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Federal government websites often end in. Before sharing sensitive information, make sure you're on a federal government site. The site is secure. NCBI Bookshelf. David G. McKeown ; Scott Goldstein. Authors David G. McKeown 1 ; Scott Goldstein 2. Hemorrhoids are a common condition that can cause significant discomfort. Among the available treatment options, rubber band ligation RBL is a widely utilized and minimally invasive procedure for addressing this issue.
Initially described by Blaisdel and popularized by Barron in , RBL is effective for grades 1 and 2 internal hemorrhoids. This simple procedure is typically performed in an office without bowel preparation or sedation. RBL involves placing a rubber band around the hemorrhoid, inducing ischemia in the hemorrhoidal tissue; this leads to tissue detachment and ulcer formation, promoting healing and tissue attachment to the rectal wall.
Comparative studies show RBL's superiority over other treatments like sclerotherapy and infrared coagulation. The procedure is performed just above the dentate line due to the lack of somatic sensitivity in this area, minimizing discomfort.
Office-based procedures aim to alleviate symptoms, reduce hemorrhoidal tissue size and vascularity, and enhance tissue attachment, minimizing the chances of postoperative prolapse.
While these interventions are generally well-tolerated and associated with reduced pain, discussions about complications, recurrence rates, and the potential need for repeated procedures are essential for patients and healthcare providers.