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Diseases of the Colon & Rectum

, Volume 42, Issue 5, pp 683–685 | Cite as

Disposable device and a minimally invasive technique for rubber band ligation of hemorrhoids

  • Patrick J. O'Regan
Technical Notes
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Abstract

A disposable syringe-like hemorrhoid ligator was invented to simplify the banding procedure for both patient and surgeon. This single-operator ligator, with its own suction mechanism and easy loading features, was designed for use without the need of an assistant or an anoscope. By pointing the ligator directly toward the appropriate site and by measuring the distance from the anal margin using reference markings on the ligator, the bands can be placed accurately in a blind manner inside the rectum for the treatment of symptomatic internal hemorrhoids. Before the band is discharged, rotating the ligator through 180 degrees while applying suction will cause pain and give warning if the application site is not appropriate. In 480 patients treated to date, this technique was found to be well accepted and accurate, and the final results seem to be comparable to other methods of banding.

Key words

Hemorrhoids Ligation Rubber band ligation Disposable ligator Elastic band ligation Sepsis Surgical technique 

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References

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    Barron J. Office ligation treatment of hemorrhoids. Dis Colon Rectum 1963;6:109–13.Google Scholar
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    MacRae HM, McLeod RS. Comparison of hemorrhoidal treatment modalities: a meta-analysis. Dis Colon Rectum 1995;38:687–94.Google Scholar
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    Murie JA, MacKenzie I, Sim AJ. Comparison of rubber band ligation and haemorrhoidectomy for 2nd and 3rd degree haemorrhoids: a prospective clinical trial. Br J Surg 1980;67:786–8.Google Scholar
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    Jeffrey PJ, Ritchie SM, Miller W, Hawley PR. The treatment of haemorrhoids by rubber band ligation at St Marks hospital. Postgrad Med J 1980;56:847–9.Google Scholar

Copyright information

© American Society of Colon and Rental Surgeons 1999

Authors and Affiliations

  • Patrick J. O'Regan
    • 1
  1. 1.From the Department of SurgeryMount Saint Joseph HospitalVancouverCanada

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