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Publication Name World Journal of Gastroenterology
Manuscript ID 114738
Country China
Received
2025-09-27 16:55
Peer-Review Started
2025-09-27 16:55
First Decision by Editorial Office Director
2025-10-23 08:59
Return for Revision
2025-10-23 08:59
Revised
2025-11-03 11:30
Publication Fee Transferred
Second Decision by Editor
2025-11-13 02:40
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2025-11-13 08:59
Articles in Press
2025-11-13 08:59
Edit the Manuscript by Language Editor
Typeset the Manuscript
2025-12-16 01:41
Publish the Manuscript Online
2025-12-27 02:50
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: https://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
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Surgery
Manuscript Type Letter to the Editor
Article Title Transverse incision with longitudinal ligation procedure: Innovation, pitfalls, and clinical perspectives
Manuscript Source Invited Manuscript
All Author List Hong-Wei Hua and Jiong Wu
ORCID
Author(s) ORCID Number
Jiong Wu http://orcid.org/0000-0003-3202-5002
Funding Agency and Grant Number
Corresponding Author Jiong Wu, Chief Physician, MD, Professor, Department of Coloproctology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, No. 110 Ganhe Road, Hongkou District, Shanghai 200437, China. tcmoctober9@163.com
Key Words Transverse incision with longitudinal ligation procedure; Milligan-Morgan hemorrhoidectomy; Circumferential prolapsed hemorrhoids; Methodology; Proctology; Clinical perspectives
Core Tip This commentary underscores the transverse incision with longitudinal ligation (TILL) procedure as an innovative approach for addressing circumferential prolapsed hemorrhoids. The primary innovation of TILL resides in its "tension modulation", achieved through a specific incision and ligation design that adeptly balances the radical excision of hemorrhoids with the preservation of anal structure and function. This method offers distinct advantages over the Milligan-Morgan hemorrhoidectomy, particularly in minimizing postoperative pain, edema, and the risk of stenosis. Consequently, TILL emerges as a promising complementary technique within the spectrum of contemporary hemorrhoid treatments, although further validation is necessary.
Publish Date 2025-12-27 02:50
Citation

Hua HW, Wu J. Transverse incision with longitudinal ligation procedure: Innovation, pitfalls, and clinical perspectives. World J Gastroenterol 2025; 31(48): 114738

URL https://www.wjgnet.com/1007-9327/full/v31/i48/114738.htm
DOI https://dx.doi.org/10.3748/wjg.v31.i48.114738
Full Article (PDF) WJG-31-114738-with-cover.pdf
Manuscript File 114738_Auto_Edited_025624.docx
Answering Reviewers 114738-answering-reviewers.pdf
Audio Core Tip 114738-audio.mp3
Conflict-of-Interest Disclosure Form 114738-conflict-of-interest-statement.pdf
Copyright License Agreement 114738-copyright-assignment.pdf
Non-Native Speakers of English Editing Certificate 114738-non-native-speakers.pdf
Peer-review Report 114738-peer-reviews.pdf
Scientific Misconduct Check 114738-scientific-misconduct-check.png
Scientific Editor Work List 114738-scientific-editor-work-list.pdf
CrossCheck Report 114738-crosscheck-report.pdf