Publication Name	World Journal of Gastrointestinal Surgery
Manuscript ID	116575
Country	Italy

Category	Surgery
Manuscript Type	Basic Study
Article Title	Sutured rectal lift for obstructed defecation: Mesh-free sphincter-preserving transanal technique for Oxford grade II-III prolapse
Manuscript Source	Invited Manuscript
All Author List	Claudio Eduardo Pagano, Sonia Sarnari, Umberto Favetta, Roberto Picheo, Fabrizio Gambarini, Angelo Guttadauro and Michele Schiano di Visconte
Funding Agency and Grant Number
Corresponding Author	Michele Schiano di Visconte, Department of General Surgery, Colorectal and Pelvic Floor Diseases Center, Azienda ULSS 2 "Marca Trevigiana", Via Sant'Ambrogio in Fiera, 37, Treviso 31100, Veneto, Italy. mschianodivisconte@gmail.com
Key Words	Obstructed defecation syndrome; Internal rectal prolapse; Transanal surgery; Sphincter preservation; Rectal suspension; Surgical standardization
Core Tip	Obstructed defecation syndrome due to internal rectal prolapse requires options beyond resection or mesh rectopexy. Sutured rectal lift is a physiological, mesh-free, sphincter-preserving transanal suspension. This basic study details the anatomic rationale, step-by-step standardization, and bench validation of suture-based lift to restore the rectal axis and compliance. By focusing on Oxford grade II–III prolapse and excluding multicompartmental descent, we provide reproducible technical guidance and implementation pearls that are distinct from the clinical outcomes reported elsewhere. The aim was to enable safe adoption, inform the study design, and avoid data overlap with prior clinical series.
Citation	Pagano CE, Sarnari S, Favetta U, Picheo R, Gambarini F, Guttadauro A, Schiano di Visconte M. Sutured rectal lift for obstructed defecation: Mesh-free sphincter-preserving transanal technique for Oxford grade II-III prolapse. World J Gastrointest Surg 2026; In press

Received	2025-11-14 07:53
Peer-Review Started	2025-11-14 07:53
First Decision by Editorial Office Director	2025-12-02 07:28
Return for Revision	2025-12-02 07:28
Revised	2025-12-13 14:42
Publication Fee Transferred
Second Decision by Editor	2026-01-15 02:37
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-01-15 07:12
Articles in Press	2026-01-15 07:12
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-9366 (online)
Open Access	This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Copyright	The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
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