The treatment of hemorrhoids involves various methods and one of these methods is a process called hemorrhoid banding. The process of banding is similar to what is done for gastric banding of the stomach. Banding is the medical treatment whereby the vessels in this area are clamped causing the hemorrhoid to fall off. This is a procedure that causes death of the tissue before and after the banding, i.e. the swollen part of the blood vessel. The dead tissue is removed and this will leave a healthy area, where the hemorrhoid was located.
The technique for banding was originally developed in 1958 by Baisdell, who first used banding. However, it was not until 1963 that Barron refined the procedure in the modern way it is used today. It was later discovered that banding could be used to remove other structures within the body by reducing the blood flow to the area.
The Banding Procedure
In preparation for banding a hemorrhoid, a surgeon will first have to assess the person’s condition. This is because as an outpatient procedure, this is a form of surgery this is better suited for someone who is in a stable health condition.
In the area where the hemorrhoids form at the anorectal or pectinate line, the vessels are at risk of inflammation. When they become inflamed, this can cause bleeding and painful bowel movements. Thus the surgeon will need to locate the venous plexus and the superior rectal vein to band hemorrhoids within these vessels. This procedure is frequently used for internal hemorrhoids. Once the blood flow has decreased, the inflammation of the hemorrhoid decreases.
The tool used for hemorrhoid banding treatment is actually a rubber band attached to a ligator. The surgical ligator is a tool used to clamp or cut off blood supply. The surgical band can be placed on the vessel to ligase the part of the artery where the hemorrhoid is located. When this is completed properly, banding has a 60 percent success rate, on those the procedure is completed on.
Complications and Risks of Banding
As long as the person does not have bleeding condition, they can be considered as a candidate for banding. However, those with a condition that makes them bleed excessively are at a higher risk of hemorrhaging.
The complications that are involved in hemorrhoid banding treatment involve loss of blood supply leading to death of intestinal tissue and infection which can be serious and lead to gangrene in some cases. If this procedure does affect the blood and nerve supply, this can affect the body in such a way that there is reduced function of the anal sphincter or loss of motility in the lower part of the large intestine, rectum or anus.
Hemorrhoids can reoccur in 50 percent of the people who were first treated with hemorrhoid banding.