Hemorrhoidal Artery Ligation

There is another option to remove a hemorrhoid called Hemorrhoidal Artery Ligation (HAL), also known as Transanal Hemorrhoidal Dearterialization (THD). In this method, it locates the blood vessels causing the hemorrhoid using an ultrasound and ligates, or closes off, those blood vessels. This is more effective than rubber banding, but also has a higher cost and has longer-lasting pain result. This is the first option if the first rubber banding fails depending on the type of hemorrhoid.