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Rubber band ligation (RBL) [1] is an outpatient treatment procedure for internal hemorrhoids of any grade. [2] 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.
Hemorrhoids (or haemorrhoids), also known as piles, are vascular structures in the anal canal. [ 7 ] [ 8 ] In their normal state, they are cushions that help with stool control. [ 2 ] They become a disease when swollen or inflamed ; the unqualified term hemorrhoid is often used to refer to the disease. [ 8 ]
In 1995, Morinaga et al. [1] developed a non-excisional surgical technique for the treatment of internal hemorrhoids.Dal Monte et al. further refined this technique, introducing transanal hemorrhoidal dearterialization (THD).
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HAE begins when a catheter is inserted into the femoral or radial artery through a small incision. The catheter is then carefully navigated through the arterial system with x-ray guidance until it reaches the branches of the superior rectal artery that supply blood to the hemorrhoidal plexus. [3]
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Many patients treated with rubber band ligation or injection sclerotherapy require multiple treatments and there is high recurrence rate following these procedures. Conventional hemorrhoidectomy provides permanent symptomatic relief for most patients, and effectively treats any external component of the hemorrhoids.
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