RT Journal A1 Blaisdell PC T1 TReatment of hemorrhoids JF JAMA JO JAMA YR 1969 FD March 31 VO 207 IS 13 SP 2440 OP 2440 DO 10.1001/jama.1969.03150260100028 UL http://dx.doi.org/10.1001/jama.1969.03150260100028 AB To the Editor:—  In this second letter of Marino et al, they seek to explain what they meant in their first letter. I feel no such necessity for explaining what was meant in my published reply to said first letter.Possibly in a third letter they will attempt to explain the logic of gratuitously interjecting the topic of preoperative examinations in a discussion of hemorrhoidectomy techniques. The inclusion of their elementary admonition on this topic as part and parcel of critical remarks concerning the office ligation of hemorrhoids gives the misleading impression that the employment of the latter technique is somehow exclusively related to inadequate preoperative examinations.Any who are employing our ligating technique of four or more years ago may have overlooked a more recently reported technique employing catgut slipknots instead of rubber bands for providing constriction (Amer J Proctol, 17:2, 1966). An as yet unpublished contribution reports