Rubber Band Ligation 

Rubber Banding
A special instrument fits a small rubber band over part of the hemroids. A tight rubber band stops the blood flow into the pinched-off portion, which falls off in about a week. This technique is widely used for hemroids protruding into the Excretory Orifice canal. 

For patients with a lesser degree of prolapse, Rubber Band Ligation is currently the most widely used procedure in the United States for treatment of internal hemroids. In this procedure, the hemroidsal tissue is pulled into a double sleeved cylinder to allow the placement of latex/rubber bands around the tissue. Overtime, the tissue below the bands dies off and is eliminated during a bowel movement.

Rubber band ligation can be performed in a doctor's office and requires little preparation. Often, however, there is the need for more than one procedure to resolve a patient's condition. Rubber band ligation is most effective when combined with a sclerotherapy injection for prolapse.