Publication Name	World Journal of Gastroenterology
Manuscript ID	114738
Country	China

Category	Surgery
Manuscript Type	Letter to the Editor
Article Title	Transverse incision with longitudinal ligation procedure: Innovation, pitfalls, and clinical perspectives
Manuscript Source	Invited Manuscript
All Author List	Hong-Wei Hua and Jiong Wu
Funding Agency and Grant Number
Corresponding Author	Jiong Wu, Chief Physician, MD, Professor, Department of Coloproctology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, No. 110 Ganhe Road, Hongkou District, Shanghai 200437, China. tcmoctober9@163.com
Key Words	Transverse incision with longitudinal ligation procedure; Milligan-Morgan hemorrhoidectomy; Circumferential prolapsed hemorrhoids; Methodology; Proctology; Clinical perspectives
Core Tip	This commentary underscores the transverse incision with longitudinal ligation (TILL) procedure as an innovative approach for addressing circumferential prolapsed hemorrhoids. The primary innovation of TILL resides in its "tension modulation", achieved through a specific incision and ligation design that adeptly balances the radical excision of hemorrhoids with the preservation of anal structure and function. This method offers distinct advantages over the Milligan-Morgan hemorrhoidectomy, particularly in minimizing postoperative pain, edema, and the risk of stenosis. Consequently, TILL emerges as a promising complementary technique within the spectrum of contemporary hemorrhoid treatments, although further validation is necessary.
Citation	Hua HW, Wu J. Transverse incision with longitudinal ligation procedure: Innovation, pitfalls, and clinical perspectives. World J Gastroenterol 2025; In press

Received	2025-09-27 16:55
Peer-Review Started	2025-09-27 16:55
To Make the First Decision
Return for Revision	2025-10-23 08:59
Revised	2025-11-03 11:30
Second Decision	2025-11-13 02:40
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief	2025-11-13 08:59
Articles in Press	2025-11-13 08:59
Publication Fee Transferred
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1007-9327 (print) and 2219-2840 (online)
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