{"id":381,"date":"2026-11-06T16:12:21","date_gmt":"2026-11-06T16:12:21","guid":{"rendered":"https:\/\/testmed.click\/diegomunoz\/?page_id=381"},"modified":"2026-11-06T16:13:11","modified_gmt":"2026-11-06T16:13:11","slug":"ligadura-hemorroidal","status":"publish","type":"page","link":"https:\/\/testmed.click\/diegomunoz\/ligadura-hemorroidal\/","title":{"rendered":"ligadura hemorroidal"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"381\" class=\"elementor elementor-381\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0fd3196 e-con-full e-flex e-con e-parent\" data-id=\"0fd3196\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-3cf355b e-con-full e-flex e-con e-child\" data-id=\"3cf355b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-460845a elementor-widget 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.cwhite:hover{transform:translateY(-2px);box-shadow:0 10px 24px rgba(0,0,0,.18)}@media(max-width:900px){.ligad-nm .chero-grid,.ligad-nm .ctreat,.ligad-nm .ccta-grid{grid-template-columns:1fr}.ligad-nm .csym-grid{grid-template-columns:1fr 1fr}}@media(max-width:640px){.ligad-nm .cw{width:min(100% - 32px,1400px)}.ligad-nm .chero,.ligad-nm .csec{padding:48px 0}.ligad-nm .ccta{padding:44px 0}.ligad-nm .cwm{display:none}.ligad-nm .csym-grid{grid-template-columns:1fr}.ligad-nm .cfq{font-size:15.5px}.ligad-nm .ctcol{padding:23px 20px}}\r\n<\/style>\r\n<div class=\"chero\"><img decoding=\"async\" class=\"cwm\" src=\"https:\/\/testmed.click\/diegomunoz\/wp-content\/uploads\/2026\/09\/LOGO-2026-02.png\" alt=\"\"><div class=\"cw\"><nav class=\"ccb\" aria-label=\"breadcrumb\"><a href=\"\/diegomunoz\/home\/\">Inicio<\/a><span class=\"cs\">\/<\/span><span class=\"cplain\">Procedimientos<\/span><span class=\"cs\">\/<\/span><span class=\"cc\">Ligadura hemorroidal<\/span><\/nav><span class=\"ck\">Enfermedades anorrectales<\/span><div class=\"chero-grid\"><div><h1 class=\"ch1\">Ligadura hemorroidal \u2014 tratamiento ambulatorio en Temuco<\/h1><p class=\"clead\">Un procedimiento en consulta para ciertas hemorroides internas, cuando las medidas habituales no han sido suficientes.<\/p><\/div><aside class=\"cside\"><span class=\"cside-k\">Atenci\u00f3n especializada<\/span><h2>Dr. Nelson Mu\u00f1oz P\u00e9rez<\/h2><div class=\"cside-line\"><\/div><p>Cirujano General y Coloproct\u00f3logo \u00b7 CONACEM, Universidad de Chile<\/p><a class=\"cbtn\" href=\"#\"><svg width=\"17\" height=\"17\" viewBox=\"0 0 24 24\" fill=\"currentColor\"><path d=\"M12.04 2C6.58 2 2.13 6.45 2.13 11.91c0 1.85.5 3.58 1.44 5.08L2 22l5.25-1.53c1.42.78 3.06 1.22 4.79 1.22 5.46 0 9.91-4.45 9.91-9.91C21.95 6.45 17.5 2 12.04 2zm0 18.06c-1.57 0-3.05-.42-4.32-1.22l-.31-.19-3.11.91.93-3.03-.2-.31a8.11 8.11 0 0 1-1.24-4.31c0-4.48 3.65-8.12 8.13-8.12 4.48 0 8.13 3.64 8.13 8.12s-3.65 8.15-8.01 8.15z\"\/><\/svg>Escribir por WhatsApp<\/a><\/aside><\/div><\/div><\/div>\r\n<div class=\"csec\"><div class=\"cw cnarrow\"><span class=\"csect-k\">La perspectiva del cirujano<\/span><h2 class=\"ch2\">Primero se confirma que el sangrado viene de las hemorroides.<\/h2><p class=\"cbody\">La ligadura con bandas el\u00e1sticas consiste en colocar una peque\u00f1a banda en la base de una hemorroide interna. La banda corta su irrigaci\u00f3n, y el tejido se desprende en los d\u00edas siguientes. Es una opci\u00f3n para hemorroides de grados bajos o intermedios que siguen dando s\u00edntomas pese a cambios de h\u00e1bitos y tratamiento m\u00e9dico.