Rubber Band Ligation
Non-surgical banding of internal haemorrhoids cutting off blood supply — effective for Grade I–II haemorrhoids.
What is Rubber Band Ligation?
Rubber band ligation places a small elastic band at the base of the internal haemorrhoid, cutting off its blood supply. Over 5–7 days, the banded haemorrhoid shrivels and falls off. It is the most widely performed outpatient treatment for Grade I and II haemorrhoids. Dr. Tagore Mohan Grandhi performs rubber band ligation as a quick outpatient procedure without anaesthesia or hospital admission. Multiple haemorrhoids can be treated at staged sessions every 4 weeks.
How the Procedure Works
Clinical Assessment
Proctoscopy confirms internal haemorrhoid grade and suitability. Patient advised to avoid anticoagulants for 1 week prior.
Proctoscope Insertion
Proctoscope inserted through the anus to view the haemorrhoid above the dentate line under direct vision.
Band Application
Small rubber band deployed around the haemorrhoid base using a ligator device. Patient may feel pressure or mild discomfort.
Post-procedure
Normal activity immediately. Banded haemorrhoid shrivels and falls off within 5–7 days. No wound care required.
Follow-up
Repeat banding at 4-week intervals if multiple haemorrhoids present. High-fibre diet and hydration maintained.
Outcomes
Who Needs This Treatment?
- →Quick outpatient — 5–10 minutes, no anaesthesia, no admission
- →Effective for Grade I–II internal haemorrhoids with bleeding or mild prolapse
- →No surgical incision — devascularises haemorrhoid without surgery
- →Multiple haemorrhoids treated at staged 4-weekly sessions
Rubber band ligation is one of the most cost-effective, quick, and comfortable ways to treat early-stage haemorrhoids. For Grade I–II, it avoids surgery entirely and gives lasting relief in the outpatient setting.
— Dr. Tagore Mohan Grandhi, Senior Consultant Gastrointestinal Surgeon, Lux Hospitals, Hyderabad
Common Questions
Frequently Asked Questions
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