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Internal Hemorrhoidal Treatment

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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.

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