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Use of local anaesthetics in hemorrhoid banding

In patients undergoing hemorrhoid banding does local anaesthetic injection compared to no local anaesthetic reduce discomfort experienced during the procedure

Status
Terminated
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12610001000099
Enrollment
72
Registered
2010-11-17
Start date
2009-09-02
Completion date
2011-12-07
Last updated
2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Symptomatic Haemorrhoids are a commonly encountered in the colorectal clinic. Rubber band ligation is a simple treatment that can be performed easily in the office with minimal equipment. However, pain is common following banding and is sometimes associated with vasovagal symptoms. There have been some reports of using local anaesthetics in banding to reduce post-procedure pain but the results were conflicting. The purpose of this study is to prospectively verify the efficacy of local anaesthetic injection in reducing the pain associated with using our present technique of suction banding. The prospectively collected data will also be examined for possible contributing factors to patients’ pain experience following banding.

Interventions

Local anaesthetic injections using 2-3ml of 0.5% bupivicaine injected in the haemorrhoidal mucosa immediately under the band at each site after application of the band. This procedure takes approximately 10-15 minutes.

Sponsors

Ian Bissett
Lead SponsorIndividual

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used)

Eligibility

Sex/Gender
All
Age
16 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Patients seen in outpatient clinic with hemorrhoids who would normally be offered hemorrhoid banding

Exclusion criteria

Patients with co-existing anorectal conditions Patients with allergies to local anaesthetics Patients on which banding is contraindicated

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026