Atlas of Gastroenterological Endoscopy
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Hemorrhoidal ligature, banding
Hemorrhoidal ligature, banding Hemorrhoidal ligature, banding
Hemorrhoidal ligature, banding In the depicted case second degree hemorrhoids caused frequent hemorrhage. Anal pruritus was causing inconvienience resistent to medical treatment. Thus a rubber band ligation was implemented. A ligating device is applied to the scope, which is then inverted in the rectum and retracted onto the hemorrhoid. Thereafter a rubber band is deployed by turning the handle. In one session no more than 3 bands should be applied. The inner, proximal application of the rubber bands is thought to drag the hemorrhoid back into the rectum and to obliterate it eventually
Hemorrhoidal ligature, banding
Hemorrhoidal ligature, banding Hemorrhoidal ligature, banding
Hemorrhoidal ligature, banding In this similar case obstipation causes severe anal pain during stool passage. A fissure is excluded. The hemorrhoids seem to be inflammed. With the ligation device a band is applied. Thereafter the hemorrhoid changes colour into dark blue owing to ischemic condition. See also Classification and therapeutic options in hemorrhoids