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Rubber Band Ligation

Introduction

Commonly referred to as 'banding', rubber band ligation is a treatment which is effective in treating haemorrhoids. It is most effective where the haemorrhoids are of moderate size.

Since there are only a small number of nerve endings present in the lining of the bowel, the procedure does not need to be carried out under general anaesthetic, and in fact is normally carried out either in the office or, in some cases, during a colonoscopy examination.

Procedure

Rubber band ligation involves the use of small rubber bands, which are applied to the haemorrhoids and cut off blood supply to them. Within 5-7 days the haemorrhoids separate from the anus. A local anaesthetic is used during the procedure.

Postoperative Instructions

Some patients may experience some pain after the procedure. As the local anaesthetic wears off within a few hours of surgery, patients should, unless directed otherwise...

  • Two (2) Paracetamol tablets every four (4) hours.
  • Two (2) Ibuprofen tablets every six to eight (6-8) hours.

...during the 48-hour period immediately after surgery. If pain continues after this 48-hour period, or becomes severe, you must contact your doctor.

Bowel Activity

Bowel activity should continue as normal after the procedure – however you may experience a feeling of needing to have a bowel movement, even when there are no stools to pass. You should avoid straining when having a bowel motion.

There may be some discomfort with bowel activity for 7-14 days after the procedure and this can be made worse if constipation develops. For this reason, it is advisable to take Normafibe, one teaspoon twice a day for 7-10 days after surgery. There may also be a little blood in the toilet or on the toilet paper accompanying the first one or two bowel motions.

Most people are able to resume normal day-to-day activities the day after the procedure. Around 1 in 6 people who undergo rubber band ligation may need to have further banding treatment/s.

Contact your doctor or surgeon if any of the following occur...

  • Fever.
  • Increase in levels of pain.
  • Excessive bleeding (small amounts are normal in the first 1-2 days after surgery).
  • Difficulty urinating.