Barron’s method (rubber band ligation) is one of most effective, nonsurgical and safe procedures of haemorrhoids removal. It is estimated that this method has 90% of efficacy. It can be carried out in the ambulatory environment, without hospitalization.
Rubber band ligation is used in case of haemorrhoids I and II grades, sometimes also in case of those of grade III.
PREPARATION FOR THE PROCEDURE
Usually to prepare for rubber band ligation the proctoclysic with e.g. Rectanal should be done. After parting the bottocks the applicator is inserted into the rectum to the depth of few centimetres. Then, content of the container should be piped into the rectum by an applicator. Then the applicator should be removed. After few minutes defecation should appear. This action should be repeated twice. Once at the morning in the day of the procedure, and one hour before going for the procedure. Two days before the procedure patient should be on a diet combined of rice, pasta, clear soups, cooked meat and fish, smooth juices, tea, still drinks. In case of chronic constipations diet should be based on fluids: tea with sugar, juices, fruit jelly, clear soups, still drinks. In the day of the procedure patient should be on a liquid diet or drink 2-3 litres of still mineral water.
Contradictions for rubber band ligation are: pregnancy, proctitis, cancer, hip replacement, artificial cardiac pacemaker.