Publication Name	World Journal of Gastroenterology
Manuscript ID	110288
Country	China

Category	Surgery
Manuscript Type	Observational Study
Article Title	Optimizing circumferential prolapsed hemorrhoid surgery: Transverse incision with longitudinal ligation procedure delivers superior radicality compared to Milligan-Morgan technique
Manuscript Source	Unsolicited Manuscript
All Author List	Xin-Bo Song, Yan-Zhi Wang, Yan-Mei Wang, Hong Sun, Jia-Nan Li, Huang-Fu Ma, Xin Li, Ting-Ting Sui, Rui-Han Liu and Li-Xia Lai
Funding Agency and Grant Number	Funding Agency Grant Number Scientific Research Fund of China-Japan Friendship Hospital 2019-1-QN-53
Corresponding Author	Li-Xia Lai, MD, Department of Proctology, China-Japan Friendship Hospital, No. 2 Sakura East Street, Chaoyang District, Beijing 100029, China. laixia86@163.com
Key Words	Circumferential prolapsed hemorrhoid; Milligan-Morgan hemorrhoidectomy; Transverse incision with longitudinal ligation procedure; Efficacy; Anal function
Core Tip	This study compared transverse incision with longitudinal ligation procedure (TILL) and Milligan-Morgan hemorrhoidectomy (MMH) in 180 grade III/IV circumferential prolapsed hemorrhoid patients. Results showed TILL had superior clinical efficacy (P = 0.022), faster wound healing (P = 0.001), and less postoperative pain, anal edema, and stenosis (all P < 0.05) vs MMH. TILL provided more thorough hemorrhoid removal, shorter recovery, and better anal function preservation. The findings suggest TILL is safer and more effective than traditional MMH for advanced circumferential prolapsed hemorrhoid, reducing complications like pain and stenosis while improving surgical outcomes. TILL represents a significant advancement in hemorrhoidectomy technique.
Citation	Song XB, Wang YZ, Wang YM, Sun H, Li JN, Ma HF, Li X, Sui TT, Liu RH, Lai LX. Optimizing circumferential prolapsed hemorrhoid surgery: Transverse incision with longitudinal ligation procedure delivers superior radicality compared to Milligan-Morgan technique. World J Gastroenterol 2025; In press

Received	2025-06-13 09:56
Peer-Review Started	2025-06-13 09:56
To Make the First Decision
Return for Revision	2025-07-08 09:56
Revised	2025-07-20 04:07
Second Decision	2025-09-15 02:40
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief	2025-09-15 05:38
Articles in Press	2025-09-15 05:38
Publication Fee Transferred	2025-07-21 04:49
Edit the Manuscript by Language Editor
Typeset the Manuscript

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