Hemorrhoidal ligation: information that interests you

The most crucial details about the hemorrhoidal ligation procedure are provided to you in the sections that follow.

Hemorrhoidal ligation: information that interests you

Do you have haemorrhoids but hesitate to have a major operation because of your fear? If your answer is "yes", then you should read this article that explains the most important information about the hemorrhoids banding - HB:

Hemorrhoidal ligation

If the haemorrhoid is bleeding or prolapsed, this operation is a combination of medical and surgical treatment. In this process, the hemorrhoid is tied with a rubber band at its base in order to prevent the flow of blood in it, and this leads to the death of the hemorrhoid and its fall over time.

The procedure must typically be repeated 2-4 times to completely treat haemorrhoids, with an average of 6–8 weeks passing between each procedure.

during hemorrhoidal ligation

Since hemorrhoidal ligation is regarded as a minor procedure and is occasionally carried out as an outpatient procedure, there is no need for hospitalisation or an overnight stay. The steps that cause it are as follows:

  1. Before the operation, the patient is anesthetized with either general or local anesthesia in the anal area, and the doctor depends on the following factors in choosing the type of anesthesia: the number of hemorrhoids that will be tied, and whether the hemorrhoid that will be tied is painful or not.
  2. A small medical bandage is attached to the hemorrhoid through the scope, which is inserted into it from the anus.
  3. This band is wrapped around the base of the hemorrhoid to cut off the blood flow to it.
  4. The doctor moves to another hemorrhoid to tie it until all the patient's hemorrhoids are tied.

This process usually takes only a few minutes, but the time required increases if the number of hemorrhoids that need ligation is large. If any blood clots have developed in the area, the doctor removes them during the procedure.

What to expect after hemorrhoidal ligation

After this procedure, each person reacts differently, but you can anticipate the following:

  • After surgery, the majority of people can resume their normal activities—with the exception of heavy lifting—immediately, but some require two to three days of complete rest.
  • After the procedure, the pain lasts for a period of between 24 and 48 hours. You can take paracetamol or sit in a bath of warm water for 15 minutes from time to time to relieve it.
  • To lessen the chance of bleeding, refrain from taking aspirin and other NSAIDs for 4-5 days prior to and following the procedure.
  • When the tied haemorrhoids fall off 7–10 days after surgery, some patients experience bleeding; however, this bleeding is typically minimal and resolves on its own.
  • After surgery, it is advised to consume foods high in fibre and drink lots of fluids to speed up the excretion process because stress from the process of excretion may cause haemorrhoids to return.

Cases that require hemorrhoid ligation

In the following circumstances, this procedure occurs:

  • Failure of non-surgical methods.  
  • Because this procedure can be done under local anaesthesia, the patient cannot tolerate general anaesthesia.
  • The individual is cirrhotic or has uremia (high levels of urea in the blood).

Cases in which hemorrhoid ligation is prevented

For those who fit one or more of the following descriptions, this process is not recommended:

  • People who use blood thinners.
  • those who experience blood disorders
  • pregnant.
  • Those with a latex allergy.
  • those whose rectum has a protruding prolapse due to severe prolapse.
  • Rectal cancer patients.
  • those suffering from inflammatory bowel disease, of which colitis is one form.
  • who has a compromised immune system.
  • who have an abscess close to the anus.

Complications of hemorrhoid ligation

This process rarely leads to complications, but if it does, they might include the following:

  1. Severe pain that does not respond to the used analgesia. 
  2. anal bleeding
  3. Urinary retention.
  4. An infection in the anal area.

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