| Hemorrhoidal ligature, banding |
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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
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| Hemorrhoidal ligature, banding |
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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
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