Hemorrhoid Banding

Banding / Baron Ligation Technique

This is a treatment which is very popular as it is 80% effective and the procedure can be performed without a general anaesthetic. It is more effective than any of the other hemorrhoid treatments.

The hemorrhoid banding procedure

The doctor who is performing the procedure will explain what they are going to do, and will ask for your permission to perform the procedure.
This procedure is performed on grade2-3 hemorrhoid
If you are happy that you understand both what procedure you are going to have done and have been told of the risks involved with the procedure then you can sign the relevant document.
You will be asked to take your clothes off and put on a gown and placed in the correct position for the procedure.
You will be positioned either on a couch with stirrups for your feet to go in or on you side on a couch with your knees drawn up to your chest it will depend on the location of the hemorrhoid. ( it will seem all a bit undignified but you will have either a sheet or blanket covering you until the procedure begins
An instrument called a proctoscope or anoscope will be gently placed in your anus so the doctor will be able to have a good view the hemorrhoid.
The doctor may use some local anaesthetic around the base of the hemorrhoid to numb the area.
The hemorrhoid will be grasped gently with a forceps and the hemorrhoid fed through a ringed instrument.
The small elastic band will then be released at the base of the hemorrhoid which will cut off its blood supply.
You will usually have only one or two hemorrhoids treated in this way at a time. Further treatment will be done at 4- weeks’ interval to allow for healing.

Post procedure pain after hemorrhoid banding

You may feel faint or sick after the procedure
You will usually experience pain for anything between 24- 48 hours after the procedure
You may feel as if you want to have your bowels open

Special precautions

Ensure you have adequate pain relief available to you.
Make sure you have someone available to help you should you need it for at least he next twelve hours
Make sure you are able to urinate easily after the procedure(go for a wee)
Do not use aspirin for pain relief post procedure as it may encourage bleeding
Drink plenty of fluids
Try and do some gentle exercise
Eat plenty of fibre rich foods so you do not become constipated
Do not do any heavy lifting for at least two weeks

Healing / recovery time after hemorrhoid banding

In one – two weeks the bands will fall off as the hemorrhoid has been strangled as there is no blood supply to it. The hemorrhoid withers and falls off and is expelled when you have a bowel movement. A scar will be left behind which should prevent a further hemorrhoid occurring.