Publication Name	World Journal of Gastrointestinal Surgery
Manuscript ID	123763
Country	Türkiye

Category	Surgery
Manuscript Type	Retrospective Cohort Study
Article Title	Timing of ligation of the intersphincteric fistula tract after loose seton drainage in complex anal fistulas
Manuscript Source	Unsolicited Manuscript
All Author List	Akay Edizsoy, Narmin Tahirli, Ahmet Tanyeri and Pars Tunçyürek
Funding Agency and Grant Number
Corresponding Author	Akay Edizsoy, Assistant Professor, Department of General Surgery/Surgical Oncology, Aydın Adnan Menderes University, Zafer Mahallesi, Efeler 09100, Aydın, Türkiye. akayedizsoy@yahoo.com
Key Words	Complex anal fistula; Ligation of intersphincteric fistula tract procedure; Seton drainage; Optimal timing; Delayed intervention; Magnetic resonance imaging
Core Tip	This study suggests that timing of the ligation of intersphincteric fistula tract surgical procedure after loose seton drainage may be clinically relevant in selected patients with complex anal fistulas. Interval magnetic resonance imaging may help identify persistent inflammatory cavities that warrant postponement of definitive surgery. However, due to the overall small sample size and baseline differences observed between the groups evaluated in this study, no conclusions can be drawn regarding the superiority of delayed vs standard-timing ligation of intersphincteric fistula tract.
Citation	Edizsoy A, Tahirli N, Tanyeri A, Tunçyürek P. Timing of ligation of the intersphincteric fistula tract after loose seton drainage in complex anal fistulas. World J Gastrointest Surg 2026; In press

Received	2026-05-28 07:04
Peer-Review Started	2026-05-28 07:04
First Decision by Editorial Office Director
Return for Revision	2026-06-26 02:45
Revised	2026-06-30 21:18
Publication Fee Transferred	2026-07-08 10:30
Second Decision by Editor	2026-07-16 02:42
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-07-16 06:02
Articles in Press	2026-07-16 06:02
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-9366 (online)
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