Hemorrhoids are extremely common lesions within the anorectal area. They are enlarged veins also known as variceal dilations that...
Internal Hemorrhoidal Treatment
Evolution of Internal Hemorrhoidal Treatment
Internal hemorrhoidal treatment options are based on symptoms and the grade of hemorrhoid ranging from I-III. Mild cases are treated with sitz bath, suppositories and stool softeners. However internal hemorrhoids that remain prolapsed are treated more aggressively. Due to the low recurrence and complication rate of rubber band ligation, it is the most widely used technique out of the other nonsurgical treatment options which include infrared coagulation, laser photocoagulation, and sclerotherapy. Rubberband ligation can be performed with or without an endoscope.
There are several nonendoscopic rubber band ligation devices used by gastroenterologists such as the ShortShot Saeed Hemorrhoidal Multi-Band Ligator by Cook Medical or the CRH O’Regan Disposable Hemorrhoidal Banding System by CRH Medical Group. The only device specifically marketed for endoscopic band ligation of hemorrhoids is the Stiegmann-Goff Bandito Endoscopic Hemorrhoidal Ligator by ConMed Corp.
The CRH O’Regan System is a single use disposable suction ligator used for rubberband ligation of internal hemorrhoids. Once the hemorrhoidal tissue is suctioned into the ligator the rubber band is deployed around the base. The disposable device lessens the risk of acquired infections and pain since it does not involve the use of metal clamps and forceps as with traditional banding procedures. One banding takes about 60 seconds allowing for several treatment sessions to occur during the procedure. In contrast, traditional banding procedures take 5-10 minutes. Also, use of the CRH O’Regan System does not require the use of an endoscope which means sedation, fasting, and bowel prep is not required as with endoscopic hemorrhoidal banding.