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November 18, 1968

Office Ligation of Hemorrhoids

Author Affiliations

Pasadena, Calif

JAMA. 1968;206(8):1793. doi:10.1001/jama.1968.03150080073023

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To the Editor:—  As originator of the office ligation method for the treatment of hemorrhoids and designer of an instrument employed, may I comment on the letter of Drs. Marino, Marino, and Mancini (205: 469, 1968) relative to the article of Drs. Frink and Duckler (204:375, 1968) on the subject.We described the method as an exhibition at the 1954 convention of the American Medical Association in San Francisco and authored the first published article concerning it (Amer J Surg96:401, 1958). We mention this experience of some 18 years only because Drs. Marino, Marino, and Mancini submitted their few months more experience with the method than the article's authors' 18 months' experience as evidence of sorts.The assertion that "only internal hemorrhoids as a cause of symptoms is a distinct rarity" (as asserted in the letter) is just not true. Nor is the assertion that "hemorrhoids... which