Publication Name	World Journal of Gastrointestinal Surgery
Manuscript ID	118935
DOI	10.4240/wjgs.118935
Country	Saudi Arabia

Category	Gastroenterology & Hepatology
Manuscript Type	Retrospective Study
Article Title	Cutting seton as salvage strategy for complex or recurrent anal fistula: Single-tertiary center 10-year experience with 207 patients
Manuscript Source	Unsolicited Manuscript
All Author List	Mohammed A Widinly, Mahmood H Aljohani, Abdullah Alrebdi, Mohammed Basem Beyari, Saleh Husam Aldeligan, Aisha M Abdulrahman, Abdullah Alkassim, Hadi Almohsen, Rasha Eidah Althebaity, Eman Almotairi, Reem A Alharbi, Asim M Almughamsi and Nasser Alsanea
Funding Agency and Grant Number
Corresponding Author	Reem A Alharbi, Associate Professor, Surgery, Princess Nourah Bint Abdulrahman University, P.O. Box 4792, Riyadh 11564, Saudi Arabia. reem.awad.alharbi@gmail.com
Key Words	Complex fistula; Seton; Proctology; Incontinence; Cure rate; Recurrent fistula
Core Tip	This study evaluated the outcomes of cutting seton use in the management of complex and recurrent anal fistula, including cure and recurrence rates, postoperative pain, and the risk of gas and fecal incontinence. The surgical technique was found to be a reliable treatment option, demonstrating a high cure rate, a low incidence of predominantly mild postoperative incontinence, and manageable pain levels.
Citation	Widinly MA, Aljohani MH, Alrebdi A, Beyari MB, Aldeligan SH, Abdulrahman AM, Alkassim A, Almohsen H, Althebaity RE, Almotairi E, Alharbi RA, Almughamsi AM, Alsanea N. Cutting seton as salvage strategy for complex or recurrent anal fistula: Single-tertiary center 10-year experience with 207 patients. World J Gastrointest Surg 2026; In press DOI: https://doi.org/10.4240/wjgs.118935
PDF	118935-in-press.pdf

Received	2026-01-19 03:08
Peer-Review Started	2026-01-19 03:09
First Decision by Editorial Office Director	2026-02-26 07:05
Return for Revision	2026-02-26 07:05
Revised	2026-04-28 07:27
Publication Fee Transferred	2026-04-30 05:42
Second Decision by Editor	2026-06-09 02:35
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-06-09 03:19
Articles in Press	2026-06-09 03:19
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: http://creativecommons.org/Licenses/by-nc/4.0/
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