Pile ligation (Barron band) is a very easy, effective and painless procedure for treating second or third degree hemorrhoids. It is performed since 100 years with very good results.
This procedure does not require any anesthesia and is executed at the proctologist’s office. through a proctoscope, the elastic bands are inserted at the base of hemorrhoids. The method is painless because there are no nerves at this point. The hemorrhoids regress after 3-4 days and the bands fall. A temporary and mild bleeding may occur at this time. This bleeding does n’t need any intervention and heals by itself. The fibrosis as a result of this procedure keeps the hemorrhoids in place and prevents their protruding. Usually two bands are applied at each visit.
The remaining hemorrhoids are treated after 3-4 weeks.
After insertion of rubber bands, there are no patient complaints. There may be a slight urge for defecation or pain. Warm sitz baths and analgesics are sufficient.
Long term results of this procedure are very encouraging. Surgery for hemorrhoids may have better results, but it is an invasive procedure, requires longer convalescence and has a bigger incidence of complications.