Hemorrhoid banding and removal

Anatomy or system affected: Anus, blood vessels, circulatory system, gastrointestinal system, intestines

Definition: The surgical ligation and removal of protruding veins from the lower rectum

Indications and Procedures

Hemorrhoids, or piles, result from the protrusion or varicosity of veins found within the mucous membranes of the rectum. Hemorrhoids may develop inside or outside the rectum, and they are among the more common human afflictions.

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Hemorrhoids generally develop as a result of increased pressure placed on veins within the rectum. The pressure may be attributable to straining as a result of constipation or to prolonged sitting. In women, they often develop during pregnancy and following childbirth. Individuals may develop hemorrhoids due to Irritable Bowel syndrome. Treatment depends on the severity of the discomfort and the location of the hemorrhoid.

External hemorrhoids are often not painful, and they may respond to the application of cool compresses or over-the-counter astringent creams. Creams and suppositories containing steroids may be prescribed by a physician. Internal hemorrhoids may not be noticeable unless a vein ruptures, causing some bleeding, pain, and itching. Since bacteria regularly pass through the rectal area, infection may increase the itching and pain, eventually requiring treatment. If discomfort continues and is not relieved through simple medication, the hemorrhoids may require surgical removal. Several methods exist for removal. Often, the vein is stretched and cut off at its base. Local anesthetics may be necessary, and there may be bleeding and discomfort. Internal hemorrhoids may also be eliminated through cryosurgery, the application of subfreezing temperatures to eliminate tissue. The complete surgical removal of the hemorrhoid, hemorrhoidectomy, may be warranted under certain circumstances.

Hemorrhoid banding, also referred to as rubber band ligation and Barron ligation, involves the placement of a tight rubber band at the base of the hemorrhoid. Over the next few days, the vein will degenerate and slough off. The procedure is relatively simple and can be performed on an outpatient basis. Aside from some discomfort for several days, there are few side effects associated with the banding procedure. Warm sitz baths and local astringents may be helpful in reducing any swelling or pain, and the patient should eat a diet conducive to a soft stool.

Bibliography

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