{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T22:12:53Z","timestamp":1779228773894,"version":"3.51.4"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Pediatr Surg"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:p>\n            Introduction\u2003Traction procedures are useful to preserve the child's own esophagus in long-gap forms of esophageal atresia. To date, it remains unclear what suture size or position of the traction sutures is optimal to account for differences in anatomy and to reduce the risk of traction sutures being torn out of the esophageal tissue.<\/jats:p><jats:p>\n            Materials and Methods\u2003Explanted porcine esophagi (from swine aged 100\u2013120 days and weighing 100\u2013120 kg) were divided at the carinal level. Traction sutures were either placed circumferentially or only in the dorsal wall and the breaking strength\u2014circumferential disruption of the muscular layer\u2014was measured. Suture size (USP 4\u20130 vs. 5\u20130) was also evaluated in a similar way.<\/jats:p><jats:p>\n            Results\u2003Neither traction suture position did not influence breaking strengths between circumferentially placed traction sutures or those exclusively placed in the dorsal esophageal wall (\u0394\u2009=\u20090.47\u2009N, 95% confidence interval: \u22122.83 to 3.76\u2009N, p\u2009=\u20090.771, n\u2009=\u200911 per group) nor differing suture sizes of USP 4\u20130 and USP 5\u20130 (\u0394\u2009=\u20091.46\u2009N, 95% confidence interval: \u22123.2 to 0.28\u2009N, p\u2009=\u20090.0946, n\u2009=\u20099 per group) affected breaking strengths.<\/jats:p><jats:p>\n            Conclusion\u2003Suture size and suture positioning do not affect mechanical stability in Foker's procedure and therefore can be adapted as needed according to patient's anatomy and size.<\/jats:p>","DOI":"10.1055\/s-0038-1676506","type":"journal-article","created":{"date-parts":[[2018,12,19]],"date-time":"2018-12-19T18:48:01Z","timestamp":1545245281000},"page":"481-484","source":"Crossref","is-referenced-by-count":13,"title":["Technical Aspects in Esophageal Lengthening: An Investigation of Traction Procedures and Suturing Techniques in Swine"],"prefix":"10.1055","volume":"29","author":[{"given":"Christina","family":"Oetzmann von Sochaczewski","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, Universit\u00e4tsmedizin Mainz, Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evangelos","family":"Tagkalos","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Transplant Surgery, Universit\u00e4tsmedizin Mainz, Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Lindner","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, Universit\u00e4tsmedizin Mainz, Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hauke","family":"Lang","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Transplant Surgery, Universit\u00e4tsmedizin Mainz, Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Axel","family":"Heimann","sequence":"additional","affiliation":[{"name":"Institute of Neurosurgical Pathophysiology, Universit\u00e4tsmedizin Mainz, Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oliver J.","family":"Muensterer","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, Universit\u00e4tsmedizin Mainz, Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2018,12,19]]},"container-title":["European Journal of Pediatric Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0038-1676506.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,10,21]],"date-time":"2019-10-21T18:31:35Z","timestamp":1571682695000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0038-1676506"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,12,19]]},"references-count":0,"journal-issue":{"issue":"05","published-online":{"date-parts":[[2019,10,21]]},"published-print":{"date-parts":[[2019,10]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0038-1676506","relation":{},"ISSN":["0939-7248","1439-359X"],"issn-type":[{"value":"0939-7248","type":"print"},{"value":"1439-359X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,12,19]]}}}