{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T05:06:33Z","timestamp":1788671193471,"version":"build-2803163510"},"reference-count":50,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,7,3]],"date-time":"2024-07-03T00:00:00Z","timestamp":1719964800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,7,3]],"date-time":"2024-07-03T00:00:00Z","timestamp":1719964800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Johann Wolfgang Goethe-Universit\u00e4t, Frankfurt am Main"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Pediatr Surg Int"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>Abdominal wall closure in patients with giant omphalocele (GOC) and complicated gastroschisis (GS) remains to be a surgical challenge. To facilitate an early complete abdominal wall closure, we investigated the combination of a staged closure technique with continuous traction to the abdominal wall using a newly designed vertical traction device for newborns.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Four tertiary pediatric surgery departments participated in the study between 04\/2022 and 11\/2023. In case primary organ reduction and abdominal wall closure were not amenable, patients underwent a traction-assisted abdominal wall closure applying fasciotens<jats:sup>\u00ae<\/jats:sup>Pediatric. Outcome parameters were time to closure, surgical complications, infections, and hernia formation.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Ten patients with GOC and 6 patients with GS were included. Complete fascial closure was achieved after a median time of 7\u00a0days (range 4\u201322) in GOC and 5\u00a0days (range 4\u201311) in GS. There were two cases of tear-outs of traction sutures and one skin suture line dehiscence after fascial closure. No surgical site infection or signs of abdominal compartment syndrome were seen. No ventral or umbilical hernia occurred after a median follow-up of 12\u00a0months (range 4\u201322).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Traction-assisted staged closure using fasciotens<jats:sup>\u00ae<\/jats:sup>Pediatric enabled an early tension-less fascial closure in GOC and GS in the newborn period.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00383-024-05745-6","type":"journal-article","created":{"date-parts":[[2024,7,3]],"date-time":"2024-07-03T17:02:00Z","timestamp":1720026120000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Use of a new vertical traction device for early traction-assisted staged closure of congenital abdominal wall defects: a prospective series of 16 patients"],"prefix":"10.1007","volume":"40","author":[{"given":"Anna-Maria","family":"Ziegler","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Svoboda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Britta","family":"L\u00fcken-Darius","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Heydweiller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fritz","family":"Kahl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie Christine","family":"Falk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Udo","family":"Rolle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Till-Martin","family":"Theilen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,7,3]]},"reference":[{"key":"5745_CR1","doi-asserted-by":"publisher","first-page":"348","DOI":"10.1016\/j.ajog.2016.03.039","volume":"215","author":"AM Friedman","year":"2016","unstructured":"Friedman AM, Ananth CV, Siddiq Z, D\u2019Alton ME, Wright JD (2016) Gastroschisis: epidemiology and mode of delivery, 2005\u20132013. 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The prospective series was ethically approved by the ethics commission of the Ethical consent University Hospital Frankfurt, No. 20\u2013659.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and the national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Human and animal rights"}},{"value":"All members gave their consent for participation and the anonymous use of data by the initiators of the registry.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"Data entry requires previous written informed consent from the patient or a legal representative.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"The schematic image used in Fig.\u00a0 has been modified following appropriate authorization by Fasciotens GmbH, Essen, Germany. The images in Fig.\u00a0 belongs to the Department of Pediatric Surgery and Pediatric Urology, University Hospital Frankfurt, Germany.","order":7,"name":"Ethics","group":{"name":"EthicsHeading","label":"Image rights"}}],"article-number":"172"}}