Post-Surgery Concerns After Rubber Band Ligation: What to Know

Post-Operative Concerns After Rubber Band Ligation

Hello, I would like to ask you about my doctor.
On March 10th, I underwent a third rubber band ligation at the hospital.
The next morning, I noticed what appeared to be a black rubber band object had fallen out while using the restroom.
Later that evening, I noticed a second one had also been expelled after using the restroom.
I have a few questions:
1.
It seems that doctors typically apply two rubber bands.
Does this mean I need to return for a follow-up examination?
2.
When the rubber band fell out in the morning, there was significant bleeding, but after taking a sitz bath and applying medication, the bleeding improved.
What should I be cautious about?
3.
If both rubber bands have fallen out, does this indicate that the procedure was unsuccessful?
Thank you for your response.

JOHN, 30~39 year old female. Ask Date: 2022/03/11

Dr. Zhang Shuhao reply Surgery

After the rubber band ligation, the tissue will typically detach about a week later.
However, if the rubber band slips off the day after the procedure, it is usually due to insufficient tissue or an inappropriate ligation site.
Some patients use one or two bands.
If the band slips, soaking the area and applying medication may help, but if there is persistent bleeding, a follow-up appointment is necessary for evaluation, and sometimes local hemostasis may be required.

Reply Date: 2022/03/11

More Info

After undergoing rubber band ligation for hemorrhoids, it is common to have concerns about the recovery process and any potential complications. Based on your description, here are some insights and recommendations regarding your situation:
1. Rubber Band Ligature and Follow-Up: It is typical for doctors to place two rubber bands during the procedure to ensure effective ligation of the hemorrhoids. If you have noticed that both bands have fallen off, it does not necessarily indicate a failure of the procedure. The bands are designed to cut off blood supply to the hemorrhoids, causing them to shrink and eventually fall off. However, if you are experiencing significant symptoms or if the bands fell off unusually quickly, it is advisable to schedule a follow-up appointment with your doctor. They can assess whether the ligation was successful and if any further treatment is necessary.

2. Post-Procedure Bleeding: Experiencing some bleeding after the rubber bands fall off is not uncommon. The bleeding should be minimal and typically resolves on its own. However, if you notice a significant amount of blood, it is crucial to monitor the situation closely. Applying warm sitz baths can help soothe the area and promote healing. If the bleeding persists or worsens, or if you experience symptoms such as dizziness, increased pain, or signs of infection (like fever or foul-smelling discharge), you should seek medical attention immediately.

3. Understanding the Outcome: The fact that both rubber bands have fallen off does not automatically mean that the procedure was unsuccessful. The effectiveness of rubber band ligation is often assessed based on symptom relief and the reduction of hemorrhoidal tissue over time. It is important to follow up with your healthcare provider to evaluate the healing process and determine if additional treatment is needed.

4. General Recovery Tips: During your recovery, it is essential to maintain a high-fiber diet to prevent constipation, which can strain the area and lead to further complications. Staying hydrated and using stool softeners if necessary can also aid in a smoother recovery. Avoid heavy lifting and straining during bowel movements, as these actions can increase pressure on the surgical site.

5. Signs to Watch For: Keep an eye out for any signs of infection, such as increased redness, swelling, or discharge from the site. If you experience severe pain that is not relieved by over-the-counter pain medications, or if you have any concerns about your recovery, do not hesitate to contact your healthcare provider.

In summary, while some bleeding and the loss of rubber bands can be part of the normal healing process, it is essential to monitor your symptoms closely and maintain open communication with your healthcare provider. Regular follow-ups can help ensure that your recovery is on track and address any complications that may arise. Your health and comfort are paramount, so do not hesitate to seek medical advice if you have any concerns.

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