<\/p><p class=\"cbody\">Antes de indicarla reviso con cuidado cada caso. El sangrado rectal es el s\u00edntoma t\u00edpico de las hemorroides, pero tambi\u00e9n puede deberse a p\u00f3lipos o a un tumor. Si por edad, antecedentes o caracter\u00edsticas del sangrado corresponde, indico una colonoscop\u00eda antes de atribuir el s\u00edntoma solo a las hemorroides.<\/p><blockquote class=\"cquote\">\"Antes de tratar una hemorroide, hay que asegurarse de que el sangrado no tenga otro origen.\"<\/blockquote><\/div><\/div>\r\n<div class=\"csec csym-sec\"><div class=\"cw\"><span class=\"csect-k\">Qu\u00e9 sentir, cu\u00e1ndo consultar<\/span><h2 class=\"ch2\">Cu\u00e1ndo se indica<\/h2><div class=\"csym-grid\"><div class=\"csym\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"\/><line x1=\"12\" y1=\"8\" x2=\"12\" y2=\"12\"\/><line x1=\"12\" y1=\"16\" x2=\"12.01\" y2=\"16\"\/><\/svg>Sangrado rojo brillante al evacuar<\/div><div class=\"csym\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"\/><line x1=\"12\" y1=\"8\" x2=\"12\" y2=\"12\"\/><line x1=\"12\" y1=\"16\" x2=\"12.01\" y2=\"16\"\/><\/svg>Sensaci\u00f3n de bulto o prolapso que se reduce solo o con la mano<\/div><div class=\"csym\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"\/><line x1=\"12\" y1=\"8\" x2=\"12\" y2=\"12\"\/><line x1=\"12\" y1=\"16\" x2=\"12.01\" y2=\"16\"\/><\/svg>Picaz\u00f3n o molestias anales ocasionales<\/div><div class=\"csym\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"\/><line x1=\"12\" y1=\"8\" x2=\"12\" y2=\"12\"\/><line x1=\"12\" y1=\"16\" x2=\"12.01\" y2=\"16\"\/><\/svg>S\u00edntomas que contin\u00faan pese a m\u00e1s fibra, hidrataci\u00f3n y tratamiento m\u00e9dico<\/div><div class=\"csym\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"\/><line x1=\"12\" y1=\"8\" x2=\"12\" y2=\"12\"\/><line x1=\"12\" y1=\"16\" x2=\"12.01\" y2=\"16\"\/><\/svg>Dolor intenso y s\u00fabito: no es una indicaci\u00f3n de ligadura y requiere evaluaci\u00f3n<\/div><div class=\"csym\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"\/><line x1=\"12\" y1=\"8\" x2=\"12\" y2=\"12\"\/><line x1=\"12\" y1=\"16\" x2=\"12.01\" y2=\"16\"\/><\/svg>Sangrado persistente o cambios del h\u00e1bito intestinal: requieren estudio completo<\/div><\/div><\/div><\/div>\r\n<div class=\"csec ctreat-sec\"><div class=\"cw\"><span class=\"csect-k\">Evaluaci\u00f3n y procedimiento<\/span><h2 class=\"ch2\">La indicaci\u00f3n depende del grado de la hemorroide.<\/h2><div class=\"ctreat\"><div class=\"ctcol\"><div class=\"ctcol-head\"><span class=\"ctnum\">1<\/span><h3>Evaluaci\u00f3n<\/h3><\/div><div class=\"ctitem\"><h4>Examen proctol\u00f3gico y anoscop\u00eda<\/h4><p>Permiten ver las hemorroides, clasificarlas por grado y descartar otras causas de molestias, como fisuras.<\/p><\/div><div class=\"ctitem\"><h4>Estudio del colon cuando corresponde<\/h4><p>Colonoscop\u00eda si hay sangrado en personas de mayor edad, antecedentes familiares o signos de alarma.<\/p><\/div><div class=\"ctitem\"><h4>Revisi\u00f3n de medicamentos<\/h4><p>Los anticoagulantes y antiagregantes requieren ajustes indicados por el m\u00e9dico tratante.<\/p><\/div><\/div><div class=\"ctcol\"><div class=\"ctcol-head\"><span class=\"ctnum\">2<\/span><h3>Tratamiento<\/h3><\/div><div class=\"ctitem\"><h4>Ligadura con bandas<\/h4><p>Procedimiento ambulatorio, habitualmente sin anestesia general, que puede hacerse en una o m\u00e1s sesiones separadas por algunas semanas.<\/p><\/div><div class=\"ctitem\"><h4>Otras alternativas<\/h4><p>Cambios de h\u00e1bitos, medicamentos y otros procedimientos en consulta, seg\u00fan el caso.