Rubber band ligation

Panels A through E depict the technique of applying the rubber band to treat internal hemorrhoids.
(A) shows the forceps grasping the hemorrhoid. Note the band on the drum of the ligator.
(B) is a lateral view of the forceps grasping the hemorrhoid.
(C) shows the retraction of the forceps and the hemorrhoid into the drum of the ligator.
(D) shows the hemorrhoid pulled through the drum and the rubber band applied at the base of the hemorrhoid. Gentle traction is applied on the hemorrhoid by the forceps to secure it while the band is released from the ligator.
(E) depicts the banded, swollen hemorrhoid.