Current Treatment Options
For patients with a lesser degree of prolapse, Rubber Band
Ligation is currently the most widely used procedure in the
treatment of internal hemorrhoids.In this procedure, the
hemorrhoidal tissue is pulled into a double-sleeved cylinder
to allow the placement of latex/rubber bands around the
tissue. (Fig. 1) Over time, the tissue below the
bands dies-off and is eliminated during a bowel movement. (Fig.
2) Rubber band ligation can be performed in a doctor’s
office and requires little preparation. Often, however,
there is the need for more than one procedure to resolve a
patient’s condition.
Ferguson Technique
In this technique, a retractor is used to expose the
hemorrhoidal tissue which is removed surgically. (Fig. 3)
The remaining tissue is then either sutured or sealed
through the coagulation effects of the surgical device. (Fig.
4)
PPH - Procedure for Prolapse and Hemorrhoids
PPH is a technique developed in the early 90’s that
reduces the prolapse of hemorrhoidal tissue by excising a
band of the prolapsed anal mucosa membrane with the use of a
circular stapling device. In PPH, the prolapse tissue is
pulled into a device that allows the excess tissue to be
removed while the remaining hemorrhoidal tissue is stapled.
This restores the hemorrhoidal tissue back to its original
anatomical position.
 |
 |
 |
| Internal/External
Hemorrhoids [1] |
Dilator
[2] |
Purse
String [3] |
 |
 |
 |
| Closing
PPH [4] |
Mucosa
Pull [5] |
Staples
[6] |
