Themethod of encircling hemorrhoids and tightening them with a thread, as asurgical procedure, goes back as far as 460 BC. The main point of this methodis to make hemorrhoids shrink. Furthermore, this technique became even morefamous during the 19th century,but given the fact that the entire procedure caused so much pain, it rapidlybecame unwanted and put aside. If itweren’t for Blaisdell, who proposed a less painful way of conducting it bytying just the hemorrhoid tissue, it probably wouldn’t have been administeredtoday. The technique as we know it today, was first put to practice by Barron,and was done with the help of a specially designed instrument so the ties couldbe done in a precise manner. The entire procedure functions in the followingmanner: with the help of a tight band the blood flow in hemorrhoids is broughtto a halt. In this way, hemorrhoids start to shrivel and fall off by themselvesand do so in 7-10 days period. But this method shouldn’t be applied to allpeople, and those who should avoid it at any cost are those who suffer fromthird-degree piles, along with bulky second-degree cases.
Theentire procedure consists of a couple of separate, but equally importantphases. The first one is based in proper medication use, before the operationitself takes place. That is to say the patient is recommended not to takemedications which provoke bleeding (e.g. Aspirin and alike). In the case of aperson in question experiences anxiety that is far too intensive to bedisregarded, the use of pain killers is advised then. In the second phaseperson that is supposed to be operated, is given enema with the aim of clearingthe rectum of the stool and its traces. Another very important phase is theproper positioning phase – left lateral position is considered as the mostfrequent one, in which patient’s knees are straightened up and buttocks findthemselves projecting over the operating table’s edge. And the ultimate phaseincludes in tying of the band. In particular cases, two bands can be used forthe purpose of making sure that there wouldn’t be a breakage, and to make sure thatthe blood supply is stopped in a proper way.
ComplicationsCertaincomplications might also appear: pain, bleeding, infection and pelvic sepsis incases of presence of bacteria in the blood. When it comes to the part of beingsuccessful or not, numerous researches on this subject proved that it sharesthe same rates as other techniques employed for treating the hemorrhoids. Onaverage, 60-80% of patients have no reasons to complain once the surgery isfinished.
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