Hemorrhoid banding or rubber-band ligation procedure is a conservative surgical treatment of internal hemorrhoids.
The hemorrhoid is visualized through the anascope, and its proximal portion above the mucocutaneous lines is grasped with an instrument.
A small rubber band is then slipped over the hemorrhoid.
Tissue distal to the rubber band becomes necrotic after several days and falls away.
Fibrosis occurs; the result is that the lower anal mucosa is drawn up and adheres to the underlying muscle.
Although this treatment has been satisfactory for some patients, it has proven painful for others and may cause secondary hemorrhage.
It has been known to cause perianal infection.
When does one need a hemorrhoid banding? If the hemorrhoid does not respond to non-pharmacological interventions such as an increase intake of fiber and fluids then it is essential to consult the expertise of a medical health practitioner.
Most individuals with hemorrhoids that are unresponsive to home treatment prefer treating it with rubber-band ligation.
Whatever the type of hemorrhoid, rubber-band ligation works for both.
When one opts for this kind of procedure, relief of itching, pain, and bleeding is guaranteed.
Banding is specifically done for patients with severely bleeding and painful hemorrhoids, hemorrhoids containing blood clots (thrombosed), and ones that protrude through the anus (prolapsed).
Before the operation, a thorough physical including rectal examination is done.
This kind of procedure does not usually call for anesthesia.
However, a local anesthesia can also be used to numb the area.
Individuals facing this kind of surgery may be upset and irritable because of discomfort, pain, and embarrassment.
It is important to maintain the patient's safety while providing care and by limiting visitors, if the patient desires.
Soiled dressings are removed from the room promptly to prevent unpleasant odors; room deodorizers may be needed if dressings have a foul odor.
During the first 24 hours after rectal surgery, painful spasms of the sphincter and perineal muscles may occur.
Control of pain is a prime consideration.
The patient is encouraged to assume a comfortable position.
Warm compresses may promote circulation and soothes irritated tissues.
Wet dressings saturated with equal parts of cold water and witch hazel help relieve edema.
The patient is also instructed to assume a prone position at intervals because this position promotes drainage of edematous fluid.
Voiding may be a problem after surgery because of a reflex spasm of the sphincter at the outlet of the bladder and a certain amount of muscle guarding from apprehension and pain.
The caregiver tries all methods to encourage voluntary voiding (i.
e.
, increasing fluid intake, listening to running water, and dripping water over the urinary meatus).
The operative site is examined frequently for rectal bleeding.
Symptoms of rectal bleeding are assessed (i.
e.
, tachycardia, hypotension, restlessness, and thirst).
It is important to avoid using moist heat because it encourages vessel dilation and bleeding.
It is important to keep the perianal area as clean as possible by gently cleansing with warm water and then drying with absorbent cotton wipes.
The diet is modified to increase fluids and fiber.
Moderate exercise is encouraged, and the patient is taught about the prescribed diet, the significance of proper eating habits and exercise, and the laxatives that can be taken safely.
The hemorrhoid is visualized through the anascope, and its proximal portion above the mucocutaneous lines is grasped with an instrument.
A small rubber band is then slipped over the hemorrhoid.
Tissue distal to the rubber band becomes necrotic after several days and falls away.
Fibrosis occurs; the result is that the lower anal mucosa is drawn up and adheres to the underlying muscle.
Although this treatment has been satisfactory for some patients, it has proven painful for others and may cause secondary hemorrhage.
It has been known to cause perianal infection.
When does one need a hemorrhoid banding? If the hemorrhoid does not respond to non-pharmacological interventions such as an increase intake of fiber and fluids then it is essential to consult the expertise of a medical health practitioner.
Most individuals with hemorrhoids that are unresponsive to home treatment prefer treating it with rubber-band ligation.
Whatever the type of hemorrhoid, rubber-band ligation works for both.
When one opts for this kind of procedure, relief of itching, pain, and bleeding is guaranteed.
Banding is specifically done for patients with severely bleeding and painful hemorrhoids, hemorrhoids containing blood clots (thrombosed), and ones that protrude through the anus (prolapsed).
Before the operation, a thorough physical including rectal examination is done.
This kind of procedure does not usually call for anesthesia.
However, a local anesthesia can also be used to numb the area.
Individuals facing this kind of surgery may be upset and irritable because of discomfort, pain, and embarrassment.
It is important to maintain the patient's safety while providing care and by limiting visitors, if the patient desires.
Soiled dressings are removed from the room promptly to prevent unpleasant odors; room deodorizers may be needed if dressings have a foul odor.
During the first 24 hours after rectal surgery, painful spasms of the sphincter and perineal muscles may occur.
Control of pain is a prime consideration.
The patient is encouraged to assume a comfortable position.
Warm compresses may promote circulation and soothes irritated tissues.
Wet dressings saturated with equal parts of cold water and witch hazel help relieve edema.
The patient is also instructed to assume a prone position at intervals because this position promotes drainage of edematous fluid.
Voiding may be a problem after surgery because of a reflex spasm of the sphincter at the outlet of the bladder and a certain amount of muscle guarding from apprehension and pain.
The caregiver tries all methods to encourage voluntary voiding (i.
e.
, increasing fluid intake, listening to running water, and dripping water over the urinary meatus).
The operative site is examined frequently for rectal bleeding.
Symptoms of rectal bleeding are assessed (i.
e.
, tachycardia, hypotension, restlessness, and thirst).
It is important to avoid using moist heat because it encourages vessel dilation and bleeding.
It is important to keep the perianal area as clean as possible by gently cleansing with warm water and then drying with absorbent cotton wipes.
The diet is modified to increase fluids and fiber.
Moderate exercise is encouraged, and the patient is taught about the prescribed diet, the significance of proper eating habits and exercise, and the laxatives that can be taken safely.
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