Banding is an alternative to injection of haemorrhoids. In this technique, the haemorrhoid is grasped through a proctoscope and a tight rubber band - Barron's bands - are positioned around the neck - not the haemorrhoidal stalk. The band constricts the haemorrhoidal vessels and the haemorrhoid slowly shrivels. Care must be taken to avoid application to the dentate line as immediate, severe pain results.
If the pile separates, it may be seen with the band and slight bleeding within the pan. An ulcer results that slowly heals. The patient should be informed to immediately return to hospital if large bleeding occurs due to secondary haemorrhage.
The patient should be advised to take analgesia before and afterwards, and to keep the stools soft
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