Hemorrhoids pp 131-141 | Cite as

Rubber Band Ligation, Sclerotherapy, Infrared Coagulation, and Other Techniques in the Treatment of Hemorrhoids

  • Arantxa Muñoz-DuyosEmail author
  • Arantzazu Rada Palomino
  • Laura Hernández-Giménez
Reference work entry
Part of the Coloproctology book series (COLOPROCT, volume 2)


The treatment of hemorrhoids should focus on eliminating the patient’s symptoms. If possible, hemorrhoidectomy should be avoided, to prevent postoperative complications and fecal incontinence. In this sense, the noninvasive surgical treatment of hemorrhoids is becoming more important. Considering the high incidence of hemorrhoids (almost 5% of the world population), and that most of these noninvasive treatments can be performed in an outpatient setting, these treatments are becoming more common. The mechanism of action is the same in all of them: producing a scar at the base of the hemorrhoid, reducing the vascular supply, and fixing the hemorrhoid cushion to the upper part of the anal canal in order to reduce bleeding and prolapse. Multiple techniques are available: rubber band ligation, sclerotherapy, infrared coagulation, bipolar diathermy, laser coagulation, the Ultroid (Ulterior Technologies, Tampa, FL, USA) approach, cryosurgery, and anal dilatation. These techniques are detailed in this chapter.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Arantxa Muñoz-Duyos
    • 1
    Email author
  • Arantzazu Rada Palomino
    • 1
  • Laura Hernández-Giménez
    • 1
  1. 1.Colorectal Surgery UnitHospital Universitari Mútua TerrassaTerrassa/BarcelonaSpain

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