Rubber Band Ligation of Internal Hemorrhoids

  • Jameson L. Chassin


Hemorrhoids, although extremely common, require treatment only when they are symptomatic. Symptoms consist of bleeding, discomfort due to protrusion, and pain generally due to thrombosis. Although painful thrombosis most often occurs in external hemorrhoids, the source of symptoms in most patients is the internal hemorrhoid. Surgical treatment for most cases of symptomatic internal hemorrhoids can be carried out in the office without anesthesia by utilizing rubber band ligation, by injecting sclerosing solution, or by applying cryosurgery. This last method, however, produces an excessive amount of drainage during the postoperative period, and because it has no compensating advantages, it is rarely used at the present time. If the proper guidelines are followed in the technique of rubber band ligation, this technique achieves satisfactory results over the long term in more cases than does the injection of sclerosing solution.


Rubber Band Clostridium Perfringens Internal Hemorrhoid Rubber Band Ligation External Hemorrhoid 
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Copyright information

© Springer Science+Business Media New York 1994

Authors and Affiliations

  • Jameson L. Chassin
    • 1
    • 2
  1. 1.Clinical SurgeryNew York University School of MedicineNew YorkUSA
  2. 2.Department of SurgeryNew York Hospital Medical Center of QueensFlushingUSA

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