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Rubber band ligation (RBL) is an outpatient treatment for internal hemorrhoids of any grade. There are several different devices a physician may use to perform the procedure, including the traditional metal devices, endoscopic banding, and the CRH O'Regan System which unlike the others, is disposable, painless and 99% effective.
With rubber band ligation, a small band is applied to the base of the hemorrhoid, stopping the blood supply to the hemorrhoidal mass. The hemorrhoid will shrink and die within a few days with shriveled hemorrhoidal tissue and band will falling off during normal bowel movements - likely without the patient noticing.
Rubber band ligation is a popular procedure for the treatment of hemorrhoids, as it involves a much lower risk of pain than surgical treatments of hemorrhoids, as well as a shorter recovery period (if any at all). It is a very effective procedure, and when done with the CRH O'Regan System, it is also associated with a recurrence rate that is only 5% at 2 years.
Rubber band ligation procedure is as follows
  • Pre-treatment diagnosis and prescribed medications
  • Preparation
  • Positioning
  • Application of the band