General Surgery · Colorectal

Haemorrhoid Band Ligation

DATE AND TIME: [Date and time]
URGENCY: Elective / Non-elective
SURGEON: [Name]
ASSISTANT: [Name / None]
ANAESTHETIST: [Name]

OPERATION: Rubber Band Ligation of Internal Haemorrhoids
ANAESTHETIC: None required — procedure performed without sedation or local anaesthesia
ANTIBIOTICS: [Drug and dose / Not indicated]
DVT PROPHYLAXIS: [Agent / mechanical / Not indicated]
POSITION: Prone jack-knife

INDICATION:
Symptomatic Grade I, II, or III internal haemorrhoids — [bleeding / prolapse]. Grade IV haemorrhoids less likely to benefit. External haemorrhoids excluded (band ligation contraindicated). Colonoscopy / proctoscopy performed to exclude proximal pathology in patients with rectal bleeding. Disposable enema administered immediately pre-procedure to evacuate the rectum. Immunocompromised patients — band ligation strongly discouraged due to risk of sepsis.

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