<\/p><\/div><div class=\"ctitem\"><h4>Hemorroidectom\u00eda<\/h4><p>Cirug\u00eda que se plantea para hemorroides de mayor grado o cuando los tratamientos en consulta no son suficientes.<\/p><\/div><\/div><\/div><\/div><\/div>\r\n<div class=\"csec\"><div class=\"cw cfaq\"><span class=\"csect-k\">Lo que preguntan seguido<\/span><h2 class=\"ch2\">Preguntas frecuentes<\/h2><div class=\"cfitem\"><button class=\"cfq\" type=\"button\">\u00bfDuele la ligadura?<svg width=\"18\" height=\"18\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><line x1=\"12\" y1=\"5\" x2=\"12\" y2=\"19\"\/><line x1=\"5\" y1=\"12\" x2=\"19\" y2=\"12\"\/><\/svg><\/button><div class=\"cfa\"><p>Lo m\u00e1s habitual es una sensaci\u00f3n de presi\u00f3n o pesadez en el recto, que puede durar algunas horas o d\u00edas. Algunas personas tienen m\u00e1s molestias que otras, y se indican analg\u00e9sicos y medidas de cuidado.<\/p><\/div><\/div>\r\n<!-- PENDIENTE: respuestas no incluidas en el PDF. Descomentar cuando est\u00e9n validadas con el doctor.\r\n<div class=\"cfitem\"><button class=\"cfq\" type=\"button\">\u00bfCu\u00e1ndo puedo volver a mis actividades?<svg width=\"18\" height=\"18\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><line x1=\"12\" y1=\"5\" x2=\"12\" y2=\"19\"\/><line x1=\"5\" y1=\"12\" x2=\"19\" y2=\"12\"\/><\/svg><\/button><div class=\"cfa\"><p>RESPUESTA PENDIENTE<\/p><\/div><\/div>\r\n<div class=\"cfitem\"><button class=\"cfq\" type=\"button\">\u00bfQu\u00e9 riesgos tiene?<svg width=\"18\" height=\"18\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><line x1=\"12\" y1=\"5\" x2=\"12\" y2=\"19\"\/><line x1=\"5\" y1=\"12\" x2=\"19\" y2=\"12\"\/><\/svg><\/button><div class=\"cfa\"><p>RESPUESTA PENDIENTE<\/p><\/div><\/div>\r\n<div class=\"cfitem\"><button class=\"cfq\" type=\"button\">\u00bfLas hemorroides pueden volver a aparecer?<svg width=\"18\" height=\"18\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><line x1=\"12\" y1=\"5\" x2=\"12\" y2=\"19\"\/><line x1=\"5\" y1=\"12\" x2=\"19\" y2=\"12\"\/><\/svg><\/button><div class=\"cfa\"><p>RESPUESTA PENDIENTE<\/p><\/div><\/div>\r\n-->\r\n<\/div><\/div>\r\n<div class=\"ccta\"><img decoding=\"async\" class=\"ccta-wm\" src=\"https:\/\/testmed.click\/diegomunoz\/wp-content\/uploads\/2026\/09\/LOGO-2026-02.png\" alt=\"\"><div class=\"cw ccta-grid\"><div><span class=\"ccta-k\">Agenda tu hora<\/span><h2>Habla con un especialista en Temuco.<\/h2><p>El tratamiento correcto requiere una evaluaci\u00f3n cl\u00ednica real: de tu situaci\u00f3n, tus s\u00edntomas y el grado de tus hemorroides. Un sitio web es un punto de partida, no un reemplazo.<\/p><p class=\"ccta-foot\">Dr. Nelson Mu\u00f1oz P\u00e9rez \u00b7 Cirujano General y Coloproct\u00f3logo \u00b7 Temuco, Chile<\/p><\/div><a class=\"cwhite\" href=\"#\"><svg width=\"18\" height=\"18\" viewBox=\"0 0 24 24\" fill=\"currentColor\"><path d=\"M12.04 2C6.58 2 2.13 6.45 2.13 11.91c0 1.85.5 3.58 1.44 5.08L2 22l5.25-1.53c1.42.78 3.06 1.22 4.79 1.22 5.46 0 9.91-4.45 9.91-9.91C21.95 6.45 17.5 2 12.04 2zm0 18.06c-1.57 0-3.05-.42-4.32-1.22l-.31-.19-3.11.91.93-3.03-.2-.31a8.11 8.11 0 0 1-1.24-4.31c0-4.48 3.65-8.12 8.13-8.12 4.48 0 8.13 3.64 8.13 8.12s-3.65 8.15-8.01 8.15z\"\/><\/svg>Escribir por WhatsApp<\/a><\/div><\/div>\r\n<script>(function(){var a=document.querySelectorAll('.ligad-nm .cfitem');a.forEach(function(i){var b=i.querySelector('.cfq'),c=i.querySelector('.cfa');b.addEventListener('click',function(){var 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