{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T10:46:16Z","timestamp":1789469176880,"version":"build-2803163510"},"reference-count":15,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,2,10]],"date-time":"2025-02-10T00:00:00Z","timestamp":1739145600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Surg Innov"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This study aimed to compare the outcomes of a modified submucosal ligation of the fistula tract (MSLOFT) technique with the hybrid seton technique for treating transsphincteric anal fistulas.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>A retrospective analysis was conducted with ethical approval from Baskent University. Patients over 18 years of age with a diagnosis of transsphincteric fistula and complete data were included in the study. Patients with fistulas of non-cryptoglandular origin, incontinence, multiple fistula tracts, inflammatory bowel disease, or malignancy were excluded. The study involved 255 patients, divided into: MSLOFT (n = 31) and hybrid seton (n = 224) groups. Propensity score matching (PSM) was performed to balance age, gender, and body mass index between the groups, resulting in 30 patients per group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There was no significant difference between the MSLOFT and hybrid seton groups regarding Wexner scores, incontinence rates, recurrence, or reoperation rates, in the overall cohort and after PSM. However, in the overall cohort and after PSM analysis, the operation time (\n                      <jats:italic>P<\/jats:italic>\n                      = 0.047) and follow-up time (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001) of the MSLOFT group were significantly longer. Recurrence was noted in 3 MSLOFT patients and 2 hybrid seton patients after PSM.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>MSLOFT is a feasible and effective sphincter-preserving technique for transsphincteric anal fistulas, providing low recurrence and incontinence rates similar to the hybrid seton technique.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15533506251320296","type":"journal-article","created":{"date-parts":[[2025,2,10]],"date-time":"2025-02-10T14:51:11Z","timestamp":1739199071000},"page":"201-210","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["A Novel Surgical Technique for Transsphincteric Anal Fistulas: A Comparison Between the Modified Submucosal Ligation of Fistula Tract (MSLOFT) and the Hybrid Seton Techiniques - A Propensity Score Matching Analysis"],"prefix":"10.1177","volume":"32","author":[{"given":"Ramazan","family":"G\u00fcndo\u011fdu","sequence":"first","affiliation":[{"name":"Department of General Surgery, Baskent University School of Medicine, Adana Dr. Turgut Noyan Application and Research Center, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3786-0907","authenticated-orcid":false,"given":"Afig","family":"Gojayev","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Baskent University School of Medicine, Ankara Hospital, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murathan","family":"Erkent","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Baskent University School of Medicine, Ankara Hospital, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tevfik","family":"Avc\u0131","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Baskent University School of Medicine, Adana Dr. Turgut Noyan Application and Research Center, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murat","family":"Ku\u015f","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Baskent University School of Medicine, Adana Dr. Turgut Noyan Application and Research Center, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serkan","family":"Erkan","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Baskent University School of Medicine, Adana Dr. Turgut Noyan Application and Research Center, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H\u00fcseyin Onur","family":"Ayd\u0131n","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Baskent University School of Medicine, Ankara Hospital, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Ezer","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Baskent University School of Medicine, Adana Dr. Turgut Noyan Application and Research Center, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,2,10]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/codi.13286"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2019.08.003"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000002473"},{"issue":"3","key":"e_1_3_3_5_2","first-page":"42","article-title":"Submucosal ligation of fistula tract (SLOFT) for ano-rectal fistula: An effective and easy technique","volume":"20","author":"Pathak DU","year":"2014","unstructured":"Pathak DU, Agrawal V, Taneja V.K. Submucosal ligation of fistula tract (SLOFT) for ano-rectal fistula: An effective and easy technique. Ambulatory Surgery. 2014;20(3):42-43.","journal-title":"Ambulatory Surgery"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/codi.15305"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1159\/000512652"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13017-021-00384-x"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.4274\/tjcd.04834"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-004-0080-6"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-012-0952-0"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-013-1021-z"},{"key":"e_1_3_3_13_2","first-page":"716","article-title":"The effect of hybrid seton on anal continence and quality of life in transsphincteric fistulas. Long-term follow-up","volume":"93","author":"Gulen M","year":"2022","unstructured":"Gulen M, Sariyildiz GT, Pala MI, Ege B. The effect of hybrid seton on anal continence and quality of life in transsphincteric fistulas. Long-term follow-up. Ann Ital Chir. 2022;93:716-719.","journal-title":"Ann Ital Chir"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/codi.14054"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2019.09.012"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1111\/codi.16297"}],"container-title":["Surgical Innovation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15533506251320296","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15533506251320296","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15533506251320296","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T07:24:41Z","timestamp":1777706681000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15533506251320296"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,10]]},"references-count":15,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,6]]}},"alternative-id":["10.1177\/15533506251320296"],"URL":"https:\/\/doi.org\/10.1177\/15533506251320296","relation":{},"ISSN":["1553-3506","1553-3514"],"issn-type":[{"value":"1553-3506","type":"print"},{"value":"1553-3514","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,10]]}}}