Rubber Band Ligation vs. Injection Therapy: Treatment Insights and Recovery - Surgery

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When it comes to the treatment of hemorrhoids, both rubber band ligation (RBL) and injection therapy (sclerotherapy) are commonly used methods, each with its own indications, benefits, and recovery considerations.
Rubber Band Ligation (RBL) is a minimally invasive procedure where a small rubber band is placed around the base of the hemorrhoid. This band cuts off the blood supply to the hemorrhoid, causing it to shrink and eventually fall off within a week or so. The procedure is typically performed in an outpatient setting and is relatively quick, often taking less than 10 minutes.
Recovery Time: After RBL, patients may experience some discomfort, bleeding, or a feeling of fullness in the rectal area. Most patients can return to normal activities within a day or two, but it is advisable to avoid strenuous activities for at least a week.
Recurrence: While RBL is effective, there is a possibility of recurrence, especially if lifestyle factors contributing to hemorrhoids, such as constipation or prolonged sitting, are not addressed. Studies suggest that recurrence rates can vary, but many patients find relief for several years following the procedure.

Injection Therapy (Sclerotherapy) involves the injection of a sclerosing agent directly into the hemorrhoid tissue. This agent causes the hemorrhoid to shrink by inducing inflammation and fibrosis. This method is also performed in an outpatient setting and is generally well-tolerated.

Recovery Time: Similar to RBL, recovery from injection therapy is usually quick. Patients may experience mild discomfort or bleeding, but most can resume normal activities within a day.
Recurrence: The recurrence rate for injection therapy can also be significant, and while it may provide temporary relief, it is often not as effective as RBL for larger hemorrhoids.
Advanced Treatments: In recent years, there have been advancements in the treatment of hemorrhoids. One such method is Infrared Coagulation (IRC), which uses infrared light to coagulate the hemorrhoidal tissue, leading to its shrinkage. Another option is Stapled Hemorrhoidopexy, which is a surgical procedure that repositions and staples the hemorrhoids back into their normal position, effectively cutting off their blood supply. This method is more invasive but may be suitable for larger or more complex hemorrhoids.

Post-Treatment Care: Regardless of the treatment chosen, post-treatment care is crucial. Patients are advised to maintain a high-fiber diet, stay hydrated, and avoid straining during bowel movements. Over-the-counter pain relief may be used as needed, and warm sitz baths can help alleviate discomfort.

In conclusion, both rubber band ligation and injection therapy are effective options for treating hemorrhoids, with RBL generally offering longer-lasting results. Recovery times are relatively short for both procedures, but the risk of recurrence remains a consideration. With advancements in medical technology, patients now have access to a variety of treatment options, allowing for personalized care based on their specific needs and circumstances. If you have experienced hemorrhoids since the earthquake and are dealing with recurrent symptoms, it is essential to consult with a healthcare provider who can assess your situation and recommend the most appropriate treatment plan for you.