may develop. With proper patient selection and experienced application, complications are uncommon.

Recovery Process

The banded hemorrhoid usually falls off within 5–10 days. A high-fiber diet and adequate fluid intake are recommended. More than one session may be required if necessary.