Optimizing circumferential prolapsed hemorrhoid surgery: Transverse incision with longitudinal ligation procedure delivers superior radicality compared to Milligan-Morgan technique
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, Li-Xia Lai
Xin-Bo Song, Yan-Zhi Wang, Yan-Mei Wang, Jia-Nan Li, Huang-Fu Ma, Xin Li, Ting-Ting Sui, Rui-Han Liu, Li-Xia Lai, Department of Proctology, China-Japan Friendship Hospital, Beijing 100029, China
Hong Sun, Department of Proctology in Traditional Chinese Medicine, Xinjiang Production and Construction Corps Hospital, Urumqi 830002, Xinjiang Uygur Autonomous Region, China
Co-first authors: Xin-Bo Song and Yan-Zhi Wang.
Author contributions: Lai LX designed the study; Song XB, Wang YZ, Wang YM, Sun H, Li JN, Ma HF, Sui TT, Li X, and Liu RH conducted the study and collected the data; Wang YZ analyzed the manuscript; Song XB wrote the manuscript; Song XB and Wang YZ contributed equally to this manuscript as co-first authors. All authors approved the final manuscript.
Supported by Scientific Research Fund of China-Japan Friendship Hospital, No. 2019-1-QN-53.
Institutional review board statement: This study was approved by the Ethics Committee of China-Japan Friendship Hospital, No. 2020-83-K49.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Data sharing statement: The data that support the findings of this study are available on request from the corresponding author. The data are not publicly available due to privacy or ethical restrictions.
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/ 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
Received: June 13, 2025
Revised: July 20, 2025
Accepted: September 15, 2025
Published online: October 21, 2025
Processing time: 130 Days and 1.1 Hours
