| ISSN |
1007-9327 (print) and 2219-2840 (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/ |
| Copyright |
© The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved. |
| Article Reprints |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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| Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
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| Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
| Website |
http://www.wjgnet.com |
| 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 |
| ORCID |
|
| 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. |
| Publish Date |
2025-10-21 09:08 |
| Citation |
<p>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. <i>World J Gastroenterol</i> 2025; 31(39): 110288</p> |
| URL |
https://www.wjgnet.com/1007-9327/full/v31/i39/110288.htm |
| DOI |
https://dx.doi.org/10.3748/wjg.v31.i39.110288 |
