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[Comment] Does HubBLe spell trouble for HAL?

Tens of thousands of surgical procedures are performed every year in the UK to resolve symptoms of anal bleeding and prolapse caused by haemorrhoids.1 A steady stream of novel therapeutic approaches may promise more convenient, comfortable, and ultimately effective treatment for this common complaint, but innovation is generally associated with increased cost and complexity compared with standard outpatient rubber band ligation (RBL). New surgical devices require systematic evaluation to support development of effective patient pathways that make efficient use of precious health-care resources.