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M4H015~12 bhopalsurgery1.mp4

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Published on Aug 6, 2011

A proctoscope is inserted into the anal opening. The hemorrhoids are visualized and the most prominent hemorrhoid is ligated first. The assistant holds the proctoscope, while the operator holds the preloaded Barron band ligator with the grasping forceps. The hemorrhoid is grasped by forceps and maneuvered into the drum of the ligator. If the patient complains of pain a more proximal point is selected for band ligation. After pulling up the hemorrhoid taut through the drum of the ligator, the ligator is then pushed up against the base of the hemorrhoid, and the trigger is released to apply two rubber rings/bands to the base of the hemorrhoid. The process is repeated for other hemorrhoids.

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