Publication Name	World Journal of Gastrointestinal Surgery
Manuscript ID	106531
Country	Türkiye

Received	2025-02-28 06:50
Peer-Review Started	2025-02-28 06:52
To Make the First Decision
Return for Revision	2025-03-20 05:41
Revised	2025-03-21 04:41
Second Decision	2025-05-08 02:45
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief	2025-05-08 06:47
Articles in Press	2025-05-08 06:47
Publication Fee Transferred	2025-03-28 06:25
Edit the Manuscript by Language Editor
Typeset the Manuscript	2025-05-26 01:28
Publish the Manuscript Online	2025-05-30 10:57

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/
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Category	Surgery
Manuscript Type	Retrospective Study
Article Title	Modified fistulotomy with internal orifice distalization for optimized perianal fistula management: Pressure zone transition
Manuscript Source	Unsolicited Manuscript
All Author List	İsmail Cem Eray, Burak Yavuz, Ishak Aydin, Serdar Gumus, Ugur Topal and Kubilay Dalci
ORCID	Author(s) ORCID Number İsmail Cem Eray http://orcid.org/0000-0002-1560-7740 Burak Yavuz http://orcid.org/0000-0002-5262-0346 Ugur Topal http://orcid.org/0000-0003-1305-2056
Funding Agency and Grant Number
Corresponding Author	Ugur Topal, Associate Professor, MD, PhD, Department of General Surgery, Çukurova University Faculty of Medicine, 01790, Sarıçam, Adana 01130, Türkiye. sutopal2005@hotmail.com
Key Words	Perianal fistula; Fistulotomy; Surgical outcomes; Postoperative complications; Suture techniques
Core Tip	This study introduces an innovative modification of the fistulotomy technique for perianal fistulas that focuses on distalizing the internal opening away from the high-pressure zone. By excising the fistula tract up to the external sphincter, widening the internal orifice, curetting the inter sphincteric septic focus, performing a partial internal sphincterotomy, and employing absorbable sutures with loose seton placement, this method achieved complete healing in 83.3% of the 72 patients treated with it, while maintaining low recurrence (4.2%) and minimal incontinence (12.5%) rates.
Publish Date	2025-05-30 10:57
Citation	<p>Eray İC, Yavuz B, Aydin I, Gumus S, Topal U, Dalci K. Modified fistulotomy with internal orifice distalization for optimized perianal fistula management: Pressure zone transition. <i>World J Gastrointest Surg</i> 2025; 17(6): 106531</p>
URL	https://www.wjgnet.com/1948-9366/full/v17/i6/106531.htm
DOI	https://dx.doi.org/10.4240/wjgs.v17.i6.106531

Full Article (PDF)	WJGS-17-106531-with-cover.pdf
Manuscript File	106531_Auto_Edited_085343.docx
Answering Reviewers	106531-answering-reviewers.pdf
Audio Core Tip	106531-audio.mp3
Biostatistics Review Certificate	106531-biostatistics-statement.pdf
Conflict-of-Interest Disclosure Form	106531-conflict-of-interest-statement.pdf
Copyright License Agreement	106531-copyright-assignment.pdf
Signed Informed Consent Form(s) or Document(s)	106531-informed-consent-statement.pdf
Institutional Review Board Approval Form or Document	106531-institutional-review-board-statement.pdf
Non-Native Speakers of English Editing Certificate	106531-non-native-speakers.pdf
Peer-review Report	106531-peer-reviews.pdf
Scientific Editor Work List	106531-scientific-editor-work-list.pdf
CrossCheck Report	106531-crosscheck-report.pdf